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Home My WebLink AboutPermit EL08-0169 - MED DATAMED DATA 12101 TUKWILA INTERNATIONAL BL ELO8-169 Cityllbf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: hitp:/ /www.ci.tukwila.wa.us ELECTRICAL PERMIT Parcel No.: 0923049031 Permit Number: EL08 -169 Address: 12101 TUKWILA INTERNATIONAL BL TUKW Issue Date: 02/20/2008 Suite No: Permit Expires On: 08/18/2008 Tenant: Name: MED DATA Address: 12101 TUKVVILA INTERNATIONAL BL , TUKVVILA WA Owner: Name: INTERNATIONAL GATEWAY WEST Phone: Address: 12201 TUKWILA INTERNATIONAL BLVD , SEATTLE WA Contact Person: Name: RAEDEIT RIFLE Phone: Address: 1743 FIRST AV S , SEATTLE WA Contractor: Name: GUARDIAN SECURITY SYSTEMS INC Address: 1743 1 AV S , SEATTLE WA Contractor License No: GUARDSS233K5 Phone: 206 622 -6545 Expiration Date: 09/30/2008 DESCRIPTION OF WORK: ADD ONE (1) HORN STROBE, ONE (1) STROBE AND RELOCATING ONE (1) HORN STROBE Value of Electrical: $1,000.00 Type of Fire Protection: SPRINKLERS Electrical Service provided by: SEATTLE CITY LIGHT Fees Collected: National Electrical Code Edition: Permit Center Authorized Signature: �.�%P4- U�✓ 9n / �( C Date: $90.00 2005 2-7x-0 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 of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit. Signature: • Date: 02/?0/CT Print Name: Pr/ P C4 (2: T I fie 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 EL08 -169 Printed: 02 -20 -2008 • 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: EL08 -169 Address: 12101 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED Suite No: Applied Date: 02/20/2008 Tenant: MED DATA Issue Date: 02/20/2008 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 -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. Signature: Date: c2_ / ?- (( e9 Print Name: R a e_ d doc: Cond -Elec EL08 -169 Printed: 02 -20 -2008 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us • Electrical Permit No. gu.20-1,A 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 King Co Assessor's Tax No.: G"t v2 aY —" t p,/ . 4 f west bul idi C Suite Number: Floor: New Tenant: ❑ Yes ❑..No Site Address: 121.Q1 _ rmkuiiIA I,n -, 131vei Tenant Name: M e d 0c-6t Property Owners Name: %1 11 Z se J` v i C_p s Mailing Address: .r0 a C x 2 46 R. s 4 e u u., Oita' iAJ State 98 027 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: K,Lt'_Qde.If S� Mailing Address: 1 �t3 / Av'2 S City State Zip / Day Telephone: (2 00 3 S 9 126,s? SP� Lti A q$139 E -Mail Address: r k. t 7'', e .j t-la CI t a �► Se Cu r-1t5 Fax Number: C2 0 6) 3 91 19 2- 9 1 ELECTRICAL CONTRACTOR INFORMATION Co � Company Name: G u a rc i cLA Se_C (,U', t-`i' si A ffe Mailing Address: �i (},3 S pp f ( City Contact Person: I. ael e, T K . T le Day Telephone: E -Mail Address: r k i , C le P J tkav e i a i sec/Ai-A.7i . L.o✓''1 Fax Number: Contractor Registration Number: G Lk 4 t' d. SS 233 h. Expiration Date: LOA 4'813 ti State Zip 0206) 35c( 1268 ) 341 '1 Ci 2 k Valuation of Project (contractor's bid price): 5 1 / 0 00 /add, cad Ur) d 1 1'ovn /s. tree Scope of Work (please provide detailed information): Will service he altered? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light 1 1-1U,r /s t•>J 1 s arc, 6e Adding more than 50 amps? ❑ Yes No ❑ Service Change XFire Alarm 11:v \rplicationa orn .- Application On I n'4.2007 - Electrical Permit Application.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 r • 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 - 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. 1 HEREBY CERTIFY TIIAT IAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME 1'O BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF TIIE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: aedQai Mailing Address: 1 7(3 1 s t Date: O I / 20/0S, Day Telephone: C 2o6 ) 3 S -ct 12.62 Seafjie / W{4 lfi134/ City State Zip IDate Application Accepted:. Jl ,—a Date Application Expires: Q,� 2O .Db Staff Initials: 11:'•Applicatinn'l nrm,- Application, On I ne \4 -2007 - Electrical Permit Application.dox hh 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.: 0923049031 Permit Number: EL08 -169 Address: 12101 TUB:WILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 02/20/2008 Applicant: MED DATA Issue Date: Receipt No.: R08 -00482 Initials: BLS User ID: ADMIN Payment Amount: $90.00 Payment Date: 02/20/2008 01:19 PM Balance: $0.00 Payee: GUARDIAN SECURITY SYSTEMS INC TRANSACTION LIST: Type Method Description Amount Payment Check 87574 90.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 90.00 Total: $90.00 3853 32/20 9710 TOTAL 90.00 rinr•. RAceint -OR PrintP.ri- 02- 9n -200A i INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION TZ- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: M M-77/ Type of Inspection: :703 Address: f" )20a/ )u�wokk ..L ' iy-14) Date Called: Special Instructions: Date Wanted: � r a.m: Requester: Phone No: oved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: nk, /W07- 1/1 F.//1M- Inspec r: � /, /f /l �I�-G a�F (,((iI' Date.;- 74 El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Election or Plumber License Detail 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. 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 1 LIMITED ENERGY Specialty 2 1- IVAC/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 Master Electrician Information License CLOSEF *973OH Name CLOSE, FRANK A Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date CLOSE, FRANK A 01/01/1980 DUNHAM, JOHN R 01/01/1980 DWTR &J CORP AGENT 11/05/2007 • I I Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= GUARDSS233K5 02/20/2008