3003 W CASINO RD BLDG 40-23 2019-01-25

ELECTRICAL PtMIT & FIRE ALARM PMIT APPLICATION ,,,,�� -- CITY OF EVERETT PERMIT SE ES v.7 ,_ 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: 3003 W Casino Rd, Bldg 40-23, Everett WA 98204 PROJECT TYPE: ❑NEW CONSTRUCTION 0 ADDITION 0 ENANT IMPROVMENT DREMODEL BUILDING USE: O=SFR 0 TOWNHOUSE 0 i UPLEX 0 DU 0 MULTI-FAMILY-#OF UNITS: ®_COMMERCIAL BUILDING AREA: 2000 sq ft ELECTRICAL APPLICATION INFORMATIONi. CONTRACT PRICE OF WORK:$ 1800 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? ❑ NO 0 YES-#OF DEVICES: 6 c._ IS THIS A FIRE ALARM PERMIT? 0 NO 0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF:°WORK &CODE<COMPLIANCE DESCRIPTION OF WORK: Install Access Control Devices for(1)Door. Install Access control panel and power supply,120v by others Titan Electric job#186243 THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: [1:11By 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. ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: I■I 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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: Boeing TENANT BUSINESS NAME(If Commercial): Boeing OWNER MAILING ADDRESS: STREET 3003 W Casino Road cuy Everett STATE WA ZIP 98204 OWNER PHONE: 312 544 2000 OWNER EMAIL: CONTRACTOR NAME: Titan Electric CONTRACTOR ADDRESS: STREET 12828 Northup Way, Suite 205 clTv Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE: 206 633 2811 CONTRACTOR EMAIL: permits@titanelectric.net CONTRACTOR LIC.#(REQUIRED): TITANEI963O8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 051191 PRIMARY CONTACT: DWNER CONTRACTOR {OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206 551 7253 Sean Hughes CONTACT EMAIL: seanh@titanelectric.net 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# /7-t i2—lll ' E V .k2. - l\`1 Owner/Authorized Agent Signature Date (Revised 10/30/2018)