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Home My WebLink AboutPermit EL07-108 - MED DATAMED DATA 12101 TUKWILA INTERNATIONAL BL ELO7-1 08 Signature: doc: EL -4/07 DESCRIPTION OF WORK: FIRE ALARM SYSTEM Value of Electrical: $500.00 Permit Center Authorized Signature: 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.ci.tukwila.wa.us Parcel No.: 0923049031 Permit Number: EL07 -108 Address: 12101 TUKWILA INTERNATIONAL EL TUKW Issue Date: 05/10/2007 Suite No: Permit Expires On: 11/06/2007 Tenant: Name: MED DATA Address: 12101 TUKWILA INTERNATIONAL BL , TUKWILA WA Owner: Name: INTERNATIONAL GATEWAY WEST LLC Phone: Address: 12201 TUKWILA INTERNATIONAL BLVD 4THFL , SEATTLE WA Contact Person: Name: STEPHANIE MCAULEY Phone: 206 467 -5251 Address: 1743 1 AV S , SEATTLE WA Contractor: Name: GUARDIAN SECURITY SYSTEMS INC Address: 1743 1 AV S , SEATTLE WA Contractor License No: GUARDSS233KS Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY ELECTRICAL PERMIT Fees Collected: Phone: 206 622 -6545 Expiration Date: 09/30/2008 $70.00 Date: n11010 I hereby certify that I have read and a ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 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 ore performance of work. I am authorized to sign and obtain this electrical permit. Date: Print Name: 3/ /A CL ✓! L f U Ai c4(A (-4 This permit shall become null and void if the work is iCot 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. EL07 -108 Printed: 05-10 -2007 1: ** *ELECTRICAL * ** Signature: �1641 Print Name: doc: Cond -Elec 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.ci.tukwila.wa.us PERMIT CONDITIONS Parcel No.: 0923049031 Permit Number: EL07 -108 Address: 12101 TUB:WILA INTERNATIONAL BL TUICW Status: ISSUED Suite No: Applied Date: 05/10/2007 Tenant: MED DATA Issue Date: 05/10/2007 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Date: 5-- (O— a� EL07 -108 Printed: 05-10 -2007 SITE LOCATION TOY. Co Assessor's Tax No.: Site Address: ID-WI 1? . t n f t /Jl ('C Suite Number: Tenant Name: r ea ,r k /o'-1-ck Property Owners Name: 54 `� f'1 Ca V)2t'1 h P--) Mailing Address: �J City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Name: e phe, a 44C4 Mailing Address: / State E -Mail Address: ELECTRICAL CONTRACTOR INFORMATION Company Name: (U f IS'u5 4 4ylS l U J Mailing Address: (7`i c% (5÷ City M Lite-7 _ Zip Contact Person:�I hG (1I& ! I ��/4'li�` -� Day Telephone: �� I .e ! 6 9 I Fax Number: c2�(O DS C�` S1 ( Contractor Registration Number: C ( )/ 5S 0-33 Expiration Date: e t I Q 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 ** F.—Mal Address: Electrical Permit No. .01. I D D Project No. For office use only) Day Telephone: City New Tenant: trt v9 - 103( Floor: Yes El ..No O4c# 1 -(C/7 5 25 / Zip Fax Number: curet- 98 1 2zy Valuation of Project (contractor's bid price): $ 5 -7)• Scope of Work (please provide detailed information): 6 Li ❑ Addition Low Voltage ❑ Generator Property S) peed by: Puget Sound Energy ❑ Seattle City Light H: Applic ations\Forns- Applications On line4S- 2007 - Electrical Permit Application.doc bh [�No Adding more than 50 amps? ❑ Yes ❑ No Will service be altered? ❑ Yes Type of Use: Type of work: ❑ Service Change ❑ Fire Alarm ❑ Remodel ❑ Telecommunication Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) PERMIT APPLICATION NOTES BUILDING OWNER OR ELECTRICAL CONTRACTOR: HAApplic.aons\Porms- Applications On Line A-2007 - Electrical Permit Application.doc bh MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea 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 1 IEREBY 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. Date: S _ 10 _ Signature: Print Name: �QGI �-/ ( � -44 C,4-r (-e-ef Day Telephone: ay', ' ' ? 52-3 Mailing Address: State City Zip I Date Application Accepted: Date Application Expires: Staff Initials: i Page 2 of 2 Parcel No.: 0923049031 Permit Number: EL07 -108 Address: 12101 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 05/10/2007 Applicant: MED DATA Issue Date: Receipt No.: R07 -00797 Initials: JEM User ID: 1165 Payee: GUARDIAN SECURITY SYSTEMS INC. TRANSACTION LIST: Type Method Description Amount Payment Check 85074 70.00 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR 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. ci. tukwila. wa. us RECEIPT Account Code Current Pmts 000.322.101.00.0 70.00 Total: $70.00 Payment Amount: $70.00 Payment Date: 05/10/2007 11:04 AM Balance: $0.00 8076 05/10 9710 TOTAL 70.00 doc: Receiot -06 Printed: 05-10 -2007 Pro A d ' Type of Inspection \ Address: plot �r�WA M- i,Vr � Date Called: Special Instructions: fA Date Wanted: /// q2 m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION � �'�J 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36x0 OMMENTS: oved per applicable codes. Corrections required prior to approval. C Inspec, Date : / //1 7 ri $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedute reinspection. Receipt No.: Date: License Information License GUARDSS233K5 Licensee Name GUARDIAN SECURITY SYSTEMS INC Licensee Type ELECTRICAL CONTRACTOR UBI 600189667 Ind. Ins. Account Id Business Type CORPORATION Address 1 1743 1ST AVE S Address 2 City SEATTLE County KING State WA Zip 98134 Phone 2066226545 Status ACTIVE Specialty I LIMITED ENERGY Specialty 2 HVAC/RFRG LTD ENERGY Effective Date 5/25/1977 Expiration Date 9/30/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License CLOSEF *9730H Business Owner Information Name Role Effective Date Expiration Date CLOSE, FRANK A 01/01/1980 DUNHAM, JOHN R 01/01/1980 Look Up a Contractor, Elects ' n or Plumber License Detail Page 1 of 2 Washington State Department of Labor and Industries 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. Master Electrician Information License Name Status CLOSEF *9730H CLOSE, FRANK A ACTIVE Bond Information i https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= GUARDSS233K5 05/10/2007