Loading...
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 • 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 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 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 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 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