HomeMy WebLinkAboutPermit EL13-0603 - ZEE MEDICAL SUPPLY - LOW VOLTAGEZEE MEDICAL SUPPLY
378 UPLAND DR
ELi 3-0603
Parcel No.:
Address:
City 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.Tukwila WA .gov
378 UPLAND DR TUKW
Project Name: ZEE MEDICAL SUPPLY
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL13-0603
06/24/2013
12/21/2013
Owner:
Name:
Address:
Contact Person:
Name: SHEILA ROST
Address: 3051 EAST VALLEY RD , RENPON 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:
ADD MOTION TO THE LOBBY SECURITY SYSTEM
Value of Electrical: NRES:
RES:
$200.00 Fees Collected:
$0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by:
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
The granting of this p - rmit do; s n
construction or the p orm
Signature:
Print Name:
Date:
$63.00
2008
n= • this permit and know the same to be true and correct. All provisions of law and ordinances
h, ether specified herein or not.
pr e to give authority to violate or cancel the provisions of any other state or local laws regulating
rk. I am authorized to sign and obtain this electrical permit.
Date: 0-4- ( 13
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
EL13-0603 Printed: 06-24-2013
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PERMIT CONDITIONS S
Permit No. EL 13-0603
**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.
1
doc: EL -4/10
EL13-0603 Printed: 06-24-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.t .gov
Electrical Permit No. EL� �_" C(.0
D J
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: 378 Upland Drive
Tenant Name: ZEE Medical Supply
PROPERTY OWNER
Name: Sheila Rost
Address: 3051 East Valley Road
Name:
Phone: (425) 988-6482 Fax:
Email: srost@allied-security.cotn
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Sheila Rost
Address: 3051 East Valley Road
City: Renton State: WA Zip: 98057
Phone: (425) 988-6482 Fax:
Email: srost@allied-security.cotn
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ®..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Allied Safe and Vault
Address: 3051 East Valley Road
City: Renton State: WA Zip: 98057
Phone: (425) 988-6500 Fax: (425) 988-6501
ContrReg No.:A. 1 sv21 `p Date: (itl?71II9
1
Tukwila Business License No.: BUS -0993041
Valuation of Project (contractor's bid price): $ 200
Scope of Work (please provide detailed information):
Add motion to the lobby security system
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
® Low Voltage 0 Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
® Puget Sound Energy 0 Seattle City Light
HAApplicationsWorms-Applications On Lme\201 I Applications\Electrical Permit Application Revised 8-9-I I.docx
Revised: August 2011
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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
El 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
El 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
El Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
E l Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
El 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 OWNEW-OR- TRICAL CONT
Signature: Date: 06/24/2013
Print Name:
Sheila Rost
Day Telephone: (425) 988-6482
Mailing Address: 3051 East Valley Road Renton WA 98057
City
H:\Applications\Forms-Applications On Line\2011 Apphcations\Electrical Permit Application Revised 8-9-1 I.docv
Revised: August 2011
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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
Parcel No.:
Address: 378 UPLAND DR TUKW
Suite No:
Applicant: ZEE MEDICAL SUPPLY
RECEIPT
Permit Number: EL13-0603
Status: PENDING
Applied Date: 06/24/2013
Issue Date:
Receipt No.: R13-01947
Initials: JEM
User iD: 1165
Payment Amount: $63.00
Payment Date: 06/24/2013 11:14 AM
Balance: $0.00
Payee: ALLIED SAFE & VAULT CO, SERVICE DEPT RENTON
TRANSACTION LIST:
Type Method
Descriptio
Amount
Payment Credit Crd VISA
Authorization No. 640877
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
Prinfprl• OA -24_9011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.'
•
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431-3670
Permit Inspection Request Line (206) 431-2451
ti3io3
Project:7,„_„
is Gtr D1cA1.-
Type of Inspection:
2100
Address: 3.7is d)Date
Called:—`Special
Instuctions:
%�
SCC`' (7
Date Wanted:
4 br
t3:"
Requester:
r
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Inspector:
Date: „/ , /�
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople inter 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
ALLIESV26406SAFE/VAULT
ALLIED
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
https://fortress.wa.gov/lni/bbip/Print.aspx
06/24/2013