HomeMy WebLinkAboutPermit EL18-0796 - ANDERSEN CONSTRUCTION - FIRE ALARM SYSTEM, ADD 20 DEVICESANDERSEN CONSTRUCTION
712 INDUSTRY DR
ELI 8-0796
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
2523049008
712 INDUSTRY DR
ELECTRICAL OTC PERMIT
Project Name: ANDERSEN CONSTRUCTION
Permit Number: EL18-0796
Issue Date: 9/18/2018
Permit Expires On: 3/17/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
BKM ANDOVER 118 LLC
PO BOX 13287 , NEWPORT BEACH,
WA, 92658
DESIREE FORQUIGNON
1743 1ST AVE S , SEATTLE, WA, 98134
GUARDIAN SECURITY SYSTEMS INC
1743 FIRST AVE 5 , SEATTLE, WA,
98134
GUARDSS233K5
Phone: (206) 678-3846
Phone: (206) 622-6545
Expiration Date: 9/30/2018
DESCRIPTION OF WORK:
FIRE ALARM SYSTEM, ADDING (20) DEVICES
Valuation of single family: $0.00
Valuation of mf/comm: $500.00
Type of Work: FIRE ALARM
Fees Collected: $85.94
Electrical Service Provided by: PUGET 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:
2017
2017
2017
2015
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 permit and agree to the conditions attached to this permit.
Date: 41(81(v
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
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. W u / C1
P
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
Site Address: `\. V(Y U * (��
Tenant Name:-).\t4zg
PROPERTY OWNER
Company Name:auctc M C S
7we
Name `
r '�� n r, vbsk
-jt,
City: 04.4 State:`, ,k Zip:( t 4
Namel y/A1 I�
Contreg Nooj1,^"„ex p Date`)['
, e ^ k, D A
VIL l` V
?
Address`:\ 11 — , ,� 0
`[�1
Email:
atoCaliCtAIvQc unrdls) t er u( isiu . t\ t7e(\
City tel WAR
State:
Y V Zip:
l A
CONTACT PERSON — person receiving all project
communication
Company Name:auctc M C S
7we
Name `
r '�� n r, vbsk
-jt,
City: 04.4 State:`, ,k Zip:( t 4
Address: ,i`C,` 1\
Contreg Nooj1,^"„ex p Date`)['
City: Lp State: v'\4\ Zip
JCV
?
�Phone Vex:
Email:
atoCaliCtAIvQc unrdls) t er u( isiu . t\ t7e(\
King Co Assessor's Tax No.:''OV t W
Suite Number: Floor:
New Tenant: 12& Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:auctc M C S
7we
Address: t�t t 2G6a`
` s
City: 04.4 State:`, ,k Zip:( t 4
Phone , T1s :4..w:fax:
Contreg Nooj1,^"„ex p Date`)['
Tukwila Business License No.;nos5lt
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
6tm��iF7
cAcv rC\ 5upkim i XklSk x)a-
Will service be altered? ❑ Yes [X No Adding more than 50 amps? ❑ Yes ''C No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served bv:
Stk Puget Sound Energy 0 Seattle City Light
W:1Pennit Center Applications-Handouts\Pennit Appliatiom PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 1of2
RESIDENTIAL
NEW RESIDENTL4L SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
S155.91
$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.
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 CONTRACTOR:
Signature:Dik
Date: Q'l�l1v
Print Name: \Vi� Q�. e4pktJ Day Telephone 3 j) Ql�
Mailing Address: 11 , / \ve - WA. DM314
City State Zip
WAPormit CenterWplicnietn-HuncinatAPermit Appliutions\PUFs\EIoGric l Permit Application Revised 1-1-17.docx
Revised: iinuary 2017
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT
QUANTITY
I
PAID
$85.94
EL18-0796 Address: 712 INDUSTRY DR
Apn: 2523049008
$85.94
Credit Card Fee
$2.50
Credit Card Fee
R000.369.908.00.00
0.00
I
$2.50
ELECTRICAL "
$79.47
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
I
$79.47
TECHNOLOGY FEE
$3.97
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15419
R000.322.900.04.00 0.00
$3.97
$85.94
Date Paid: Tuesday, September 18, 2018
Paid By: DESIREE FORQUIGNON
Pay Method: CREDIT CARD 640122
Printed: Tuesday, September 18, 2018 12:54 PM 1 of 1
SYSTEMS
Page 1 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 09/18/2018 12:54:01 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********3607 K
TRAN AMOUNT: $85.94
APPROVAL CD: 640122
RECORD #: 000
CLERK ID: Rachelle
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod—printTra... 9/18/2018
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 09/18/2018 12:54:01 PM
CREDIT CARD SALE
VISA
CARD NUMBER:
TRAN AMOUNT:
APPROVAL CD:
RECORD #:
CLERK ID:
**********3607
$85.94
640122
000
Rachelle
Thank you!
