HomeMy WebLinkAboutPermit EL14-0889 - HALLOWEEN CITY - AES RADIOHALLOWEEN CITY
17500 SOUTHCENTER PKWY
EL1 4-0889
CITY OF TUKWILA
Community Development Department
6300 Southcenter Boulevard, Suite 100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
Parcel No.: 262304-9110 Permit Number: EL14-0889
Address: 17500 Southcenter Pkwy Issue Date: 09/12/14
Project Name: Halloween City
Permit Expires On: 03/12/15
Owner:
Name: Kimco Realty Corp
Address: PO Box 82501 Goleta, CA 93118
Contact Person:
Name: Phi Le Phone: (253) 202-7045
Address: 206 Frontage Rd N, Ste C
Contractor:
Name: Fire Systems West, Inc.
Address: 206 Frontage Rd N, Ste C
Phone: (253) 833-1248
License No.: FIRESWI055LW Expiration Date: 06/16/15
Lender:
Name: N/A
Phone:
Address:
Description of Work:
install AES radio to monitor the fire alarm system
Valuation of single family: $ 0.00
Valuation mf/comm: $1,800.00
Type of Work: IOW Voltage
Fees Collected: $ 124.53
Electrical Service Provided by: Puget Sound Energy
Water District: Tukwila
Sewer District: Tukwila
Current Codes adopted by the City of Tukwila
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
Date:
2012
2012
2012
(24,
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provision 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 o this pe mit.
Signature: Date:
Print Name: 19)1i 1,_-c
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.
PERMIT CONDITIONS:
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.
PERMIT INSPECTIONS REQUIRED:
Permit Inspection Line: (206)438-9350
7001 UNDERGROUND/SLAB
7002 SERVICE
7003 ROUGH -IN ELECTRICAL
2100 ELECTRICAL FINAL
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. fj.
Li-'VI 'IV
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
7 �` (/ , , / }� J/ King Co Assessor's Tax No.: €_..j 2-79N —111 1
Site Address: 1 t S00 �C{�( )1i1 C P/Lv 1' i Kw Suite Number: Floor: 9 YZZ44cl
Tenant Name: )46,110 k IGPM CI+ Y New Tenant: [� Yes ❑ .. No
Y
PROPERTY OWNER
Name: v �^j1
h tm co Y4ffi.1 I lr'
-'
Address: r. 150X FrZSO I
City: 70 { State: C14
Zip: is' 1
CONTACT PERSON - person receiving all project
communication
Name:
r l 1,t
Address: ZQ
,
City: Pa.(24 C Stag: f . iii Zip: 000
W
Phone: ' zoZ." 701-1 x ,..5.3..
. ` ^% 55_a v3
Email: Ohlr 1W aive 5r/sfe/ter►5/.urs4.cat)
ELECTRICAL CONTRACTOR INFORMATION
Company Name: nit � 1 _S iJ �,J
Address:./ F'teto
6 P /, IJr,Y4l'1
City: State: Zip: j/ 7
0I ti C �
Phone: Z s-3 533- f .Zu cFax: L.c,-3j�- 7..;s 01f 3
1f
o0 C 1y1��te: I �{C�j(
Contr Reg No.:.�t >`p„n
( ccs
Tukwila Business Licelnse No.; 1\( 1, 1'2 4
Valuation of Project (contractor's bid price): $ ) j 6 8-0
Scope of Work (please provide detailed information): ' Y 5 -C ) tin
Yh rrn i ,e Eft /hymn 5 y 5�ir
-i3 AAddp
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes 104
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
"Low Voltage 0 Generator SKFire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
O Puget Sound Energy ❑ Seattle City Light
H.\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.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)
1,1.00
Wb•L'Q
6‘'12_1.4 (5'7
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 I, 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 1 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:
Mailing Address:
Lot Fr7 (kb s-tP
Date: " I i 1q ) 41
Day Telephone:
CaGIiI C
/N 4 woo-7
City State Zip
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
DESCRIPTIONS ACCOUNT
PermitTRAK
QUANTITY I
PAID
$124.53
EL14-0889 Address: 17500 SOUTHCENTER PKWY Apn: 2623049110
$124.53
ELECTRICAL
$118.60
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
0.00
$118.60
TECHNOLOGY FEE
$5.93
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES PAID BY RECEIPT: R3042
0.00
$5.93
$124.53
Date Paid: Friday, September 12, 2014
Paid By: PHI LE
Pay Method: CHECK 1003
Printed: Tuesday, September 16, 2014 5:48 AM 1 of 1
STEMS
CITY FORM NO 1 1912 ADOPTED BY DIVISION OF MUNICIPAL CORPORATIONS.
Received of
CITY OF TUKWILA
TREASURER'S RECEIPT
Date Gtri-
f\pra-orci / Q - 0,r\ v y �
Lf
47862
FOR CIAO OIV1
hn-t 06�, eb2--2 4 1 e a ce . 0
Wt D DO a. . ( . v-I lid
Dollars,
_ TOTAL
' U�' ` BY *1\0. DEPT. P W
OLYMPIC PRINTERS, INC.
WHITE - Finance Dept.
CANARY • Customer
PINK - File
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
(206) 431-3670
Project:4d tCJ 4
i,`J 11
Type of Inspection:
A
Address:
60
1 15 jt• N -
Date called:
Special Instructions:
AO
Date Wanted:
jrY
r
a:m
m.
Requester:
Phone No:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
Inspector:
Date: O fi iI /
i
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
.1;;---113EVAA.
FIRE SYSTEMS WEST INC
•
Page 1 of 6
0 Washington State Department of
Labor & Industries
FIRE SYSTEMS WEST INC
Owner or tradesperson
BLACKBURN, JAY
Principals
BLACKBURN, JAY, PRESIDENT
BLACKBURN, JAMES, SECRETARY
RADLOFF, DAN, TREASURER
BLACKBURN, JAY A, AGENT
LONG, KEVIN, SECRETARY
(End: 04/13/2006)
WINMILL, TONY, SECRETARY
(End: 05/22/2003)
\A/AI KFR ( PFRRIN AGENT
206 FRONTAGE RD N Suite C
PACIFIC, WA98047
253-833-1248
KING County
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
LIMITED ENERGY
License no.
FIRESWI055LW
Effective — expiration
06/16/1995— 06/16/2015
Designated administrator
HILFIKER, BRYAN
License type
Electrical Administrator
Bond
CONTINENTAL CASUALTY INS CO
Bond account no.
137864642
Savings
No savings accounts during the previous 6 year period.
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
HILFIB*972P8
$4,000.00
Effective date
05/24/1995
Expiration date
Until Canceled
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600602737&LIC=FIRESWI055LW&SAW= 09/12/2014