The URL can be used to link to this page

Home My WebLink AboutPermit EL15-0022 - ROCKEY MOUNTAIN MEDICAL - SECURITY SYSTEM UPGRADEROCKYMOUNTAIN MEDICAL 623 STRANDER BLVD EL15-0022 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: 0223300020 Permit Number: EL15-0022 Address: 623 STRANDER BLVD Issue Date: 1/8/2015 Permit Expires On: 7/7/2015 Project Name: ROCKEY MOUNTAIN MEDICAL Owner: Name: CWWATUKWILA 1 LLC Address: PO BOX A-3879 C/O EQUITY OFFICE MGMT LLC, CHICAGO, WA, 60690 Contact Person: Name: JENNIFER COVELLO Phone: (206) 774-9499 Address: 9808 31 AVE SE, EVERETT, WA, 98208 Contractor: Name: ADT LLC Phone: (561) 988-3600 Address: 11824 N CREEK PARKWAY N, SUITE, BOTHELL, WA, 98011 License No: ADTLLL*881DO Expiration Date: 3/20/2016 Lender: Name: Address: DESCRIPTION OF WORK: UPGRADE EXISTING LOW VOLTAGE SECURITY SYSTEM Valuation of single family: $0.00 Valuation of mf/comm: $100.00 Type of Work: LOW VOLTAGE Fees Collected: $68.25 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: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: Date: V l 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 per and agree to the nditiioonns attached to this permit. / Signature: Date: Print Name: �. 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: 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 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKW_ 1 Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:Hwww.TukwilaWA.gov SITE LOCATION Electrical Permit No. EUL�-- wz� Project No. Date Application Accepted: Date Application Expires: _ use 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** King Co Assessor's Tax No.: 0223300020 Site Address: 623 STRANDER BLVD Suite Number: Floor: Tenant Name: ROCKY MOUNTAIN MEDICAL New Tenant: ❑ .....Yes 9 ..No PROPERTY OWNER Name: ROCKY MOUNTAIN MEDICAL Address: 623 STRANDER BLVD City: TUKWILA State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: JENNIFER COVELLO/NWPERMIT-AGEN Address: 9808 31 st Ave SE City: Everett State: WA Zip: 98208 Phone: (206) 774-9499 Fax: Email: Jennifer@nwpermit.com. Valuation of Project (contractor's bid price): $ 100 Scope of Work (please provide detailed information): UPGRADE EXISTING LOW VOLTAGE SECURITY SYSTEM Will service be altered? ❑ Yes 0 No Type of Use: Industrial Park Type of work: [I New ❑ Addition ❑ Service Change 0 Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:WpplicationslForam-Applications OnLiue12011 Applications0ectrical Pantit Application Revised 8-9-11.docx Revised: August 2011 6h ELECTRICAL CONTRACTOR INFORMATION Company Name: ADT LLC Address: 11824 NORTH CREEK PKWY N # 105 City: BOTHELL State: WA Zip: 98011 Phone: Fax: Contr Reg No.: ADLLL*81 D0 Exp Date: 03/20/2016 Tukwila Business License No.: ( Adding more than 50 amps? ❑ Yes R] No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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) PERMIT APPLICATION NOTES - MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS. FEES ❑ Temporary service (residential) ................................. $63.00 ❑ Temporary service (generator) ................................... $79.75 ❑ Manufactured/mobile home service ........................... $84.00 (excluding garage or outbuilding) ❑ Carnivals.................................................................... $78.75 Number of concessions ......................... $10.50 ea 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 I3uilding Official may grant one extension of time for an additional period not to exceed 90 days. Tlie extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TI-IIS APPLICATION AND KNOW THE SAMETO BE TRUE, UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTIJORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Print Name: [� t"VV i` / G[ % Mailing Address: 9808 31st Ave SE Date: Day Telephone: (206) 774-9499 EVERETT, City WA 98208 State Zip H:\Applications\Fomis-Applications On Lnte12011 Applications0ecttical Permit Application Revised 8-9.11. docx Revised: August 2011 bh Page 2 of 2 N-J N/ f,..7..e•.a L..,.v'lY Date Paid: Thursday, January 08, 2015 Paid By: NORTHWEST PERMIT INC Pay Method: CHECK 2943 Printed: Thursday, January 08, 2015 11:46 AM 1 of 1 (r/TLJ V 1�V�1//w SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. IT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (2013) 436-9350 i k . L ProjectK N�= Type inspection, Addressf Date Called: Special Instructions: 'I� Date Wanted: p.m. Requester'. -M-neNo., E] REINSPECTIONIFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ADT LLC Page 1 of 2 Washington State Department S a°," Labor & Industries ADT LLC Owner or tradesperson Gursahaney, Naren K Principals Gursahaney, Naren K, PARTNER/MEMBER Beleisch, Nelson D, PARTNER/MEMBER Tulsyan, Ravi, PARTNER/MEMBER Doing business as ADT LLC WA UBI No. 603 190 246 License 6102 N 9TH ST TACOMA, WA98406 206-719-0347 PIERCE County Business type Limited Liability Company 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. ADTLLL*881 DO Effective — expiration 03/20/2012— 03/20/2016 Designated administrator NickolsTim ................. , License type Electrical Administrator Bond ................ Federal Ins Co Bond account no. 82295435 Received by L&I 03/20/2012 Savings No savings accounts during the previous 6 year period. Active. Meets current requirements. License no. NICKOT*902DA $4,000.00 Effective date 03/01 /2012 Expiration date Until Canceled License Violations ........................................................ https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603190246&LIC=ADTLLL*881DO&SAW= 01/08/2015