Customer Copy
K
Page 2 of 2
https ://clas sic. convergepay.comN irtualMerchant/transaction. do?di spatchMethod=printTra... 9/18/2018
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
tr`gge'
PERIAIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Project: i , -r—
( •
Type of Inspection: 0/ r
1-1/1/4;
Address:
*7(2- (fJ5rP1
Date Called:
Special Instructions:
bctoc 5 ri-4
rtk '
Date Wanted:
..,.,
P.'S. -
Requester: r.,
"ALA
o .
Phone No.
710‘; cg 717?
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
D
Inspector:
Date: 1 2_
r- REINSPECTIOI FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
IA Of)) t EV /(c -s -f 6
INSPECTION RECORD
_I 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
Project
/41".4.4jI
Type of I pe ion:
Address:
7i 4-`1,(A. r -f'
f),
Date Called:
Special Instructions:
F. A .
Date Wanted: a.m.
p.m.
Requester:
Phone No:
RIApproved per applicable codes. OCorrections required prior to approval.
COMMENTS:
Inspecto
Date:
IT REIN ECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
GUARDIAN SECURITY SYSTEMC
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Safety & Health Claims & Insurance Workplace Rights
CWashington State Department of
O Labor & Industries
GUARDIAN SECURITY SYSTEMS INC
Owner or tradesperson
Principals
CLOSE, FRANK A, PRESIDENT
DWTR&J CORP, AGENT
DUNHAM, JOHN R
(End: 11/03/2016)
Doing business as
GUARDIAN SECURITY SYSTEMS [NC
WA UBI No.
600 189 667
1743 1ST AVE S
SEATTLE, WA 98134
206-622-6545
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
LIMITED ENERGY
HVAC/RFRG
License no.
GUARDSS233K5
Effective — expiration
05/25/1977— 09/30/2020
Designated administrator
CLOSE, FRANK A
Active.
Meets current requirements.
License type License no.
Master Electrician CLOSEF'9730H
Bond
HARTFORD FIRE INS CO
Bond account no.
72BSBFT5007
$4,000.00
Received by L&I Effective date
06/18/2010 06/11/2010
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EZINS00499
Issue date
05/24/2018
Satisfied
RCW/WAC
19.28.271 RCW
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GUARDIAN SECURITY SYSTEMS INC
Violation city Violation amount
SEATTLE $250.00
Type of violation
ELECTRICAL CITATION
Description
Employing an Individual for the purposes of
chapter 19.28 RCW who does not possess a
valid certificate of competency or training
certificate to do electrical work. Employing
uncertified trainee Tristan Palmer
Infraction no.
ECHAP01949
Issue date
05/11/2017
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to request an inspection within 3
business days after completion of the
installation or 1 business day after energizing,
whichever occurs first as referenced in WAC
296-46B-901.
Infraction no.
ETUCP00413
Issue date
04/07/2017
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Offering, bidding, advertising, or performing
electrical installations, alterations or
maintenance outside the scope of the firm's
specialty electrical contractors license.
Infraction no.
ENASE00559
Issue date
10/16/2013
Violation city
Seattle
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.
ENASE00558
Issue date
10/14/2013
Violation city
Seattle
Type of violation
ELECTRICAL CITATION
Description
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.041 RCW
Violation amount
$500.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCWNVAC
19.28.101 RCW
Violation amount
$100.00
Page 2 of 4
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GUARDIAN SECURITY SYSTEM6NC
Class El eligible work - The Class B work
permit is not valid as referenced in WAC 296-
4613-901 and WAC 296-4613-908.
Infraction no.
ESTRL01100
Issue date
01/31/2013
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain an inspection. 4 - EWP
1954453E, 2007673E, 2020094E, 2047825E.
Infraction no.
ECHAE00947
Issue date
11/26/2012
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-466-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901.
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$500.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has multiple workers' comp accounts.
Active accounts
L&I Account ID
881,141-00
Doing business as
GUARDIAN SECURITY SYSTEMS INC
Estimated workers reported
Quarter 2 of Year 2018 "Greater than 100 Workers"
L&I account contact
T4 / TERRI MADISON (360)902-4654 - Email: KIRT235@lni.wa.gov
Track this contractor 0
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 been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
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GUARDIAN SECURITY SYSTEINC
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