HomeMy WebLinkAboutPermit EL16-0666 - MULTICARE SOUTHCENTER URGENT CARE CLINIC - CARD READER PACKAGES, CAMERAS ETCMULTICARE SOUTHCLNTLR
URGENT CARE CLINIC
1727.5 SOUTHCLNTLR PKWY
160
EL16-0666
M
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:
2623049063 Permit Number:
EL16-0666
Address:
17275 SOUTHCENTER PKWY 160 Issue Date:
7/18/2016
Name:
Permit Expires On:
1/14/2017
Project Name:
MULTICARE SOUTHCENTER URGENT CARE CLINIC
98032
Owner:
Name:
Name:
MASAO
W 425 2ND AV, SPOKANE, WA, 99204
Address:
117 E LOUISA #230 C/O SCR LLC,
SEATTLE, WA, 98102
Contact Person:
Name:
LAND SADLER
Address:
1015 N CENTRAL AVE, KENT, WA,
98032
Contractor:
Name:
ALLIED SAFE & VAULT CO INC
Address:
W 425 2ND AV, SPOKANE, WA, 99204
License No:
ALLIESV275BB
Lender:
Name:
Address:
DESCRIPTION OF WORK:
Phone: (206) 963-3750
Phone: (425) 988-6500
Expiration Date: 1/31/2018
LOW VOLTAGE INSTALL 3 CARD READER PACKAGES, 2 CAMERAS, A CARD READER SAFE AND A TELLER PEDESTAL
Valuation of single family: $0.00 Fees Collected: $415.49
Valuation of mf/comm: $16,955.00
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: 2015 National Electrical Code: 2014
International Residential Code Edition: 2015 WA Cities Electrical Code: 2014
International Mechanical Code Edition: 2015 WAC 296-4613: 2014
Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015
International Fuel Gas Code: 2015
0
Permit Center Authorized Signature: Date: I hy�
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 ee to the conditions attached to this permit. r
ASignature: 011* � Date: —`
Print Name: P -k' �` "'tR?� 3-0—
This
-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
CITY OF TUKWILA
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.izov
IElectrical Permit No. �4�b� I
Project No.
Date Application Accepted:
Date Application Expires:
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
Site Address: 17275 Southcenter Parkway
Tenant Name: MultiCare Southcenter Urgent Care Clinic
PROPERTY OWNER
Name: Christian Schofield
Address: 117 East Louisa St suite # 230
City: Seattle State: WA Zip: 98102
CONTACT PERSON — person receiving all project
communication
Name: Land Sadler
Address: 1015 N Central Ave
City: Kent State: WA Zip: 98032
Phone: (206) 963-3750 Fax: (425) 988-6501
Email: lsadler@allied-security.com
Valuation of Project (contractor's bid price): $ 16,955
King Co Assessor's Tax No.:
Suite Number: 160 Floor:
New Tenant: ❑ .....Yes O ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Allied Safe and Vault
Address: 1015 N. Central Ave
City: Kent State: WA Zip: 98032
Phone: (425) 988-6500 Fax: (425) 988-6501
Contr Reg No.: ALLIESV2775BEfxp Date: 01/31/2017
Tukwila Business License No.; BUS -09951
Scope of Work (please provide detailed information): Low voltage install 3 card reader packages, 2 cameras, a card
reader safe and a teller pedestal at MultiCare Southcenter Urgent Care Clinic.
Will service be altered? ❑ Yes
m No
Adding more than 50 amps?
❑
Yes m No
Type of Use: Security
Type of work:
❑ New ❑ Addition
❑ Service Change
❑ Remodel
❑
Tenant Improvement
m Low Voltage ❑ Generator
❑ Fire Alarm
❑ Telecommunication
❑
Temporary Service
Property Served by:
2 Puget Sound Energy ❑
Seattle City Light
H:\Applications\Forms•Applications On Line\2014 ApplicationsTlectrical
Revised: January 2014
bh
Permit Application Revised 1-1-14.docx
Page I 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
$65.00
(no added/altered circuits)
Temporary service (generator) ...................................
❑
Service change with added/altered circuits.................$81.90
Manufactured/mobile home service ...........................
$86.25
number of added circuits .......................$11.55
ea
❑
Circuits added/altered without service change
........... $54.60
(up to 5 circuits)
Number of concessions .........................
❑
Circuits added/altered without service change
........... $54.60
$10.80 ea
(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:
Print Name: Jerry Bidmead —
Mailing Address: 1015 N. Central Ave, Kent, WA 98032
MApplicationsTorms-Applications On Line\2014 Applications0ectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Date: 07/18/2016
Day Telephone: (425) 988-6509
City
State Zip
Page 2 of 2
DESCRIPTIONS ACCOUNTQUANTITY
PAI D
PermitTRAK
$415.49
EL16-0666 Address: 17275 SOUTHCENTER PKWY 160 Apn: 2623049063
$415.49
ELECTRICAL
$395.70
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$395.70
TECHNOLOGY FEE
$19.79
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL FEES PAID BY RECEIPT: R8989
$19.79
Date Paid: Monday, July 18, 2016
Paid By: ALLIED SAFE & VAULT CO INC
Pay Method: CREDIT CARD 615215
Printed: Monday, July 18, 2016 11:41 AM 1 of 1 SYSTEMS
INSPECTION RECORDiPR
( Retain a copy with permit (P4M (Z -
INSPECTION NO. MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350 t
I Address: M1
7 15, c, N.
I Date Called: I . . --]
ons:
grv�4r, rcuJ
10 Approved per applicable codes. a Corrections required prior to approval.
nspector:
PJA
REINSPECTIOA FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.