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Home My WebLink AboutPermit EL11-1046 - THE WORK CLINICTHE WORK CLINIC 13030 MILTI'ARY RD S EXPIRED 05 -19 -12 EL1 1 -1046 City oiatukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 1623049171 Address: 13030 MILITARY RD S TUKW Project Name: THE WORK CLINIC ELECTRICAL PERMIT Permit Number: EL11 -1046 Issue Date: 11/21/2011 Permit Expires On: 05/19/2012 Owner: Name: AGM INC Address: PO BOX 2039 , KIRKLAND WA Contact Person: I'6 �� JN! 1, 1 Name: j Yt `71y� Address: ^ tW G71 W1/4-t LJA Contractor: Name: PROTECTION ONE ALARM MNTRG INC Address: 1035 N 3 ST, STE 101 , LAWRENCE KS Contractor License No: PROTEOA033BP Phone: 1,11_5. Vag --1(( Phone: 425 656 -7153 Expiration Date: 01/24/2013 DESCRIPTION OF WORK: INSTALL ALARM SYSTEM Value of Electrical: NRES: $250.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LI Permit Center Authorized Signature: I hereby certify that I have read and examined this pe governing this work will be complied with, whether sp Fees Collected: National Electrical Code Edition: Al Date: ) $63.00 2008 l d know the same to be true and correct. All provisions of law and ordinances ied herein or not. The granting of this • = 'S t does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t - performance of work. I am authorized to sign and obtain this electrical permit. Signature: 7'4 Date: / �i —/ P Name: Jas C•v■ 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 -4/10 EL11 -1046 Printed: 11 -21 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -1046 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 ELI 1-1046 Printed: 11 -21 -2011 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. %1 _/ Project (For ofce 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: 1,030 va ( LIT ,e-t9 s. Tenant Name: "Trite , (.004 EC— GU 1011✓ King Co Assessor's Tax No.: Suite Number: 1 D () Floor: New Tenant: ❑ Yes J ..No Property Owners Name: Mailing Address: SAME AS SITE City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be :issued' Name: JEANIE SOMONSKI Day Telephone: (425) 656 -7111 Mailing Address: 7617 S 180TH ST KENT WA 98032 City State E -Mail Address: JEANIESOMONSKI @protectionl.com Fax Number: (425) 656 -7145 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: PROTECTION ONE Mailing Address: 7617 S 180TH ST KENT WA 98032 City State Zip Contact Person: PROTECTION ONE Day Telephone: (425) 656 -7111 E -Mail Address: same as above Fax Number: (425) 656 -7145 Contractor Registration Number: PROTEOA033BP Expiration Date: 01/24/2013 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): n Silk. t ( ne4.l) eLf, Gt. v'✓l g- tuen-- Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes 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: ❑ Puget Sound Energy ❑ Seattle City Light Ft:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 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, fumace 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: (1 ( 1 7/1 Print Nam Nj eit14 Cc Sotaangto Day Telephone: (425) 656 -7111 7617 S 180TH ST KENT City State Mailing Address: IDate Application Accepted: / /� 98032 Date Application Expires: � //9 _ / n Staff Initials: H:\Applications \Forms - Applications On Line \2010 Applications \7 -2010- Electrical Permit Apphcation.doc bh Page 2 of 2 Zip • • 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.TukwilaWA.gov Parcel No.: 1623049171 Address: 13030 MILITARY RD S TUKW Suite No: Applicant: THE WORK CLINIC RECEIPT Permit Number: EL11 -1046 Status: PENDING Applied Date: 11/21/2011 Issue Date: Receipt No.: R11 -02530 Payment Amount: $63.00 Initials: TLS Payment Date: 11/21/2011 08:19 AM User ID: 1670 Balance: $0.00 Payee: PROTECTION ONE ALARM MONITORING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3824 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 11 -21 -2011 04 -02 -2012 JEANIE SOMONSKI 7617 S 180 ST KENT WA 98032 • City of Tu ila Jim Haggerton, Mayor Department of Community Development RE: Permit No. EL11 -1046 WORK CLINIC, THE 13030 MILITARY RD S TUKW Dear Permit Holder: Jack Pace, Director 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 05/19/2012. 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 05/19/2012, 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. Sincerely, fer Marshall it Technician File: Permit File No. EL11 -1046 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665 Contractors or Tradespeople Prier Friendly Page • Page 1 of 2 Electrical Contractor A business licensed by LEtJ 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: Justin B. Vise 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 1/24/2013 Limited Energy Unused Electrical Administrator INFORMATION License BERGEMA893BL Name BERGENER, MATTHEW A 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 11/21/2011