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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