HomeMy WebLinkAboutPermit EL10-0018 - SCHRYVER MEDICAL SALESSCHRYVER MEDICAL SALES
12668 INTERURBAN AV S
EL1O-0018
CitylIf 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
Parcel No.: 2716000030
Address: 12668 INTERURBAN AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0018
Issue Date: 01/11/2010
Permit Expires On: 07/10/2010
Tenant:
Name: SCHRYVER MEDICAL SALES
Address: 12668 INTERURBAN AV S , TUKWILA WA
Owner:
Name: RREEF AMERICA REIT II CORP/ Phone:
Address: PO BOX 4900 #207 , SCOTTSDALE AZ
Contact Person:
Name: MARK MCILWAIN Phone: 206 328 -3288
Address: 1253 S JACKSON ST , SEATTLE WA
Contractor:
Name: WASHINGTON ALARM INC Phone: 206 328 -1800
Address: 1253 S JACKSON , SEATTLE WA
Contractor License No: WASHIAI282C3 Expiration Date: 12/05/2011
DESCRIPTION OF WORK:
UPGRADE ADDITIONS TO THE EXISTING FIRE ALARM SYSTEM: (2) STROBE DETECTORS, (3)
PULL STATIONS, (7) HORN STROBES, (6) STROBES, (1) REMOTE POWER SUPPLY, AND
REPLACEMENT OF (1) FIRE CONTROL PANEL.
Value of Electrical:
Type of Fire Protection:
NRES: $8,176.00
RES: $0.00
FIRE ALARM
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie'
The granting of this permit does not
construction or the perform
Signature:
Print Name:
exarru
d with,
Fees Collected: $247.30
National Electrical Code Edition: 2008
Date:
otl I (iv
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
authority to violate or cancel the provisions of any other state or local laws regulating
n and obtain this electrical permit.
work.
Date:
This permit shall beco e 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
ELI 0-0018 Printed: 01 -11 -2010
Parcel No.: 2716000030
Address:
Suite No:
Tenant:
•
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
12668 INTERURBAN AV S TUKW
SCHRYVER MEDICAL SALES
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0018
ISSUED
01/11/2010
01/11/2010
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 -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:
Print Name:
Date: 1— l i — la
doc: Cond -Elec
ELI 0-0018 Printed: 01 -11 -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. a i 0 00 tb
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
Q 1 King Co Assessor's Tax No.: 71 jOG003O
Site Address: Ia6D C1 J-4k2.rut fItn p4J€_ J . Suite Number: Floor:
Tenant Name: SChf'V et Mehr..1 Sckes New Tenant: ❑ Yes ❑..No
Property Owners Name: QEEV Ai 1r€ t'i C. T l I ' 1"'
Mailing Address: P O V-.i »C (4.°1�1:> 4 c ? (Y1
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Marl( Merl ( wa1 n
� r/ c�
Mailing Address: � (716 C J . t-Vson �J,t�
E -Mail Address: ii(�C 1 I ipo r'. g g►1t r�I1 M. COM
State
S2 k
Zip
Day Telephone:
City
Fax Number:
30 - 3(Yg r t/
Stat� Lig/
(t6- 399- ?p/y
ELECTRICAL CONTRACTOR INFORMATION
Company Name: V 1Nc&TOtl i ALAAR t ^It' C.
