2722 COLBY AVE UMPQUA BANK 2019-08-07

r6 V A E ECTRICAL PERMIT APPL kTION CITY OF EVERETT PERMIT SERVICE) 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2722 colby ave BUILDING AREA: 1939 sq ft PROJECT TYPE: Li NEW CONSTRUCTION -J ADDITION I✓I TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR TOWNHOUSE ❑ DUPLEX ❑ ADU n MULTI-FAMILY-#OF UNITS: n COMMERCIAL ELEC RICAL APPLICATION INFORMATION & DESCRIPTION OF WORK r CONTRACT PRICE OF WORK: $ 65000 ASSOCIATED BUILDING PERMIT#(if applicable): b1901-004 DESCRIBE SCOPE OF WORK: Re-use exsiting branch circuits for new outlet and lighting locations. Install new lighting according to RCP Switching to be occupany sensors. Offices 1-5 to have Oc switching with day light dimming Add 1 circuit for new ductless in IT room THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? [ NO s YES-Select Scope: Li Service ❑ Feeder n Circuits-#:15 ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑ YES-#of Devices: SELECT SCOPE(REQUIRED): [ Data 7 Intercom ❑ Thermostat ❑Audio ❑ Secure Access ❑ 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. ❑ Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 7 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. Ir-�--�;i 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. CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(If Commercial): Umpqua bank OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Amped electric & mechanical IIC CONTRACTOR ADDRESS: sTREET1309 bonneville ave suite 201 CITY snohomish STATE wa Zip 9 90 \\\ CONTRACTOR PHONE:425 583 6414 CONTRACTOR EMAIL:Info@snohomishvalley.com CONTRACTOR LIC.#(REQUIRED):ampern907d4 CITY OF EVERETT BUSINESS LIC.#(REQUIREDy t PRIMARY CONTACT: 1 DOWNER ✓ CONTRACTOR [OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4255836414 � Andy Stipech CONTACT EMAIL:andy@snohomishvalley.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._T1»-tam authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW rl .2W WAC. City of Everett Official Use Only PERMIT#: 3/14/2019 E ��1 � O 3 Otfvner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application