HomeMy WebLinkAboutPermit D09-263 - CITY OF TUKWILA - FIRE STATION 51CITY OF TUKWIL&
STATION 51 AHAB SIREN
444 ANDOVER PK E
D09 -263
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Phone:
0223400080
444 ANDOVER PK E TUKW
City Of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
CITY OF TUKWILA - FIRE STATION 51 AHAB SIREN
444 ANDOVER PK E , TUKWILA WA
TUKWILA CITY OF
6200 SOUTHCENTER BLVD , TUKWILA WA 98188
Contact Person:
Name: MICHAEL MATHIA
Address: 6300 SOUTHCENTER BL, STE 100 , TUKWILA WA 98188
Phone: 206 431 -2446
Contractor:
Name: INTEGRATED NOTIFICATN SYS LLC
Address: 6324 SUMMER DR , HUDSONVILLE MI 49426
Phone: 616- 510 -4875
Contractor License No: INTEGNS912K2
Value of Construction: $69,885.00
Type of Fire Protection: NONE
Type of Construction: VB
doc: IBC -10/06
DEVELOPMENT PERMIT
* *continued on next page **
D09 -263
Permit Number:
Issue Date:
Permit Expires On:
Expiration Date: 06/04/2011
D09 -263
01/12/2010
07/11/2010
DESCRIPTION OF WORK:
INSTALL ALL HAZARD ALERT BROADCAST (AHAB) SIREN ON TOP OF THE HOSE TOWER AT FIRE STATION 51.
Fees Collected:
International Building Code Edition:
Occupancy per IBC:
$1,832.37
2006
0026
Printed: 01 -12 -2010
Public Works Activities:
Channelization / Striping: N
Curb Cut / Access / Sidewalk / CSS: N
City ofTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 - 2451
Web site: http: / /www.ci.tukwila.wa.us
Permit Number: D09 - 263
Issue Date: 01/12/2010
Permit Expires On: 07/11/2010
Fire Loop Hydrant: N Number: 0 Size (Inches): 0
Flood Control Zone:
Hauling: N Start Time: End Time:
Land Altering: Volumes: Cut 0 c.y. Fill 0 c.y.
Landscape Irrigation:
Moving Oversize Load: Start Time: End Time:
Sanitary Side Sewer:
Sewer Main Extension: Private: Public:
Storm Drainage:
Street Use: Profit: N Non - Profit: N
Water Main Extension: Private: Public:
Water Meter: N
Permit Center Authorized Signature:
I hereby 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 •f this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
constructio , � the perfo = - ce of work. I am authorized to sign and obtain this development permit.
Date: i —/ Z— / 6
Signature:
Print Name: ( Ce..1 t I � r, S
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: IBC -10/06
` .. Date: L H « ( 0
D09 -263 Printed: 01 -12 -2010
Parcel No.:
Address:
Suite No:
Tenant:
1: ** *BUILDING DEPARTMENT CONDITIONS * **
doc: Cond -10 /06
•
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
0223400080
444 ANDOVER PK E TUKW
PERMIT CONDITIONS
Permit Number: D09 -263
Status: ISSUED
Applied Date: 12/16/2009
CITY OF TUKWILA - FIRE STATION 51 AHAB SIREN Issue Date: 01/12/2010
2: No changes shall be made to the approved plans unless approved by the design professional in responsible charge and the
Building Official.
3: All permits, inspection records, and approved plans shall be at the job site and available to the inspectors prior to
start of any construction. These documents shall be maintained and made available until final inspection approval is
granted.
4: The special inspections for steel elements of buildings and structures shall be required. All welding shall be done by
a Washington Association of Building Official Certified welder.
5: When special inspection is required, either the owner or the registered design professional in responsible charge,
shall employ a special inspection agency and notify the Building Official of the appointment prior to the first
building inspection. The special inspector shall furnish inspection reports to the Building Official in a timely manner.
6: A final report documenting required special inspections and correction of any discrepancies noted in the inspections
shall be submitted to the Building Official. The final inspection report shall be prepared by the approved special
inspection agency and shall be submitted to the Building Official prior to and as a condition of final inspection
approval.
7: The special inspection of bolts to be installed in concrete prior to and during placement of concrete.
