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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 • 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 • 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 bh Page 1 of 2 ❑ Remodel m Tenant Improvement ❑ Telecommunication ❑ Temporary Service • 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 bh Page 2 of 2 Staff Initials: )1 C./ • 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