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HomeMy WebLinkAboutPermit EL09-0818 - CITY OF TUKWILA - STATION 51 AHAB SIRENCITY OF TUKWILA STATION 51 AHAB SIREN 444 ANDOVER PK E ELO9-08 18 Cityilf Tukwila Department of Community Development 6300 Southccnter Boulevard, Suite 4100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 0223400080 Address: 444 ANDOVER PK E TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0818 Issue Date: 01/12/2010 Permit Expires On: 07/11/2010 Tenant: Name: CITY OF TUKWILA - STATION 51 AHAB SIREN Address: 444 ANDOVER PK E , TUKWILA WA Owner: Name: TUKWILA CITY OF Phone: Address: 6200 SOUTHCENTER BLVD , TUKWILA WA Contact Person: Name: MICHAEL MATHIA Phone: 206 431 -2446 Address: 6300 SOUTHCENTER BL, STE 100 , TUKWILA, WA Contractor: Name: S M E INC OF SEATTLE Address: 828 POPLAR PL S , SEATTLE WA Contractor License No: SMEINS *066DB Phone: 206 329 -2040 Expiration Date: 03/02/2010 DESCRIPTION OF WORK: ELECTRICAL WORK FOR INSTALLATION OF ALL HAZARDS ALERT BROADCAST (AHAB) SIREN ON TOP OF HOSE TOWER. Value of Electrical: NRES: $5,000.00 Fees Collected: $170.00 RES: $0.00 Type of Fire Protection: NONE National Electrical Code Edition: 2008 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 0 L(lt1 b"C7 I hereby certify that I have read and eami4ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied th, hether specified herein or not. The granting of this permit does not pres a to give authori s to violate or cancel the provisions of any other state or local laws regulating o sign and obtain this electrical permit. i /^/z.4 construction or the performance work. I am aut Signature: er Print Name: Date: 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 -4/07 EL09 -0818 Printed: 01 -12 -2010 • 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.: 0223400080 Address: Suite No: Tenant: 444 ANDOVER PK E TUKW CITY OF TUKWILA - STATION 51 AHAB SIREN Permit Number: Status: Applied Date: Issue Date: EL09 -0818 ISSUED 12/28/2009 01/12/2010 1: ** *ELECTRICAL * ** 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 -468 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. Signature: Date: Print Name: doc: Cond -Elec E L09 -0818 Printed: 01 -12 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. l' LQ 1 — 0 ' 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: 444 Andover Park East Tenant Name: City of Tukwila King Co Assessor's Tax No.: 0223400080 Suite Number: Floor: New Tenant: ❑ Yes ® ..No Property Owners Name: City of Tukwila Mailing Address: 6300 Southcenter Blvd. Tukwila WA 98188 City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Michael Mathia Mailing Address: 6300 Southcenter Blvd., Suite 100 E -Mail Address: mmathia @ci.tukwila.wa.us Day Telephone: (206) 431 -2446 Tukwila WA 98188 City State Fax Number: (206) 433 -7164 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: 117 Mailing Address: City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: State Zip Valuation of Project (contractor's bid price): $ r) DOD Scope of Work (please provide detailed information): Install All Hazards Alert Broadcast (AHAB) siren on top of the hose tower at Fire Station 51. Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? El Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ® Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: • Puget Sound Energy ❑ Seattle City Light H:WpplicationsWorms- Applications On Line I-2009 - Electncal Permnt Application doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages. pools. spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MITLTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea 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 IIAVE READ AND EXAMINED THIS APPLICATION AND KNOW TI IE 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: Michael Mathia Mailing Address: 6300 Southcenter Blvd. Tukwila WA 98188 Date: 12/15/2009 Day Telephone: (206) 571 -6320 Date Application Accepted: 191 1,9b, 1 City State Zip Date Application Expires: GI . (2- 1 It'd Staff Initials: (I— J, H \Applmanons \Forms - Applications On Lme \I -2009 - Elecmcal 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.ci.tukwila.wa.us RECEIPT Parcel No.: 0223400080 Permit Number: EL09 -0818 Address: 444 ANDOVER PK E TUKW Status: PENDING Suite No: Applied Date: 12/28/2009 Applicant: CITY OF TUKWILA - STATION 51 AHAB SIREN Issue Date: Receipt No.: R09 -02052 Initials: User ID: Payee: JEM 1165 Payment Amount: $170.00 Payment Date: 12/28/2009 10:06 AM Balance: $0.00 PM/ ACCOUNT NO. 10901301.5000.107.130001 TRANSACTION LIST: Type Method Descriptio Amount Payment Other Authorization No. ACCOUNT ITEM LIST: Description 170.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 170.00 Total: $170.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 12 -28 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION V-- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pgje%c/ ( 57isi 5 I 4401.6 Type of Inspection: 70041Z/CO Date Called: Address mtmitc Special I ruct'ons: Date Wanted: / / C 1 ap m. p Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Date: D� �S D In $60.00 REINS ECTION FEE RE ' UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page • Page 1 of 2 Electrical Contractor A business licensed by LW 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 S M E INC OF SEATTLE UBI No. 601524252 Phone 2063292040 Status ACTIVE Address 828 POPLAR PL S License No. SMEINS *066DB Suite /Apt. License Type ELECTRICAL CONTRACTOR City SEATTLE Effective Date 3/2/1994 State WA Expiration Date 3/2/2010 Zip 98144 Suspend Date County KING Specialty 1 GENERAL Business Type Corporation Specialty 2 UNUSED Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status PACIFFS973PU PACIFIC FIRE AND SECURITY INC ELECTRICAL CONTRACTOR LIMITED ENERGY UNUSED 10/30/2003 10/30/2009 EXPIRED MASTER ELECTRICIAN INFORMATION License BLAIRSA961 NQ Name BLAIR, STEPHEN ANDREW Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date MARVICH, STEPHEN E 01/01/1980 PINSKY, ADAM A 01/01/1980 BAKER, JON T AGENT 01/01/1980 https: // fortress .wa.gov /lni/bbip /Detail.aspx 01/12/2010