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Home My WebLink AboutPermit EL16-0482 - TAHOMA CLINIC - AES RADIOTAHOMA CLINIC 6839 FORT DENT WAY UNIT 134 EL16-0482 City of Tukwila r' 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: 2954900445 Permit Number: EL16-0482 Address: 6839 FORT DENT WAY 134 Issue Date: 5/25/2016 International Residential Code Edition: Permit Expires On: 11/21/2016 Project Name: TAHOMA CLINIC 2014 Owner: 2012 Name: FORT DENT WAY LLC 2014 Address: 6839 FORT DENT WAY #134, 2012 TUKWILA, WA, 98188 2012 Contact Person: 2012 Name: KARINA VELIZ Phone: (206) 622-6545 Address: 1743 FIRST AVE S, SEATTLE, WA, 98134 Contractor: Name: GUARDIAN SECURITY SYSTEMS INC Phone: (206) 622-6545 Address: 1743 FIRST AVE S, SEATTLE, WA, 98134 License No: GUARDSS2331(5 Expiration Date: 9/30/2016 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL AES RADIO TO MONITOR EXISTING FACP Valuation of single family: $0.00 Fees Collected: $68.25 Valuation of mf/comm: $250.00 Type of Work: FIRE ALARM Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA 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: I K )AUL-- )�=A— 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 developmenhrmit nd agree to the conditions 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: 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. S: 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 1677 -F CITY OF TUKJffLA Community Development Department • Permit Center • 6300 Southcenter Blvd., Suite 100 Tulovila, 617A 98188 http://www.TukwilaWA.gov 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 King Co Assessor's Tax No.: 2954900445 Site Address: 6839 Fort Dent Way Tukwila, WA 98188 Suite Number: V3 Floor: Tenant Name: Tahoma Clinic New Tenant: ❑ .....Yes ®..No PROPERTY OWNER Name: Tahoma Clinic Address: 6839 Fort Dent Way City: Tukwila State: WA Zip' 98188 CONTACT PERSON person receiving all project communication Name: Sheramie Odell Address: 1501 Kentucky St. City: Bellingham State: WA Zip: 98229 Phone: (206) 622-6545 Fax: (360) 715-9008 Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: Guardian Security Address: 1501 Kentucky St City: Bellingham State: WA Zip: 98229 Phone: (206) 622-6545 Fax: Contr Reg No.: GUARDS S233R Exp Date: 09/30/2016 Tukwila Business License No.; 600189667 Valuation of Project (contractor's bid price): $ 250 Scope of Work (please provide detailed information): Install AES Radio to monitor existing FACP Will service be altered? ❑ Yes m No Type of Use: 1-Ife Type of work: U ❑ New ❑ Addition ❑ ,,Service Change (Z Low Voltage EJ Generator (pire Alarm Property Served by: 2 Puget Sound Energy ❑ Seattle City Light H:Upplimtions\Forrm-Applications On Line12014 Applications0"trical Permit Appliation Revised 1.1-I4.docx Revised: January 2014 bh Adding more than 50 amps? ❑ Yes 0 No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page t 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 $80.90 (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) ................................. $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 TIIIS PERMIT. Print Name: Sheramie Odell Date: q Day Telephone: (206) 622-6545 Mailing Address: 1501 Kentucky St. Bellingham, WA 98229 City Slate Zip H:1Application3\Forms-Applications On Linet2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNTQUANTITY PAID $68.25 EL16-0482 Address: 6839 FORT DENT WAY 134 Apn: 2954900445 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE TOTAL PAID 13000.322.900.04.00 0.00 $3.25 .: .25 Date Paid: Wednesday, May 25, 2016 Paid By: KARINA VELIZ Pay Method: CREDIT CARD 685745 Printed: Wednesday, May 25, 2016 3:29 PM 1 of 1 cr mlRfSYSTEMs INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: EJ Approved per applicable codes. EI Corrections required prior to approval. COMMENTS: VA pector: REINSPECTION (FEE REQUIRED. Prior to next inspection, fee frust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Address: Date Called: Special Instructi A,� ns: Date Wanted: 7�a. m. Requester: Phone No: EJ Approved per applicable codes. EI Corrections required prior to approval. COMMENTS: VA pector: REINSPECTION (FEE REQUIRED. Prior to next inspection, fee frust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. GUARDIAN SECURITY SYSTET"`C INC Home Espanol Contact Safety & Health Claims & Insurance Washington State Department of kA Labor & industries GUARDIAN SECURITY SYSTEMS INC Owner or tradesperson Principals DUNHAM, JOHN R CLOSE, FRANK A, PRESIDENT DWTR&J CORP, AGENT Doing business as GUARDIAN SECURITY SYSTEMS INC 1743 1ST AVE S SEATTLE, WA 98134 206-622-6545 KING County Page 1 of 5 Search A -'L Index Help My L4I Workplace Rights Trades & Licensing WA UBI No. Business type 600 189 667 Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ................... ............. Meets current requirements. License specialties LIMITED ENERGY HVAC/RFRG License no. GUARDSS233K5 Effective — expiration 05/25/1977— 09/30/2016 Designated administrator Active. dL0$E, FRANK A Meets current requirements. License type License no. Master Electrician CLOSEF'9730H Bond ........_...... HARTFORD FIRE INS CO $4,000.00 Bond account no. 72BSBFT5007 Received by L&I Effective date 06/18/2010 06/11/2010 Expiration date Until Canceled Bond history Savings No s1.avings accounts during the previous 6 year period. License Violations Infraction no. ENASE00559 Satisfied ............ ..... Issue date RCW/WAC 10/16/2013 19.28.101 RCW https:Hsecure.Ini.wa,gov/verify/Detail.aspx?UBI=600189667&LIC=GUARDSS233K5&SAW= 5/25/2016