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Permit EL17-0962 - COUNTRY FINANCIAL - FIRE ALARM NOTIFICATION DEVICES
COUNTRY FINANCIAL 16400 SOUTHCENTER PKWY ELI 7-0962 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.gov ELECTRICAL OTC PERMIT 2623049021 Permit Number: 16400 SOUTHCENTER PKWY 310 Issue Date: Permit Expires On: Project Name: COUNTRY FINANCIAL EL17-0962 11/29/2017 5/28/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: RADOVICH PROPERTIES LLC 2835 82ND AVE SE STE S 1, MERCER ISLAND, WA, 98040 MATT CARLMAN 206 FRONTAGE RD N - SUITE C, PACIFIC, WA, 98047 Phone: (253) 951-6005 FIRE SYSTEMS WEST INC (ELECTRICAL) Phone: (253) 833-1248 206 FRONTAGE RD N - SUITE C , PACIFIC, WA, 98047 License No: FIRESWI055LW Expiration Date: 6/16/2019 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL 4 NEW FIRE ALARM NOTIFICATION DEVICES Valuation of single family: $0.00 Valuation of mf/comm: $750.00 Type of Work: FIRE ALARM Fees Collected: $95.44 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 296-468: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: Date: 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 co truction or the performance of work. I am authorized to sign and obtain this development permit apd agr o the conditions attached to this permit. Signature: Print Name: Date: V1 `t/77 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 a CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical'Permit No. _,;. 1' ProjectNo,._• ... Date Application Accepted:: Date Application Expires: (For -@reuse 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 LOCATJ Site Address: 16400 Southcenter Parkway Tenant Name: Country Financial ARROPERTY OWNER Name: Radovich Properties Address: 2835 82nd Ave SE, Suite S1 City: Mercer Island State: WA Zip: 98040 commii, ,CT PERS 3 Cation Name: Matt Carlman cetvtiig•all project Address: City: State: Zip: Phone: (253) 951-6005 Fax: Email: matte@firesystemswest.com King Co Assessor's Tax No.: 262304-9021 Suite Number: 310 Floor: 3 New Tenant: © Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Fire Systems West, Inc. Address: 206 Frontage Rd N, Suite -C City: Pacific State: WA Zip: 98047 Phone: (253) 833-1248 Fax: Contr Reg No.: FIRESWI055LW Exp Date: 06/18/2017 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 750 Scope of Work (please provide detailed information): Install 4 new fire alarm notification devices. Will service be altered? ❑ Yes 0 No Adding more than 50 amps? n Yes ® No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant improvement ® Low Voltage ❑ Generator ® Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light \V:\Pennit Center\Applications-Handouts \Permit Applications \PDF'.c\Electrical Perron Application Revised 1-1-17.docx Revised: January 2017 bh Page 1 of 2 0 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) 561.05 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 512.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change 555.69 (6 or more circuits) 57.65 ea ❑ Meter/mast repair 569.62 Low voltage systems 561.05 (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) 582.52 ❑ Manufactured/mobile home service 587.98 (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*** 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 EkECTRIQ�'AL CONTRACTOR: Signature: Print Name: Matt Carl an Mailing Address: 206 Frontage Rd N, Suite -C, Pacific, WA 98047 Date: 11/29/2017 Day Telephone: (253) 951-6005 City w:\Pnmit Center\Applications-Handouts\Permit Applications\PDF'.c\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 hh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $95.44 EL17-0962 Address: 16400 SOUTHCENTER PKWY 310 Apn: 2623049021 $95.44 Credit Card Fee $2.78 Credit Card Fee R000.369.908.00.00 0.00 $2.78 ELECTRICAL $88.25 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $88.25 TECHNOLOGY FEE $4.41 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12894 R000.322.900.04.00 0.00 $4.41 $95.44 Date Paid: Wednesday, November 29, 2017 Paid By: MATT CARLMAN Pay Method: CREDIT CARD 08472D Printed: Wednesday, November 29, 2017 2:16 PM 1 of 1 SYSTEMS 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 7oi PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3 Project:_ ' 1: • 4� iii 1 !V / �K et Type of Inspection: 41 4f1t Address: f'� 7 t ' /JG�c�-��• Date Called: Special Instructions: i 1, ` //' Date Wanted: / •-, / a.m. Z;)+• �:nf Requester: / Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: /I/161S Date: 0i REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPE TION NO. INSPECTION RECORD Retain a copy with permit 1647-oct'cf PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670, Permit Inspection Request Line (206) 438-9350 Project:ta. ,NiI��iype of inspection: mi Addre s: &PIO 0 5-c--- Pi - Date Called: Special Instructions: r,r 1 30 Date Wanted: ? j rl-16- pm_ Requester: Phone No: 2.0 (0 5b3 (.7 Ij41 Approved per applicable codes. Corrections required prior to approval. COMMENTS: �1 h 6L/lAJ1 o Ins Inspector: Date: I1i ! � I 7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. FIRE SYSTEMS WEST INC Home Espanol Contact Safety & Health Claims & Insurance Washington State Department of IL% Labor & Industries S Search L&I Page 1 of 4 AR& A -L Lidex I lelp My L&1 Workplace Rights Trades & Licensing FIRE SYSTEMS WEST INC Owner or tradesperson Principals BLACKBURN, JAY, PRESIDENT BLACKBURN, JAMES, SECRETARY RADLOFF, DAN, TREASURER BLACKBURN, JAY A, AGENT LONG, KEVIN, SECRETARY (End: 04/13/2006) WINMILL, TONY, SECRETARY (End: 05/22/2003) WALKER, G PERRIN, AGENT (End: 06/04/2001) LOBDELL, JAMES, VICE PRESIDENT (End: 06/23/1999) Doing business as FIRE SYSTEMS WEST INC WA UBI No. 600 602 737 206 FRONTAGE RD N Suite C PACIFIC, WA 98047 253-833-1248 KING County Business type Corporation Governing persons JAY A BLACKBURN KEVIN LONG; DAN RADLOFF; 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. FIRESWI055LW Effective — expiration 06/16/1995— 06/16/2019 Designated administrator HILFIKER, BRYAN License type Electrical Administrator Bond ................ CONTINENTAL CASUALTY INS CO Bond account no. Active. Meets current requirements. License no. HILFIB*972P8 $4,000.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600602737&LIC=FIRESWI055LW&SAW= 11/29/2017 FIRE SYSTEMS WEST INC 137864642 Savings No savings accounts during the previous 6 year period. License Violations Infraction no. ECLET00514 Issue date 01/25/2017 Violation city PACIFIC 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. Infraction no. EBRRQ00778 Issue date 02/02/2016 Violation city PACIFIC 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. Effective date 05/24/1995 Expiration date Until Canceled Satisfied ..................... _ RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Satisfied ..................... RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Infraction no. ELE0000201 Satisfied ......... _............ Issue date RCW/WAC 01/29/2016 19.28.101 RCW Violation city Violation amount PACIFIC $2,000.00 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. Infraction no. EJOJP00326 Issue date 01/02/2015 Violation city PACIFIC Type of violation ELECTRICAL CITATION Description Satisfied ........................ RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Page 2 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600602737&LIC=FIRESWI055LW&SAW= 11/29/2017