HomeMy WebLinkAboutPermit EL19-0172 - PROLIANCE BONE & JOINT URGENT - INTRUSION AND ACCESS CONTROL SYSTEMPROLIANCE BONE & JOINT
URGENT CARE
150 ANDOVER PARK W
EXPIRED
08/24/2019
ELI9-0172
Parcel No:
Project Name:
~^ xx "" Tukwila
v U~n v n v m" Una
Department mfCommunity Development
63OOSouthxenmerBoulevard, Suite #1V0
Tukwila .Washington 9O1D8
Phwne:%06'431'367n
Inspection Request Line: 206'438'935V
Web site: http://www.TukwilaWA.Rov
0223100010
15OANDOVERPARK VV
ELECTRICAL OTC PERMIT
PernnitNunnben .EL19'0172
Issue Date:
Permit Expires On:
PROLIANCE BONE & JOINT URGENT CARE
2/]5/ZUl9
8/24/20l9
Owner:
Contact Person:
Name:
OPEN FRAPNEiL[
92]PUVVELLAVE 5VV5TE101C/O ]SH
PROPERTIES INC, RENTON, WA, 98057
JEREM|EFARKELL
Zl3l23ODKSE'SUITE 1O3'BOTHELL
WA, 98021
Contractor:
Nome: RED HAWK FIRE/SECURITY (CA)LL[
Address: Zz3lZJ0DRSE. SUITE lO3'8OTMELL
WA, 98021
License No: REDHAHF882NH
Lender:
'''
Phone: (206)458-9500
Phone: (425) 486-2E00
Expiration Date: 8/8/2020
DESCRIPTION DFWORK:
INSTALL INTRUCSION AND ACCESS CONTROL SYSTEM, TRIMMING OUT HEAD END
Valuation ofsingle family: $0.00
Valuation ofmf/comm: $21'426/0
TypeufVVnrk: LQVVV0LTxGE
Fees Collected: $534.07
Electrical Service Provided by: PUGETSOUND ENERGY
Water District: TUnVV|Lx
Sewer District: TUKVV|L4
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:
rized Signature:
ational Electrical Code:
VVACities Electrical Code:
VVACZ96-46U:
WA State Energy Code:
05 2121
05
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.
Signature:
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 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. EL-161
Project No,
Date Application Accepted:
Date Application Expires:
(For office use on(y)
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: ISO !‘"Ir\GtO
Tenant Name: WOkkanet
lc
King Co Assessor's Tax No,:
1-4-WACk Wte Number: Floor:
PROPERTY OWNER
Name:
Address: ?it)
Mad !so
City: seeottt
State:
A
Zip: % 04
CONTACT PERSON — person receiving all project
communication
Name: jacro te 0 i
Address:i-12 ?)ol-Y) Or SE SA-C, ID
City: p)otvi a k State: wific Zip: tim
Phone:10(e,i-Ift.11100 Fax:
Email:k cvcimi'c . -f--61 0'4 1 E: r-e6‘ V)OtOk LAS . C 1Y)
New Tenant:
Ei Yes 'fJ No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: KciA ,.
ty
Address:1-Oa '?:4:th W SV ik 1 0:3
i
City: State: Zip:
Phone:42s . ate Fax: 426. 41:6(p.vai I
Contr Reg No.: izeoomt4 pi 1.34 'p Date: 9)Ni jolo
Tukwila Business LicenseNo.;
(P0'1409iDS
Valuation of Project (contractor's bid price): $ at 4///7 •00
Scope of Work (please provide detailed information):
nc51711 I i DO 41 Pt-CCCS COM) -MSACTI) 'cOMY1111Wk \(at\
etYl.
