10217 19TH AVE SE DR SHARMA 2024-11-15

FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P) 425-257-8810 l (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:10217 19th Ave SE BUILDING AREA: 2500 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: [E]COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $13,261 ASSOCIATED ELECTRICAL PERMIT # (REQUIRED):N/A DESCRIBE SCOPE OF WORK: Fire alarm sysytem, tenant improvement, adding (12) devices. 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: 0 Location of fire alarm devices s❑ Battery calculations & voltage drop calculations for notification appliance circuits El Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Avenue Dental TENANT BUSINESS NAME (If Commercial): Avenue Dental OWNER MAILING ADDRESS: STREETI 0217 19th Ave SE ,IT, Everett STATE WA Zlp 98208 OWNER PHONE:425-531-0746 OWNER EMAIL:jesse.buttar@gmail.com CONTRACTOR NAME:Guardlan Security Systems CONTRACTOR ADDRESS: ITREET1743 First Ave S CITY Seattle STATE WA Zip 98134 CONTRACTOR PHONE:206-622-6545 CONTRACTOR EMAIL:smascorro@guardiansecurity.com CONTRACTOR LIC. #(REQUIRED):GUARDSS233K5 ICITY OF EVERETT BUSINESS LIC. #(REQUIRED):0033443 PRIMARY CONTACT: ❑ OWNER OCONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Steven Mascorro CONTACT PHONE:206-771-7630 CONTACT EMAIL:smascorro@guardiansecurity.com AGREEMENT: l hereby certify that/ 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 #: • 09/19/2023 FA Owner/Authorized Agent Signature Date (Revised 412112722)