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Home My WebLink AboutPermit EL16-0707 - BLOODWORKS NW - DOOR TO CONTROL SYSTEMBLOODWORKS NW 130 ANDOVER PARK E. #200 EL16-0707 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: 0223100040 Permit Number: EL16-0707 Address: 130 ANDOVER PARK E 200 Issue Date: 8/1/2016 Permit Expires On: 1/28/2017 Project Name: BLOODWORKS NW Owner: Name: PUGET SOUND BLOOD CENTER Address: 921 TERRY AVENUE DIRECTOR OF ADMINISTRATION, SEATTLE, WA, Address: , , , DESCRIPTION OF WORK: ADD (1) DOOR TO ACCESS CONTROL SYSTEM Valuation of single family: $0.00 Valuation of mf/comm: $5,653.00 Type of Work: LOW VOLTAGE Phone: (425) 644-6884 Phone: (425) 869-7778 Expiration Date: 5/31/2017 Fees Collected: $211.05 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: 98104 Contact Person: 2014 Name: DEREK OLLOM Address: 14214 NE 21 ST, BELLEVUE, WA, International Mechanical Code Edition: 98007 Contractor: 2014 Name: PROTECTION TECHNOLOGIES INC Address: 14214 NE 21 ST, BELLEVUE, WA, International Fuel Gas Code: 98007 License No: PROTET1159OP Lender: Name: Address: , , , DESCRIPTION OF WORK: ADD (1) DOOR TO ACCESS CONTROL SYSTEM Valuation of single family: $0.00 Valuation of mf/comm: $5,653.00 Type of Work: LOW VOLTAGE Phone: (425) 644-6884 Phone: (425) 869-7778 Expiration Date: 5/31/2017 Fees Collected: $211.05 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 296-466: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 Permit Center Authorized Signature: R I =",k 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 two fthe conditions attached to this permit. Signature: Date: 2 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. 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 TUKH. I Community Development Department Permit Center • 6300 Southeenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. L L 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.: Site Address: 130 Andover Park Suite Number: 200 Floor: 2 Tenant Name: Bloodworks NW New Tenant: ❑ .....Yes ®..No PROPERTY OWNER n�J� Name: ?vG �� S avNv &Doi) CJZ4 Address: !tZ l "R Y ALS City: S 4 �L� Stater Zip: Q e CONTACT PERSON — person receiving all project communication Name: Derek 011om Address: 14214 NE 21st St Cit': Bellevue State: Wa Zip: 98007 Phone: (425) 644-6884 Fax: (425) 644-6881 Email: derek.o@protectiontech.com i ELECTRICAL CONTRACTOR INFORMATION Company Name: protection Technologies Address: 14214 NE 21 st ST City: Bellevue State: WA Zip: 98007 Phone: (425) 644-6884 Fax: (425) 644-6881 Contr Reg No.:P�b 7—� l,,qa �Exp Dated _d i — Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 5,653 Scope of Work (please provide detailed information): Add 1 door to access control system Will service be altered? ❑ Yes 21 No Adding more than 50 amps? ❑ Yes (3 No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement 0 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 Applications0ectrical Pemtit Application Revised 1-1-14.docx Revised: January 2014 bh / 2. I G V 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 ❑ (no added/altered circuits) $80.90 ❑ Service change with added/altered circuits.................$81.90 $86.25 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: Signature: `"/ I lX.t- Date:09-01-2 Flo Print Name:J-�F-12F-AZ 44- nLL o,,, Day Telephone: 725- 6 q , - Mailing Address: /y217 /)/�- 2' kn- LL -,E: V y AF Roo -7 City State Zip H:\Applioetions\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $211.05 EL16-0707 Address: 130 ANDOVER PARK E 200 Apn: 0223100040 $211.05 ELECTRICAL $201.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $201.00 TECHNOLOGY FEE $10.05 TECHNOLOGY FEE TOTAL+ R9087 R000.322.900.04.00 0.00 $10.05 $211.05 Date Paid: Monday, August 01, 2016 Paid By: MIKEL OLSON Pay Method: CREDIT CARD 095096 Printed: Monday, August 01, 2016 9:56 AM 1 of 1 RSYS7EM5 INSPECTION RECORD 17 Retain a copy with permit (0 INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 Project:// p� AA a49 Type of Inspection: w //•�/L Address: � � Date Called: Special In tractions:,,,�� 41 �'�� //'�WNL '�Q- �l� 04'V Kla> pbo� Date Wanted: a.m. Requester: Phone No: � 73 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. eipt No.: I Date: PROTECTION TECHNOLOGIES TNC Home Espariol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries PROTECTION TECHNOLOGIES INC Owner or tradesperson 14214 NE 21st ST Principals BELLEVUE, WA 98007 p 425-688-6884 BROSSOW, WADE S, AGENT KING County BROSSOW, WADE S, MEMBER PUCKETT, STEVEN L, MEMBER Doing business as PROTECTION TECHNOLOGIES INC WA UBI No. Business type 600 387 563 Corporation Governing persons STEVE Page 1 of 2 Search L&I,. A -Z Index Help My L&I Workplace Rights Trades & Licensing PUCKETT WADE BROSSOW; 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. PROTET11690P Effective — expiration 09/17/1985— 05/31/2017 Designated OSadministrator ................. BROSSOW, E— License type Master Electrician Bond TRAVELERS CAS & SURETY CO Bond account no. 103491005 Received by L&I 06/02/2009 Active. Meets current requirements. License no. BR0SSW978NF $4,000.00 Effective date 05/31/2009 Expiration date Until Canceled THE OHIO CASUALTY INS CO $4,000.00 Bond account no. 35070785 �vUS_aQ(,j 4-) 0-2— https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=600387563&LIC=PROTETI159OP&SAW= 8/1/2016