8: All construction shall be done in conformance with the approved plans and the requirements of the International
Building Code or International Residential Code, International Mechanical Code, Washington State Energy Code.
9: All electrical work shall be inspected and approved under a separate permit issued by the City of Tukwila Building
Department (206- 431 - 3670).
10: VALIDITY OF PERMIT: The issuance or granting of a permit shall not be construed to be a permit for, or an approval of,
any violation of any of the provisions of the building code or of any other ordinances of the City of Tukwila. Permits
presuming to give authority to violate or cancel the provisions of the code or other ordinances of the City of Tukwila
shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the
Building Official from requiring the correction of errors in the construction documents and other data.
11: Fabrication of steel frame work shall be done by a WABO certified fabrication shop. If not, the welding must be special
inspected in conjunction with the special inspection required for the epoxy set anchor bolts. A acceptance letter from
the testing agency is required at final inspection by Building Division.
* *continued on next page **
D09 -263 Printed: 01 -12 -2010
Signature:
Print Name: l
• •
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
I hereby certify that I have read these conditions and will comply with them as outlined. All provisions of law and
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
construction or the performance of work.
(?/' ri
doc: Cond -10/06 D09 -263
Date: 1—/2—/6(
ordinances governing
or local laws regulating
Printed: 01 -12 -2010
Tenant Name:
CITY OF TUKWILA
Community Development Department
Public Works Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hup://wivw.ci.tulcivila.wa.us
Property Owners Name: City of Tukwila
Name: Michael Mathia
Mailing Address: 6300 Southcenter Boulevard
E -Mail Address: mmathia @ci.tukwila.wa.us
Mailing Address: 6324 Summer Drive
P0 -2-1ft
Building Permit No.
Mechanical Permit No.
Plumbing /Gas Permit No.
Public Works Permit No.
Project No.
(For office use only)
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
City of Tukwila
Mailing Address: 6300 Southcenter Boulevard, Suite 100
Company Name: Integrated Notification Systems LLC
Contact Person: Mark Tans
E -Mail Address: tans.mark @gmail.com
Contractor Registration Number: CCO1 INTEGNS912K2
Contact Person:
E -Mail Address:
Reid Middleton
Contact Person: Corbin Hammer
E -Mail Address: chammer @reidmiddleton.com
H:\Applications \Forms - Applications On Line\2009 Applications \I -2009 - Permit Application.doc
Revised: 1 -2009
bh
King Co Assessor's Tax No.: 0223400080
Suite Number: Floor:
New Tenant: ❑ Yes ® ..No
Tukwila
City
WA
State
CONTACT PERSON — who do we contact when your permit is ready to be issued
Day Telephone: (206) 431 -2446
Tukwila WA 98188
City State
Fax Number: (206) 433 -7164
Hudsonville
City State
Day Telephone: (616) 510 -4875
(616) 669 -4901
Expiration Date: 06/04/2011
Fax Number:
MI
State
City State
Day Telephone: (425) 741 -3800
Fax Number: (425) 741 -3900
98188
Zip
Zip
GENERAL CONTRACTOR INFORMATION —
(Contractor Information for Mechanical (pg 4) for Plumbing and Gas Piping (pg 5))
49426
Zip
ARCHITECT OF RECORD — All plans must be wet stamped by Architect of Record
Company Name:
Mailing Address: 98204
City
Day Telephone:
Fax Number:
Zip
ENGINEER OF RECORD — All plans must be wet stamped by Engineer of Record
Company Name:
Mailing Address: 728 134th Street SW, Suite 200 Everett WA 98204
Zip
Page 1 of 6
BUILDING PERMIT INFORMATION - 206 - 431 -3670
Valuation of Project (contractor's bid price): $ 69,885 Existing Building Valuation: $
Scope of Work (please provide detailed information): Install All Hazards Alert Broadcast (AHAB) siren on top of the hose
tower at Fire Station 51. See attached site plan, structural engineer support brackets, Federal Signal OMNI siren
details and purchase orders with equipment list.
Will there be new rack storage? ❑ Yes
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard:
0.. No If yes, a separate permit and plan submittal will be required.
