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Home My WebLink AboutPermit EL14-0544 - MEDICAL BILLING SOLUTIONS - FIRE ALARM SYSTEMMEDICAL BILLING SOLUTIONS 625 ANDOVER PARK W suri1E 101 EL1 4-0544 Parcel No: Address: 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 2623049143 625 ANDOVER PARK W 101 Project Name: MEDICAL BILLING SOLUTIONS Permit Number: EL14-0544 Issue Date: 6/10/2014 Permit Expires On: 12/7/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SOUTHCENTER CORPORATE SQUAR 150 CALIFORNIA ST, SAN FRANCISCO, WA, 94111 KRIS CONNER 861 INDUSTRY DR, TUKWILA, WA, 98188 FROULA ALARM SYSTEMS INC 861 INDUSTRY DR , TUKWILA, WA, 98188 FROULAS122DS Phone: (206) 575-1962 Phone: (206) 575-1962 Expiration Date: 3/10/2016 DESCRIPTION OF WORK: INSTALL FIRE ALARM DEVICES IN TENANT IMPROVEMENT Valuation of single family: $0.00 Valuation of mf/comm: $4,950.00 Type of Work: FIRE ALARM Fees Collected: $192.57 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 2012 2012 2012 Permit Center Authorized Signature: International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Date: lV (l/ ( if 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 conditions attached to this permit. Signature: /G Print Name: tcQ.tSTet PbFC2_ Co NNea— Date: 6A 0 /1 4— 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 TUTU A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. L_ /4' 0 54 Li Project No. Date Application Accepted: Date Application Expires: (For once 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.: Site Address: (025 j wv'.J b OV C.-a— Qp A K. L. Tenant Name: I1.11.6 l C..AI_ 'l LLL 1'4k1 LlTt 0,4 S PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: I-S CnN ala1L. Address: °eto1 1 t4I-4)si City: V K.wtt� tate A Zip:38i 88 Phone:2oco, S� (%di_ Fax: � 2 . 5?S-81 (08 t5-'-�' Email: K.( (se cj,00t0,..01ui-1o/t S, cc, ei---- Suite Number: 1 O I Floor: New Tenant: Yes ❑ .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: bet 1N6vsr(2-41 Js� City: Sta .,., ,c.. , `A w�te: 9 t tr88 Phone2 :N. S?S-19bZ, Fax: 206 S S, 8165 Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 49 5c3 Scope of Work (please provide detailed information): t.n Ti Will service be altered? ❑ Yes gi No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: O New 0 Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltige ❑ Generator /:1, Fire Alarm ❑ Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy 0 Seattle City Light H:Wpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits number of added circuits ❑ Circuits added/altered without service change (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) $81.90 $11.55 ea $54.60 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 ***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: e S%)P ��- t.Vn1N�2, Mailing Address: B61 1 N DJ ST 2j/ bt_ Day Telephone: city Date: l7't p 1 ¢-- 253- 7s3 - 6660 J8/ d8 Zip H:\Applications\Forms-Applications On Line\2014 Applications\Flectrlcal Permit Application Revised 1-I-14.docx Revised: July 2013 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT QUANTITY PAID $192.57 EL14-0544C Address: 625 ANDOVER PARK W 101 Apn: 2623049143 $192.57 ELECTRICAL $183.40 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $183.40 TECHNOLOGY FEE $9.17 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2323 R000.322.900.04.00 0.00 $9.17 $192..57 Date Paid: Tuesday, June 10, 2014 Paid By: KRIS CONNER Pay Method: CREDIT CARD 02187J Printed: Tuesday, June 10, 2014 1:44 PM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit 601-0 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: 1 t�tl6b tCeAJ Type of Inspection: l Address: `,s fj 1J i Date Called: Special Instructions: F1A Date Wanted: v if a.m. p.m. Requester: t Phone No: Approved per applicable codes. OCorrections required prior to approval. COMMENTS: i/! t1AJ)t, // tnspector:Ati 1 1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: 03/0 Y111 FROULA ALARM SYSTEMS INC Page 1 of 3 Washington State Department of / Labor & Industries FROULA ALARM SYSTEMS INC Owner or tradesperson EARLE, MARJORY D Principals EARLE, MARJORY D, PRESIDENT EARLE, CHRISTOPHER K, VICE PRESIDENT EARLE, MARJORY D, AGENT EARLE, ANTHONY M (End: 05/17/2010) Doing business as 861 INDUSTRY DR TUKWILA, WA 98188-3411 206-575-1962 KING County License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY HVAC/RFRG License no. FROULAS122DS Effective — expiration 03/10/1988— 03/10/2016 Designated administrator EARLE, MARJORY License type Electrical Administrator Bond CBIC Bond account no. S I5497 Received by L&I 03/04/2010 Savings (in lieu of bond) Received by L&I 03/14/1988 Active. Meets current requirements. Active. Meets current requirements. License no. EARLEM*000JA $4,000.00 Effective date 03/04/2010 Expiration date Until Canceled $4,000.00 https:/%secure.lni.wa.gov/verify/Detail.aspx?UBI=600232084&LIC=FROULAS 122DS&SAW= 06/10/2014