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
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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
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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
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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
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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