Compact: Handicap:
Will there be a change in use? El Yes m No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm m None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes m No
If `yes', attach list of materials and storage locations on a separate 8 -1/2" x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:Wpplications\Forms- Applications On Line\2009 Applications \I -2009 - Permit Application. don
Revised: 1 -2009
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Page 2 of 6
Existing
Interior Remodel
Addition to
Existing
Structure
New
Type of
Construction per
IBC
Type of
Occupancy per
IBC
1 Floor
2 Floor
3 Floor
Floors thru
Basement
Accessory Structure*
Attached Garage
Detached Garage
Attached Carport
Detached Carport
Covered Deck
Uncovered Deck
BUILDING PERMIT INFORMATION - 206 - 431 -3670
Valuation of Project (contractor's bid price): $ 69,885 Existing Building Valuation: $
Scope of Work (please provide detailed information): Install All Hazards Alert Broadcast (AHAB) siren on top of the hose
tower at Fire Station 51. See attached site plan, structural engineer support brackets, Federal Signal OMNI siren
details and purchase orders with equipment list.
Will there be new rack storage? ❑ Yes
Provide All Building Areas in Square Footage Below
PLANNING DIVISION:
Single family building footprint (area of the foundation of all structures, plus any decks over 18 inches and overhangs greater than 18 inches)
*For an Accessory dwelling, provide the following:
Lot Area (sq ft): Floor area of principal dwelling: Floor area of accessory dwelling:
*Provide documentation that shows that the principal owner lives in one of the dwellings as his or her primary residence.
Number of Parking Stalls Provided: Standard:
0.. No If yes, a separate permit and plan submittal will be required.
Compact: Handicap:
Will there be a change in use? El Yes m No If "yes ", explain:
FIRE PROTECTION /HAZARDOUS MATERIALS:
❑ Sprinklers ❑ Automatic Fire Alarm m None ❑ Other (specify)
Will there be storage or use of flammable, combustible or hazardous materials in the building? ❑ Yes m No
If `yes', attach list of materials and storage locations on a separate 8 -1/2" x 11" paper including quantities and Material Safety Data Sheets.
SEPTIC SYSTEM
❑ On -site Septic System — For on -site septic system, provide 2 copies of a current septic design approved by King County Health
Department.
H:Wpplications\Forms- Applications On Line\2009 Applications \I -2009 - Permit Application. don
Revised: 1 -2009
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Page 2 of 6
Date Application Accepted:
1 ,,
l i 1 D �
Date Application Expires:
o c e i i(1 I
Staff Initials:
I
PERMIT APPLICATION NOTES — Applicable to all permits in this application
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.
Signature:
Building and Mechanical Permit
The Building Official may grant one or more extensions of time for additional periods not exceeding 90 days each. The extension shall be
requested in writing and justifiable cause demonstrated. Section 105.3.2 International Building Code (current edition).
Plumbing Permit
The Building Official may grant one extension of time for an additional period not exceeding 180 days. The extension shall be requested
in writing and justifiable cause demonstrated. Section 103.4.3 Uniform Plumbing Code (current edition).
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 AUTHORIZED AGENT:
Print Name: Day Telephone: (206) 571 -6320
Michael Mathia
Mailing Address: 6300 Southcenter Blvd.
Tukwila WA 98188
City
Date: 12/15/2009
State
Zip
H:WpplicationsWomu- Applications On Line\2009 Applications \l -2009 - Permit Application.doc
Revised: 1 -2009
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Page 6 of 6
Parcel No.: 0223400080 Permit Number: D09 -263
Address: 444 ANDOVER PK E TUICW Status: PENDING
Suite No: Applied Date: 12/16/2009
Applicant: CITY OF TUKWILA - STATION 51 AHAB SIREN Issue Date:
Receipt No.: R09 - 02006
Initials:
User ID:
Payee:
JEM
1165
PW ACCOUNT NO. 10901301.5000.107.130001
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Other
Authorization No.
