3810 RIVERFRONT BLVD BLDG B 2025-10-27

:: EVERETT WASHINGTON ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 426.267-8857 I (E) everelteps@everellvra.gov I wwW.everettwa.gov/permits PROJECT ADDRESS: 3810 RIVERFRONT BLVD 113UILDING AREA: 190,000 sq ft PROJECT TYPE: ❑✓ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUJ4IIInLDING USE: ❑l/S. F�RQQ ❑Yl,TTjaFOWNHOUSE DUPLEX ❑pbADU - # OF UNITS: 166 ❑ COMMERCIAL 9❑(( ``O�yMULTI-FAQMILY p }A:tN+lh `a.�t1�T ��, v� j A�SZi �.Tf/v i14Y, \^ ",If F,f�. �._ .j .N, dT S ..1\li..,�a �.Y.� . 4/. AQ i .errrl. t!,�i.'.i n t...L _ { Y/.. CONTRACT PRICE OF WORK: $ 15000 JASSOCIATED BUILDING PERMIT # (if applicable): N/A DESCRIBE SCOPE OF WORK: INSTALLATION OF LOW VOLTAGE SYSTEMS: ACCESS CONTROL, CCTV AND ELEVATOR LOBBY 2-WAY COMMUNICATION. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑✓ NO ❑ YES - Select scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re -wire LOW VOLTAGE WORK? ❑ NO R] YES-# of Devices: 68 SELECT SCOPE (REQUIRED): ❑ Data ✓❑ Intercom ❑ Thermostat ❑ Audio I] 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): CCTV `c ,y IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓ NO YES •-See Below & Pg. 2 ElBy checking this box, I am stating that I have read and understand all of WAC 296-469-900, 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 sae 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, 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 Ilcensing/certification requirement. ELX.{'�'ti v'1">hi!bi�G"}., _.z �f,✓.!. Y'1-}1 /\�,t}t[f`vi,r�'.'(tlAry i.. a-svt� y�.�f7,t -t 'r ��f �h�1�I-�.kA�SE� M {�ft'�$y�, e �t! �. s OWNER NAME: SHELTER HOLDINGS LLC TENANT BUSINESS NAME (if Commercial): RIVERFRONT APTS. OWNER MAILING ADDRESS: STREET 11624 SE 5TH ST, Ste210 C, y BELLEVUE STATE WA z,n 98005 OWNER PHONE:425.559.2340 OWNER EMAIL: eric.evans@shelterholdings.com CONTRACTOR 14AME:.FIRE PROTECTION INC CONTRACTOR ADDRESS: STREET 1741 O ASH WAY, Ste 8 CITY LYNNWOOD STATE WA zip 98037 CONTRACTOR PHONE:425.290,9600 1CONTRACTOR EMAIL: david&piseattle,com CONTRACTOR LIC. #(REQUIRED): FIREP1021ML CITY OF EVERETT BUSINESS LIC. #(REQUIRED):.038814 PRIMARY CONTACT: ❑OWNER (]CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: DAVI D MOW CONTACT PHONE:425,290.9600 CONTACT EMAIL: DAVID@FPISEATTLE.COM AGREEMEN7r r neredy cemry roar i nave read and examined mis application and know the same robe true and correct. All provisions of laws and ordinances governing this type of work vlllbe comp/a &,,.,i ii ietherspeciged here/n ornot The granting of a permit does not presume to give authority to violate orcance/ the provisions of any other state or local law regulating �yIS( a ton or the performance of construction. That I am authorized by the owner of this property to perform the work for which appllcatlon Is made and/ comply with the �teT ontfgctoys Law 18.27 RCW and 296,200 WAC Cltv of Everett Official Use Only 12/16/21 I E 11 � 2 —\LIA_-