6905 BEVERLY BLVD 2019-06-18 - Laserfiche WebLink

ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES I 3200 CEDAR STREET, EVERETT,WA 98201 (P)425457-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits ,4tt•.'f-', :;,' ,.:,,,.. '.'''''''',- —j.. ' ; - PROJECT SITE INFORMATION'- - PROJECT ADDRESS:6905 BEVERLY BLVD = PROJECT TYPE: 0 NEW CONSTRUCTION 0 ADDITION 0 TENANT IMPROVMENT n REMODEL BUILDING USE: El SFR El TOWNHOUSE 0 DUPLEX 0 ADU CI MULTI-FAMILY-#OF UNITS: CI COMMERCIAL : _ ... BUILDING AREA: 1368 sqft % ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$250 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? Z NO 0 YES-#OF DEVICESL IS THIS A FIRE ALARM PERMIT? rii NO E.] YES-Plans required for review.(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK Sw.CODE COMPLIANCE' DESCRIPTION OF WORK: ADD CIRCUIT FOR SINGLE ZONE DUCTLESS INSTAL IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: IZ NO EYES--See Below&Pg.2 DBy 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:IZINOElttB-See Below&Pg.3 D 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:PATRICK/EMMA BAILEY TENANT BUSINESS NAME If Commercial : OWNER MAILING ADDRESS: STREET6905 BEVERLY BLVD ow EVERETT STATE W 98203 OWNER PHONE:425-367-2490 OWNER EMAIL:fulcrumxl5@gmail.corn CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cny EVERETT STATE WA zip 98201 : CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM , CONTRACTOR LIC.#(REQUIRED):CMHEAMH877DN CITY OF EVERETT BUSINESS LIC.#REQUIRED): 016098' PRIMARY CONTACT: DOWNER 121 CONTRACTOR 0 OTHER(Please Specify) ONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.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 i 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!am authorized by the owner of this property to perform the i 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* 42çii 03/18/19 , Owner/Authorized Agent Signature Date (Revised 11/5/2018) Page lApplication o .,, i =