ACCOUNT ITEM LIST:
Description
BUILDING - NONRES
PLAN CHECK - NONRES
STATE BUILDING SURCHARGE
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
000.322.100
000.345.830
640.237.114
RECEIPT
1,832.37
Total: $1,832.37
Payment Amount: $1,832.37
Account Code Current Pmts
Payment Date: 12/16/2009 11:05 AM
Balance: $0.00
1,107.80
720.07
4.50
PAYMENT
RECEIVED
doc: Receipt-06 Printed: 12 -16 -2009
COMMENTS:
Type of s� pe n;)
l
r
re \ t ` LA-1 t s
'A .k,fi ri
— SPP.c�',�, T.> .s pe..
(Z` —` Le,
iv"
14 Il 4 c--‘ ,-)
(e? 6- ry -
i
(D
1 P.
V ,-/ . G( ,
V
Project:
Type of s� pe n;)
l
£ ( f it , \
7
Address:
444 444° � £
Date Called:
J
Special Instructions: e � ( 1
I - 1 '
IL)
Date Wanted:
?
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION V---
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Inspector:
(206)431 -36'0
Approved per applicable codes. Corrections required prior to approval.
Date: Z e 1,49
El $60.00 REINSPECTION FEE EQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
7
COMMENTS:
/Z14 J,/ .
Type of Inspection:
/ "//q
\
cv; / /�,�o� ,4 - ,, . 4,,of L.,r i
�. f� ) .,,�
C fJ /9� if /O($'1f 721r //1/Cf il7r{/
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-4z4.4 ,
Date Wanted:
/ - .2 fo �O gip
P.m.
Requester:
\ a
75
f
I
li
1
/
\
PPrrojject:
:� ;/f
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Type of Inspection:
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Date Called:
Special Instructions:
f'>i aC y
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1/5 /4)SSid /.-
° -0 /
Date Wanted:
/ - .2 fo �O gip
P.m.
Requester:
Phone No:
6/6 - 5 - 74 - y8
75
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION I
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431. -3F7
❑ Approved per applicable codes. 0 Corrections required prior to approval.
Date:
0 REINSPECTION F E REQUIRE rior to inspection, iee must be
d at 6300 Southcenter Blvd., Suit 100. Call to schedule reinspection.
nspe
0
p
ceipt No.:
Date:
COMMENTS:
Type of Inspection:
/ iN/-I /
t JO
/,e,S.
— re c1Le. e
ktAt , e...,l\
A7 -(°S5 :
AJAI,A.gP .
Requester:
Phone No:
(,/. 4 7 / 875
r -- ; C.Q k I i.e /Or
1, AA (
i A
Prooject:
C `i 7 d �A
7/ &La/
Type of Inspection:
/ iN/-I /
Address: /
5/95 4,14-01/f,P A11<- E
Date Called: '
_
Special Instructions:
Date Wanted:
/--2 5-/?:
a.m.
m.
Requester:
Phone No:
(,/. 4 7 / 875
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
D Approved per applicable codes.
Inspecto
Date: ' _ /
El $60.00 REINSPECTION FEE REQUIREti1. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
!Date:
Corrections required prior to approval. .''
a
By .
Tukwila Station 51 Siren
City of Tukwila
December 2009
Prepared for:
City of Tukwila
STRUCTURAL DESIGN DRAWINGS &
CALCULATIONS
FILE COPY
Permit No.
Plan review approval is subject to errors and om
Approval of construction documents does not authorize
the violation of any adopted code or ordinance. Receipt
o approved Field Copy and conditions is acknowledged:
City Of Tukwila
BUILDING DIVISION
REyiSIONS
No chances shall be made to the scope
of work without prior approval of
Tukwila Building Division.
NOTE: Pevisions will require a new plan submittal
ad.c.iitional plan re ^e. » frees
Support
Prepared By:
Date: Corbin Hammer, PE
Reid Middleton
128 134th Street SW, Suite 200
Everett, WA 98204
4251141.3800 (Fax 4251741-3900)
wwwueidmlddleton.com
PLANNING APPROVED
No changes can be made. to these
plans without approval from the
Planning Division of DCD
Approved By: .• fl��er�ec�r
Date:
REVIEWED FOR
CODE COMPLIANCE
A PPROVED
DEC 2 3 2U09
b
City ofT ukwila
Mt
DIVIRInti
AV
DEC 16 2009
PERMIT CENTER
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�t�SS 43 x s X '/4 444, set ..±f c*.
