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Home My WebLink AboutPermit EL16-0488 - ULTA - FIRE ALARM DEVICE REPLACEMENTULTA 17320--S-OLITHCENTER PKWY EL16-0488 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.Rov ELECTRICAL OTC PERMIT Parcel No: 2623049110 Permit Number: EL16-0488 Address: 17320 SOUTHCENTER PKWY Issue Date: 5/27/2016 Permit Expires On: 11/23/2016 Project Name: ULTA Owner: 2012 National Electrical Code: Name: KIR TUKWILA 050 LLC 2012 Address: 3333 NEW HYDE PARK RD #100 C/O International Mechanical Code Edition: 2012 KIMCO REALTY CORP, PO BOX 5020 2014 Uniform Plumbing Code Edition: NEW HYDE PK, WA, 11042 WA State Energy Code: Contact Person: International Fuel Gas Code: 2012 Name: MATT CARLMAN Phone: (253) 833-1248 Address: 206 FRONTAGE ROAD N, SUITE C, PACIFIC, WA, 98047 Contractor: Name: FIRE SYSTEMS WEST Phone: (253) 833-1248 Address: 206 FRONTAGE RD N #C, PACIFIC, WA, 98047 License No: FIRESWI055LW Expiration Date: 6/16/2017 Lender: Name: Address: DESCRIPTION OF WORK: REPLACING FIRE ALARM DEVICE DAMAGED BY WATER FROM SPRINKLER SYSTEM. Valuation of single family: $0.00 Fees Collected: $90.83 Valuation of mf/comm: $750.00 Type of Work: TENANT IMP Electrical Service Provided by: PUGEST SOUND ENERGY Water District: HIGHLINE,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 Sign Date: P5,2- 6 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,4ee to the conditions attached to this permit. Signature: Print Name: / /11/4 7r, Date: /9 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 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.TtikwilaWA.gov Electrical Permit No. LU-0(--1J-Vq8) Project No. Date Application Accepted: rJ Date Application Expires: ) L r I'1— [(D ELECTRICAL PERMIT APPLICATION use 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 King Co Assessor's Tax No.: Site Address: 17320 Southcenter Parkway Tenant Name: Ulta @ Parkway Super Center PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: MATT CARLMAN Address: SAME AS ELECTRICAL CONTRACTOR City: State: Zip: Phone: Fax: Email: Suite Number: Floor; I S I New'Tenant: ..... Yes No ELECTRICAL CONTRACTOR INFORMATION Company Name: Fire Systems West, Inc Address: 206 Frontage Road North, Suite C City: pacific State: WA Zip: 98047 Phone: (253) 833-1248 Fax: (253) 735-0113 Contr Reg No.: FIRESWI055LW Exp Date: 12/31/2016 Tukwila Business License No' BUS -0994434 Valuation of Project (contractor's bid price): $ 750 Scope of Work (please provide detailed information): FIRE SYSTEMS WEST, INC. W11.1. 131? REPLACING F]RI FIRE ALARM DEVICE DAMAGED BY WATER FROM SPRINKLER SYSTEM RUPTURE ON 5/25/16. Will service be altered? ❑ Yes m No Type of Use: Commercial Tvpe of work: ❑ New ❑ Addition ❑ Service Change LZ Low Voltage ❑ Generator m Fire Alarm Property Served by: Z 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 bh Adding more than 50 amps? ❑ Remodel ❑ Telecommunication ❑ Yes W] No ❑ Tenant improvement ❑ Temporary Service I'tlgc I ol'' 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 ❑ Temporary service (generator) ................................... (no added/altered circuits) ❑ Manufactured/mobile home service ........................... ❑ Service change with added/altered circuits ................. $81.90 ❑ Carnivals.................................................................... 