HomeMy WebLinkAboutPermit EL12-0869 - BEVERAGES & MOREBEVERAGES & MORE
17197 SOUTHCENTELR PY
EL12-0869
City oPfukwila
•
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.: 2623049069
Address: 17197 SOUTHCENTER PY TUKW
Project Name: BEVERAGES & MORE
ELECTRICAL PERMIT
Permit Number: EL12 -0869
Issue Date: 09/14/2012
Permit Expires On: 03/13/2013
Owner:
Name: KTM GROUP LLC
Address: 635 HIGH SCHOOL RD NE , BAINBRIDGE ISLAND WA 98110
Contact Person:
Name: MARK MCILWAIN
Address: 1253 S JACKSON ST , SEATTLE WA, 98144
Contractor:
Name: WASHINGTON ALARM INC
Address: 1253 S JACKSON , SEATTLE WA 98144
Contractor License No: WASHIAI282C3
Phone: 206 328 -3288
Phone: 206 328 -1800
Expiration Date: 12/05/2013
DESCRIPTION OF WORK:
UPGRADE TO ADDRESSABLE FIRE ALARM PANEL. ADD ADDRESSABLE SMOKE ABOVE FACP. ADD
(8) ADDRESSABLE INPUT MODULES TO CONNECT TO 4 EXISTING SPRINKLER DEVICES AND
(4) EXISTING DUCT SMOKE DETECTORS.
Value of Electrical: NRES: $3,200.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and x
governing this work will be complies with,
Date:
$157.50
2008
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pr some to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performan - - ork. I am autho • - - to sign and obt • electrical permit.
Signature: /i
Print Name: '�'^'-
Date:
e)`- (C2_-
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
EL12 -0869
Printed: 09 -14 -2012
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PERMIT CONDITIONS
Permit No. EL12 -0869
* *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
EL12 -0869 Printed: 09 -14 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://Www.ci.tukwila.wa.us
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Electrical Permit No.
Project No.
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.: 2623049071
Site Address: 17197 Southcenter Parkway
Tenant Name:
Beverages and More
Suite Number:
New Tenant:
Property Owners Name: KTM Group LLC
Mailing Address: 635 High School Road
Floor:
m Yes ❑ ..No
98110
Zip
Bainbridge Island
City
WA
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Mark Mcllwain
Mailing Address: 1253 S. Jackson Street
E -Mail Address: mmcilwain @washingtonalarm.com
Day Telephone:
Seattle
(206) 328 -3288
WA 98144
City State
Fax Number: (206) 328 -3288
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Washington Alarm Inc
Mailing Address: 1253 S. Jackson Street
Contact Person: Washington Alarm Inc
Seattle
WA 98144
E -Mail Address: mmcilwain @washingtonalarm.com
Contractor Registration Number: WASHIAI282C3
City State
Day Telephone: (206) 328 -3288
(206) 322-7214
Expiration Date: 12/05/2013
Fax Number:
Zip
Valuation of Project (contractor's bid price): $ 3,200
Scope of Work (please provide detailed information): Upgrade to addressable fire alarm control panel. Add addressable
smoke above FACP. Add 8 addressable input modules to connect to 4 existing sprinkler devices and 4 existing
duct smoke detectors.
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
m Low Voltage ❑ Generator m Fire Alarm
0 No Adding more than 50 amps? ❑ Yes m No
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:\Apphcations\Fonns- Apphcanons On Line \2010 Applications \7 -2010 - Electncal Permit Apphcanon.doc
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❑ Remodel m Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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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, fumace 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 OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: CV( WAG -we.t. r 1
Mailing Address: Iasi 5. — LirLy. 51- .
Date Application Accepted: r J I t Z
Date: 9—P1
I ' l
Day Telephone:' Jt7 O -
City
State Zip
Date Application Expires:
H:\Apphcanons\Foms- Applications On Line\2010 Apphcanons \7 -2010 - Electncal Permit Apphcanon.doc
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Page 2 of 2
Staff Initials: )1
C./
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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
RECEIPT
Parcel No.: 2623049069 Permit Number: EL12 -0869
Address: 17197 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/14/2012
Applicant: BEVERAGES & MORE Issue Date:
Receipt No.: R12 -02614
Payment Amount: $157.50
Initials: JEM Payment Date: 09/14/2012 03:24 PM
User ID: 1165 Balance: $0.00
Payee: RYAN L AAL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2798 157.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 157.50
Total: $157.50
doc: Receiot -06 Printed: 09 -14 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO:; NO. I
CITY OF TUKWILA BUILDING DIVISION
6300.Southcenter.Blvd., #100, Tukwila. WA 98188 {• (206) 431 -3670
Permit Insp ection Request Line (206) 431 -2451
,
Project: '
- cv.. . bke
Type of Inspection:
Address:
I l�: 7 6.e.-
Date Called:
speci41 Instructions:
Date Wanted:.
Om.
Requester:
Phone No:
lApproved per. applicable codes.
COMMENTS:
Corrections required prior to approval.
(ix
Inspector:
- ' 1-inihi,
7
Ale\
Date: /0/1 ot;
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION_: RECORD 61-447 Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: �iifv'�
4- a
Type of Inspection:
rvv
6/01\15( (Id PO4PUAJ4! 111-aut k. A4
Address: 1
17117 ��C- pif '
Date Called:
�—
Special Instructibris:
tfic
•
Date Wanted:
z...6
a.m
m.
Requester:
Phone No:
Approved per applicable codes.
® Corrections required prior to approval.
COMMENTS:
6/01\15( (Id PO4PUAJ4! 111-aut k. A4
6w& Pal.,
- .15t tG+e
C.e AT At, PA LP
- Siu-itiC
I
f fit,, c m P t R,_A -c S »ZL(
Date: 69/2,4
ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prr Friendly Page
•
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
WASHINGTON ALARM INC
2063281800
1253 S Jackson St
Seattle
WA
98144
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
578043086
Active
WASHIAI282C3
Electrical Contractor
1/1/1984
12/5/2013
General
Unused
ther Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
WASHIEC282C3WASHINGTON
EQUIPMENT CO INC
Electrical
Contractor
General
Unused
2/23/1972
12/31/1984
Archived
Electrical Administrator INFORMATION
License WOODMJH241QD
Name WOODMAN, JOHN H
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HANER, RON
Violation Amount
01/01/1980
7/26/2012
WOODMAN, JOHN H
Agent
01/01/1980
$2,000.00
WOODMAN, JOHN H
President
01/01/1980
ELECTRICAL CITATION
ESTERBERG, KELLY
Secretary
10/29/2001
ADAMS, MEGHAN R W
Treasurer
10/29/2001
WOODMAN, BARBARA K
Vice President
01/01/1980
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
AMERICAN STATES INS
CO
EX753984
09/25/1989
Until Cancelled
$4,000.00
09/25/1989
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EOWET00235
7/26/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
ERADW00251
4/12/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
https://fortress.wa.gov/lni/bbip/Print. aspx
09/14/2012