A CH
Electronic
Emergency Response
Systems
• High intensity warning features
multiple signal tones and voice
broadcasting
• 100% electronic; no moving parts
• 360° coverage output can be
heard up to to 4500 ft. away
• Operates on batteries
MODULATOR SERIES
ELECTRONIC SIREN
DESCRIPTION
The Modulator Siren Series is capable of producing high intensity warning signals over a large area. The speaker array
consists of modules that utilize four 100 watt drivers, which allows for easy servicing. The Modulator provides a flat
frequency response for excellent voice reproduction as well as warning signals such as wail, steady, hi-lo, even a
Westminster Chime. In addition to live broadcasting capabilities, a Digital Voice option can be added to produce a dear
pre-recorded voice message. An excellent alert and notification device, the Modulator Siren is ideal for locations where
people congregate outdoors, or in industrial settings where immediate instruction is necessary.
The Modulator siren can be easily mounted on a standard utility pole. Control of the siren is handled by a custom -paired
controller.
FEATURES
The Modulator Series Siren can be built according to volume requirements with a range of 1,200 to 4,500 feet at 70dBC (c�
100 ft. or louder. It utilizes an input voltage of only 120VAC, eliminating the need for expensive three -phase electric service
at the siren location, and it can operate a minimum of 15 minutes at full siren output from its batteries in the event of a power
failure, and many hours of operation in standby mode. Where required, 2 -way control can be added to this siren to allow
reporting capabilities for applications that require it. Siren controllers can be configured for local or remote activation,
including wireless (radio) control. All of our outdoor warning equipment is easily installed by any licensed electrician.
11111CH
Memzesq Stevan,
AUDIOTECH DIGITAL SIGNAL.CORPORATION
PO Box 427 / 59 First St. • Wurtsboro, New York 12790
TEL: (845) 888 -8000 FAX: (845) 888 -0146 www.adsig.com
(800) 99 -SIREN
(9l7
Model
fief
Modules t
Watts
dBC
000' •
Effective
Range
01370 dBC)
Height
(Inches)
Net Weight
(Poor
M001004
1
400
108
1200'
43.17
181
61002008
2
800
112
1800'
63.70
298
M003012
3
1200
115
2200'
84.30
411
M004016
4
1600
118
2800'
105.0
526
M005020
5
2000
120
3100'
125.5
641
M006024
6
2400
121
3400'
148.08
760
M006048
■
6
4800
125
4500'
146.08
928
—.e
MODULATOR SIREN SPECIFICATIONS
MODEL COMPARISON CHART
# The bottom module contains no active devices and Is simply a
reflective surface.
" Based on far field measurements.
•• Shipping weight is greater.
Color: Off White
Frequency Response: 200 -2000 Hz
Horn Type: Hyperbolic Flare
Horizontal Coverage: 360° ± 1dB
Diameter. 44
Recommended Mounting Height: 35' - 40' (9-11 m)
SIGNALS AVAILABLE*
Wail, Pulsed Wail, Steady, Pulsed Steady, Alternate Steady
Westminster Chime, Digital Voice, PA Option, & Custom
* Signals available when used with the UltravolceTM
Controller, purchased separately.
Pde Mounted
C3hown: M00622Q
AUDIOTECH DIGITAL. SIGNAL. CORPORATION
PO Box 427 / 59 First St. • Wurtsboro, New York 12790
TEL: (845) 888 -8000 FAX: (845) 888 -0146 www.adsig.aom
(800) 99 -SIREN
7J7
SYMONDS
1! ';Si }U�(l: `7�'iltN'.iG7
Project
Client
Subject
(le 1t l , P It+ (C: C; (S'�
1601 Second Ave. • Suite 1000 • Seattle, WA 98101 -1541
P: 206/441 -1855 • F: 206/448 -7167
Job No. Page of
/
2)a)(2.
