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Permit EL17-0521 - PSF MECHANICAL - SIRE SUPPRESSION SYSTEM
PSF MECHANICAL 11621 E MARGINAL WAY S EL1 7-0521 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.Rov ELECTRICAL OTC PERMIT 1023049044 11621 E MARGINAL WAY S Project Name: PSF MECHANICAL Permit Number: EL17-0521 Issue Date: 7/10/2017 Permit Expires On: 1/6/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: HEARTWOOD PROPERTIES L L C 11621 E MARGINAL WAY S STE A , SEATTLE, WA, 98168 KATHI O'REAR 7815 S 180 ST , KENT, WA, 98032 NORTHWEST FIRE SYSTEMS LLC 7815 S 180 ST, KENT, WA, 98032 NORTHFS875MJ Phone: (206) 772-7502 Phone: (206) 772-7502 Expiration Date: 8/10/2017 DESCRIPTION OF WORK: INSTALL ONE NEW CONVENTIONAL MINIMAX 2002 FIRE SUPPRESSION SYSTEM WITH 2 SMOKES, 1 PULL STATION, 1 ABORT SWITCH, 3 A/V DEVICES AND 4 MODULES Valuation of single family: $0.00 Valuation of mf/comm: $5,000.00 Type of Work: FIRE ALARM Fees Collected: $202.30 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Date: / ~ � 0-1 7 1-1 0 I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit agree to the conditions attached to this permit. Signature: s Print Name: This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. Date: 7//0//•-• PERMIT f /b,/ - PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. E L 1-] - ©,5 Z Project No. Date Application Accepted: Date Application Expires: (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 King Co Assessor's Tax No.: (0 .3o4 -104L Site Address: 11 it2 1 G. . vi txrgi ( Welt,‘ Sou.{k Suite Number: /"c Floor: Tenant Name: ?S C" M -Ed/IAA 1'06 (S ewty- Qc70 rvt 3 Get y\ New Tenant: ❑ Yes 5t..No PROPERTY OWNER ''JJ __ Name: a.fVll O'Rtar 4Y Noyiliwe4 G.pe sy4_ Name: ip*p .pl/: )-46,A-Gd-errol,_ kp - LLL., Address: i fti,z t 6{- (r ru, i ' City: 1- 14 > l` t 2/ State: w A Zip:q I ti 5( CONTACT PERSON - person receiving all project communication ''JJ __ Name: a.fVll O'Rtar 4Y Noyiliwe4 G.pe sy4_ Address: 11c7 (� J Avt . S, p tat , D O J c�zip:q State: wA 14.City: old- 3. Phone: ao to 1-.a .- igsFax: help - a.1S0 `j Email: 1) o r ea f6D cm -ft 6\i skim S . (! OViA 1 -alt ELECTRICAL CONTRACTOR INFORMATION Company Name: NO e.rti.V.J EST Ft Q.E, 6vST i; Address: a a. [As $3 rd 1acve • S , a► al, - City: Ken h State: W.4 Zip: 3a Phone: apt, -7_3a,.3solFax: aoto 71a ,x-50/1 Contr Reg No.: NI p (Z.T1-1- ��g M Date: OS • 10.11 - Tukwila Business License No.; Bus , oca 1 D 5 Valuation of Project (contractor's bid price): $ 1 dOC)' �D Scope of Work (please provide detailed information): To so l.:1'111 4'y tf&V0A evy 14x 4' rf- • ' U g(p • v\t 1J . iry\ n.e w L vifi ]Matt y w 1 a S rno (LLA 1 l p uSa <Akt tin otioCV SIA -3; )--1/ \ , 3 AO/ / r C.e,U a.,/v u�v YVN D Will service be altered? ❑ Yes , ' No Adding more than 50 amps? ❑ Yes Type of Use: Fi're Ak� aAA,IA Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement [i1— Low Voltage 0 Generator ire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ,ilf Puget Sound Energy 0 Seattle City Light C:\Users\Kia-V WppData\Local\Microsoft\Windows\Temporary Internet Files \Content.Outlook\DDB8KJKN\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Page 1 of 2 n RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 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 ELECTRICAL CONTRACTOR: Signature: Print Name: Date: K & til 0 C&( -6.3Y 0 Day Telephone: Mailing Address: ),JA 72 City