3120 COLBY AVE 2024-02-14 - Laserfiche WebLink

mils CTRICAL PERMIT APPLI ION'.) LL' uEtivE CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 # (P)425-257-8810 I(E)PermitServices@everettwa.gov I wweverettwa.gov/permits p f dUN n WASHINGTON w. d bA��r r��'y�� ,�..!.. "� ., '.�'*� _ 4 � f� 'S i � - e fit' � �:'r"` sty �.. � _ :.-. r.,�� i, G „:wok _ ;,. :�. �,n.,:v:u� " ,C. -_. ^rc•.... r ':i, a @a��,`.j,.i: b. )l'i;'':. _ PROJECT ADDRESS:3120 COLBY AVE (' ( (0�—� BUILDING AREA: rv-, .,7t1;`, G`; kla"FT PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT 0 REMODEL ��i V1COS BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS:2 ❑COMMERCIA ' q . o a CONTRACT PRICE OF WORK:$2970 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: RELOCATE EXISTING FIRE ALARM NOTIFICATION DEVICES AND REPLACE WITH LOW FREQUENCY SOUNDERS RELOCATE EXISTING FIRE ALARM NOTIFICATION DEVICES AND REPLACE WITH LOW FREQUENCY SOUNDERS THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? 0 NO ❑YES-Select Scope:❑Service ❑Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? El NO 0 YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data ❑Intercom ❑Thermostat ❑Audio ❑Secure Access ❑Security System 0 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. ❑Other(List All): • IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: NO U 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:ENO OYES-See Below&Pg. ® 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. OWNER NAME:SKOTDAL PRIME PROPERTIES TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO BOX 5267 C, EVERETT STATE WA zip 98206 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:B&H FIRE AND SECURITY CONTRACTOR ADDRESS: STREET PO BOX 3711 CITY ARLINGTON STATE WA ZIP 98223 CONTRACTOR PHONE:425-244-1445 CONTRACTOR EMAIL:JEFF@BNHFIRE.COM CONTRACTOR LIC.#(REQUIRED):BHFIRHF842KW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055697 PRIMARY CONTACT: !DOWNER ElCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425 244 1445 JEFF BROSSARD CONTACT EMAIL:JEFF@BNHF►RE.COM AGREEMENT:I hereby certify that I 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 1 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#: 526tdeta4.-Ce 6/8/2023 E . J Owner/A o d Agent Signature Date (Revised 4/5/2022) Page 1-Application 9 PP