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Home My WebLink AboutPermit EL13-0435 - COWLITZ TRIBAL HEALTH - LOW VOLTAGECOWTUTZ TRIBAL HEALTH 15455 65 AV S EXPIRED 11-04-13 EL1 3-0435 City oPI'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: http://www.Tukwila WA .gov Parcel No.: 0003200004 Address: 15455 65 AV S TUKW Project Name: COWLITZ TRIBAL HEALTH ELECTRICAL PERMIT Permit Number: EL13-0435 Issue Date: 05/08/2013 Permit Expires On: 11/04/2013 Owner: Name: KC HOUSING AUTHORITY Address: 600 ANDOVER PARK W , TUKWILA WA 98188 Contact Person: Name: JASON STEINER Address: 1746 FIRST AV S , SEATTLE WA, 98134 Contractor: Name: GUARDIAN SECURITY SYSTEMS INC Address: 1743 1 AV S , SEATTLE WA 98134 Contractor License No: GUARDSS233K5 Phone: 206-622-6545 X 210 Phone: 206 622-6545 Expiration Date: 09/30/2014 DESCRIPTION OF WORK: INSTALLING LOW VOLTAGE AES RADIO TRANSMITTER WITH INTELLITAP TO MONITOR EXISTING FACP Value of Electrical: NRES: $250.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $63.00 2008 Date: 3 13 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 pe • es no presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe ance work. I am authorized to sign and obtain this electrical permit. % / Signature: Date: �/ & Z-01 TQJacu NO Adt/t_ Print Name: 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 EL13-0435 Printed: 05-08-2013 • PERMIT CONDITIONS Permit No. EL13-0435 **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 TO - 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 EL13-0435 Printed: 05-08-2013 CITY OF TUKW Community Developmalbepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pelikt No. L LI T 027{ 3 5 - Project Project No. Date Application Accepted: Date Application Expires: (For eke 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 5 Lig S (OS AV S Tenant Name: CO W L=TZ TR\ (3AL %{PLT 4 PROPERTY OWNER :. Address: 17 L 3 F QST AVE_ S Name: Ic.vq Ccm y 1_4os 1 ,i\, 1 Lr-\bbc\+- Address: I S LI s s (o 14A U City: 'To %. W\1_NN. State: wN Zip: c+FsIS! CONTACT:PERSON - person receiving all project communication _ Name: -5Asc. S T E.t fv 2 Address: 17 L 3 F QST AVE_ S City:SE A TR -State: L Zi P:9 13,1 Phone: Fax: ZO(o- 3YI - `?4Z.& Zo(0-IPaZ-6:S'YC &xT 2. to Email: j S�-e..t rues- ?) ,c7•U2 c) kz..N Sec..)c.iy . cG,nr King Co Assessor's Tax No.: CX O 3 Z COOO -[ Suite Number: Floor: New Tenant: ❑ Yes a. No ELECTRICAL CONTRACTOR INFORMATION Company Name: c,vARO 1 q� SCr1/4._.)2\T1. Address: 1.7 y 3 F \ 2ST ASS soul_0. City: SES (II LE_ State: w A Zip: RC13,f Phone: ZOO-coZZ-Ls_yS Fax: w6_ 3y1-94Z� Contr Reg No.: Gucoz. 2.33 KS Exp Date: 7 i t holm Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Z S Scope of Work (please provide detailed information): Z(USTALL.ttvL., Lots vnU r EPEE A . RPnlO i/ 77 R-- W i 77-/ / rU T f c-_ / 'TAP T'o M c, A. , 7D to x r S Ti ry G ICAC. I Will service be altered? ❑ Yes Ez No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement O Low Voltage ❑ Generator H Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: St Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On L,ne\20 1 I Apphcatwns\Electncal Permit Application Revised 8-9-1 I.docx Revised: August 2011 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, 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: Date: /a /-ec.) Print Name: t R C( Nr3 A t'V\ S Day Telephone: Z-C2tc - (cZZ - (cc -WS Z,1 Mailing Address: 17- 3 t= 1 2 C T A J F H \ Applications \Forms -Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised August 2011 bh Sc." A c..(FS- 13 y City State Zip Page 2 of 2 • • J�vJ1�A wq City of Tukwila 0 a _��,. Department of Community Development t;1 6300 Southcenter Boulevard, Suite #100 d �J /0 Tukwila, Washington 98188 �,1+\ r /2 Phone: 206-431-3670 \\ / Fax: 206-431-3665 1908 Web site: http://www.TukwilaWA.gov RECEIPT Parcel No.: 0003200004 Permit Number: EL13-0435 Address: 15455 65 AV S TUKW Status: PENDING Suite No: Applied Date: 05/08/2013 Applicant: COWLITZ TRIBAL HEALTH Issue Date: Receipt No.: R13-01550 Initials: WER User ID: 1655 Payment Amount: $63.00 Payment Date: 05/08/2013 12:19 PM Balance: $0.00 Payee: TRACI ADAMS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 685265 ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 ,r..,.. o....,.:..a nc Printed• 05-08-2013 10-01-2013 JASON STEINER 1746 FIRST AV S SEATTLE WA 98134 • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL13-0435 COWLITZ TRIBAL HEALTH 15455 65 AV 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 11/04/2013. 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 fmal 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 11/04/2013, 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, Bill Rambo Permit Technician File: Permit File No. EL13-0435 6300 SouthcenterBoulevard, Scute #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fav 206-431-3665 Contractors or Tradespeople Pter 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 GUARDIAN SECURITY SYSTEMS INC 2066226545 1743 1St Ave S Seattle WA 98134 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600189667 Active GUARDSS233K5 Electrical Contractor 5/25/1977 9/30/2014 Limited Energy Hvac/Rfrg Ltd Energy Master Electrician INFORMATION License CLOSEF'9730H Name CLOSE, FRANK A Status Active Business Owner Information Name Role Effective Date Expiration Date DUNHAM, JOHN R Cancel Date 01/01/1980 Bond Amount DWTRIiJ CORP Agent 11/05/2007 72BSBFT5007 CLOSE, FRANK A President 05/25/1977 ELECTRICAL CITATION 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 8 HARTFORD FIRE INS CO 72BSBFT5007 06/11/2010 Until Cancelled 19.28.271 RCW ELECTRICAL CITATION $4,000.0006/18/2010 $500.00 7 OHIO CAS INS CO 3 610 465 06/11/2003 Until Cancelled 09/02/2010 ECOXE00599 $4,000.00 06/16/2003 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 ESHA000351 10/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EMEHU03697 2/11/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 ENASE00306 1/26/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECOXE00599 1/9/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJEFS00338 7/25/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 ERADW00296 6/15/2012 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 EVANS00410 12/16/2009 WAC 296-46B-990 ELECTRICAL CITATION Satisfied $500.00 EVANS00403 12/16/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $4,000.00 httas://fortress.wa.2ov/lni/bbip/Print.aspx 05/08/2013