8020 W GLEN DR 2019-07-08 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257.8810 j FAX 425-257-8857(y■ 57I(E)everettteps@everettwa,gov■III www.everetfwa.gov/permits v PtP4:� ..A�,�FE".�,t ... .....i t 3lr.�1� �i 11il;EcTtS :'.Fli! �v ijf{t3Oklf tt x \'A Z. '^2.L`` -R PROJECT ADDRESS: 8020 W. Glen DR. BUILDING AREA: N!A sq ft PROJECT TYPE: D NEW CONSTRUCTION Q ADDITION ❑TENANT IMPROVMENT CI REMODEL BUILDING USE: SFR % TOWN 'OUSE LD DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL Wmac ..s -s.,..MF! fIRI IONIIN...OR1VATIONAV ..R p tV "A .. �... .` Yprat .F, CONTRACT PRICE OF WOR $ 3000 ASSOCIATED BUILDING PERMIT#(if applicable): 81903-044 DESCRIBE SCOPE OF W+RK; Replace 200arnp soli' bus --rvice panel using existing meter. Add 50arnp circuit for owner supplied hot tub and disconnect. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? 0 NO E✓ YES-Select Scope:;©Service ❑Feeder El Circuits-#:1 ❑Complete Re-wire LOW VOLTAGE WORK? 171 NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): 0 Data ❑ Intercom ❑Thermostat El Audio El Secure Access ❑Security System Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Fire�iAlarm Permit is required for review of device location and installation approval. L Other(List Alli is THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: Ll NO Li 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:©NO DYES-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. OWNER NAME: Chad Thompson TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: unser 8020 W. Glen.DR. on, Everett STATE WA zip 98203 OWNER PHONE:(425) 308-0541 OWNER EMAIL:cit91893@gmail.com CONTRACTOR NAME: Full Spectrum Design CONTRACTOR ADDRESS: sreEET4859 Alpine Drive _. _. cr- Everett STATE WA , • CONTRACTOR PHONE:425-330-5469 CONTRACTOR EMAIL:futispectrumdesign@hotmail.com CONTRACTOR LIC.#(REQUIRED):FULLSO'U04.KG CITY OF EVERETT BUSINESS LIC.#(REQUIR 0):.028519 PRIMARY CONTACT: [DOWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 308-0541 Chad Thompson CONTACT EMAIL:cIt91893©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 em authorized hy the owner of this property to perforin the work for which application is made and I comply with the State Contractors Law 18.27 ROW and 296.200 WAC. City of Everett Official Use Only } PERMIT#: ° 04/01/2019 q� O O Cer/Authorized Agent Signet Ore Date (Revised 1/11/2019) Page 1-Application t