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Home My WebLink AboutPermit EL14-0688 - MEDICAL BILILNG SOLUTIONS - FIRE ALARM SYSTEMMEDICAL BILLING SOLUTIONS 625 ANDOVER PARK W suri1E 101 EL14-0688 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: 2623049143 Permit Number: EL14-0688 Address: 625 ANDOVER PARK W 101 Issue Date: 7/21/2014 Permit Expires On: 1/17/2015 Project Name: MEDICAL BILILNG SOLUTIONS Owner: Name: SOUTHCENTER CORPORATE SQUAR Address: 150 CALIFORNIA ST , SAN FRANCISCO, WA, 94111 Contact Person: Name: KRISTOPHER CONNER Phone: (206) 575-1962 Address: 861 INDUSTRY DR , TUKWILA, WA, 98188 Contractor: Name: FROULA ALARM SYSTEMS INC Phone: (206) 575-1962 Address: 861 INDUSTRY DR , TUKWILA, WA, 98188 License No: FROULAS122DS Expiration Date: 3/10/2016 Lender: Name: Address: DESCRIPTION OF WORK: RELOCATE EXISTING FIRE ALARM DEVICES FOR TI Valuation of single family: $0.00 Valuation of mf/comm: $1,500.00 Type of Work: LOW VOLTAGE Fees Collected: $124.53 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 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature: Date: 01 12-1 I�f 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: Print Name: %(S%dMat- Co J" JCYZ Date:1d''Z1) � _- r 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: <NONE> 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.TukwilaWA.gov Electrical Permit No. Li t.4 0(ott Project No. Date Application Accepted: 2,1 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: 625 Andover Park W King Co Assessor's Tax No.: 2623049143 Suite Number: 101 Floor: 1st Tenant Name: Medical Billing Solutions PROPERTY OWNER Name: Southcenter Corporate Square Address: 150 California St City: San Francisco State: CA Zip: 94111 CONTACT PERSON — person receiving all project communication Name: Kristopher Conner Address: 861 Industry Drive City: Tukwila State: wa Zip: 98188 Phone: (206) 575-1962 Fax: (206) 575-8168 Email: New Tenant: D Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Froula Alarm Systems, Inc. Address: 861 Industry Drive City: Tukwila State: WA Zip: 98188 Phone: (206) 575-1962 Fax: (206) 575-8168 Contr Reg No.: FROULAS 122D5 Exp Date: 03/14/201(0 Tukwila Business License No.; bus0101273 ✓ Valuation of Project (contractor's bid price): $ 1,500 Scope of Work (please provide detailed information): relocate existing fire alarm devices for TI. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ❑ New ❑ Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement VI Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pro e Served b : Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms-Applications On Line12013 Applications\Electrical Permit Application Revised 7-1-13. docx Revised: July 2013 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) 0 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 TH'IS 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: Kristopher Conner Date: 07/01/2014 Day Telephone: (253) 753-6660 Mailing Address: 861 lndustry Drive Tukwila WA 98188 City State Zip H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT ( QUANTITY ( PAID PermitTRi EL14-0688: Address:.625 ANDOVER PARK W,1 n 262304914; ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $593 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2637 R000.322.900.04.00 0.00 $5.93 $12.4.53 Date Paid: Monday, July 21, 2014 Paid By: FROULA ALARM SYSTEMS INC Pay Method: CREDIT CARD 04219J Printed: Monday, July 21, 2014 10:21 AM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit 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 (t4 O6P Project: tlrt t(ht, 3,,.4.,,,4,,,, Type of Inspection: At. - Address: t iipt4 Date Called: Special Instructions: t ' 44 II tie OM/ IIt l Date Wanted: viol tol a.m) :^m. Requester: Phone No: 2 3 75 clito EaApproved per applicable codes. COMMENTS: Corrections required prior to approval. 641 AL, Inspector: I Date: 01/01ill J lrj t REINSPECTION FEE REQUIRED. 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 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Projett:ti ! G1 Type of Inspection: ,� Address:4,A A. a �lDl 7 Date Called: Special Instructions: frc Date Wanted: WO / Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: — Pk' 1 tOtk tJ S rrE '' I,,i1'-1 1X A (--)5 Pitt) (,M1-1,Nill RCS r_o& 1r./,P&CX -'V of r.-tn/t.! — 2 PAr1 Ir5 %- i 4 - c U Goo i—o5W Inspector: Lj Date: ilo,/' ! ' REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. FROULA ALARM SYSTEMS IN° Page 1 of 3 0 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 Active. Meets current requirements. 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. SI5497 Received by L&I 03/04/2010 Savings (in lieu of bond) Received by L&I 03/14/1988 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= 07/21/2014