7713 LOWER RIDGE RD 2019-07-24 - Laserfiche WebLink

Iwo LI: ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits sPRO.JECT.:411",E.:.1NFORIVIATIQNi- ' PROJECT ADDRESS: 7713 Lower Ridge Rd. BUILDING AREA: 2000 sq ft PROJECT TYPE: E.11 NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT 0 REMODEL BUILDING USE: E SFR El TOWNHOUSE El DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: El COMMERCIAL ELE.CTRICAI,':APPLICATION.ANFORMATION.:.&70EPPRIPPOPUOFVOR `L.r.Mlill*.Z: -7. ,:,:':,,," CONTRACT PRICE OF WORK:$ 550 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Branch circuit for residential HVAC THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? 0 NO 0 YES-Select Scope: 0 Service El Feeder El Circuits-#:1 El Complete Re-wire LOW VOLTAGE WORK? 0 NO 0 YES-#of Devices: SELECT SCOPE(REQUIRED): El Data El Intercom CI Thermostat 0 Audio El Secure Access 1E1 Security System El Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. El Other(List All): k,C00,4),P9MelfilANcE:InigiA3M°14**MOSSASiS*4:MC IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: El NO EYES—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: ENO EYES-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. ;-f4..!•'-' ''''- 11%igN,.,i0tr,- ,e,-:1':''.:!'.',''::CONTACT JNFO"....,,A114:440.1P-: ;',:''''144:1'1!!..-!': ::..4.0%!4f:;*Aik.,I .RfatN A!' OWNER NAME: Debbie Krogen TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7713 Lower Ridge Rd. CITY Everett STATE WA ZIP 98203 OWNER PtioNE:425-999-7291 OWNER EMAIL: CONTRACTOR NAME: Rhema Electric CONTRACTOR ADDRESS: sTREET628 S. Spruce St. coy Burlington STATE WA z 98233 CONTRACTOR PHONE:360-4 16-8227 CONTRACTOR EMAIL:davea@rhemaelectric.com CONTRACTOR LAC.#01:ouiRED):RHEMAEL940DH CITY OF EVERETT BUSINESS LIC.#(REQUIRED):45783 PRIMARY CONTACT: DOWNER ECONTRACTOR EOTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-391-1884 Dave A' i_ian z CONTACT EMAIL: davea@rhemaelectric.com AGREEWN r:I hereby c.willy that I have read and examined this application end know the same to be true and correct. All provisions of laws and ordinances governing this type of work v.411 be compkted 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 loin law regulating coustuscutth 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 c with t State ContractorS Law 18.27 RCW and 296,200 WAC. — ' ---' k.,"/"\ ai,,,oc) 1,.. 1 1 i <4 i PERMIT#: City of Everett Official Use Only E 1M ;'.0,;,-,. ,0 .1 4 ow er,Author,z.Ageitt Signature Date (Revised 1/11/2019) Paget-Application