Will service be altered? 1 1 Yes
Adding more than 50 amps? ri Yes IF1 No
Type of Use:
Type of work:
New 0 Addition El Service Change 0 Remodel 0 Tenant Improvement
11 Low Voltage 0 Generator 0 Fire Alarm 111 Telecommunication 0 Temporary Service
Property Served by:
Li Puget Sound Energy 0 Seattle City Light
W tPerrnit CentertApplications-Flandouts \ Permit ApplicationstPDFsiElectrical Permit Application Revised I- 7-19. does
Page I of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $180.00
(including an attached garage)
ID Garages, pools, spas and outbuildings $120.00 ea
Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
Li Service change or alteration $120,00
(no added/altered circuits)
Ej Service change with addecUaltered circuits...—. ....... .$100.00
number of added circuits $10.00 ea
Ej Circuits added/altered without service change $60.00
(up to 5 circuits)
EI Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
E] Meter/mast repair $80.00
Ei Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of thc electrical contract.
MISCELLANEOUS FEES
rj Temporary service (residential) $60.00
El Temporary service (generator) $90.00
El Manufactured/mobile home service $100,00
(excluding garage or outbuilding)
El Carnivals $100.00
Number of concessions .......... .... $1 1.00 ea
Each ride and generator truck $11.00 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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF VVASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT,
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Date:
Print Name: 1 v
okr(f,t
Mailing Address: i19)1 WI A)r \ 12)
Day Telephone:
'MA 102-1
City State Zip
WAPermit CenteMpplications-Handouts Perron ApplicationsTDResElectrical Permit Application Revised I 7- I 9.doex
Page 2 of 2
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
4.07
EL19-0172 Address: 150 ANDOVER PARK W
Apn: 0223100010
4.07
Credit Card Fee
$15.56
Credit Card Fee
R000369.9080000
0.00
$15.SG
ELECTRICAL4
. 2
PERMIT FEE MULTI-FAM/COMM
R000. 22.10 .00.00
0.00
$493.82
TECHNOLOGY FEE
$24.69
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R16967
R000.322.900.04.00
0.00
$24.69
$534.07
Date Paid: Monday, February 25, 2019
Paid By: JEREMY MUNSON
Pay Method: CREDIT CARD 089534
Printed: Monday, February 25, 2019 9:52 AM 1 of 1
YSTEMS
CO TUKWILA ETRAKIT
5200 SVUTHCENTER BLVD
TUKWILu, WA 98188
206-4]}'1870
[zTv OF TUnwILx
Date: 02/25/28I9 09:5I:39 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********6935 K
TR4N AMOUNT: $534.07
APPROVAL [o: 089534
RECORD #: 808
CLERK ID: Bill
Thank you!
Customer Copy
City of Tukwila
Department of Community Development
6/28/2019
JEREMIE FARRELL
21312 30 DR SE - SUITE 103
BOTHELL, WA 98021
RE: PermitNo. EL19-0172
PROLIANCE BONE & JOINT URGENT CARE
150 ANDOVER PARK W
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 8/24/2019.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 8/24/2019, your pet tit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
K ndace Nichols
Permit Technician
File No: EL19-0172
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
RED HAWK FIRE/SECURTY (C TLC
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RED HAWK FIRE/SECURTY (CA) LLC
Owner or tradesperson
Principals
FOLEY, MARK, PARTNER/MEMBER
SEAVERS, DEAN, PARTNER/MEMBER
SNYDER, MIKE, PARTNER/MEMBER
NATIONAL REGISTERED AGENTS
INC, AGENT
Doing business as
RED HAWK FIRE/SECURTY (CA) LLC
WA UBI No.
602 685 851
5100 Town Center Circle #350
BOCA RATON, FL 33486
425-486-2600
Business type
Limited Liability Company
Governing persons
SIAMAK
KATAL
JACK ISAACS;
INGRID E KATAL;
MARC T SERRIO;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
LIMITED ENERGY
License no.
REDHAHF882NH
Effective — expiration
08/08/2012— 08/08/2020
Designated administrator
CUNNINGHAM, JAMES M
License type
Electrical Administrator
Bond
International Fidelity Ins Co
Bond account no.
H0IFSU0540952
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
CUNNIJM206BZ
$4,000.00
Received by L&I Effective date
07/07/2014 06/27/2014
Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 6 year period.
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