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HomeMy WebLinkAboutPermit EL17-0669 - COWLITZ TRIBAL HEALTH - ROOMS 206 & 120 HORNS / STROBES AND SMOKE DETECTORSCOWLITZ TRIBAL HEALTH 15455 65 AVE S ELI 7-0669 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: EL17-0669 15455 65TH AVE S Project Name: COWLITZ TRIBAL HEALTH Issue Date: 8/31/2017 Permit Expires On: 2/27/2018 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) 284-1721 Expiration Date: 8/23/2018 DESCRIPTION OF WORK: RELOCATE EXISTING HORN/STROBES AND SMOKE DETECTORS TO NEW GRID CEILING IN ROOMS 206 & 120 Valuation of single family: $0.00 Valuation of mf/comm: $2,985.00 Type of Work: FIRE ALARM Fees Collected: $154.65 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: ��31—�, c 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. it and agree to the conditions attached to this permit. Signature: Print Name: ��f/,), / Date: A Lam/ 8Ge!oed5C 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 TUKW1' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.Tukwi IaWA.gov Electrical Perm 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** SI E;;1 CA'! King Co Assessor's Tax No.: 0003200004 Site Address: 15455 65th Ave. S Suite Number: Floor: Both New Tenant: ❑ Yes ®..No Tenant Name: Cowlitz Tribal Health PROPERTY OWNER Name: Cowlitz Indian Tribe 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 ELECTRICAL CONTRACTOR INFORMATION Company Name: AAA Fire Protection Address: 3013 3rd Ave. N Cin': Seattle State: WA Zip: 98109 Phone: (206) 284-1721 Fax: Contr Reg No.: AAAFIFP84INB Exp Date: 08/23/2018 Tukwila Business License No.; BUS -0993128 Valuation of Project (contractor's bid price): $ 2,985 Relocate existing horn strobes and smoke detectors to new grid Scope of Work (please provide detailed information): ceiling in rooms 206 and 120 Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes J No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement 0 Low Voltage ❑ Generator ® Fire Alarm ❑ Telecommunication 0 Temporary Service Property Served by: 21 Puget Sound Energy ❑ Seattle City Light H: Applications\Forms-Applications On Line k2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea O Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $1 1.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) O 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 O Manufactured/mobile home service $86.25 (excluding garage or outbuilding) O Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 ea ***EFFECTIVE JANUARY 1, 201.4 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPILICATION;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 OWN Signature: R ELECTRICAL CONTRACTOR: Date: 08/31/2018 Print Name: GeoWashburn. Day Telephone: (206) 551-6435 Mailing Address: 3013 3rd Ave N, Seattle, WA 98109 City State Zip H:\Applications\Forms-Applications On Line 2014 Applications\Electrical Permit Application Revised 1-1-14. docx Revised' January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT I QUANTITY PAID $154.65 EL17-0669 Address: 15455 65TH AVE S Apn: 0003200004 $154.65 Credit Card Fee $4.50 Credit Card Fee R000.369.908.00.00 0.00 $4.50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM 1 R000.322.101.00.00 0.00 $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12244 R000.322.900.04.00 0.00 $7.15 $154.65 Date Paid: Thursday, August 31, 2017 Paid By: GEORGE WASHBURN Pay Method: CREDIT CARD 935232 Printed: Thursday, August 31, 2017 3:41 PM 1 of 1 CAIWYSTEMS INSPECTION NO. INSPECTION RECORD ������ Retain a copy with permit 11 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: Co wit -4 Type of Inspection: Address: / 1, 6 C / (/G `C AVh Date Called: Special Instructions: 2,0(0H 12,0 G 41-D e , re Date Wanted:„ //,7.., p.m. Requester: Phone No: 511! ` s..-7 g© 7y Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: 04, -- Inspector: dr&le.i\ Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1/2/2018 City of Tukwila Department of Community Development GEORGE WASHBURN 3013 THIRD AVE N SEATTLE, WA 98109 RE: Permit No. EL17-0669 COWLITZ TRIBAL HEALTH 15455 65 AVE S Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the.City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 2/27/2018. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 2/27/2018, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, PD/W Bill Rambo Permit Technician File No: EL17-0669 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 AAA FIRE PROTECTION INC .J Home Espanol Contact Safety & Health Claims & Insurance CWashington State Department of O Labor & Industries Search L&I A -I, index Help Page 1 of 2 5t1#ECH My L&1 Workplace Rights Trades & Licensing 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 Active. Meets current requirements. License type License no. Electrical Administrator CROPPCJ843KE Bond .._ ........ RLI Ins Co Bond account no. LSM0893797 Received by L&I 08/23/2016 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 08/19/2016 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. 488,787-00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600579238&LIC=AAAFIFP841N3&SAW= 8/31/2017 AAA FIRE PROTECTION INC Doing business as AAA FIRE PROTECTION Estimated workers reported Quarter 2 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 Page 2 of 2 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= 8/31/2017