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Permit EL17-0305 - SOUND MENTAL HEALTH - AUDIO/VISUAL DEVICES AND PULL STATIONS FOR FIRE ALARM
SOUND MENTAL HEALTH 6400 SOUTHCENTER BLVD ELI 7-0305 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.eov ELECTRICAL OTC PERMIT 0003200003 6400 SOUTHCENTER BLVD Project Name: SOUND MENTAL HEALTH Permit Number: EL17-0305 Issue Date: 4/25/2017 Permit Expires On: 10/22/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SOUND MENTAL HEALTH 1600 E OLIVE ST , SEATTLE, WA, 98122 SETH ZEHNDER 14690 NE 95 ST, STE 101 , REDMOND, WA, 98052 WESTERN STATES FIRE PRTCTN CO 14690 NE 95 ST, STE 101, REDMOND, WA, 98052 WESTESF906P1 "I/ Phone: (425) 478-9709 Phone: (425) 881-0100 Expiration Date: 11/9/2018 DESCRIPTION OF WORK: ADDING 55 AUDIO/VISUAL DEVISES AND 5 PULL STATIONS TO THE EXISTING FIRE ALARM SYSTEM Valuation of single family: $0.00 Valuation of mf/comm: $29,000.00 Type of Work: FIRE ALARM Fees Collected: $651.18 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 296-466: WA State Energy Code: Date:1-1 2014 2014 2014 2015 % t7 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: 6L1N aLogbEft_ Date: /-1-y ITh 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: <NONE> 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. eq--7.-ow Project No. Date Application Accepted: Date Application Expires: (For ofjice use onh) 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: 6400 Southcenter Blvd King Co Assessor's Tax No.: 0003200003 Suite Number: Floor: 1St Tenant Name: Sound Mental Health PROPERTY OWNER Name: Seth Zehnder Name: Sound Mental Health City: Redmond State: WA Zip: 98052 Address: 6400 Southcenter Blvd Email: seth.zehnder@wsfp.us City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Seth Zehnder Address: 14690 NE 95th St #101 City: Redmond State: WA Zip: 98052 Phone: (425) 478-9709 Fax: (425) 881-3030 Email: seth.zehnder@wsfp.us New Tenant: ❑ Yes ❑✓ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Western States Fire Protection Address: 14690 NE 95th St #101 City: Redmond State: WA Zip: 98052 Phone: (425) 881-0100 Fax: (425) 881-3030 Contr Reg No.: WESTESF906P1 Exp Date: 1:1 /09/2018 Tukwila Business License No.: BUS -0100140 Valuation of Project (contractor's bid price): $ 29,000 Scope of Work (please provide detailed information): Adding 55 audio/visual devices and 5 pull stations to the existing fire alarm system. Will service be altered? ❑ Yes ❑✓ No Adding more than 50 amps? ❑ Yes No Type of Use: Office Type of work: O New ❑ Addition 0 Service Change 0 Remodel ❑ Tenant Improvement O Low Voltage 0 Generator ® Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: ▪ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Linc \2011 Applications \Electrical Permit Application Revised 8-9-1 I.docs Revised: August 2011 bh Pagc 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings 881.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 881.90 (no added/altered circuits) ❑ Service change with added/altered circuits 881.90 number of added circuits S 1 1.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 orinore circuits) 87.65 ea ❑ Meter/mast repair 868.25 ❑ Low voltage systems 859.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 863.00 ❑ Temporary service (generator) 878.75 ❑ Manufactured/mobile home service S84.00 (excluding garage or outbuilding) ❑ Carnivals 878.75 Number of concessions 810.50 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: Seth Zehnder Mailing Address: 14690 NE 95th St #101. Date: 04/17/2017 Day Telephone: (425) 478-9709 Redmond WA 98052 City HAApplications\Forms-Applications On Line \201 1 Applications\Electrical Perron Application Revised 0-9-1 Ldoe.e Revised: August 201 I bh Statc Zip Page 2 of 2 DESCRIPTIONS ( PermitTRAK ACCOUNT I QUANTITY PAID $651.18 EL17-0305 Address: 6400 SOUTHCENTER BLVD Apn: 0003200003 $651.18 ELECTRICAL $620.17 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $620.17 TECHNOLOGY FEE $31.01 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11345 