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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 [Search L&I A -Z Index Help Page 1 of 3 SEARCH ' My L&1 Workplace Rights Trades & Licensing 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 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601064089&LIC=GLOBASCO3OLR&SAW= 11/8/2018