HomeMy WebLinkAboutPermit EL15-0163 - PROVIDENCE HEALTH & SERVICES - ACCESS CONTROLPROVIDENCE HEALTH &
Svcs
2811SIO'grmdC)ND
ST 200
EL15-0163
Citv 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.Rov
ELECTRICAL OTC PERMIT
Parcel No: 0423049190 Permit Number: EL15-0163
Address: 2811 S 102ND ST 200 Issue Date: 2/19/2015
Permit Expires On: 8/18/2015
Project Name: PROVIDENCE HEALTH & SERVICES
Owner:
Name:
SABEY CORPORATION
Address:
FOURTH FLOOR 12201 TUKWILA
INTERNT BLVD, SEATTLE, WA, 98168
Contact Person:
Name:
ALEXA BOZOTI Phone:
Address:
19717 62 AVE S SUITE F103 , KENT,
WA, 98032
Contractor:
Name:
R F I COMM & SECURITY SYS Phone: (408) 298-5400
Address:
360 TURTLE CREEK COURT, SAN JOSE,
CA, 95125
License No: RFICOS*990MC Expiration Date: 7/3/2015
Lender:
Name:
Address: , , ,
DESCRIPTION OF WORK:
ACCESS CONTROL
Valuation of single family: $0.00 Fees Collected: $303.98
Valuation of mf/comm: $10,867.00
Type of Work: LOW VOLTAGE Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: VALLEY VIEW 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 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature:
Date:
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 pernytqgd,agree to the cAnditions attached to this permit.
Signature:
Print
Date:2—/ ( - /-<
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
�J,�.JJILA �yqs
O tiZ
J r G)
�s t
1905 -
CITY OF TUKW .,
Community Developmenr Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.pov
Electrical Permit No. L I_I 11� --- 0 .1 h-3
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"
SITE LOCATION I
L King Co Assessor's Tax No.:
Site Address: 2811 S. 102nd ST. Suite Number: Floor:
Tenant Name: Providence Home Health New Tenant: ❑ .....Yes ®..No
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON -- person receiving all project
communication
Name: Alexa Bozoti
Address: 19717 62nd Ave S. Suite F 103
City: Kent State: WA Zip: 98032
Phone: (253) 981-0010 Fax: (253) 981-9996
Email• 0602D+'l
. (dam
ELECTRICAL CONTRACTOR INFORMATION
Company Name: RFI Communications and Security sy
Address: 19717 62nd Ave S. Suite F103
City: Kent State: WA Zip: 98032
Phone: (253) 981-6100 Fax: (253) 981-9996
Contr Reg No.: RFICOS*990MC Exp Date: 07/03/2015
Tukwila Business License No.; BUS-0993184
Valuation of Project (contractor's bid price): $ 10,867
Scope of Work (please provide detailed information): Access Control
Will service be altered? ❑ Yes
m No
Adding more than 50 amps?
❑
Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Service Change
❑ Remodel
❑
Tenant Improvement
m Low Voltage ❑ Generator
❑ Fire Alarm
❑ Telecommunication
❑
Temporary Service
Property Served by:
(a Puget Sound Energy ❑
Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.do"
Revised: January 2014
bh
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
m
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) .................................
$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 ...............
$10.80 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Signature:
Date: ~1$ - 415
Print Name q w w Day Telephone: � G t3 ( & Op
Mailing Address: 1 �� � V A L6 � . F J 0 5 4� LPA 109
City State Zip
H:\Applications\Fonns-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
PAID
$303.98
EL15-0163 Address: 2811 S 102ND ST 200
Apn: 0423049190
$303.98
ELECTRICAL
$289.50
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$289.50
TECHNOLOGY FEE
$14.48
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: .,
R000.322.900.04.00 0.00
$14.48
1 ':
Date Paid: Thursday, February 19, 2015
Paid By: R F I COMM & SECURITY SYS
Pay Method: CREDIT CARD 008214
Printed: Thursday, February 19, 2015 10:15 AM 1 of 1
CRWSYSTEMS
INSPECTION RECORD I/
tv- 0 � �(6
Retain a copy with permit
IN"SPECY"ION NO. PERMH
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350 —4
Project:
Type of Inspection.
Address.
-5 Q2-57-1
Date Caned:2911
Special Instructions'.
Date Wanted.,
p.rn,
RequesteiP
one No;
1:1 Approved per applicable codes. 1:1 Corrections required prior to approval.
L—i paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
R F I COMM & SECURITY SYS
Washington State Department of
Labor & Industries
R F I COMM & SECURITY SYS
Owner or tradesperson
WILSON, BRAD
Principals
WILSON, BRAD, PRESIDENT
DUELL, MARILYN, VICE PRESIDENT
BROOKS, MICHELLE, SECRETARY
REECE, LAWRENCE, CHIEF OPERATING
OFFICER
LUND, BRIAN, AGENT
REECE, DEAN, CHIEF EXECUTIVE
OFFICER
(End: 01 /20/2009)
Doing business as
R F I COMM & SECURITY SYS
Home Inicio ell Espanol Contact
Page 1 of 2
Search L&I
A-Z Index Help My Secure L&I
Safety Claims & Insurance Workplace Rights Trades & Licensing
360 TURTLE CREEK COURT
SAN JOSE, CA95125
408-298-5400
WA UBI No. Business type
602 126 766 Corporation
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.
RFICOS*990MC
Effective — expiration
07/03/2001— 07/03/2015
Des ignated, administrator
LUND, BRIAN DOW'
License type
Electrical Administrator
Bond
.................
Guarantee Company of North America USA,
The
Bond account no.
12101870
Received by L&I
09/12/2013
Active.
Meets current requirements.
License no.
LUND*BD035PD
$4,000.00
Effective date
09/2012013
Expiration date
Until Canceled
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602126766&LIC=RFICOS*990MC&SAW= 02/18/2015