04irr
By
Qteckcd
Date
Date
FELE COPY
Permit Noe
Fire Station 51
444 Andover Park East
REVIEWED FOR
CODE COMPLIANCE
PPRtVED
DEC 2 3 2009
City of Tukwila
BUILDING DIVISION
4 86ft
City
RECEIVED
CITY OF Tt1KWLA
UEC 16 2009
PERMIT CENTER
1701-- 2.115
Safety and Security Systems
Admiring seam* and
Contact Name:
Customer:
Address:
City:
Country:
Phone:
Upon receipt of your order and acceptance by Federal Signal Corporation, the equipment herein till be suppled at the quoted prices below. Delivery
schedule cannot be established until radio information is supplied. if applicable.
1
2
3
4
5
8
7
8
9
10
11
12
13
14
15
16
17
1
1
1
1
1
1
1
1
1
1
12
4
1
1
1
BSU
SS2000D
SFCDIO
SFCD -W10
SFCDCLNT
X -PC -17
MNC-MC
DVR
MOD6048
UVTDU6048
UV400
IK -BATT -STD
DV480
OMNI -16
ES- FREIGHT
Central Control
BASE STN. RADIO, UHF
DIGITAL 2 -WAY CNTL,DESK MT
SFCDWARE SOFTWARE,PRGMNG,10 SITES
SFCDWARE WARRANTY,UP TO 10 USER
SFCDWARE TCP /IP CLIENT - 5 SEATS
DESKTOP PC WITH WIN XPPRO W/ 17" MONITC
MIC,NOISE CANCELLING .25
DIGITAL VOICE RECORDING
Siren
SIREN 4800W, OMNI DIR
DIGITAL,DUAL CONTROL,UHF
Amplifier - 400W
KIT, INSTALL, DEEP CYCLE BATTERIES, STAND
DIGITAL,VOICE CHIP,480SEC
ANTENNA, 460- 470MHz UHF
SHIPPING FEES
Total Weight:
30
6
12
10
33
4
1270
255
4
0
2
25
14
3
5
5
15
2
577
199
2
0
1
11
14
3
5
5
15
2
577
199
24
0
1
11
$2,204.00
$2,240.00
$1,560.00
$440.00
$2,440.00
$2,700.00
$113.00
$585.00
# VALUEI
$13,855.00
$8,928.00
$574.00
$113.00
#VALUEI
$306.00
$320.00
$1,959.80
ES- FREIGHT
Taxes:
856 Total:
$2,204.00
$2,240.00
$1,560.00
$440.00
$2,440.00
$2,700.00
$113.00
$585.00
$13,855.00
$6,928.00
$6,888.00
$452.00
$306.00
$320.00
$1,959.80
$3,897.95
$46,888.75
Item Federal Model /Part
No. Qty. I No.
Prices are firm for 120 days from the date of quotation unless shown otherwise. Upon acceptance, prices are firm for 6 months. This quotation is expressly subject to acceptance by Buyer of all Terms stated In the
attached Terre document, and any exception to or modification of such Terms shall not be binding an Seller unless expressly accepted in writing by an authorized agent or °filter of Seller. Any order submitted to St
on the basis set forth above, In whole or In part, shall constitute an acceptance by Buyer of the Terms. Any such order shall be subject to acceptance by Seller in its discretion. U the total price for the items set forth
above exceeds $50,000 then this quotation IS ONLY VALID if countersigned below by a Regional Manager of the Safety & Security Systems Group, Federal &gnat Corporation. Installation Is not Included unless specs
quoted as a line gem above. Adverse Site Conditions, Including rock, caving soil conditions, contaminated sell, pax• site access availability, and other circumstances which result In more than 2 hours to Install a pole,
result In a $385.00 per hour fee, plus equipment Trenching is additional. Power Clause, bringing power to the equipment is the responsibltty of the purchaser. Permit Clause, any special permits, licenses or fees wl
additional. See attached Tennis sheet.
Delivery: Per Project Schedule Proposed By: Kim Torp - Pedersen
Freight Terms: FOB - University Park, IL (Factory) Company: Aister Communications, LLC.
