1205 BROADWAY WELCOME EVERETT INN 2021-10-25

ELECTRICAL PERMIT APPLICATION 4477CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa gov I www everettwa gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1205 BROADWAY BUILDING AREA: 27443 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑ TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL AFS 0.,..,,. ..., ION & DESCRIPc, N OP WORK R CONTRACT PRICE OF WORK: $ 20000 ASSOCIATED BUILDING PERMIT#(if applicable): FA1901-001 DESCRIBE SCOPE OF WORK: REPLACE FIRE PANEL AND INSTALL AES RADIO FOR MONITORING 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? El NO ❑✓ YES-#of Devices:98 SELECT SCOPE (REQUIRED). ❑ Data ❑ Intercom ❑ Thermostat ❑Audio El 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): 7.,y CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 0 NO ❑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: RINO EYES-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 licensing/certification requirement. ro C• 'PT INFORMATION ` ,,.a,a ne. ..... ....., OWNER NAME: WELCOME INN TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1205 BROADWAY CITY EVERETT STATE WA ZIP 98201 OWNER PHONE:425-404-3656 'OWNER EMAIL: 1205WELCOMEINN©GMAIL.COM CONTRACTOR NAME: AAA FIRE PROTECTION INC CONTRACTOR ADDRESS: STREET 3013 3RD AVE N ciTv SEATTLE STATE WA ZIP 98109 CONTRACTOR PHONE:206-284-1721 'CONTRACTOR EMAIL:BOYD©AAAFIRE.COM CONTRACTOR LIC.#(REQUIRED):AAAFIFP841N3 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 027647 PRIMARY CONTACT: EOWNER OCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-284-1721 BOYD SODERQUIST CONTACT EMAIL:BOYD©AAAFIRE.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 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#: Boyd Digitally signed by Boyd Soderquist DN:cn=8oyd 8aderquist,o=AAA Fire Y//�� //�\\ Protection,ou-Alarm eepair Division, E \- \O V 3 Soderquist emair- `0;:,Dare zot ana oz i s:aa:zs-ozro, Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application