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Home My WebLink AboutPermit EL10-0692 - QTC MEDICAL GROUPQTC MEDICAL GROUP 13030 MILITARY RD S EL1O-0692 City ATukwila 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.: 1623049171 Address: 13030 MILITARY RD S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0692 Issue Date: 08/2S/2010 Permit Expires On: 02/21/2011 Tenant: Name: QTC MEDICAL GROUP Address: 13030 MILITARY RD S , TUKWILA WA Owner: Name: RIVERTON PROPERTIES Phone: Address: PO BOX 2039 , KIRKLAND WA Contact Person: Name: NATALIE RICHMOND Phone: 425 - 656 -7117 Address: 7617 S 180 ST , KENT WA Contractor: Name: PROTECTION ONE ALARM MNTRG INC Phone: 425 656 -7132 Address: 4221 W JOHN CARPENTER FWY , IRVING TX Contractor License No: PROTEOA033BP Expiration Date: 01/17/2011 DESCRIPTION OF WORK: HARD WIRED LOW VOLTAGE SECURITY SYSTEM Value of Electrical: NRES: $675.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $84.00 National Electrical Code Edition: 2008 Date: 9' )-5 —(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: Cie,- 4 ) Date: 2-Sir Print Name: c � U��W `ht- rk is not commenced within 180 days from the date of issuance, or if the work is suspended This permit shall become null and void if the work y P or abandoned for a period of 180 days from the last inspection. doc: EL -4/07 EL10 -0692 Printed: 08 -25 -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 Parcel No.: 1623049171 Address: Suite No: Tenant: 13030 MILITARY RD S TUKW QTC MEDICAL GROUP PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0692 ISSUED 08/25/2010 08/25/2010 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: 2- // doc: Cond -Elec EL10 -0692 Printed: 08 -25 -2010 CITY OF TUKWI A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit No. E Ll D — (012— 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: 13030 MILITARY RD S STE # 208 Tenant Name: QTC MEDICAL GROUP Property Owners Name: QTC MANAGEMENT King Co Assessor's Tax No.: I ( )-L4 9c 7 I Suite Number: 208 Floor: New Tenant: ❑ Yes ❑ ..No Mailing Address: 13030 MILITARY RD S #208 TUKWILA City WA State 98168 Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: NATALIE RILCHMOND Mailing Address: 7617 S 180TH Day Telephone: (425) 656 -7117 KENT WA 98032 E -Mail Address: natalierichmond @protectionone.com City State Fax Number: (425) 656 -7145 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: NATALIE RICHMOND Mailing Address: 7617 S 180TH KENT WA 98032 City State Zip Contact Person: NATALIE RICHMOND Day Telephone: (425) 656 -7117 E -Mail Address: natalierichmond @prtoectionone.com Fax Number: (425) 656 -7145 Contractor Registration Number: PROTEOA0336P Expiration Date: 01/17/2011 Valuation of Project (contractor's bid price): $ 675„ OD Scope of Work (please provide detailed information): HARDWIRED LOW VOLT SECURITY SYSTEM -- Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes 0 No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: m Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 J• RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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 0 LECTRICA RACTOR: Signature: Print Name: Mailing Address: 7617 S 180TH Date: Day Telephone: (425) 656 -7117 KENT City State 98032 Zip Date Application Accepted: Date Application Expires: Staff Initials: WApplications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 • • wq� City of Tukwila yDepartment 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 Parcel No.: 1623049171 Address: 13030 MILITARY RD S TUKW Suite No: Applicant: QTC MEDICAL GROUP RECEIPT Permit Number: EL10 -0692 Status: PENDING Applied Date: 08/25/2010 Issue Date: Receipt No.: R10 -01676 Payment Amount: $84.00 Initials: WER Payment Date: 08/25/2010 01:19 PM User ID: 1655 Balance: $0.00 Payee: PROTECTION ONE ALARM MONITORING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3482 84.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 84.00 Total: $84.00 r)KiMtNY pnantirr doc: Receiot -06 Printed: 08 -25 -2010 INSPECTION NO. as INSPECTION RECORD Retain a copy with permit 6/0...v2. