HomeMy WebLinkAboutPermit EL17-0085 - RIVERTON MEDICAL BUILDING - GARAGE FIRE ALARM CONNECTIONRIVERTON
MEDICAL BUILDING
GARAGE
13030 MILITARY RD S
EL1 7-0085
Parcel No:
Address:
Project Name:
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
1623049171 Permit Number:
13030 MILITARY RD S Issue Date:
Permit Expires On:
RIVERTON MEDICAL BUILDING - GARAGE
EL17-0085
2/2/2017
8/1/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
AGM INC
PO BOX 2039 , KIRKLAND, WA, 98083
CHRIS GOAD
18133 NE 68TH STD -120,
REDMOND, WA, 98052
PRIDE ELECTRIC INC
18133 NE 68 ST, STE D120 ,
REDMOND, WA, 98052
PRIDEEI077DR
1 1 /
Phone: (425) 466-8852
Phone: (425) 454-3665
Expiration Date: 3/19/2017
DESCRIPTION OF WORK:
INSTALL (1) 20 AMP 120 VOLT DEDICATED CIRCUIT AND CONNECTION FOR A FIRE ALARM PANEL FURNISHED BY
OTHERS (FPI, INC)
Valuation of single family: $0.00
Valuation of mf/comm: $925.00
Type of Work: NEW
Fees Collected: $101.88
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 20,125
Sewer District: VALLEY VIEW
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:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Permit Center Authorized Signature:
Date: ?frpi
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 per r;i+ �'' `" �nnditions attached to this permit.
Signature:
Print Name: MPAD/ 'D. (P.. A ss�'- fig
i
4
Date:
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
Electrical Permit No. 1/11.#' t.#' o6q
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
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: 13030 Military Road S.
Tenant Name: Riverton Medical Building
PROPERTY OWNER
Name: Chris Goad
Address: 18133 NE 68th St. #D-120
Name:, AGM, Inc.
Phone: (425) 466-8852 Fax: (425) 497-8700
Email: cgoad@prideelectric.com
Address: 2100 124th Ave. NE
City: Bellevue State:
WA
Zip: 98005
CONTACT PERSON — person receiving all project
communication
Name: Chris Goad
Address: 18133 NE 68th St. #D-120
City: Redmond State: WA. Zip: 98052
Phone: (425) 466-8852 Fax: (425) 497-8700
Email: cgoad@prideelectric.com
King Co Assessor's Tax No.: 162304-9171
Suite Number: Garage Floor: Level 1
New Tenant: ❑ Yes ® ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Pride Electric, Inc.
Address: 18133 N# 68th St. #D-120
City: Redmond State: WA. Zip: 98052
Phone: (425) 454-3665 Fax: (425) 497-8700
Contr Reg No.: PRIDEEIO77DR Exp Date: 03/19/2017
Tukwila Business License No.; 0994339
Valuation of Project (contractor's bid price): $ 925
Scope of Work (please provide detailed information): Install (1) 20 amp 120 volt dedicated circuit and connection
for a fire alarm panel furnished by others. (FPI, Inc.)
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
• Type of Use:
Type of work:
m New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
W:\Permit CenterApplications-HandoutsU'ermit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
O 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
O 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
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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 ELECTRICA NTRACTOR:
Signature: Date: 02/02/2017
Print Name: Chris Goad Day Telephone: (425) 466-8852
Mailing Address: 18133 NE 68th St. #D-120 Redmond WA. 98052
City
W:\Permit Center\Applications-Handouts\Permit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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State Zip
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DESCRIPTIONS
PermitTRAK
I ACCOUNT
QUANTITY ,I
PAID
$101.88
EL17-0085 Address: 13030 MILITARY RD S
Apn: 1623049171
$101.88
ELECTRICAL
$97.03
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$97.03
TECHNOLOGY FEE
$4.85
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R10720
R000.322.900.04.00
0.00
$4.85
$101.88
Date Paid: Thursday, February 02, 2017
Paid By: PRIDE ELECTRIC INC
Pay Method: CHECK 7089
Printed: Thursday, February 02, 2017 12:20 PM 1 of 1
CRSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION 4
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: .1'%j���
VelaD
CAI.--
Type of Inspection:
fof.
il
Address: /30.50
nOttit
Date Called:
Special Instructions:
6c -r C,,��``om.@`,_ >
Date Wanted:
a
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
r
I V (---;"
Inspector:
Date: I
REINSPECTIO , FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD Retain a copy with permit 614INSPECTION N0. PE7-Doe
IT NO.
CITY OF TUKWILA BUILDING DIVISION i
6300 Southcenter Blvd.., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: / V
T -6N) eD
Type of Inspection: .<5,,d' in CC:
Address: 30
i POISpecial
Date Called:
Instructions:
Date Wanted:
C
a.m.
p.m.
Requester:
Phone No:
0 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
CA,\16614,0?
Ai/CU-AOy �jn�/klitrC�
Inspector:
Date:
REINSPECTIONFEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
PRIDE ELECTRIC INC
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PRIDE ELECTRIC INC
Owner or tradesperson
Principals
GOAD, CHRISTOPHER J, PRESIDENT
GOAD, ROBERT L, VICE PRESIDENT
GOAD, KIRK A, SECRETARY
GOAD, CHRISTOPHER J, AGENT
SEELEY, ROBERT M, PRESIDENT
(End: 03/15/2005)
SEELEY, KAROLYN J, SECRETARY
(End: 03/15/2005)
SEELEY, ROBERT M, AGENT
(End: 03/15/2005)
Doing business as
PRIDE ELECTRIC INC
WA UBI No.
601 451 700
18133 NE 68TH ST D120
REDMOND, WA 98052
425-454-3665
KING County
Business type
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
GENERAL
License no,
PRIDEEI077DR
Effective — expiration
03/19/1993— 03/19/2017
Designated administrator
GOAD, CHRISTOPHER J
License type
Master Electrician
Bond
TRAVELERS CAS & SURETY CO
Bond account no.
103366931
Active.
Meets current requirements.
License no.
GOAD*CJ955DG
$4,000.00
Received by L&I Effective date
04/01/2005 03/17/2005
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
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PRIDE ELECTRIC INC
License Violations
Infraction no.
EMOMJ00691
Issue date
11/24/2015
Violation city
REDMOND
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
296-46B-901.
Satisfied
.......... _..............
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Infraction no.
ELYOD00260 Satisfied
RC VV/WAC
Issue date
10/09/2013
Violation city
REDMOND
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prier
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
EAARG00426
Issue date
07/27/2011
Violation city
REDMOND
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 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901(3)(6).
19.28.101 RCW
Violation amount
$1,000.00
Satisfied
....................
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Account is current.
842,543-00
Doing business as
PRIDE ELECTRIC
Estimated workers reported
Quarter 4 of Year 2016 "76 to 100 Workers"
L&I account representative
T3 / KAYLENE MONIER (360)902-6627 - Email: BRKB235@Ini.wa.gov
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
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