HomeMy WebLinkAboutPermit EL18-0800 - LOZANO IMMIGRATION - INSTALL NEW FIRE ALARM NOTIFICATION DEVICELOZANO IMMIGRATION
16400 SOUTHCENTER PKWY
ELI 8-0800
Parcel No:
Address:
City of Tukwila
��
Department
-,-----_'^_-'_-,---'
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206'431'3670
Inspection Request Line: 206'438'9350
Web site: httn://mmxvx.Tukvxi|aVVA.nox
ELECTRICAL OTC PERMIT
2623049021
16400 SOUTHCENTER PKWY
Project Name: LOZANO IMMIGRATION
Permit Number: EL18'0800
Issue Date: 9/19/2018
Permit Expires On: 3/18/2019
Owner:
Name:
RADOVICH PROPERTIES LLC
Address: 2B3582NDAVE 3[5TE5I,MERCER
ISLAND, WA, 98040
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
MATT CARLMAN
2O6FRONTAGE RDN'SUITE C'
PACIFIC, WA, 98047
FIRE SYSTEMS WEST INC (ELECTRICAL
206 FRONTAGE RD N 'SUITE[,
PACIFIC, WA, 98047
F|KE5VV|V5S0V
'''
Phone: (253) 951-6005
Phone: (253) 833-1248
Expiration Date: 0/16/2019
DESCRIPTION OF WORK:
INSTALL NEW FIRE ALARM NOTIFICATION DEVICE FOR TI
Valuation of single family: $0l0
Valuation of mf/comm: $1,500l0
Type of Work: FIRE ALARM
Fees Collected: $130.83
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopteby the City of Tukwila:
laternational Building Code Edition:
International Resideritial Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signatu
2015
2015
2015
2015
2015
National Etectrical Code:
WA Cities ElectricaCode:
WAC 296-46B:
2017WA State Energy Code:
2017
2017
2015
raw
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 regulati onstruction or the performance of work. I am authorized to sign and obtain this
development permit d ee to the conditions attached to this permit.
Signature: Date: VA' /7
11 &I& At/
Print Name:
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 and the Washington Cities Electrical Code.
S: 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 /00
Tukwila, W9 98188
http://www.TukwilaWA.gov
Electrical Permit Na.
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:
16400 Southcenter Parkway
King Co Assessor's Tax No.: 262304-9021
Suite Number:___
New Tenant:
Tenant Name: -t-i c ^)
PROPERTY OWNER
Name: Matt Carlman
Name:
Radovich Properties LLC
Phone: (253) 833-1248 Fax:
Address:
Tukwila Business License No,; BUS -0994434
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Matt Carlman
Address: 206 Frontage Rd N, Suite -C
City: Pacific State: WA Zip: 98047
Phone: (253) 833-1248 Fax:
Email: mattc@firesystemswest.com
® Yes
3rd
❑..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: 06/30/2019
Tukwila Business License No,; BUS -0994434
Valuation of Project (contractor's bid price): $ 1,500
Scope of Work (please provide detailed information):
Install new Fire Alarm Notification Device for Tenant Improvement.
Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes ® No
Type of Use:
Type of work:
❑ New 0 Addition ❑ Service Change 0 Remodel 0 Tenant Improvement
O Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
• Puget Sound Energy ❑ Seattle City Light
W \Permit Cenler1Appl;talions-Handouls1Perrnil Applications \PDFs\Electrical Pernu\ Application Revised 1.1.17.doca
Revised. Januar} 2017
bh
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
O 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: ✓� Date: 09/19/2018
Print Name: Matt Carlman Day Telephone: (253) 951-6005
Mailing Address: 206 Frontage Rd N, Suite -C, Pacific, WA 98047
W:\Permit Center\Applicali
Revised' January 2017
bh
P Applications\PDF'stEiectrical Permit Application Re}iscd t-1-17.docc
City
State Zip
Page 2 of 2
Page 1 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 09/19/2018 12:58:42 PM
VISA
CARD NUMBER:
TRAN AMOUNT:
APPROVAL CD:
RECORD #:
CLERK ID:
X
CREDIT CARD SALE
**********4256 K
$130.83
05249D
000
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.comNirtualMerchant/transaction.do?dispatchMethod=printTra... 9/19/2018
Page 2 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 09/19/2018 12:58:42 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********4256 K
TRAN AMOUNT: $130.83
APPROVAL CD: 05249D
RECORD #: 000
CLERK ID: Rachelle
Thank you!
Customer Copy
https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTra... 9/19/2018
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY I
PAID
$130.83
EL18-0800 Address: 16400 SOUTHCENTER PKWY Apn: 2623049021
$130.83
Credit Card Fee
$3.81
Credit Card Fee
R000.369.908.00.00
I
0.00
$3.81
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
1
R000.322.101.00.00
I
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15431
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Wednesday, September 19, 2018
Paid By: MATT CARLMAN
Pay Method: CREDIT CARD 05249D
Printed: Wednesday, September 19, 2018 12:59 1 of 1
PM
SYSTEMS
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 -
Permit Inspection Request Line (206) 438-9350
6-18-dou
Project:te,.444 jo
Type of Inspection:
,
Address:
kV() SC,- fl
Date Called:
Special lnstr dons: J
Date Wanted:
f
C2
a.
•m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter OK'd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
Project: L02.441117
0
Type of Inspection:
Oqbta- (A/
Address :(1
PT
Date Called:
Special Instructions:
F (k-
Date Wanted:
a.m.
P.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
VI
Inspector:
-Nirg
Date:
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
0 Washington State Department of
Labor & Industries
Home Espanol Contact
Safety & Health Claims & Insurance
[Search L&I
A-7, Index 1 ICIE) My
Page 1 of 4
SFARCH
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
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.
Active.
Meets current requirements.
License no.
HILFIB*972P8
$4,000.00
Help us improve
httos://secure.lni.wa.gov/verify/Detail.aspx?UBI=600602737&LIC=FIRESWI055LW&SAW= 9/19/2018
FIRE SYSTEMS WEST INC
137864642
oink
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.
Infraction no.
ELE0000201
Issue date
01/29/2016
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.
Infraction no.
EJOJP00326
Issue date
01/02/2015
Violation city
PACIFIC
Type of violation
ELECTRICAL CITATION
Description
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
Satisfied
....._........._.......
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
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= 9/19/2018
FIRE SYSTEMS WEST INC
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901.
Infraction no.
ERIR000586 Satisfied
Issue date RCW/WAC
10/28/2013 19.28.101 RCW
Violation city Violation amount
PACIFIC $250.00
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.
ERIR000584
Issue date
10/28/2013
Violation city
PACIFIC
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
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.
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
0
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
502,338-00
Doing business as
FIRE SYSTEMS WEST
Estimated workers reported
Quarter 2 of Year 2018 "Greater than 100 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 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.
Page 3 of 4
kielp-us-improue
https://secure.lni.wa.gov/verify/Detail.aspx?USI=600602737&LIC=FIRESWI055LW&SAW= 9/19/2018
FIRE SYSTEMS WEST INC
Washington State Dept. of Labor & Industries. Use of this:,subject to the laws of the state of Washington.
f"1
Page 4 of 4
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600602737&LIC=FIRESWI055LW&SAW= 9/19/2018