3003 W CASINO RD BLDG 40-26 2019-07-12

ELECTRICAL P*MIT & FIRE ALARM PElIt IT APPLICATION /1111PCITY 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 SITE INFORMATION PROJECT ADDRESS:3003 West Casino Road, Everett, WA (40-26 Building) PROJECT TYPE: MEW CONSTRUCTION IIIADDITION ❑1TENANT IMPROVMENT nREMODEL BUILDING USE: SFR 0 TOWNHOUSE DUPLEX ❑b DU 0 MULTI-FAMILY-#OF UNITS: ll COMMERCIAL BUILDING AREA: sq ft ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$230,367 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? 0 NO 0 YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? ❑ NO la YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK & CODE COMPLIANCE DESCRIPTION OF WORK: Replacement of the Fire Alarm System, Control Panel and devices THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: rDBy 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 u I 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: I1"11 Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without u I 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: The Boeing Company TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3003 West Casino Road CITY Everett STATE WA ZIP 98203 OWNER PHONE: 425-501-2048 OWNER EMAIL: tracy.l.webster-bigelow@boeing.com CONTRACTOR NAME: VECA Electric & Technologies CONTRACTOR ADDRESS: STREET 5614 - 7th Ave S CITY Seattle STATE WA Z,P 98108 CONTRACTOR PHONE:206436-5200 CONTRACTOR EMAIL: david.wolf@veca.com CONTRACTOR LIC.#(REQUIRED):VECAEDI542MU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 004945 PRIMARY CONTACT: El OWNER PTONTRACTOR MOTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-683-3469 Orville Sieffert CONTACT EMAIL: Orville.Sieffert@veca.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 a..lication is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 113‘A Owner/Authorized Agent Sig a re Date (Revised 10/30/2018) Page 1 of 3