5404 S 3RD AVE 2024-03-29 - Laserfiche WebLink

im ® ELECTRICAL PERMIT APPLICATION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET, EVERETT, WA 98201 WASHINATON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits y ;-. : - PROJECT SITE INFORMATION PROJECT ADDRESS: 5404 S 3rd Ave Everett, WA 98203 IBUILDING AREA: 1060 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT © REMODEL BUILDING USE: ©SFR []TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS; ❑ COMMERCIAL ELECTRICAL' APPLICATION INFORMATION &`DESCRIPTION, OF WORK CONTRACT PRICE OF WORK: $ 18,000 ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIBE SCOPE OF WORK: Upgrade to 400A service. Install 2x200A main panels, 60A generator sub -panel, 125A garage sub -panel, 100A shed sub -panel. Re -wire branch: office, laundry room, kitchen. Wire branch in shed and garage THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO © YES - Select Scope; © Service © Feeder © Circuits-#:26 ❑ Complete Re -wire LOW VOLTAGE WORK? ❑ NO © YES- # of Devi ces:9 SELECT SCOPE (REQUIRED); © Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ Secure Access ❑ 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. ❑ Other (List All): 77 CODE:COMPL ANCE _ . . IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 0 NO Lj 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 rZ 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 YES See Below & Pg. 3 Pursuant to RCW 19.28.261, properly 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, l 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 Iice nsing/certification requirement. CONTACT'INFORMATION m OWNER NAME: Andrew Sharp TENANT BUSINESS NAME If Commercial OWNER MAILING ADDRESS: STREET 5404 S 3rd Ave ,,n, Everett STATE WA Z,, 98203 OWNER PHONE: 425-259-4409 OWNER EMAIL: ACSharp70@frontler,com CONTRACTOR NAME: OWNER, Andrew Sharp: WA EL01 electrician license #SHARPAC902P9, exp 3/17/2022 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR L1C. #(REQUIRED): CITY OF EVERETT BUSINESS LIC. #(REQUIRED): PRIMARY CONTACT: ©OWNER ❑CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Andrew Sharp CONTACT PHONE:425-259-4409 CONTACT EMAIL:ACSharp70@frontler.Com AUHL-LML-NI: i nereoy cemry tnat t nave reaa ana examinea this application ana Know file same to oe true ana correct. All provisions or laws ana oramances governing tms 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 aufhodzed by the owner of this property to perform the work for which application is made and 1 comply with the Slate Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: C�J Nam. OwnerlAuthorized Agent Signature bate (Revised 1/1112019) Page 1-Application