C:\Users\Kia-VWppData\Loca0Microsofl\Windows\Temporary Internet Files \Content.Outtook\DDB8KJKMElectrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK 0 Cash Register Receipt City of Tukwila ACCOUNT 1 QUANTITY PAID $202.30 EL17-0521 Address: 11621 E MARGINAL WAY Apn: 1023049044 $202.30 Credit Card Fee $5.89 Credit Card Fee R000.369.908.00.00 0.00 $5.89 ELECTRICAL $187.06 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $187.06 TECHNOLOGY FEE $9.35 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11877 R000.322.900.04.00 0.00 $9.35 $202.30 Date Paid: Monday, July 10, 2017 Paid By: KATHI O'REAR Pay Method: CREDIT CARD 03680G Printed: Monday, July 10, 2017 8:48 AM 1 of 1 RWSYSTEMS INSPECTION RECORD Retain a copy with permit&{70(14 INSPECTION NO. PE MIT N N. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: CzAe= Type of Inspection: QAto.... Address: t I 1 i (4 6. liltui • Date Called: , Special Instructions: A � FPI ��+r ��`�I � ' " �� Date Wanted:7/11 ,TIO m. Requester: Phone No: B10 62,2' Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1 Inspector: Date: /147 REINSPECTIO FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. NORTHWEST FIRE SYSTEMS LI,, Florae Espanol Contnet Safety & Health Claims & Insurance CWashington State Department of Labor & Industries Learch L&I Page 1 of 2 SEARCH A -Z Index Help My L&I Workplace Rights Trades & Licensing NORTHWEST FIRE SYSTEMS LLC Owner or tradesperson Principals Potter, Mary M, PARTNER/MEMBER Potter, Clark III, PARTNER/MEMBER Potter, Mary M, AGENT Doing business as NORTHWEST FIRE SYSTEMS LLC WA UBI No. 602 799 167 7815 S 180TH ST KENT, WA 98032 206-772-7502 KING County Business type Limited Liability Company Governing persons CLARK POTTER III MARY MARIE POTTER; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY License no. NORTHFS875MJ Effective — expiration 07/11/2013— 08/10/2017 Designated administrator Sheldon, Joseph A Active. Meets current requirements. Active. Meets current requirements. License type License no. Electrical Administrator SHELDJA867QL Bond ................. Wesco Insurance Co Bond account no. 46-WB029248 $4,000.00 Received by L&I Effective date 07/11/2013 06/20/2013 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations ..._............_..._.........._......._....._... No license violations during the previous 6 year period. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602799167&LIC=NORTHFS875MJ&SAW= 7/10/2017 NORTHWEST FIRE SYSTEMS LIQ IWorkers' comp 0 Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. This company has multiple workers' comp accounts. Active accounts L&I Account ID 874,868-01 ............._..._............. Doing business as NORTHWEST FIRE SYSTEMS Estimated workers reported Quarter 1 of Year 2017 "31 to 50 Workers" L&I account contact T5 / MELISSA VEST (360)902-5613 - Email: VESM235@Ini.wa.gov Track this contractor Q Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes ........................................................ No strikes have been issued against this contractor. Contractors not allowed to bid ............................................................................................. No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 10/11/2011 Inspection no. 315201541 Location 12806 Gateway Dr. S. Tukwila, WA 98168 No violations Page 2 of 2 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni. wa.gov/verify/Detail.aspx?UBI=602799167&LIC=NORTHFS875MJ&SAW= 7/10/2017