Terms: Equipment: Net 30 Days upon shipment Address: 3595 169th Ave. NE
CIty,State, Zip: Bellevue, WA 98008
Country: USA
Work Phone 425- 702 -8396
Fax: 425 - 861 -7438
Approved By: Chris Lopez
Sales Manager
Federal signal Corporation, Federal Waml g Sys 2645 Federal Signal Drive, Univers Pa II. 60466-3195
Accepted By: L.J (l S 09
gnature:
/IVtt i(M PvgL c WOX155 p 1leecfrar(
Title:
Purchase order MUST be made out to:
Bob Giberson, P.E., City Engineer
City of Tukwila Public Works
6300 Southcenter Blvd. Suite 100
Tukwila State: WA
USA
(206) 431 -2457
- r -
Description
Zip: 98188
email: Bob- g @ci.tukwila.wa.us
Cell: (208) 571 -8163
that& Safety Siysbem
2645 Federal Signal Drive
University Park Illinois 60466-3195
70&534 -3400
fedetraisignaipublksafetytcom
Kg Total
Weight Weight Weight KG Unit Price
Signature:
Page I of I Federal Signal - 2845 Federal Signal Drive, University Park, IL 80488 - 800-548-7229 - fax: 708 - 5344885
Quotation No.: FWS
102809133328
Reference quote no. on your order
October 28, 2009
Total
QUANTI
... _. ..
. i " y D E SCRIPTION 1
.. ,..... �� ice 1. _ _ .. .. ...
FUND
..
DEPT
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.
OTHER SOURCES
DEPARTMENTAL
APPROVAL
SHIP TO 1Z A:2__6 11 'ISC°V
CITY OF TUKWILA...
6200 SOUTHCENTER BLVD • TUKWILA, WASHINGTON 98188 • (206) 433 -1800
VENDOR NAME & ADDRESS
Wvblkc,
9e45- Si'qK012, LO6fCAS4-1 �- - - 6 (4 — 315 . 5"
DEPT.
VENDOR CODE
(FOR FINANCE USE ONLY)
?1
EXECUTIVE
APPRO
ACCOUNTING COPY
STREET ADDRESS
n VERBAL QUOTE
n WRITTEN QUOTE
PURCHASE ORDER
DEPT .. 5 0002
CODE
THIS NUMBER MUST APPEAR
ON ALL PACKAGES, INVOICES,
AND CORRESPONDENCE.
11 /co 1G9
DATE
TUKWILA, WA
QUOTE
QUOTE
i*ANytt
,,,,., - 4.;:''"..;::; .. :'.,..1'-.1.i..,,,,I.
- :0•14iflii;54.„:.,
7j:
c;
•••••-:---...=...::':
-.:1
wii5i
.:-c::
.„..
_
— AMOUNT
. ' M.A.--
i
TriSketui 4H48 5gcov
666
/3
5
kb
q(
06
4. 4,2,?, 9 ?S
6,1- FS sl
idlcv36/,50ct,
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/36w/
)4 ao'b 411="il-e,R
P.e. / 2 J4A2 J
art
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9 filo
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etArk
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1
/ A - --
,.
ia% coveece by PkeizR
Ce1/2,411-
6 :141 b
/ .D / 6 rea--1
.
SHIP TO
6200 SOUTHCENTER BLVD • TUKWILA, WASHINGTON 98188 • (206) 433-1800
OTHER SOURCES
DEPARTMENTAL
APPROVAL
' . .
CITY OF TUKWILA
VENDOR NAME & ADDRESS
FI:1-4;-ecife.ACC9 kNi();:lcN.C.c06-:v■-S\
co roar
Tx-
L l V ILLE, MI. Liq DA0 ---51 k (
o 61?-ca,s.om
A IRM1P °.N
DEPT.
VENDOR CODE
(FOR FINANCE USE ONLY)
ACCOUNTING COPY
STREET ADDRESS
EXECUTIVE c...014.,
APPROVA
DEPT L3e 500.03
CODE
in VERBAL QUOTE
ri WRITTEN QUOTE
PUHUHASt UllUtP1
THIS NUMBER MUST APPEAR
ON ALL PACKAGES, INVOICES,
AND CORRESPONDENCE.
1/(0/05
DATE
QUOTE
QUOTE
TUKWILA, WA
Integrated Notification Systems, LLC
6324 Summer Drive
Hudsonville, MI 49426 -9311
Telephone: 616 -510 -4875 Fax: 616- 669 -4901
Email: tans.mark @gmail.com
I Na /Ad ress
Attn: Bob Giberson
Public Works Dept.
