6504 OLYMPIC DR 2019-07-24 - Laserfiche WebLink

EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET, EVERETT,WA • 1 WASHINGTON (P)425-257-881. i i-AX425-257.8857 1(E)everetteps@everettwa.gov 1 t......:verettwa,gov/permits •PROJECT SITE PROJECT ADDRESS: 6504 OLYMPIC DRIVE BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT ✓❑ REMODEL BUILDING USE: ❑✓ SFR ❑TOWNHOUSE El DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 2500 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 4 ADDED /ALTERED CIRCUITS. REMOVING KNOB AND TUBE THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) UNE VOLTAGE WORK? ❑✓ NO a YES-Select Scope: ❑ Service ❑ Feeder ❑✓ Circuits-#:4 El Complete Re-wire LOW VOLTAGE WORK? E✓ NO El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑Audio ❑ Secure Access El Security System ❑ 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. ❑✓ Other(List All):REMOVING KNOB AND TUB CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO ❑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 YOUAN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ENO ❑YES-See Below&Pg. 3 F. 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. CONTACT INFORMATION OWNER NAME: SPENCER WHITLOCK TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6504 OLYMPIC DR n-y EVRETT STATE WA ZAP 98203 OWNER PHONE:4255305953 OWNER EMAIL:spencer57189@gmail.com CONTRACTOR NAME: ROCK ELECTRIC CONTRACTOR ADDRESS: sTREE716910 59TH AVE NE SUITE 215 crr, ARLINGTON STATE WA DP 98223 CONTRACTOR PHONE:36O2006502 CONTRACTOR EMAIL:LINDA@PROADMINSERVICESNET_ CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIR 51 C 2� Q� PRIMARY CONTACT: [DOWNER ❑✓CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:3602006502 ALEC SUTTON CONTACT EMAIL:LINDA@PROADMINSERVICES.NET AGREEMENT:I hereby certify that I have reed 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/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 SUTTON LITTON 06/14!2019 E 6101 6- 010 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1 ,Application