HomeMy WebLinkAboutPermit EL17-0006 - HOMEWOOD SUITES - FIRE ALARM IMPROVEMENTHOMEWOOD SUITES
6955 FORT DENT WAY
EL1 7-0006
Parcel No:
Address:
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
2954900460 Permit Number:
6955 FORT DENT WAY BLDG 4
Project Name: HOMEWOOD SUITES
Issue Date:
Permit Expires On:
EL17-0006
1/5/2017
7/4/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
APPLE EIGHT SPE TUKWILA INC
814 E MAIN ST, RICHMOND, WA,
23219
KATHI O'REAR Phone: (206) 772-7502
7815 S 180 ST , KENT, WA, 98032
NORTHWEST FIRE SYSTEMS LLC
7815 S 180 ST , KENT, WA, 98032
NORTHFS875MJ
Phone: (206) 772-7502
Expiration Date: 8/10/2017
DESCRIPTION OF WORK:
FIRE ALARM TENANT IMPROVEMENT, MODIFY EXISTING FIRE ALARM SYSTEM TO PROVIDE PROPER COVERAGE
FOR NOTIFICATION AND DETECTION FOR THE NEW FIRST FLOOR LAYOUT.
Valuation of single family: $0.00
Valuation of mf/comm: $1,400.00
Type of Work: FIRE ALARM
Fees Collected: $130.83
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:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
baL
2014
2014
2014
2015
Date: 1+ S—� 7
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:
Print Name:
efe_ iete
Date: / S — / 7
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.gov
� N) 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**
Electrical Permit No. I 1
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
SITE LOCATION
Site Address:
` 0 S ' " D '' Tl'1'1 I k Suite Number:
King Co Assessor's Tax No.: / 41 0 d`T ty0
IRouN
'' ii Floor:
Tenant Name: 14 L7 VYi e /}Y)4 Gj f,U { es 'W New Tenant: ❑ Yes
PROPERTY OWNER
Name: A '7 pt ,e, �.I V 4 ✓ 0e, --rta W,- 1,R. l r%
`- n f' - -
Address: (f/.t ,(UA' O e't&* wail � s t (0 q
""ll
City: State: I Zip:
CONTACT PERSON — person receiving all project
communication
II r�
Name: 1Vti 01 P,o_a,-
Address:1 c s, 1 b e4 -
City: TiA,1240 i �4,‘.._ State: w, Zip:G18j3,/2
Phone: 'Lo(0�-42.' -KOZ- Fax:2,0Zo 3.4z- 50`I'
Email: go ez,r n up..6., e sq ,Sf eA,v►S . LD),
T1
[. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
NI bre In ,,,,,e51...- r. SU ` i�
�I
-4151Address: 1
S 1$ D 6+_.f
City: \)
State: �/T/I, Zip: Gl667
Phone: n/.�I�_ it
, GJ bL ax' %�Zo� Z . 5b zi
Contr Reg No.:
012 T Cr M ,xp Date:1 z .41 • Z!�► �
00
Tukwila Bus' ess License No.; iu GJ . bql 31 O S
D$•io•Z-1?-
s
Valuation of Project (contractor's bid price): $ ( 4 ov . co
Scope of Work (please provide detailed information): FA 1 • t . ). i n ocu i r' tC Q _Q} i 5 VL
1r'e c-4 v1A Up -t. ev(bVlde, spa.) pr. ' eovre sctc.o fa,' n
Pio( d eCh Oyu 1)-(3,c fie_ 1,4.A.,3 1 5-t--ptonv- t ou.P- 311/Le fi✓5i--F'ioo • NACU
Cl` i— 6 Cu-rifle/0j- Of 12- otP e rv.ps tf Le 5 k aJ d e i(Cc is (A) j
0. 3 d '' (-ire/ a -l-1-0j�Q I. 51Z 5. he- 1'5 h.kv �lGp NAc Ci taw t CG4-�
Will service be altered? Yes No Addifig more than 50 amps? El Yes L No
Type of Use: I/ x.17 1- e f
Type of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator Fire Alarm
Property Served by:
.IErPuget Sound Energy 0 Seattle City Light
C:\Users\Kia-V\AppData\LocaNNierosofl\windows\Temporary Internet Files\Content.Outlook\DDBBKJKMElectrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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❑ Remodel
0 Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
g'
1 a
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
PERMIT APPLICATION NOTES -
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`
Print Name:
j e,� vh alakr,oz v -e Std 11= s
/n� -��.% Date: � I � D�
1�oi V \ Ke,V' 1W k.) WW1 re Day Telephone: 20 CD • '7Sb 2—
Mailing Address: 9-'5 1 S s 1 d1-`4 �% - `I K
City State Zip
C:\User;\Kia-V\AppDataUucaMiicrosoft\Windows\Temporary Internet Files\Content.Outlook\DDB8KIKN\Elechical Permit Application Revised I-1-2017.docx
Revised: January 2017
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$130.83
EL17-0006 Address: 6955 FORT DENT WAY BLDG 4 Apn: 2954900460
$130.83
Credit Card Fee
_
$3.81
Credit Card Fee
R000.369.908.00.00
0.00
$3.81
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R10290
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Thursday, January 05, 2017
Paid By: KATHI O'REAR
Pay Method: CREDIT CARD 05061G
Printed: Thursday, January 05, 2017 9:49 AM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project: y�y8
Hy r �/ W,
Type of Inspection:
Address:
Date Called:
Special Instrt ctio s:
r fr-
Date Wanted:
.m
Requester:
//J
Phone No:
1/72—
a'
r4:'
pproved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
• r
/17
REINSPECT! N FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 outhcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date:
NORTHWEST FIRE SYSTEMS LJ r
/ashington State Department of
abor & Industries
1 -Lome • Espanol Contact
Safety & Health Claims & Insurance
Search L&I
Page 1 of 2
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Workplace Rights Trades & Licensing
NORTHWEST FIRE SYSTEMS LLC
Owner or tradesperson
Principals
Potter, Mary M, PARTNER/MEMBER
Potter, Clark III, PARTNER/MEMBER
Potter, Mary M, AGENT
Doing business as
NORTHWEST FIRE SYSTEMS LLC
WA UBI No.
602 799 167
7815 S 180TH ST
KENT, WA 98032
206-772-7502
KING County
Business type
Limited Liability Company
Governing persons
CLARK
POTTER ID
MARY MARIE POTTER;
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.
NORTHFS875MJ
Effective — expiration
07/11/2013— 08/10/2017
Designated administrator
Sheldon, Joseph A
License type
Electrical Administrator
Bond
Wesco Insurance Co
Bond account no.
46-WB029248
Active.
Meets current requirements.
License no.
SHELDJA867QL
$4,000.00
Received by L&I Effective date
07/11/2013 06/20/2013
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
`1)us-0616(aA.0.5-
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NORTHWEST FIRE SYSTEMS LLC
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has multiple workers' comp accounts.
Active accounts
L&I Account ID
87,4„868701,
Doing business as
NORTHWEST FIRE SYSTEMS
Estimated workers reported
Quarter 3 of Year 2016 "51 to 75 Workers"
L&I account representative
T5 / MELISSA VEST (360)902-5613 - Email: VESM235@Ini.wa.gov
Track this contractor
Account is current.
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Inspection results date
10/11/2011
Inspection no,
315201541
Location
12806 Gateway Dr. S.
Tukwila, WA 98168
No violations
Page 2 of 2
O Washington State Dept. of Labor Si Industries. Use of this site is subject to the laws of the state of Washington.
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