HomeMy WebLinkAboutPermit EL14-0378 - HEALTH POINT - SECURITY SYSTEMHEALTHPOINT
13030 MILITARY RD S
EL1 4-0378
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.gov
ELECTRICAL OTC PERMIT
Parcel No: 1623049171 Permit Number: EL14-0378
Address: 13030 MILITARY RD S Issue Date: 4/23/2014
Permit Expires On: 10/20/2014
Project Name: HEALTH POINT
Owner:
Name: AGM INC
Address: PO BOX 2039 , KIRKLAND, WA, 98083
Contact Person:
Name: FRANK CARIDAKIS Phone:
Address: 2700 RICHARDS RD #202 , BELLEVUE,
WA, 98005
Contractor:
Name: STANLEY CONVERGENT SEC SOL INC Phone: (317) 806-3749
Address: 6161 E 75th ST - LICENSING ,
INDIANAPOLIS, IN, 46250
License No: STANLCS925MZ Expiration Date: 7/9/2014
Lender:
Name:
Address:
DESCRIPTION OF WORK:
LOW VOLTAGE ACCESS CONTROL AND INTRUSION ALARM SYSTEMS
Valuation of single family: $0.00
Valuation of mf/comm: $17,500.00
Type of Work: LOW VOLTAGE
Fees Collected: $434.07
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 20,125
Sewer Distric: VALLEY VIEW 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:
2012 International Fuel Gas Code:
2012 WA Cities Electrical Code:
2012 WA State Energy Code:
2012
2012
2012
2012
Permit Center Authorized Signature:
Date: V"
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 t the c nditions attached to this permit.
Signature:
Print Name:A/C/VAIL=4 `� cs p +-// $0
Date: el-- Z.--5
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 TUK A
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.goy
j,womma,
1IL'f \ , n
Electrical Permit No. L" ,-.0 ,D
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: I 3 0 30 Pk: 1.4-txr
Tenant Name: t4 eatti% pc:4Kr
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Fv_owtk c ars a extc..t•
Address: 20 0.4scinctrac., Rc0 .4t 2.02,
City: B.e_tk.e.v State:wok_ Zip
et S 00G
Phone:Liz c 0/5-7 7001tax: /42.5-ots 7 704/4,
Email: _peal* coil, 1,•ciaks @ sicicis‘rc .,
King Co Assessor's Tax No.:
Suite Number:
Floor:
New Tenant: Yes IJ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: st.041,
Addrt .9.00 Q. t.ctites, i ,, y iw.. z o 2_
City: r2 1 I StatW rTe:. t .,, Zipei• ,:x.:;.
Phone: t,t2.5-0(5770:A5Fax: t,i 1 s- ?a 6 0 6 .iy4
Contr Reg 143..irAmt.45,12s-fot Date: 7- / (4.-
Tukwila Business License No.; 1 " 9 6'2/5 - 3
Valuation of Project (contractor's bid price): $ "?- 50C) . COt
Scope of Work (please provide detailed information): Lt,ujki 140., c>9.c,ortirt,
0 vt 4..Gott t4A Sy S 4",
Will service be altered? Yes No Adding more than 50 amps? Yes GEL No
Type of Use:
Type of work:
11 New El Addition E Service Change 9 Remodel 111 Tenant Improvement
g_ Low Voltage 9 Generator 9 Fire Alarm 0 Telecommunication 11 Temporary Service
Property Served by:
et Puget Sound Energy 9 Seattle City Light
1-1: Applicationaorms-Applications On Line\2014 ApplicationMElectrical Permit Application Revised I-1-14.docx
Revised: January 2014
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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
❑ 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)
D Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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:
Print Name:
r -cv (cCam,datc 5
Mailing Address: 2 4 '0 d 4 i d,A/o , f a 2c)2
H:\Applications\Forms-Applications On Line\2014 Applications \Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Day Telephone:
City
Date: q ' 2 14.
�295-7-4-oocj
w V-
State
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
� , . I nd �.�
P.ermitTRAK
I ACCOUNT
QUANTITY I
PAID
$434'07
EL14-0378 Address:13030 MILITARY RD S
Apn 1623049171,,�
a�5nn�h ����� �r
$43407
ELECTRICAL
$413.40
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$413.40
TECHNOLOGY. FEE
$20.67
TECHNOLOGY FEE
R000.322.900.04.00
$20.67
TOTAL FEES PAID BY RECEIPT: R1883
$434.07
Date Paid: Wednesday, April 23, 2014
Paid By: MICHAEL JOHNSON
Pay Method: CREDIT CARD 057238
Printed: Wednesday, April 23, 2014 8:35 AM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
firpt,o3I
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36704.,Permit Inspection Request Line (206) 431-2451
Project: itt 4 P»Jr
li
.
Type of Inspection:
,%
Address:
Date Called:
Special Instructions:
5 `""fit r`
/
Date Wanted:
Y/10
Requester:
Phone No:
.Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
e�tar: 1 6 Date: thOh
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ltrf-7
ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: // k
1,441.1.41
CI
'4IAir
Type of Inspection:
t&tA f: (41
Address:
i )030
/4— 1 Plki
Date Called:
Special Instructions:
5 , f4-1 ry
/
Date Wanted:
y(L`!a m.
t
Requester:
Phone No:
9 LS"--- coX 019
ViApproved per applicable codes. D Corrections required prior to approval.
COMMENTS:
t!r/
C€1-414 J (011 Jr
lode if
{
1,
Inspector:
Date:
n REINSPECTION FEE REQUIRED. Prior tonext inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Callao schedule reinspection.
STANLEY CONVERGENT SEC SnL INC
Page 1 of 5
01:!%jil
Washington State Department of
Labor & Industries
STANLEY CONVERGENT SEC SOL INC
Owner or tradesperson
BYERLY, LANCE A
Principals
BYERLY, LANCE A KANER, BRIAN E BEATT,
BRUCE HARRY DOUGLAS, CRAIG A BROWN,
MARY E CAPITOL CORPORATE SVCS INC
Doing business as
STANLEY CONVERGENT SEC SOL INC
WA UBI No.
602 404 981
Attn: Licensing
INDIANAPOLIS, IN 46250
317-806-3749
Business type
Corporation
Governing persons
A SECURITYCO SOLUTIONS BRIAN KANER;
BRUCE H. BEATT; COLLIN E ROCHE;
CRAIG A. DOUGLAS; D. BRETT BONTRAGER;
DANIEL BRESINGHAM; DAVID I TRUJILLO;
DONALD ALLAN, JR; DONALD J. RICCITELLI;
DONALD YOUNG; EDWARD P. PEDERSEN;
GREGORY P. SMULSKI; JAMES G. KOPPLIN;
JEFFREY D. CATALDO; KARA J. DEAN;
KATHRYN P. SHERER; MARY E. BROWN;
MICHAEL A. BARTONE; MICHAEL D. BISHOP;
PETER K. STRAKA; STEPHEN E. HOPKINS;
STEVEN G. WALKER; THEODORE C. MORRIS;
TIMOTHY WHALL;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
LIMITED ENERGY
License no.
STANLCS925MZ
Effective — expiration
07/09/2008 — 07/09/2014
Designated administrator
CARIDAKIS, FRANK A
License type
Master Electrician
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
CARIDF*972D4
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602404981 &LIC=STANLCS925MZ&SAW= 04/23/2014