HomeMy WebLinkAboutPermit EL17-0523 - SOUND MENTAL HEALTH - CABLING AND CONNECTIONSOUND MENTAL HEALTH
6400 SOUTHCENTER BLVD
EL1 7-0523
Parcel No:
Address:
City of Tukwila
c
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
0003200003 Permit Number:
6400 SOUTHCENTER BLVD
Project Name: SOUND MENTAL HEALTH
Issue Date:
Permit Expires On:
EL17-0523
7/10/2017
1/6/2018
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
MATHEW SHEEHAN Phone:
6400 SOUTHCENTER BLVD , TUKWILA,
WA, 98188
SYSTEM DESIGN & INTEGRATION Phone: (206) 992-6319
603 STRANDER BLVD , TUKWILA, WA,
98188
SYSTEDI855MZ Expiration Date: 7/9/2019
DESCRIPTION OF WORK:
LOW VOLTAGE PLENUM CABLES PULLED THROUGH CEILING FROM AV RACK CLOSET (UNDER STAIRWELL) TO
ROOMS 148/148, MULTI-PURPOSE ROOM. TO INCLUDE CONNECTION TO 10 CEILING SPEAKERS AND 6
MICROPHONES
Valuation of single family: $0.00
Valuation of mf/comm: $5,000.00
Type of Work: LOW VOLTAGE
Fees Collected: $196.41
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:
2014
2014
2014
2015
Date: —710-12
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 pe mit and agree to the co ions a - • o this permit.
Signature:
Print Name7Dc N CK \T 4` a A-0 Ib
Date: 1 -10 -20C -I
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 SouthcenterBlvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. E L 17 0 51-3
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
6400 Southcenter BLVD
Site Address:
Tenant Name:
Sound Mental Health
PROPERTY OWNER
Name: Matthew Sheehan
Address: 819 Industry Drive
Name:
Unknown
City: 10 «„,,1o,.. State: vita
Zip: ct g 1 gg
Address:
Email: matthews@smh.org
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Matthew Sheehan
Address: 819 Industry Drive
Address: ti 00 rj9o'ktAGct+'N
l'Y 1'
City: 10 «„,,1o,.. State: vita
Zip: ct g 1 gg
Phone: Fax:
Email: matthews@smh.org
King Co Assessor's Tax No.:
Suite Number: Rooms148/149 Floor: One
New Tenant: Tsi Yes ID „No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: System Design and Integration
Address: 819 Industry Drive
City: Tukwila State: WA Zip: 98188
Phone: Fax:
Contr Reg No.: SYSTEDI855MZ Exp Date: 07/18
Tukwila Business License No.; BUS -0994806
Valuation of Project (contractor's bid price): $ $5000
Scope of Work (please provide detailed information):_ Low Voltage plenum cables pulled through ceiling, from AV rack closet
(under stairwell - to - rooms 148/149, Multi -Purpose rooms. To include connection to 10 ceiling speakers and 6 microphones
Will service be altered? 0 Yes NI No Adding more than 50 amps? ❑ Yes is No
Type of Use:
Type of work:
0 New ❑ Addition 0 Service Change 0 Remodel 0 Tenant Improvement
SI Low Voltage 0 Generator 0 Fire Alarm ® Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
W:\Permit Center \ Applications -Handouts \Penult 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
❑ 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
***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 ELECTRICAL
Signature' i
Date:
7/7/17
Print Name: David Debartolo Day Telephone: 206-992-6319
819 Industry Drive, Tukwila WA 98188
Mailing Address:
City
W:\Pernit Center \Applic do -Ia douts\Permit Applications \PDF's\Electrical Permit Application Revised 1-I-I7.docx
Revised: January 2017
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
196.41
EL17-0523 Address: 6400 SOUTHCENTER BLVD Apn: 0003200003
196.41
ELECTRICAL
$187.06
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$187.06
TECHNOLOGY FEE
$9.35
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11879
R000.322.900.04.00
0.00
$9.35
$196.41
Date Paid: Monday, July 10, 2017
Paid By: SYSTEM DESIGN & INTEGRATION
Pay Method: CHECK 5161
Printed: Monday, July 10, 2017 10:00 AM 1 of 1
CAWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
1
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Address: /��///J����%
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Date Called:
Special Instructions:
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Date Wanted:
7/17
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Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
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Date: 07 1 `� )
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REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
SYSTEM DESIGN & INTEGRATIi
Home Espanol Contact
Safety & Health Claims & Insurance
0 Washington State Department of
Labor & Industries
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Workplace Rights Trades & Licensing
SYSTEM DESIGN & INTEGRATION
Owner or tradesperson
Principals
SYSTEM DESIGN &
INTEGRATION, PARTNER/MEMBER
DEBARTOLO, DAVID C, PARTNER/MEMBER
DeBartolo, David C, AGENT
Doing business as
SYSTEM DESIGN & INTEGRATION
WA UBI No.
602 282 282
603 STRANDER BLVD
TUKWILA, WA 98188
206-992-6319
KING County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
LIMITED ENERGY
License no.
SYSTEDI855MZ
Effective — expiration
07/09/2015— 07/09/2019
Designated administrator
CUMPTON, SEAN
Active.
Meets current requirements.
Active.
Meets current requirements.
License type License no.
Electrical Administrator CUMPTS*066LD
Bond
...............
Wesco Insurance Co
Bond account no.
46WB063290
Received by L&I
07/09/2015
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
$4,000.00
Effective date
05/08/2015
Expiration date
Until Canceled
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.
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SYSTEM DESIGN & INTEGRATION
341,866-00
Doing business as
SYSTEM DESIGN & INTEGRATION, L
Estimated workers reported
Quarter 1 of Year 2017 "7 to 10 Workers"
L&I account contact
T1 / DESTINY ADAMS (360)902-4873 - Email: ADAF235@Ini.wa.gov
0
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 notallowed to bid
................................................_.........................................
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
Page 2 of 2
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