HomeMy WebLinkAboutPermit EL18-0967 - COWLITZ TRIBAL HEALTH - LOW VOLTAGE ACCESS SYSTEMCOWLITZ TRIBAL HEALTH
6450 SOUTHCENTER BLVD
102
ELI 8-0967
Parcel No:
Address:
0
City of Tukwila
0
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
0003200011 Permit Number: EL18-0967
6450 SOUTHCENTER BLVD 102
Project Name: COWLITZ TRIBAL HEALTH
Issue Date: 11/8/2018
Permit Expires On: 5/7/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
COWLITZ INDIAN TRIBE
10955 9TH AVE STE D , LONGVIEW,
WA, 98632
SANDY STOKES
11509 STEELE ST 5 , TACOMA, WA,
98444
GLOBAL SECURITY & COMM INC
3212 MAIN ST, VANCOUVER, WA,
98663
GLOBASCO3OLR
/II
Phone: (253) 539-6860
Phone: (360) 693-1900
Expiration Date: 6/19/2019
DESCRIPTION OF WORK:
LOW VOLTAGE ACCESS SYSTEM
Valuation of single family: $0.00
Valuation of mf/comm: $6,700.00
Type of Work: LOW VOLTAGE
Fees Collected: $234.22
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
|heahy certify that 1 have read and examined this permit and know the same to be true and correct. All
provisions of Iaw and ordinances governing this workwill be complied withwhether 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.
Signature:
Print Name:
D— �e
Date:
This permit shall become null and void if the woris not commenced within 180 days for the date of issuanceor if
the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELERICAL PERMIT CONDITIONS***
2: A copy of theeIectrical work permit shall be posted or otherwise made readily accessible to the Electrical
lnspector 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.
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: (2U6)4B8'935¢
2100 ELECTRICAL FINAL
7003 ROUGH'|NEB[TR|[AL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWIT
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Per9it No. EL1- 61(01 --
Project No.
Date Application Accepted: I - _
Date Application Expires: 5- ")- 1 61
(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
King Co Assessor's Tax No.: 000320001100
Site Address: 6450 Southcenter Blvd
Tenant Name: Cowlitz Tribal Health
Suite Number: 102 Floor:
PROPERTY OWNER
Name: Sandy Stokes / Global Security
Address: 11509 Steele St S
Name: Cowlitz Indian Tribe
City: Tacoma State: WA
Zip: 98444
Address: 6450 Southcenter Blvd #102
539-5086
Email: sandys@global4security.com
City: Tukwila State: WA
Zip: 7
98188
CONTACT PERSON — person receiving all project
communication
Name: Sandy Stokes / Global Security
Address: 11509 Steele St S
City: Vancouver State: WA Zip: 98663
City: Tacoma State: WA
Zip: 98444
Phone: (253) 539-6860 Fax: (253)
539-5086
Email: sandys@global4security.com
New Tenant: Lill Yes
1
..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Global Security
Address: 3212 Main Street
City: Vancouver State: WA Zip: 98663
Phone: (253) 539-6860 Fax: (253) 539-5086
Contr Reg No.: GLOBASCO3OLIExp Date: 06/19/2019
Tukwila Business License No.; BUS -0994455
Valuation of Project (contractor's bid price): $ 6,700
Scope of Work (please provide detailed information): Low Voltage Access System
Will service be altered? 0 Yes IJ No Adding more than 50 amps? ED Yes IJ No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
ia Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
0 Puget Sound Energy Seattle City Light
WAPermit Center\Applications-Handouts \Permit Applications\PDFsTlectrical Permit Application Revised 1-1-17.doex
Revised: January 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
O Temporary service (residential) $66.30
O 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: •
Print Name: Sandy Stokes
Date: `\— EY- I___)
Day Telephone: (253) 539-6860
Mailing Address: 11509 Steele St S Tacoma, WA 98444
W:\Pennil Center \Appliulioi s -H
Revised: January 2017
bh
it Applications \PDFs\Electrical Permit Applical ion Revised 1-I-17.docx
City
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT QUANTITY
PAID
34.22
EL18-0967 Address: 6450 SOUTHCENTER BLVD 102 Apn: 0003200011
$234.22
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$223.07
$223.07
TECHNOLOGY FEE
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15794
R000.322.900.04.00
0.00
$234.22
Date Paid: Thursday, November 08, 2018
Paid By: GLOBAL SECURITY
Pay Method: CHECK 1118
Printed: Thursday, November 08, 2018 10:18 AM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
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: I
O NAJH 'T2
Type of Inspection:
6 ,
,
Address:
Date Called:
._.._
Special Instructions:
/ k/...r*)'5
‘i ACC"C"
Date Wanted:
.m.
Requester:
ft
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
41,
Inspector:
Date:
I REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
GLOBAL SECURITY & COMM t5
HoMC Espanol Contact:
Safety & Health
Washington State Department of
)Labor & Industries
Claims & Insurance
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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 UBI 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
License type
Electrical Administrator
Bond
OLD REPUBLIC SURETY CO
Bond account no.
YLI234014
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
Active.
Meets current requirements.
License no.
GOMEZAJ077NM
$4,000.00
Effective date
06/16/1997
Expiration date
Until Canceled
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