R000.322.900.04.00 10.00 $31.01 $651.18 Date Paid: Tuesday, April 25, 2017 Paid By: WESTERN STATES FIRE PRTCTN CO Pay Method: CHECK 430123066 Printed: Tuesday, April 25, 2017 11:11 AM 1 of 1 C�SYSTEMS 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit P RMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project:7Iv '4 -1, -- aly Type of Inspection: � t Address: c.gt,Date 1,/(1 Called: Special Instructions: /k - Date Wanted: a. Requester: DAle Phone No: q _ `( ECTS Approved per applicable codes. I Corrections required priorito approval. COMMENTS: Inspectocf---- r. cildk Date: a7cb17 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6ii7o3PEIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 0 Permit Inspection Request Line (206) 438-9350 Project: J°'� jr Gcp.- Type of Inspection: /oi % M 1 Address: Date Called: SpecialInstructions: KikRequester: Date Wanted: WI a..-, ; .nP.m- Phone No: emMENTS: Approved per applicable codes. Corrections required prior to approval. eoeUtorto riA;)C er114 CO (irt giou tv4 eel C'i,la=rE Inspector: Date: 041071z7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: C` if� Q Type of Inspection: v if !A) ess: �0©S.LliWnit...., Addr . O L. Date Called: Special Instrl.ictions: rIRequester: r-- Date Wanted:06i,a.m m. Phone No: ElApproved per applicable codes. v:i Corrections required prior to approval. COMMENTS: - CltLtJ% 40JAfr bd Inspector: J� Date. ©f G f 1.1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. WESTERN STATES FIRE PRTCTrT O Home Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Search L&I Page 1 of 3 A -Z Index Help My L&I Workplace Rights Trades & Licensing WESTERN STATES FIRE PRTCTN CO Owner or tradesperson Principals POSTMA, EUGENE C, PRESIDENT DAANE, JEFFREY R, VICE PRESIDENT BEADIE, WILLIAM M, SECRETARY LEE, STEVEN, TREASURER CT CORPORATION SYSTEM, AGENT Doing business as WESTERN STATES FIRE PRTCTN CO WA UBI No. 601 049 394 14690 NE 95TH ST STE 101 REDMOND, WA 98052 425-881-0100 KING County Business type Corporation Governing persons DENNIS MATTHEW KOVATOVICH DWON GARY LEWIS; 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. WESTESF906P1 Effective — expiration 11/09/2010-11/09/2018 Designated administrator Haymond, Aaron Scott License type Electrical Administrator Bond ................. Western Surety Co Bond account no, 61803562 Active. Meets current requirements. License no. HAYMOAS879CE $4,000.00 Received by L&I Effective date 11/01/2013 10/15/2013 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601049394&LIC=WESTESF906P1 &SAW= 04/25/2017 WESTERN STATES FIRE PRTCTN CO License Violations Infraction no. EHUMI00353 Issue date 06/25/2014 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 prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EHUMI00354 Issue date 06/25/2014 Violation city REDMOND Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Infraction no. EJOJP00208 Issue date 07/29/2013 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 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 Satisfied ................ _ ......... RCW/WAC 19.28.101 RCW Violation amount $250.00 Satisfied .............._......... RCW/WAC 19.28.101 RCW Violation amount $250.00 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. 532,698-00 Doing business as WESTERN STATES FIRE PROTECTION Estimated workers reported Quarter 4 of Year 2016 "76 to 100 Workers" L&I account representative T3 / NATHAN KOZAK (360)902-6243 - Email: KOZN235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date Page 2 of 3 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601049394&LIC=WESTESF906P 1 &SAW= 04/25/2017 WESTERN STATES FIRE PRTCTTT r;O 08/21/2013 Inspection no. 316859784 Location 501 Port Industrial Park Way Quincy, WA 98848 Inspection results date 06/18/2013 Inspection no. 316788421 Location 705 Central Ave North Quincy, WA 98848 No violations No violations Page 3 of 3 CO Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601049394&LIC=WESTESF906P 1 &SAW= 04/25/2017