City of Tukwila
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188 -2544
TK- 10- ROOFMOUNT 1
TK -10- CUSTINS 1
TK- I- BASANT -CU 1
TK- I- ENRDPKG -CU 1
TK- S- FULLOPTPKG 1
TK- S- SITEOPT -CU 1
Item ' Description
BUILDING MOUNT SIREN at Fire Station
Custom Mount for Fire Station
4 -5 week lead time for delivery.
BASE ANTENNA INSTALL, CUSTOM up to 100'
from Base Radio
ENCODER & RADIO INSTALL, CUSTOM
SYSTEM OPTIMIZATION & TRAINING,
COMPLETE
SITE OPTIMIZATION, CUSTOM
FIN: 26- 4713891
Contractor License Numbers:
Alaska: 34761
Washington: CCO1 INTEGNS912K2
Thank you for the opportunity to serve you. This quotation is
valid for 90 days.
Ship To:
Hudsonvile, M
Quotation # 26
Fire Station, E Andover
Rate Total
9,600.00 9,600.00T
6,600.00 6,600.00T
1,200.00 1,200.00T
600.00 600.00T
2,400.00 2,400.00T
600.00 600.00T
Date 9/14/2009
$21,000.00
$1,995.00
$22,995.00
DEPARTMENTS: A u)c 1
b uilding Divi ion
Public Wdrk� i
Comments:
Complete 1Y
Documents/routing stip.doc
2 -28 -02
r ?ERNTC00RDC YO
PLAN REVIEW /ROUTING SLIP
TUES /THURS ROUTING:
Please Route Structural Review Required n
REVIEWER'S INITIALS:
DETERMINATION OF COMPLETENESS: (Tues., Thurs.)
ACTIVITY NUMBER: D09 - 263 DATE: 12 -16 -09
PROJECT NAME: CITY OF TUKWILA - STATION 51 AHAB SIREN
SITE ADDRESS: 444 ANDOVER PK E
X Original Plan Submittal
Response to Correction Letter #
Response to Incomplete Letter #
Revision #
after Permit Issued
A -A Fire Prevention /VA , I.
Structural
Incomplete ❑
❑ Permit Coordinator n
DUE DATE: 12-17-09
Permit Center Use Only
INCOMPLETE LETTER MAILED: LETTER OF COMPLETENESS MAILED:
Departments determined incomplete: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
No further Review Required ❑
DATE:
DUE DATE: 01-14 -10
APPROVALS OR CORRECTIONS:
Approved ❑ Approved with Conditions ❑ Not Approved (attach comments) ❑
Notation:
REVIEWER'S INITIALS:
DATE:
sm 1�
Planning Di Vision
Not Applicable
1
Permit Center Use Only
CORRECTION LETTER MAILED:
Departments issued corrections: Bldg ❑ Fire ❑ Ping ❑ PW ❑ Staff Initials:
Insurance
Company
Name
Policy Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
1
TRAVELERS
CAS a
SURETY CO
16802616N990ACJ09
04/27/2009
04/27/2010
$1,000,000.00
06/04/2009
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
WESTERN
SURETY
CO
15291698
04/27/2009
Until
Cancelled
$12,000.00
05/21/2009
Name
Role
Effective Date
Expiration Date
TANS, MARK STEVEN
PARTNER /MEMBER
05/21/2009
Untitled Page
General /Specialty Contractor
A business registered as a construction contractor with LEtI to perform construction work
within the scope of its specialty. A General or Specialty construction Contractor must
maintain a surety bond or assignment of account and carry general liability insurance.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
INTEGRATED NOTIFICATN
SYS LLC
6165104875
6324 SUMMER DR
HUDSONVILLE
MI
49426
OUT OF STATE
Limited Liability Company
UBI No. 602918803
Status ACTIVE
License No. INTEGNS912K2
License Type CONSTRUCTION
CONTRACTOR
Effective Date 6/4/2009
Expiration
Date
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
6/4/2011
Business Owner Information
Bond Information
Insurance Information
•
•
Page 1 of 1
https://fortress.wa.gov/lni/bbip/Detail.aspx
01/12/2010