11310 EVERGREEN WAY 2026-04-07 - Laserfiche WebLink

FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:11310 Evergreen Way BUILDING AREA: 7,360 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: [E]COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $2500 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: Replace exisiting Fire Alarm panel and field devices PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance.Confirm the required items are included by checking the boxes: Check the boxes below to indicaticate all documents that are being submitted with this permit application: ✓❑ 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ✓❑2 Sets of Plans-Must include the following: 0 Location of fire alarm devices s❑ Battery calculations&voltage drop calculations for notification appliance circuits El Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Autozone TENANT BUSINESS NAME(If Commercial):Autozone OWNER MAILING ADDRESS: STREET P.O. BOX 2198, Dept#8090 CITY Memphis STATE TN ZIP 38101 OWNER PHONE:901-495-7197 OWNER EMAIL:hunter.bray@autozone.com CONTRACTOR NAME:Fire Systems West, Inc. CONTRACTOR ADDRESS: STREET206 Frontage Rd. N Suite C Suite C CITY Pacific STATE WA ZIP 98047 CONTRACTOR PHONE:2538331248 CONTRACTOR EMAIL:rodrigoq@firesystemswest.com CONTRACTOR LIC.#(REQUIRED):FIRESWI055LW CITY OF EVERETT BUSINESS LIC.#(REQUIRED):022919 PRIMARY CONTACT: ❑OWNER OCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-202-7040 Rodrigo Quinteros CONTACT EMAIL:rodrigoq@firesystemswest.com AGREEMENT:l hereby certify that/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 application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WA C. City of Everett Official Use Only PERMIT#: 7/1/2025 FA Owner/Authorized Agent Signature Date (Revised 412112022)