HomeMy WebLinkAboutPermit EL11-1063 - 17250 BUILDING - VACANT SPACEVACANT SPACE
17250 SOUTHCENTER PY
EL1 1 -1063
City oif ukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 7888920020
Address: 17250 SOUTHCENTER PY TUKW
Project Name: VACANT SPACE
ELECTRICAL PERMIT
Permit Number: EL11 -1063
Issue Date: 11/30/2011
Permit Expires On: 05/28/2012
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA
Contact Person:
Name: SCOTT JERKE
Address: 1106 54 AVE E , TACOMA WA
Contractor:
Name: SMITH FIRE SYSTEMS MGMT LLC
Address: 110654 AV E , TACOMA WA
Contractor License No: SMITHFS946LO
Phone: 253 - 248 -2004
Phone: 253 - 926 -1880
Expiration Date: 06/20/2012
DESCRIPTION OF WORK:
ADD NOTIFICATION AND INITIATING DEVICES FOR THE TI
Value of Electrical:
NRES: $1,442.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND
Fees Collected:
National Electrical Code Edition:
Permit Center Authorized Signature:.. Date: r
I hereby certify that I have read and examin d this pe d know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied • . , whether spe erein or not.
$115.50
2008
The granting of this permit does not
construction or the performance of
Signature:
Print Name:
ume to give a
I am autho
rity to violate or cancel the provisions of any other state or local laws regulating
d to sign and obtain this electrical permit.
c--d,1-h- J e/v l4- -2
Date:
/ /// 3 0/ h
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: EL -4/10
EL 11 -1063 Printed: 11 -30 -2011
• •
PERMIT CONDITIONS
Permit No. EL 11 -1063
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: When any portion of the electrical installation is to be hidden from view by permanent placement of parts of the
building, such equipment shall not be concealed until it has been inspected and approved by the Electrical Inspector.
5: The issuance of an electrical work permit shall not be construed to be a permit for, or an approval of, any violation
of the provisions of the electrical code or other ordinances of the jurisdiction. Permits or related documentation that
presumes to grant this authority are therefore not valid.
6: Any change in the scope of work described by the electrical work permit shall require additional work permits. Where
approved plans have been issued, revisions to the plans and additional review may be required.
doc: EL -4/10
EL11 -1063 Printed: 11 -30 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.qov
Electrical Permit No
Project No.
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
Site Address: 17250 SOUTHCENTER PKWY, BLDG S
Tenant Name: VACANT TENANT SPACE
Property Owners Name: WIG PROPERTIES
King Co Assessor's Tax No.: 7888920020
Suite Number: 116 Floor:
New Tenant: ❑ Yes m..No
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: SCOTT JERKE
Day Telephone: (253) 248 -2004
Mailing Address: 1106 54TH AVE E TACOMA WA 98424
City State
E -Mail Address: SJERKE @SMITHFIRE.COM Fax Number: (253) 926 -0726
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
SMITH FIRE SYSTEMS MANAGEMENT, LLC.
Mailing Address: 1106 54TH AVE E TACOMA WA 98424
Zip
Contact Person: SCOTT JERKE
City State
Day Telephone: (253) 248 -2004
E -Mail Address: SJERKE @SMITHFIRE.COM Fax Number: (253) 926 -0726
Expiration Date: 06/20/2012
Contractor Registration Number: SMITHFS946L0
Valuation of Project (contractor's bid price): $ 1,442
Scope of Work (please provide detailed information): THE SCOPE OF THIS PROJECT IS TO ADD NOTIFICATION
AND INITIATING DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT.
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New m Addition ❑ Service Change ❑ Remodel m Tenant Improvement
O Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
m Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR LECTRICAj1CONTRACTOR:
Signature:
Date: 11/30/2011
Print Name: �C 6 t .� Q �L�_ Day Telephone: (253) 248 -2004
TACOMA
City
Mailing Address:
98424
State
Zip
Date Application Accepted: 7/...
� v
Date Application Expires:
Staff Initials:
n.\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
RECEIPT
Parcel No.: 7888920020 Permit Number: EL11 -1063
Address: 17250 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 11/30/2011
Applicant: VACANT SPACE Issue Date:
Receipt No.: RI 1 -02582 Payment Amount: $115.50
Initials: TLS Payment Date: 11/30/2011 09:55 AM
User ID: 1670 Balance: $0.00
Payee: SMITH FIRE SYSTEMS MANAGEMENT LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 04999 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receipt -06 Printed: 11 -30 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
04- 045
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: , ! h.. 45pAa
Type of Inspection:
2/40
Address: 5.c.
Date Called:
Special Instructions:
Date Wanted:.
/� Az Vim.
app',
Requester:
Phone No:
Approved per applicable codes. O Corrections required prior to approval.. 4/
COMMENTS:
01
Inspector:
Date:
42111
r7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pier Friendly Page
•
Electrical Contractor
A business licensed by L &I to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time
supervisory employee.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
SMITH FIRE SYSTEMS MGMT LLC
2539261880
1106 54Th Ave E
Tacoma
WA
98424
Pierce
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602601418
Active
SMITHFS946L0
Electrical Contractor
6/20/2006
6/20/2012
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
SMITHFS98ORP
SMITH FIRE
SYSTEMS INC
Electrical
Contractor
Limited
Energy
Hvac /Rfrg Ltd
Energy
12/17/2002
12/17/2006
Expired
Electrical Administrator INFORMATION
License ABEL•MN893N5
Name ABEL, MATTHEW N
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GTH CORPORATE SERVICES LLC
Agent
06/20/2006
Bond Amount
SMITH, MARK B
Partner /Member
06/20/2006
1968038
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
Hanover Insurance
Company
1968038
06/13/2011
Until Cancelled
$4,000.00
05/20/2011
1
INS CO OF THE WEST
2186980
06/13/2006
Until Cancelled
06/13/2011
$4,000.0006/20/2006
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip/Print.aspx 11/30/2011