2030 113TH PL SE 2019-08-14 - Laserfiche WebLink

U I Y yr Cvtrt I I YtKMI 17tKVIGtb EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 wasHltucroN (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2030 113th PI SE Everett, WA 98208 BUILDING AREA: sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION 0 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:$ 1000.00 ASSOCIATED BUILDING PERMIT#(if applicable): �c c DESCRIBE SCOPE OF WORK: Removal of old heater circuits to make room for new heat pump circuit THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO ®YES-Select Scope: El Service ®Feeder ❑Circuits-#:2 El Complete Re-wire LOW VOLTAGE WORK? El NO ®YES-#of Devices:1 SELECT SCOPE(REQUIRED): ❑ Data El Intercom El Thermostat El Audio El Secure Access El 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): CODE COMPLIANCE CI IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: El NO YES--See Below&Pg.2 By checking this box, I am stating that I have read and understand all of WAC 296-468-900,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. I ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: 1 r� EYES YES-See Below&Pg.3 nPursuant 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 OWNER NAME:Jennifer Hesse TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2030-113th PI SE 98208 cm, Everett STATE WA ZIP OWNER PHONE: 'OWNER EMAIL: CONTRACTOR NAME: Skyline Electrical Services CONTRACTOR ADDRESS: STREET1 13 Cherry St #75215 CITY Seattle STATE WA ZIP 98104 CONTRACTOR PHONE:425-201-8288 CONTRACTOR EMAIL:aleX@SkylirleleCtriC.COm CONTRACTOR LIC.#(REQUIRE0):SkyliesS820RD CITY OF EVERETT BUSINESS LIC.#(REQUIRED):60163 PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-201-8288 Alex CONTACT EMAIL:alex@skylinelectric.com AGREEMENT:I hereby certify that/have mad 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 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#: Owner/Authorized Agerrtignature Date (Revised 1/11/2019) Page 1-Application 1