HomeMy WebLinkAboutPermit EL17-1006 - COWLITZ INDIAN TRIBE - PANIC BUTTONS AND ACCESS DOOR RELEASE BUTTONSCOWLITZ INDIAN TRIBE
15455 65 AVE S
ELI 7-1006
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
0003200004
15455 65TH AVE S
Project Name: COWLITZ INDIAN TRIBE
ELECTRICAL OTC PERMIT
Permit Number: EL17-1006
Issue Date: 12/13/2017
Permit Expires On: 6/11/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
COWLITZ INDIAN TRIBE
1055 9TH AVE , LONGVIEW, WA,
98632
SANDY STOKES
11509 STEELE ST S , TACOMA, WA,
98444
GLOBAL SECURITY & COMM INC
3212 MAIN ST, VANCOUVER, WA,
98663
G LOBASCO3OLR
1
Phone: (253) 539-6860
Phone: (360) 693-1900
Expiration Date: 6/19/2019
DESCRIPTION OF WORK:
ADD TWO RECESSED PANIC BUTTONS & TWO ACCESS DOOR RELEASE BUTTONS TO FRONT DESK
Valuation of single family: $0.00
Valuation of mf/comm: $1,350.00
Type of Work: LOW VOLTAGE
Fees Collected: $127.02
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:
2017
2017
2017
2015
Permit Center Authorized Signature:
Date: Ia-- 1v (
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 . ••'rmit does not presume to give authority to violate or cancel the provisions of any other
state or local laws r �ulating construction or the performance of work. I am authorized to sign and obtain this
development pert' t and agree to the conditions attached to this permit.
Signature:
Print Nam
Date: (?^(3-(`7
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 296-466 WAC and the Washington Cities Electrical Code.
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
e
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
LI"-1-(l)0fr)
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: 15455 65th Ave S
Tenant Name: Cowlitz Indian Tribe
King Co Assessor's Tax No.: 000320-0004
Suite Number: Floor: 1
PROPERTY OWNER
Name: Sandy Stokes
Name: Cowlitz Indian Tribe
Address: 11509 Steele St S
Address: 1055 9TH AVE
City: Tacoma State: WA
City: Longview State: WA
Zip: 98632
CONTACT PERSON — person receiving all project
communication
Name: Sandy Stokes
Address: 11509 Steele St S
Address: 11509 Steele St S
Phone: (253) 539-6860 Fax: (253) 539-5086
City: Tacoma State: WA
Zip: 98444
Phone: (253) 539-6860 Fax: (253)
539-5086
Email: sandys@global4security.com
New Tenant: 0 Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Global Security
Address: 11509 Steele St S
City: Tacoma State: WA Zip: 98444
Phone: (253) 539-6860 Fax: (253) 539-5086
Contr Reg No.: GLOBASCO3OLI Exp Date: 06/19/2019
Tukwila Business License No.; bus -994455
Valuation of Project (contractor's bid price): $ 1,350
Scope of Work (please provide detailed information): Add two recessed panic buttons & two access door release
buttons to front desk.
Will service be altered? ❑ Yes
Type of Use:
m No Adding more than 50 amps? ❑ Yes m No
Type of work:
O New 0 Addition
• Low Voltage 0 Generator
Property Served by:
O Puget Sound Energy 0 Seattle City Light
W:\Petmit Center\Applications-nandouts\Permit Applications \PDFs\Eketricel Permit Application Revised I-1-17.docx
Revised: January 2017
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❑ Service Change
❑ Fire Alarm
❑ Remodel 0 Tenant Improvement
❑ Telecommunication 0 Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$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.
1 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:
Date: 12/13/2017
Print Name: Sandy Stokes Day Telephone: (253) 539-6860
Mailing Address: 11509 Steele St S, Tacoma, WA 98444
City State Zip
W:IPermit CentetVapplications-Handouts\Permit Applications \PDFs\Electrical Permit Application Revised I-I-17.docx
Revised: January2017
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$127.02
E117-1006 Address: 15455 65TH AVE S
Apn: 0003200004
$127.02
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: R13012
8000.322.900.04.00
0.00
$6.05
$127.02
Date Paid: Wednesday, December 13, 2017
Paid By: GLOBAL SECURITY & COMM INC
Pay Method: CHECK 1092
Printed: Wednesday, December 13, 2017 9:39 AM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
till1-100(to
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: 1
LOW Vii.. f rG-...�
Type of Inspection:
.� AS/
iv ''
Address: f
15 75 6CAlt
Date Called:
Special Instructions:
,, rte, 1
7tYr. t. GF lJ 1 tOA
Date Wanted:
i'./Z4
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
r
Inspector:
Date:
fl(2-
REINSPECTION
FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Catt to schedule reinspection.
GLOBAL SECURITY & COMM I
Horne Espanol Contact
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A -"Z Index Help elp Myr 1,&1
Safety & Health Claims & Insurance Workplace Rights Trade & Licensing
A Washington State Department of
`% Labor & Industries
GLOBAL SECURITY & COMM INC
Owner or tradesperson
Principals
GOMEZ, ANTHONY J
GOMEZ, ANNETTE R
GOMEZ, ANNETTE R, AGENT
Doing business as
GLOBAL SECURITY & COMM INC
WA 1.181 No.
601 064 089
3212 Main ST
VANCOUVER, WA 98663
360-693-1900
CLARK County
Business type
Corporation
Governing persons
ANTHONY
J
GOMEZ
ANNETTE GOMEZ;
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
HVAC/RFRG
License no.
GLOBASCO3OLR
Effective — expiration
06/19/1997— 06/19/2019
Designated administrator
GOMEZ, ANTHONY J........
Active.
Meets current requirements.
License type License no.
Electrical Administrator GOMEZAJ077NM
Bond
...............
OLD REPUBLIC SURETY CO
Bond account no.
YLI234014
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
$4,000.00
Effective date
06/16/1997
Expiration date
Until Canceled
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GLOBAL SECURITY & COMM INC
ESTBS00573 / Satisfied
Issue date / RCW/WAC
09/02/2016 19.28.101 RCW
Violation city Violation amount
VANCOUVER $250.00
Type of violation
ELECTRICAL CITATION
Description
Class B eligible work - Failing to obtain an
electrical/telecommunications work permit, or
post a provisional electrical work permit, or
valid Class B label prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-901.
Infraction no.
EROBA00984
Issue date
08/02/2016
Violation city
VANCOUVER
Type of violation
ELECTRICAL CITATION
Description
Class B eligible,,vork - Failing to obtain an
electrical/telecommunications work permit, or
post a provisional electrical work permit, or
valid Class B late! 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
$100.00
(:)
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
825,764-01
................................
Doing business as
GLOBAL SECURITY & COMMUNICATIO
Estimated workers ,eported
Quarter 3 of Year 2 017 "31 to 50 Workers"
L&I account contact
T3 / NATHAN KOZAK (360)902-6243 - Email: KOZN235@Ini.wa.gov
Account is current.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
........................................................
No strikes have b:'en issued against this contractor.
Contractors not a;:owed to bid
..................................._....._.............._........_.................
No debarments hove 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
06/29/2017 Violations
Inspection no.
317944435
Location
3212 Main St
Vancouver, WA 18663
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