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: tiep+ e�� Type of. Inspection:ov Address: �� 05 ' �r Date Called: Special Instructions: j T 51e L oT Date Wanted: y z�` a.m Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: - kv Inspector: Date: OJ Z� REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 f INSPECTION RECORD Retain a copy with permit E1io-6 'z PERMIT NO. (206)431 -3670 Project: QTe 1,146DlcAL 6 VOW Type of Inspection: a %Q€ Address: � A 43030 %9,41 -rAlee Date Called: .F Special Instructions: Date Wanted: J--/B-1/ CO p.m. Requester: /..> Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS:. "e Tr.) SA c7%, .v Law .F ! ®/(/�Ac 7 �r5 Air c. 9oti.. /..> )1161`7` / P0AA -4 (7w times 7:".",11 ";,J.3dirc -7,,., (CA .�= 1-7/74/ /X2 0 ^,T - /,n, Inspector b79,2 y )(L%eN,1)'7 Date: / -/ n `// LJ $60.00t(2EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: March 4, 2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director Natalie Richmond Protection One Security 7617 S 180 St Kent, WA 98032 RE: Request for Extensions Electrical Permit Nos EL09 -0681, EL09 -0704 & EL10 -0692 Dear Ms. Richmond, This letter is in response to your written request for an extension to Permit Numbers EL09 -0704, EL09 -0681, and EL 10 -0692. The Building Official has reviewed your letter and considered your request to extend the above referenced permit. The City of Tukwila Building Division will be extending permits EL09 -0704 and EL09 -0681 through March 15, 2011 as requested. Permit EL 10 -0692 has had recent enough inspections that the expiration date has been automatically extended through July 17, 2011. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, 'fer Marshall it Technician File: Permit No. EL10 -0681, EL09 -0704, EL10 -0692 W:\Permit Center\Extension Letters\Permits\2009\EL09 -0681 Permit Extension.doc 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Feb. 23. 2011 9:49AM Protection One No. 5825 www.ProtectionOne.com *Wu Tukwila Permit Center RECEIVED FEB 2 3 20111 COMMUNITY DEVELOPMENT I am asking for the following permits to be extended for the purpose of re- inspection. I need to make arrangements for my tech to meet the Inspector on site with a ladder In order to have access to the ceiling. I will be scheduling this within 2 weeks. Please may we have an extension till the 15th of March. # EL 09.0704 #EL10 -0692 #EL09 -0681 Thank you, Natalie Richmond Permit Coordinator 425- 656 -7117 .041 Jited6 , 4 "'yY1paG 15 Mtctuat 64, — ie.bw 03i /tor! Cd.1)1- o'loL\ �;K 0310(4 (I Eu� -Huh 2 7117 South 180th St.KNnt. WA 98032 Fax: 4 ?5 -656 -714.5 01 -03 -2011 Jim Haggerton, Mayor Departtme1 t of Cs malignity Development Jack Pace, Director NATALIE RICHMOND 7617 S 180 ST KENT WA 98032 RE: Permit No. EL10 -0692 13030 MILITARY RD S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing. Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 02/21/2011. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 02/21/2011, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Bill Rambo Permit Technician File: Permit File No. EL10 -0692 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 o Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 Contractors or Tradespeople Poer Friendly Page • Page 1 of 2 Electrical Contractor A business licensed by L81 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company PROTECTION ONE ALARM MNTRG INC 4256567153 Attn: Shane Westrup 1035 N 3rd St Ste 101 Lawrence KS 66044 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601354926 Active PROTEOA033BP Electrical Contractor 1/17/1997 1/17/2011 Limited Energy Unused ADMINISTRATOR INFORMATION License SADOWTR941 KP Name SADOWSKI, THEODORE R Status Active Business Owner Information Name Role Effective Date Expiration Date MACKENZIE, JAMES M JR 01/01/1980 RANKIN, THOMAS K 01/01/1980 HESSE, JOHN W 01/01/1980 CORNELL, MONTGOMERY W 01/01/1980 C T CORPORATION SYSTEM Agent 01/01/1980 BECK, ANNETTE President 10/27/2000 SOMMA,TONY Secretary 10/27/2000 KINGSLEY, RENEE T Vice President 10/27/2000 CHRETIEN, CRAIG Vice President 10/27/2000 SANCHEZ, JOSEPH Vice President 10/27/2000 WILSON, TONY Vice President 10/27/2000 SIMONETTI, RICH Vice President 10/27/2000 DEVIN, ANDY Vice President 10/27/2000 WIENGARTNER, CRAIG Vice President 10/27/2000 CORY, DENNIS (MIKE) Vice President 02/25/2002 GRIFFIN, JOHN ERIC Vice President 01/09/2003 https:/ /fortress. wa.gov /lni/bbip /Print. aspx 08/25/2010