910 SE EVERETT MALL WAY PEARLE VISION 2024-06-21

FIRE ALARM PERMIT APPLICATION EVERETT CITY 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:910 SE EVERETT MALL WAY BUILDING AREA: 230c sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $5,000.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: ADD 1) FIRE ALARM BOOSTER PANELS, 8) AUDIO/VISUAL FIRE ALARM NOTIFICATION 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: ✓❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑✓ 3 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: RAND'S 910 CENTER LLC TENANT BUSINESS NAME(If Commercia : PEARLE VISION OWNER MAILING ADDRESS: sTREET910 SE EVERETT MALL WAY / CITY Everett STATE WA ZIP 982'08 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Western States Fire Protection CONTRACTOR ADDRESS: STREET 14690 NE 95th ST#101 CITY Redmond STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-0100 CONTRACTOR EMAIL:Iues.mayer@wsfp us CONTRACTOR LIC.#(REQUIRED):WESTESF906P1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 20553 PRIMARY CONTACT: DOWNER CONTRACTOR OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-429-4240 Jules Mayer CONTACT EMAIL:jules.mayer@wsfp.us AGREEMENT:1 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 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#: q 189y gn d Myer Jules Mayers ie MY OOP o =�neW. FA 220 (C _C)ape a oc P 08/22/2022 ome•xa._ae. os a moo Owner/Authorized Agent Signature Date (Revised 3/6/2019)