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Home My WebLink AboutPermit EL16-0607 - INDIGO URGENT CARE - FIRE ALARM DEVICESINDIGO URGENT CARE 17275 SOUTHCENTER PKWY 160 EL16-0607 7 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: 2623049063 Permit Number: EL16-0607 Address: 17275 SOUTHCENTER PKWY 160 Issue Date: 6/30/2016 Permit Expires On: 12/27/2016 Project Name: INDIGO URGENT CARE Owner: Name: MASAO 2012 Address: 117 E LOUISA #230 C/O SCR LLC, 2014 SEATTLE, WA, 98102 2012 Contact Person: 2014 Name: ASHLEY WARD Phone: (425) 290-9600 Address: 1730 GIBSON RD, EVERETT, WA, 2014 98204 2012 Contractor: 2012 Name: FIRE PROTECTION INC Phone: Address: P 0 BOX 12642, MILL CREEK, WA, 98082 4 License No: FIREPI*021ML Expiration Date: 7/13/2018 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL ADDITIONAL LOW VOLTAGE FIRE ALARM DEVICES PER APPROVED PLANS Valuation of single family: $0.00 Fees Collected: $147.21 Valuation of mf/comm: $2,200.00 Type of Work: LOW VOLTAGE 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 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: 4 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 permit and agree to the conditions attached to this permit. / / >� Signature: /j Date: v6 33 ! Print Name: 1K %_ � C'e- P, 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 hyp://www.Tukwi]aWA.gov Electrical Permit No. 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 King Co Assessor's Tax No.: Z.6 Z.3 b y°lO(-*3 Site Address: �--i21 S,.GFn�Wt._ Q, Suite Number: Nbf] Floor: Tenant Name:fire— New Tenant: .....Yes ❑ ..No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: 1 ,� Address: GIN City: 1 State: k--hc� Zip: N744 Phone: Fax: - Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: Q } Address: City: State: W Zip: Phone: Fax: S'S -qSy Contr Reg No.: 1- Exp Date:_ -, Zo1�p O yrhL Tukwila Business License No.; US � q3 Z Valuation of Project (contractor's bid price): $ Z ?.m Scope of Work (please provide detailed information): `,o -z t Will service be altered? tz Yes ❑ No Type of TLpe of work: ❑ New ❑ Addition ❑ Service Change Low Voltage ❑ Generator Fire Alarm Property Served by: APuget Sound Energy ❑ Seattle City Light HAApplicatio-Torms-Applications On Linc\2014 ApplicationsUcchical P=it Application Rcvised 1-1-14.do" Rcvised: January 2014 bb Adding more than 50 amps? ❑ Yes W No XRemodel X 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, f imace thermostat) ................................ $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration ...................................... $81.90 ❑ (no added/altered circuits) $80.90 ❑ 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) $10.80 ea ❑ 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 THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Si Date: b I �� v Print Name:�r"'�n��Ql� � �l Day Telephone: LOS - Mailing Address: City State Zip n:\Applicationx\Farms-Applications On UnO2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS ACCOUNTQUANTITY PAID PermitTRAK $147.21 EL16-0607 Address: 17275 SOUTHCENTER PKWY 160 Apn: 2623049063 $147.21 ELECTRICAL $140.20 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $140.20 TECHNOLOGY FEE $7.01 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOTAL FEES PAID BY RECEIPT: R8869 $7.01 $147.21 Date Paid: Thursday, June 30, 2016 Paid By: SHAUN OLSEN Pay Method: CREDIT CARD 03287J Printed: Thursday, June 30, 2016 8:21 AM 1 of 1 1 � SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE MIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 `Approved per applicable codes. aCorrections required prior to approval. Inspector:--' hri B vWt5l Iuate: ®y/ls—Irt- I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD 671 Retain a copy with permit '', O INSPECTION NO. P MIT N-0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 loApproved per applicable codes. 11 Corrections required prior to approval. IL I<,njh 4 Iinspector: C -719 W6 1uate: 0A3//4 1 REINSPECTIONIFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 2 INSPECTION RECORD Retain a copy with permit �"` I!� 060 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project:Dj0,� Type of Inspection: Address:` 7,7�:5- C• Date Called: Special Instructions: �.1.�� Date Wanted:a ; � p.n Requester: Phone No: ElApproved per applicable codes. 11 Corrections required prior to approval. u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Milo Type of Inspection: 9P 1+ Address: ?2,7SS, C- Date Called: Special Instructions: Date Wanted:1/ ® I / p.m. Requester: Phone No: 1-1 Approved per applicable codes. a Corrections required prior to approval. LJ paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. FIRE PROTECTION INC Home Espanol Contact Safety & Health 45 Washington State Department of Labor & Industries FIRE PROTECTION INC Owner or tradesperson Principals CATS,ROY CATS, KARI WILLIAM KASTNER & GIBBS, AGENT Doing business as FIRE PROTECTION INC Claims & Insurance PO BOX 12642 MILL CREEK, WA 98082 425-290-9600 SNOHOMISH County Page 1 of 2 Search L&I A-% Index Help MSS W Workplace Rights Trades & Licensing WA UBI No. Business type 601 848 346 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. FIREPI*021ML Effective — expiration 07/13/1998— 07/13/2018 Designated.administrator Active. CATS, ROY L License Violations ........................................... Meets current requirements. License type License no. Master Electrician CATS*RL976LS Bond ............ RCW/WAC CBIC $4,000.00 Bond account no. Violation amount SB5426 $250.00 Effective date 07/13/1998 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations ........................................... Infraction no. ESHUS00305Satisfied ................... Issue date RCW/WAC 06/09/2016 19.28.161 RCW Violation city Violation amount MILL CREEK $250.00 https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601848346&LIC=FIREPI* 021 ML&SAW= 6/30/2016