Mailing Address: A1963 J. d:50r €'tiieeA-
Contact Person: MC1(IC MCI (wai Al
E -Mail Address: m m GI l i ct n ® obil f 4o A �. kar , (Ail
Contractor Registration Number: PtsHr-it pg-9 C3
Sea4te
City
Day Telephone:
Fax Number:
Expiration Date:
tate Zi
a� -S3a%s -38�ag
am- 319Q -7c914
Ia• O5--P0NI
Valuation of Project (contractor's bid price): $ €6) ` G 6 q)
Scope of Work (please provide detailed information): LA,
S ) Z S.— 1 0 `3 c / —7
S74 5.� S ,� �0., - 51()) 1 � ,�., c CrF
re. C \ --e,k •
Will service be altered? ❑ Yes I No
Type of Use:
Type of work:
El New ❑ Addition ❑ Service Change ❑ Remodel El Tenant Improvement
Low Voltage ❑ Generator ® Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes
No
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H: Applications\Fomis- Applications On Line \4 -2007 - Electncal Pemut Apphcation.doc
bh
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)
El 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)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
El 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
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 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 ELECTRICAL CONTRACTOR:
Signature: / _ Date: t i l l I t
Print Name: .__ -- Day Telephone: 7-010 "37-2, -37 8
Mailing Address: gb- 12-S-5 S
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H: Applications\Fomu- Applications On lane\4 -2007 - Electrical Permit Applicationdoc
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.: 2716000030 Permit Number: EL10 -0018
Address: 12668 INTERURBAN AV S TUKW Status: APPROVED
Suite No: Applied Date: 01/11/2010
Applicant: SCHRYVER MEDICAL SALES Issue Date:
Receipt No.: R10 -00037
Payment Amount: $247.30
Initials: JEM Payment Date: 01/11/2010 12:36 PM
User ID: 1165 Balance: $0.00
Payee: RYAN L AAL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2560 247.30
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 247.30
Total: $247.30
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 01 -11 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION e-'=
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Projec�� _ ,
�II^A'tlt
Type of Inspection: Z10
Address
174
1141- J
Date Called:
Special Instructions:
Date Wanted:
03
a.m.
P.m.
Requester:
Phone No:
Ig:f Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Inspector:
s c
Date: D
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.2�
(206)431 -3670
Proj� vec debickte. ,
Type of Inspection:
Address: I7.� 1 �g far JRV
Date Called:
Special Instructions:
i
Date Wanted:
01 Z%
a.m.
P.m
Requester:
Phone No:
0 Approved per applicable codes.
ElCorrections required prior to approval. e?
COMMENTS:
Acat- ot-036
- *AA/
Inspector:
vl
Ales
LI $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: DI 2M to
Receipt No.:
Date:
Retain a copy with permit 0-00N L
INSPECTION RECORD al
INSPECTION NO. PERMIT NO. / /
CITY OF TUKWILA BUILDING DIVISION J
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
7
Projs 1
eb,
Type of Inspection:
7 6/04
Address :.A4OY
NII tJ j
Date Called:
Special Instructions:
rig-
Date Wanted: ,
am�
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
-✓ - COwAirdt cad
f1oJ5U i� �RElf
Inspector:
Date: OI 10
$60.00 REINSP CTIO FEE P
in
$ N EE REQ IRED. Prior to inspection, fe 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 Lbtl 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 WASHINGTON ALARM INC UBI No. 578043086
Phone 2063281800 Status ACTIVE
Address 1253 S JACKSON License No. WASHIAI282C3
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City SEATTLE Effective Date 1/1/1984
State WA
Zip 98144
County KING
Business Type Corporation
Parent Company
Expiration Date 12/5/2011
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
WASHIEC282C3
WASHINGTON
EQUIPMENT
CO INC
ELECTRICAL
CONTRACTOR
GENERAL
UNUSED
2/23/1972
12/31/1984
ARCHIVED
ADMINISTRATOR INFORMATION
License WOODMJH241 QD
Name WOODMAN, JOHN H
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
HANER, RON
01/01/1980
WOODMAN, JOHN H
AGENT
01/01/1980
WOODMAN, JOHN H
PRESIDENT
01/01/1980
ESTERBERG, KELLY
SECRETARY
10/29/2001
ADAMS, MEGHAN R W
TREASURER
10/29/2001
WOODMAN, BARBARA K
VICE PRESIDENT
01/01/1980
https: // fortress .wa.gov /lni /bbip /Detail.aspx
01/11/2010