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HomeMy WebLinkAboutPermit EL17-0522 - COWLITZ TRIBAL HEALTH - HORN / STROBE AND SMOKE DETECTORCOWLITZ TRIBAL HEALTH 15455 65T" AVE S EL1 7-0522 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 0003200004 Permit Number: EL17-0522 15455 65TH AVE S Project Name: COWLITZ TRIBAL HEALTH Issue Date: 7/10/2017 Permit Expires On: 1/6/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: COWLITZ INDIAN TRIBE 1055 9TH AVE , LONGVIEW, WA, 98632 GEORGE WASHBURN 3013 THIRD AVE N , SEATTLE, WA, 98109 AAA FIRE PROTECTION INC 3013 THIRD AVE N , SEATTLE, WA, 98109 AAAFIFP841N3 ,,, Phone: (206) 551-6435 Phone: (206) 284-3721 Expiration Date: 8/23/2018 DESCRIPTION OF WORK: RELOCATE EXISTING HORN/STROBE AND SMOKE DETECTOR TO NEW GRID CEILING IN ROOM 121 Valuation of single family: $0.00 Valuation of mf/comm: $1,200.00 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: 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: i ` L 01 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 per and agree to the conditions attached to this permit. Signature: 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 TUKWILA Community Development Department Permii Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tukwi I a W A.gov Electrical Permit No. Li 7-- 0,5.2-z. 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** SIT LLOCATIO1' King Co Assessor's Tax No.: 0003200004 Site Address: 15455 65th Ave. S Tenant Name: Cowlitz Tribal Health Suite Number: PROPERTY OWNER Name: George Washburn Address: 3013 3rd Ave. N Name: Cowlitz Indian Tribe Phone: (206) 551-6435 Fax: Email: george@aaafire.com Address: 1055 9th Ave City: Longview State: WA Zip: 98632 CONTACT PERSON — person receiving all project communication Name: George Washburn Address: 3013 3rd Ave. N City: Seattle State: WA Zip: 98109 Phone: (206) 551-6435 Fax: Email: george@aaafire.com Floor: Basement New Tenant: ❑ Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: AAA Fire Protection Address: 3013 3rd Ave. N City: Seattle State: WA Zip: 98109 Phone: (206) 284-1721 Fax: Contr Reg No.: AAAFIFP841NB Exp Date: 08/23/2018 Tukwila Business License No.; BUS -0993128 Valuation of Project (contractor's bid price): $ 1,200 Scope of Work (please provide detailed information): ceiling room 121 Relocate existing horn strobe and smoke detector to new grid Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage 0 Generator Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: 621 Puget Sound Energy ❑ Seattle City Light H:\Applications\Fors-Applications On Line \2014 Applications\Electrical Permit Application Revised I-1-14.docx Revised. January 2014 bh Page 1 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) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ 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) 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*** PERMIT APPLICATION NO I'LS- 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 OW ER OR ELECTRICAL CONTRACTOR: Signatur:�b►, /,l/ lam' 1 Print Name: •urge Washburn Day Telephone: (206) 551-6435 Mailing Address: 3013 3rd Ave N, Seattle, WA 98109 Date: 07/05/2018 City H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-I-14.docx Revised. January 2014 bh State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT 1 QUANTITY PAID 130.8 EL17-0522 Address: 15455 65TH AVE S Apn: 0003200004 $130.8 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: R11878 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Monday, July 10, 2017 Paid By: GEORGE WASHBURN Pay Method: CREDIT CARD 024238 Printed: Monday, July 10, 2017 8:56 AM 1 of 1 CRWSYSTEMS 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367kINSPECTION RECORD �� Retain a copy with permit INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: �f) ( tAIA rZ zo Ins ec„tin: �j IN / ..”' h„ s Address: /5-11® -Cr� Date Called: Special Instructions:! likusir Date Wanted: /......i-' 71 a.m p.m. Requester: Phone No: l o& 9i L pproved per applicable codes. LJ Corrections required prior to approval. OM M ENTS: a6rficai 0 K. kchit,4 ("1 Date: 07 M 17 REINSPECT! N FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. i INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: t, }y r Type of Inspection: Address: icy 5_c c. / Date Called: Special Instructions: O1 Date Wanted: 7 l/gym. ( p.m Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: CAote P.Pbkrail‘e ti) Inspector: de( REINSPECTION E REQUIRED. Prior to next inspection, fee must be Date: 0711 paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. AAA FIRE PROTECTION INC O 0 Washington State Department of Lab©r & Industries Page 1 of 2 Home Espanol Contact Search L&I A -Z index Safety & Health Claims & Insurance Workplace Rights AAA FIRE PROTECTION INC Owner or tradesperson Principals KRINBRING, BRIAN A, PRESIDENT Jensen, Darin T, AGENT Doing business as AAA FIRE PROTECTION INC WA UBI No. 600 579 238 3013 3RD AVE N SEATTLE, WA 98109 206-284-1721 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. AAAFIFP841N3 Effective — expiration 08/23/2016— 08/23/2018 Designated administrator Cropper, Christopher J License type Electrical Administrator Bond Active. Meets current requirements. License no. CROPPCJ843KE RLI Ins Co $4,000.00 Bond account no. LSM0893797 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600579238&LIC=AAAFIFP841N3&SAW= 7/10/2017 AAA FIRE PROTECTION INC Received by L&I 08/23/2016 Savings No savings accounts during License Violations No license violations during the previous 6 year period. the previous 6 year period. Effective date 08/19/2016 Expiration date Until Canceled Page 2 of 2 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. 488,787-00 Doing business as AAA FIRE PROTECTION Estimated workers reported Quarter 1 of Year 2017 "31 to 50 Workers" L&I account contact T1 / FEARAED FEROZE (360)902-4797 - Email: FERH235@Ini.wa.gov Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 02/01/2013 Inspection no. 316554757 Location 800 4th Street NE Auburn, WA 98002 Violations © 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=600579238&LIC=AAAFIFP841N3&SAW= 7/10/2017