9001 AIRPORT RD 2023-07-31 - Laserfiche WebLink

am pLT. EOCTRICAL PERMIT APPLI*TION EVERETTCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 9001 Airport RD, Everett WA 98204 BUILDING AREA: 4312 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION 0 TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR El TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF �E CONTRACT PRICE OF WORK: $ 30000 ASSOCIATED BUILDING PERMIT#(if applicable). _- DESCRIBE SCOPE OF WORK: Adding 208V panel and receptacles for kitchen equipment at Sno Isle Skills Center. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service El Feeder ❑✓ Circuits-#:5 ❑ Complete Re-wire LOW VOLTAGE WORK? El NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio El Secure Access El Security System ❑ Fire Alarm- Installations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. El Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ❑ NO El YES--See Below&Pg. 2 By checking this box, I am stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ❑✓ NO DYES-See Below&Pg. 3 Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale, or lease without the proper electrical licensing and certification, or exemption. By checking this box, I am stating that I have completed and See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: Mukilteo SD TENANT BUSINESS NAME(If Commercial): Sno Isle Skills Center OWNER MAILING ADDRESS: STREET 9401 Sharon Drive CITY Everett STATE WA zii= 98204 OWNER PHONE:425-356-1274 OWNER EMAIL: CONTRACTOR NAME: Bonner Electric CONTRACTOR ADDRESS: STREET 1419 Dike Road CITY Mt. Vernon STATE WA ziP 98273 CONTRACTOR PHONE:360-899-9540/ TO MAIL:brad@bonnerec.com ` CONTRACTOR LIC.#(REQUII ):� �:. c, ITY OF EVERETT BUSINESS LIC.#(REQUIRE \ ) _ PRIMARY CONTACT: DOWNER ❑CONTRACTOR ❑✓OTHER(Please Specify) Engineer CONTACT NAME: CONTACT PHONE:253-922-0446 Scott Watling CONTACT EMAIL:scott.watling@bceengineers.com AGREEMENT:I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: Scott Watling 9/14/21 , Owner/Authorize Age F �nt Signature Date (Revised 1/11/2019) /Page 1-Application—'