1505 112TH ST SW UNITED METHODIST CHURCH 2023-12-27

EVERETT WASHINGTON FIV ALARM PERMIT APPLIC TION CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:1505 1 12th St SW BUILDING AREA: 6000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT ✓❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: 0 COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $4200 ASSOCIATED ELECTRICAL PERMIT # (REQUIRED): DESCRIBE SCOPE OF WORK: We are installing a new Fire alarm system that will include New control Smoke detectors Heat detectors Horn Strobes and Strot PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance. Confirm the required items are included by checking the boxes: Check the boxes below to indicaticate all documents that are being submitted with this permit application: ✓❑ 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) 2 Sets of Plans - Must include the following: ✓❑ Location of fire alarm devices ✓❑ Battery calculations & voltage drop calculations for notification appliance circuits ❑✓ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Pacific NW Annual COnfrence Of TENANT BUSINESS NAME (if Commercial): Centro Pal abra VlVente OWNER MAILING ADDRESS: STReET8160 S 216th ,,n Deemoines STATE WA ZIP 98198 OWNER PHONE:206-747-7976 OWNER EMAIL: CONTRACTOR NAME: Electrical Technology LLC CONTRACTOR ADDRESS: sTREETP.O Box 13889 ,,T,. Mille Creek STATE WA Z,P 98082 CONTRACTOR PHONE:206-931-3128 ICONTRACTOR EMAIL:Chris@electro-tech.biz CONTRACTOR LIC. #(REQUIRED): ELECTTL8880G ICITY OF EVERETT BUSINESS LIC. #(REQUIRED): 58542 PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Chris Davis CONTACT PHONE: 206-931-3128 CONTACT EMAIL:Chris@electro-tech.biz AGREEMENT: 1 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/ 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. 7Z Z--�v / Owner/Authorized Agent Signature Date of Everett Official Use RMIT #: FA Z-1(o -- o6z