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Permit EL19-0778 - TABOR - FIRE ALARM NOTIFICATION DEVICES
TABOR 7100 FORT DENT WAY 100 ELI9-0778 Parcel No: Address: City of Tukwila a t of Community Development 6308SouthcenterBoulevard, Suite #lo0 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 2954900440 7100 FORT DENT WAY 100 Project Name: TABOR Permit Number: EL19'O778 Issue Date: 9/23/2019 Permit Expires On: 3/21/2020 Owner: Name: Address: JOHN C RADOVICH DEV CO 2&358ZNDAVSE#S-1,MERCER ISLAND, WA, 98040 Contact Person: Name: MATT CARLMAN Address: Contractor: Name: 206 FRONTAGE RD N SUITE C, PACIFIC, WA, 98047 FIRE SYSTEMS WEST INC (ELECTRICAL) Address: 206 FRONTAGE RD N ' SUITE C' PACIFIC, WA, 98047 License No: FIRESWI055LW Lender: Name: Address: Phone: (253) 833-1248 Phone: (253) 833-1248 Expiration Date: 6/16/2021 DESCRIPTION OF WORK: INSTALL NEW FIRE ALARM NOTIFICATION DEVICES. Valuation of single family: $0.00 Valuation of mf/comm: $1,500.00 Type of Work: FIRE ALARM Fees Collected: $130.83 E!ectrcai Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: lnternational Building Code Edition: lnternatonal Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: 2017 2017 2015 Permit Center Authorized Signat Date: I hearby certify that | 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 authoritto violate or cancel the provisons of any other state or ocal lawsregulating i or the performance of work. 1 am authorized to sign and obtain this development permit and agthe coriditions attached to this permit. � , '11477- Me -L01 vt, Signature: 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. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the eiectrical work permit shall be posted or otherwise made readily acces ib|etotheElectrical lnspector 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 and the Washington Cities Electrical Code. 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 Coni,nunio: Development Department Permit Censer 6300 Soullreenler Blvd, Suite /00 Tukwila, M /l 98188 hap w ww:1 ukwiI W, 1_ ov Electrical Permit No. 9 �t Project No. Q Date Application Accepted: 61- 2- kc Dale Application Expires (For office use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan re).icw. Applications will not be accepted through the mail or by fax. **Please Print** SITE LOCATION 7100 Fort Dent Way King Co Assessor's Tax No.: 2954900440 Site Address: Suite Number: 100 Tenant Name:Tabor PROPERTY OWNER Company Name: Fire Systems West, Inc. Name: Matt Cadman Name: JCR Phone: 253-833-1248 Fax: Address: 206 Frontage Rd N, Suite -C Address: 2835 82nd Ave SE, S-1 City: Pacific State: WA City: Mercer Island State: WA Zip: 98040 CONTACT PERSON — person receiving all project Coirimunication Company Name: Fire Systems West, Inc. Name: Matt Cadman City: Pacific State: WA Zip: 98047 Phone: 253-833-1248 Fax: Address: 206 Frontage Rd N, Suite -C Tukwila Business License No.: BUS -0994434 City: Pacific State: WA Zip: 98047 Phone: 253-951-6005 Fax: Email: mattc@firesystemswest.com New Tenant: 1st 1-loor: [n Yes fl ..No ELECTRICALCONTRACTOR INFO AT ON Company Name: Fire Systems West, Inc. Address: 206 Frontage Rd N, Suite -C City: Pacific State: WA Zip: 98047 Phone: 253-833-1248 Fax: Contr Reg No.: FIRESWI055t_W Exp Date: 06/16/2021 Tukwila Business License No.: BUS -0994434 Valuation of Project (contractors bid price): $ 1,500.00 Scope of Work (please provide detailed information): Install New Fire Alarm Notification Devices. Will scr\ice be altered? (J No Adding more than 5(1 amps? Type of Ilse: Type oI work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel El Low Voltage ❑ Generator l=ire Alarm ❑ Telecommunication Property Served by: [�] Puect Sound Energy ❑ Seattle City Light iV'::Pecnm Center .Appta-moi,s-nand,,msTunis A s1PDFstEkorica! Permit App4=catun#%riled S-t'r-1'1.do Yes C'_1 No ❑ Tenant Improvement ❑ Temporary Service Pa0c I of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings S180.00 (including, an attached garage) ❑ Garages; pools; spas and outbuildings $120.00 ea ❑ Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $120.00 (no added/altered circuits) ❑ Service change with added/altered circuits $100.00 number of added circuits $10.00 ca ❑ Circuits added/altered without service change $60.00 (up to 5 circuits) ❑ Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea ❑ Meter/mast repair $30.00 ❑ Low voltage systems .._......... $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. 11ISCELLANEO(.) ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $90.00 ❑ Manufactured/mobile home service $100.00 (excluding garage or outbuilding) ❑ Carnivals $100,00 Number of concessions $11.00 ea Each ride and generator truck $11.00 ea II L BE AS ES` .1_I (1 !T JOI.00r ' I I 2()1.4 EACH D A (, �t PERMIT APPLICATION NOTES - Value of Construction — In all cases; a value of construction amount should he entered by the applicant. This figure will be reviewed and is subjec to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review— Applications for \\filch 00 permit is issued within 180 Jays 6alloivine the date ofapplieation shall expire by linutatio The Building Official may grant one extension of time tin- an additional period not 01 exceed 90 days. The extension shall he requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND ENAMINI=.1) THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE TAWS OF THE STATIC OF \\%ASI IINGTON. AND 1 AM AU`11IORIZED TO APPLY FOR THIS PERMIT Bt ILDING OWNER OR EIJ (JRICAL CONTRACTOR: Signature: Print Nanie: Matt Gartman Mailing Address: 206 Frontage Rd N, Suite -C, Pacific, WA 98047 Date: 09/23/2019 Dav Telephone: 253.951-6005 Atrpteccviauas-Hanctnu�s Pe no Apah,a. dots City Stare zip Page 2 of 2 Cash Register Receipt Receipt Number City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $130.83 EL19-0778 Address: 7100 FORT DENT WAY 100 Apn: 2954900440 $130.83 Credit Card Fee $3.81 Credit Card Fee R000.369.908.00.00 0.00 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000,322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R18640 R000.322.900.04,00 0,00 $6.05 $130.83 Date Paid: Monday, September 23, 2019 Paid By: MATT CARLMAN Pay Method: CREDIT CARD 03893D Printed: Monday, September 23, 2019 10:11 AM 1 of 1 CAraWSYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98I88 206'433-I870 CITY OF TUKWILA 0817340000802374464500 Date: 09/23/20I9 10:11:2$ AM CREDIT CARD SALE VISA CARD NUMBER: ******+**4256 K TRAN AMOUNT: $I30.83 APPROVAL CD: 03893D RECORD #: 000 CLERK ID: kangacc X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy INSPECTION NO. INSPECTION RECORD Retain a copy with permit 0772 PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type of inspecton: Address:Date r-----, Called: Special Instructions: r1/6( Date Wanted: a.rn. p.m. Requester: 1. Phone No: Approved per applicable codes. Corrections required prior -to approval. COMMENTS: REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: -/ ©Q etn Type of I nsp l,rV Address: Date Called: Special Instructions: k Date Wanted: a.m. p.m. Requester: Phone No: Approved per applicable codes. 0I IMENTS: Corrections required prior so approval. Date: i G n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ingtoa State Department of abor & industries Home. Espanol Conhttit Safety & Health Claims & Insurance isearch L&I A-Zlitcicx 1 iy Workplace Rights Trades & Licensing FIRE SYSTEMS WEST INC Owner or tradesperson Principals BLACKBURN, JAY, PRESIDENT BLACKBURN, JAMES, SECRETARY RADLOFF, DAN, TREASURER BLACKBURN, JAY A, AGENT LONG, KEVIN, SECRETARY (End: 04/13/2006) WINMILL, TONY, SECRETARY (End: 05/22/2003) WALKER, G PERRIN, AGENT (End: 06/04/2001) LOBDELL, JAMES, VICE PRESIDENT (End: 06/23/1999) Doing business as FIRE SYSTEMS WEST INC WA UBI No. 600 602 737 206 FRONTAGE RD N Suite C PACIFIC, WA 98047 253-833-1248 KING County Business type Corporation Governing persons JAY A BLACKBURN KEVIN LONG; DAN RADLOFF; Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent. Check their eligible programs and occupations. License Verify the contractor's active registration / license / certification (depending on trade) and any past violations, Electrical Contractor Active. Meets current requirements. License specialties LIMITED ENERGY License no. FIRESWI055LW Effective -- expiration 06/16/1995— 06/16/2021 Designated administrator HILFIKER, BRYAN Help us improve License type Electrical Administrator Bond CONTINENTAL CASUALTY INS CO Bond account no. 137864642 Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EALRD00373 Issue date 01/29/2019 Violation city PACIFIC Type of violation ELECTRICAL CITATION Description Continuous non-compliance (3 or more citations within a 3 year period). Serious Infraction no. EALRD00372 Issue date 01/29/2019 Violation city PACIFIC Type of violation ELECTRICAL CITATION Description Failing to ensure an electrical installation is in strict conformity with electrical statutes, rules, regulations, and ordinances for safety to life and property by working without a permit in the jurisdiction of a city or town or electrical supply agency which has established an electrical inspection jurisdiction pursuant to RCW 19.28.010 or RCW 19.28.141. Serious Infraction no. ECLET00514 Issue date 01/25/2017 Violation city PACIFIC Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EBRRO00778 Active. Meets current requirements. License no. HILFIB*972P8 $4,000.00 Effective date 05/24/1995 Expiration date Until Canceled Satisfied RCW/WAC WAC 296-46B-990 Violation amount $500.00 Satisfied ............... RCW/WAC 19.28.010 RCW Violation amount $2,000.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Satisfied Help us improve