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Home My WebLink AboutPermit EL14-0017 - MEDIFAST - NOTIFICATION DEVICESMEDIFAST 17250 SOUTHCENTER PKWY SUITE 100 EL14-0017 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.eov Parcel No: 7888920020 Address: ELECTRICAL OTC PERMIT Permit Number: EL14-0017 17250 SOUTHCENTER PKWY 100 Issue Date: 1/9/2014 Permit Expires On: 7/8/2014 Project Name: MEDIFAST Owner: Name: WIG PROPERTIES LLC-SS Address: 4811 134TH PL SE , BELLEVUE, WA, 98006 Contact Person: Name: SCOTTJERKE Address: 1106 54 AV E , TACOMA, WA, 98424 Contractor: Name: SMITH FIRE SYSTEMS MGMT LLC Address: 110654 AV E , TACOMA, WA, 98424 License No: SMITHFS946L0 Lender: Name: Address: Phone: (253) 248-2004 Phone: (253) 926-1880 Expiration Date: 6/20/2014 DESCRIPTION OF WORK: ADD NOTIFICATION DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT Valuation of single family: $0.00 Valuation of mf/comm: $2,342.00 Type of Work: LOW VOLTAGE Fees Collected: $147.21 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer Distric: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Date: I''9 ` t" I I hearby 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 performance of work. I am authorized to sign and obtain this development permit and agree to the conditiopttached to this permit. Signature: Print Name: Date: /r? l C This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296-46B WAC. 5: 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. 6: 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. 7: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http.://www.Tu kwi I a. A.gov Electrical Permit No. k L0017 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 King Co Assessor's Tax No.: 788892020 Site Address: 17250 SOUTHCENTER PKWY, BLDG S Suite Number: 100 Floor: Tenant Name: MEDIFAST PROPERTY OWNER Name: WIG PROPERTIES LLC-SS Address: City: State: Zip: CONTACT PERSON — person receiving.a conniuiiication Name: SCOTT JERKE Address: 1106 54TH AVE E City: TACOMA State: WA Zip: 98424 Phone: (253) 248-2004 Fax: (253) 926-0726 Email: SJERKE@SMITHFIRE . COM New Tenant: ® Yes ❑ .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: SMITH FIRE SYSTEMS MGMT Address: 1106 54TH AVE E City: TACOMA State: WA Zip: 98424 Phone: (253) 248-2004 Fax: (253) 926-0726 Contr Reg No.: SMITHFS946LO Exp Date: 06/20/2014 Tukwila Business License No.; BUS0993291 Valuation of Project (contractor's bid price): $ 2,342 Scope of Work (please provide detailed information): THE SCOPE OF THIS PROJECT IS TO ADD NOTIFICATION DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT. Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement ® Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:'Applications\Forms-Applications On Line\2013 Applications \Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Page 1 of 2 11, 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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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: C.._- 1' Signature: Date: 01/08/2014 Print Name: SCOTT JERKS Day Telephone: (253) 248-2004 Mailing Address: 1106 54TH AVE E, TACOMA, WA 98424 City H:\Applications\Forms-Applications On Line\2013 Applications \ Electrical Permit Application Revised 7-I-13.docx Revised: July 2013 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $147.21 EL14-0017 Address: 17250 SOUTHCENTER PKWY 100 Apn: 7888920020 $147.21 ELECTRICAL $140.20 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 $140.20 TECHNOLOGY FEE $7.01 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R653 R000.322.900.04.00 $7.01 $147.21 Date Paid: Thursday, January 09, 2014 Paid By: SMITH FIRE SYSTEMS MGMT LLC Pay Method: CHECK 06408 Printed: Thursday, January 09, 2014 12:05 PM 1 of 1 SYSTEMS &'1ow7 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 INSPECTION RECORD Retain a copy with permit Project: n J nr-b(rt5r Type of Inspection: p--"'Amt...., \ Address: 0 SC' P Date Called: Special Instructions: kM, ( Date Wanted: ,, Li0pi. a.mr a Requester: Phone No: J 1,s, ad WApproved per applicable codes. Corrections required prior to approval. COMMENTS: L k/ 4 Inspector: r / Date: n REINSPECTION FEE REQUIED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION -RECORD Retain a copy with permit INSPECTION NO. PERMIT NO.' CITY OF TUKWILA BUILDING DIVISION tUL(bo(7 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36'710 Permit Inspection Request Line (206) 431-2451 �lfil'__ft1 Project: ,lift tt .1 �-.� ��p Type of Inspection: y Y' Address: // % 0,5 • 4. Date Called: Special Instructions: i1A-- €€€ Date Wanted: 31 R Requester: Phone No: Approved per applicable codes. COMMENTS: (Corrections required prior to approval. co/t�cA-re Date: OF(1 I ty REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. SMITH FIRE SYSTEMS MGMT T T C Page 1 of 2 11/11) Washington State Department of Labor & Industries SMITH FIRE SYSTEMS MGMT LLC Owner or tradesperson GTH CORPORATE SERVICES LLC Principals GTH CORPORATE SERVICES LLC MARK SMITH Doing business as SMITH FIRE SYSTEMS MGMT LLC WA UBI No. 602 601 418 1106 54TH AVE E TACOMA, WA98424 253-926-1880 PIERCE, County Business type Limited Liability Company Governing persons MARKBSMITH License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties LIMITED ENERGY License no. SMITHFS946LO Effective — expiration 06/20/2006 — 06/20/2014 Designated administrator Abel, Matthew N License type Electrical Administrator Bond Merchants Bonding Co (Mutual) Bond account no. WA31201 ACTIVE License no. ABEL*MN893N5 $4,000.00 Received by L&I Effective date 06/13/2013 06/13/2013 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602601418&LIC=SMITHFS946LO&SAW= 01/09/2014