3003 W CASINO RD BLDG 45-251 2019-04-02

ELECTRICAL.ERMIT & FIRE ALARM gig RMIT APPLICATION "IP101 ----g CITY OF EVERETT PERMITS VICES 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,45-251/45-276, Everett WA 98204 PROJECT TYPE:nNEWCONSTRUCTION ADDITION ENANT IMPROVMENT (REMODEL BUILDING USE: b1SFR 0 TOWNHOUSE 0 UPLEX 0 DU ❑ MULTI-FAMILY-#OF UNITS: la COMMERCIAL BUILDING AREA: 5000 sq ft ELECTRICAL APPLICATION.INFORMATION CONTRACT PRICE OF WORK:$ 17604 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? 0Lit NO 0 ES-#OF DEVICES: 18 IS THIS A FIRE ALARM PERMIT? 0 ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK RCODE COMPLIANCE DESCRIPTION OF WORK: Install cameras and card access system at EDC North Access Point(nearest to 45-276)and at EDC South access point(nearest to 45-251). Inspecting this work will require escort by titan electric. Titan Electric Job#1936001 THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 7 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. ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: I 1 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 cm, Everett STATE WA zip 98204 OWNER PHONE: 312 544 2000 OWNER EMAIL: CONTRACTOR NAME: Titan Electric CONTRACTOR ADDRESS: STREET 12828 Northup Way,Suite 205 cm Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE:206 633 2811 CONTRACTOR EMAIL: permits@titanelectric.net CONTRACTOR LIC.#(REQUIRED): TITANEI9630B CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 051191 PRIMARY CONTACT: J3WNER 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 1 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# 14' 2- /q G i°to l - 0o3 Owner/Authorized Agent Signature Date (Revised 10/30/2018) I