5515 COLLEGE AVE 2019-03-21 - Laserfiche WebLink

ELECTRICAL P RMIT & FIRE ALARM P MIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS:5515 College Ave Everett WA 98203 PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION 1111 ENANT IMPROVMENT ❑✓ REMODEL BUILDING USE: ❑✓ SFR El TOWNHOUSE El DU' ❑ DU El MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL BUILDING AREA: bedroom/bathroom sq ft less tr an 200 '"rLET,. ... ..c !'o. r IF CONTRACT PRICE OF WORK:$5300.00 'SSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? © NO El YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? ✓❑NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK: Rewire main floor bedroom and bathroom damaged in fire IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑NO El 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:ONO OYES-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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. OWNER NAME: Panameno TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET5515 College PI cin, Everett STATE WA zip 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:The Electricians LLC CONTRACTOR ADDRESS: STREET 14004 20th Ave NE cm,Seattle STATE WA ZIP 98125 CONTRACTOR PHONE:206-351-6428 'CONTRACTOR EMAIL:theelectriciansllc@gmail.com; kelly@theelectriciansllc.net CONTRACTOR LIC.#(REQUIRED):ELECTEL860JH ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 58264 A PRIMARY CONTACT: ❑OWNER I i CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-351-6428 Brandon Dietz CONTACT EMAIL:theelectriciansllc@gmail.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# 2 Kelly Mudaliar Date2019011..161a21 o oeoo' 1/16/2019 9,O( O rt Owner/Authorized Agent Signature Date (Revised 11/5/2018) Page 1-Application