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 ***Ell"EC"I'IVE J 1Nl. ARS` 1, 2014 L.I C'I I PERM T W1LL I3E ASSESSED A 5,,i,) TECHNOLOGY 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 b\ 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 \-t riling and justifiable cause demonstrated. I HEREBY CERTIFY THAT 114AVE READ AND EXAMINED THIS APPLICATION AND KNOW 'I HF: SAME: TO IIF: TREE: UNDFN PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM Al ITI IOKI%1:D 10 APIILI' 1`(M I'l I11S PFRMI I Print Name: MATT CARLMAN Mailing Address: Date: 05/27/2016 Day Telephone: (253) 951-6005 206 Frontage Road North, Suite C Pacific City HAApplications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised January 2014 bl, WA 98047 State Zip Page 2 of 2 DESCRIPTIONS PAID PermitTRAK $90.83 EL16-0488 Address: 17320 SOUTHCENTER PKWY Apn: 2623049110 $90.83 ELECTRICAL $86.50 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $86.50 TECHNOLOGY FEE $4.33 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOTAL FEES 1 R8590 $4.33 't .83 Date Paid: Friday, May 27, 2016 Paid By: MATT CARLMAN Pay Method: CREDIT CARD 05133C Printed: Friday, May 27, 2016 8:35 AM 1 of 1 1r C SYSTEMS INSPECTION RECORD. Retain a copy with permit INSPECTION N0. PER ITN CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 DIVISION (206) 431-3670 Project: Type of Inspection: Address: qq� ` Date Called: Special Instructions: Date Wanted: a. _.. p.m. Requester: Phone No: F] REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 INSPECTION RECORD P Retain a copy with permit INSPECTION NO. PERMIT I& 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: 5•SpeAddress: ��tt 173k c5- Date Called: cial Instructions: Special t r(A- H Date Wanted: a. p.m. Requester: Phone No: ❑ Approved per applicable codes. ZJ Corrections required prior to approval. COMMENTS: LA�6v WV r-*cP WOE* S�bvacif- Cn i Ilnspector: N77/x , ��Wk IDate:061,011t& I REINSPECTIO61 FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. FIRE SYSTEMS WEST INC Home Ispahol Contact Safety & Health Aft Washingtsn State Department of k,h Labor & Industries FIRE SYSTEMS WEST INC Page 1 of 4 !Search L&I A -'L Index Help My L&I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 206 FRONTAGE RD N Suite C PACIFIC, WA 98047 Principals 253-833-1248 BLACKBURN, JAY, PRESIDENT KING County BLACKBURN, JAMES, SECRETARY RADLOFF, DAN, TREASURER BLACKBURN, JAY A, AGENT LONG, KEVIN, SECRETARY (End: 04/13/2006) WINMILL, TONY, SECRETARY (End: 05/22/2003) WALKER, G PERRIN, AGENT (End: 06/04/2001) LOBDELL, JAMES, VICE PRESIDENT (End: 06/23/1999) Doing business as FIRE SYSTEMS WEST INC WA UBI No. Business type 600 602 737 Corporation Governing persons DAN RADLOFF JAY A BLACKBURN; KEVIN LONG; 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 License no. FIRESWI055LW Effective — expiration 06/16/1995— 06/16/2017 Designated administrator HILFIKER, lllBRYAN License type Electrical Administrator Bond .._............. CONTINENTAL CASUALTY INS CO Bond account no. Active. Meets current requirements. License no. HILFIB*972P8 $4,000.00 https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=600602737&LIC=FIRESWIO55LW&SAW= 5/27/2016 FIRE SYSTEMS WEST INC 137864642 Savings ........................ No savings accounts during the previous 6 year period. License Violations Infraction no. EBRR000778 Issue date 02/02/2016 Violation city PACIFIC Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296466-901. Effective date 05/24/1995 Expiration date Until Canceled Satisfied ......................... RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Infraction no. ELE0000201 Satisfied ................. . Issue date RCW/WAC 01/29/2016 19.28.101 RCW Violation city Violation amount PACIFIC $2,000.00 Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296.468-901. Infraction no. EJOJP00326 Satisfied Issue date RCW/WAC 01/02/2015 19.28.101 RCW Violation city Violation amount PACIFIC $2,000.00 Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-4613-900 (3)(6), effective after 12/30/2008 see WAC 296- 466-901. Infraction no. ERIR000586 Satisfied ......................... Issue date RCW/WAC 10/28/2013 19.28.101 RCW Violation city Violation amount PACIFIC $250.00 Type of violation ELECTRICAL CITATION Page 2 of 4 https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=600602737&LIC=FIRESWI055LW&SAW= 5/27/2016