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Home My WebLink AboutPermit EL13-0454 - PROVIDENCE SENIOR COMMUNITY SERVICES - LOW VOLTAGEPROVIDENCE SENIOR COMMUNITY SERVICES 3333 S 120 PL EL1 3-0454 City oftukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: htto://www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No.: 1023049079 Address: 3333 S 120 PL TUKW Project Name: PROVIDENCE SENIOR COMMUNITY SERVICES Permit Number: EL13-0454 Issue Date: 05/10/2013 Permit Expires On: 11/06/2013 Owner: Name: SABEY CORPORATION Address: 12201 TUKWILA INTL BLVD , 4TH FLOOR 98168 Contact Person: Name: SHEILA ROST Address: 3051 E VALLEY RD , RENTON WA, 98057 Contractor: Name: ALLIED SAFE & VAULT CO INC Address: W 425 2ND AV , SPOKANE WA 99204 Contractor License No: ALLIESV275BB Phone: 425-988-6482 Phone: 425 988-6500 Expiration Date: 01/31/2014 DESCRIPTION OF WORK: PROVIDE AND INSTALL LOW VOLTAGE BURGLAR ALARM SYSTEM. ALL WIRE BY OTHERS. Value of Electrical: NRES: $30,195.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIG Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $625.70 2008 J1/4) Date: -10--"--(3 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 perfprmance of g ant authorized to sign and obtain this electrical permit. Signature: Print Name: ,e,C,C 444720/v5 Z - 5-(0-/ 3 Date: 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 EL13-0454 Printed: 05-10-2013 • • PERMIT CONDITIONS Permit No. EL13-0454 **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 EL13-0454 Printed: 05-10-2013 H ;0. • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.Tukwi IaWA.gov Electrical Permit No. EL-.\ 3 01-1V-1 Project No. Date Application:Accepted: Date Application Expires: (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: 3333 S 120th PI Tenant Name: Providence Senior community Services King Co Assessor's Tax No.: Suite Number: Bldg 3 Floor: 1 New Tenant: ❑ Yes ..No PROPERTY OWNER Name: Providence Infusion and Pharmacy Services Address: 2201 Line Ave, Ste 130 City: Renton State: WA Zip: 98057 CONTACT PERSON — person receiving all project communication Name: Sheila Rost Address: 3051 E Valley Rd City: Renton State: WA Zip: 98057 Phone: (425) 988-6482 _,Fax: (425) 988-6501 Email: srost@allied-security.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Allied Safe & Vault Address: 3051 E Valley Rd City: Renton State: WA Zip: 98057 Phone: (425) 988-6500 Fax: (425) 988-6501 Contr Reg No.: ALLIESV275BB Exp Date: 01/01/2016 Tukwila Business License No.: BUS -0993041 Valuation of Project (contractor's bid price): $ 30,195 Scope of Work (please provide detailed information): Provide/install low voltage burglar alarm system. All wire by others. Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Commercial Type of work: O New 0 Addition 0 Service Change ® Low Voltage 0 Generator 0 Fire Alarm Property Served by: • Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-1 I.docx Revised: August 2011 bh ❑ Remodel O Telecommunication O Tenant improvement O Temporary Service 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) 0 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 TI -HS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PE URY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN R OR TR A CONTRACTOR: Signatu e: /,, 4. 1 II Print Name: Clsryl M HouseDay Telephone: (425) 988-6509 Mailing Address: 3051 E Valley Rd Renton WA 98057 Date: 05/09/2013 City 1-1 \ApplicauonsToims-Applications On Line \2011 Applications \Electrical Permit Application Revised 8-9-11 docx Revised August 2011 bh State Zip Page 2 of 2 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.: 1023049079 Permit Number: EL13-0454 Address: 3333 S 120 PL TUKW Status: PENDING Suite No: Applied Date: 05/10/2013 Applicant: PROVIDENCE SENIOR COMMUNITY SERVICES Issue Date: Receipt No.: R13-01597 Payment Amount: $625.70 Initials: WER Payment Date: 05/10/2013 02:43 PM User ID: 1655 Balance: $0.00 Payee: INSTALLATION DEPART RENTON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 623995 ACCOUNT ITEM LIST: Description 625.70 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 625.70 Total: $625.70 o.inro.d• ng_1n_)n1z f INSPECTION RECORD 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: Type of Inspection: Address: Date Called: Special Instructions: Date Wanted:. . _� •. J . i..,3 a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: J• . )3 REINSPECTION FEE REQUIRED. Prior to nex inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per 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 ALLIED SAFE & VAULT CO INC 5096243152 W 425 2Nd Ave Spokane WA 99201 Spokane Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 328031417 Active ALLIESV275BB Electrical Contractor 1/2/1973 1/31/2014 Limited Energy Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ALLIESV26406 ALLIED SAFE/VAULT CO INC Construction Contractor Fire Protect System Unused 9/26/1974 11/13/2013 Active Electrical Administrator INFORMATION License GASKIJC898KK Name GASKIN, JEFFERY C Status Active Business Owner Information Name Role Effective Date Expiration Date HUNT, TERRILL E Violation Amount 01/01/1980 3/7/2013 HUNT, ROBIN R ELECTRICAL CITATION 01/01/1980 $2,000.00 HUNT, T E Agent 01/02/1973 HUNT, JAY President 01/11/2012 HARNEY, DWAYNE Secretary 01/02/1973 BLEVINS, LINDA Vice President 01/02/1973 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 TRAVELERS CAS & SURETY CO 103514539 01/02/2001 Until Cancelled $4,000.00 12/11/2000 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 EBOES00769 3/7/2013 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 httns://fortress.wa.gov/lni/bbip/Print.aspx 05/10/2013