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Home My WebLink AboutPermit EL19-0193 - EMBASSY SUITES - REPLACE FIRE ALARM SYSTEMSEMBASSY SUITES 15920 WEST VALLEY HWY ELI 9-0193 Department mfCommunity Development Inspection Request Line: 3n6-438-93SO Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 0005800024 Permit Number: EL19'0I93 15920 WEST VALLEY HWY Issue Date: 3/4/2019 Permit Expires On: 8/31/2019 Owner: Name: Contact Person: Name: Contractor: Name: License No: Lender: Address: SEATAC HOTEL OWNER LLC 360VVHU88ARDSTST[#250' KAT|O'RBR 22645 83RDAVE S' 8LDG D, KEN[ NA,9803Z NORTHWEST FIRE SYSTEMS LLC 78lSSl8OST^KENT,WA, 98O3Z Phone: (206)772-7BD2 Expiration Date: 8/10/2019 DESCRIPTION OF WORK: REPLACING FIRE ALARM SYSTEMS WITH LIKE FOR LIKE COMPONENTS. NO ADDED, DELETION OR RELOCATED DEVICES, THIS |5|K4CONJUNCTION WITH FIRE ALARM PERMIT #l8.F.O05.THIS LIVE PERMIT REPLACES ELl8-0295 WHICH EXPIRED. Valuation ofsingle family: $0.00 Valuation ofmVtnmm: $65'99810 Fees Collected: $1,307.84 Electrical Service Provided by: PU6ETSOUND ENERGY Water District: TUKVV|Lx Current Codes adopted bythe City ofTukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: National Electrical Code: WACities Electrical Code: VVA[Z9646B: VVAState Energy Code: uthorized Signature: Y Date: 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 pe mit and gree to the conditions attached to this permit. Signature: Date: -3— Print Name: g 1 C(� CSSNf,eAe - 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. 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: (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. / 6113 Project No. Date Application Accepted: —14 I 0 1 Date Application ExpireX: (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 OCAT ON King Co Assessor's Tax No.: 01M5 (13) 31 Site Address: 51 D.e) vitst vat leAi 1-1 . Suite Number: 0-1A. Floor: 0A4 Tenant Name: C- YYN‘OCI-Li PROPERTY OWNER Name: S e ck-Tit_ t, 10.1-e- i DtAantAr Lt—e.... Address: 3so w ti.v4"400,A4A City:Zip:,4)1,4 thzuvlsv, State: La) CONTACT PERSON — person receiving all project communication Name: K 01,4-1,vj tr*.t., Ai Address: 2. a t., 4 5 S3yek. Aye., S eAdiw D City: iK, ,,,,i_ State: Zipi tu-6 x Phone: t-3.--3), ..-3...e)0,.... Fax: 0_06, -3.-3.1 - --3. co Di4, Email: vs, New Tenant: 0 Yes (KJ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Norftwit5i.- ,g re 1.01,\ 61-r,"A5 1.3--C. Address: ?:•?.. 6 45 ,:i 54 Avg S gt,c6, c City: v1/44.. State: N i A W 11— Zip:4 go32 Phone: utp q.--t,a .75D a, Fax: Contr Reg No.: NI 0 cz. rti F.5 rtst4.3.Exp Date: 5s . i 0 . a019 Tukwila Business License No.; B It 5. 0 ctem 0-4.8 Valuation of Project (contractor's bid price): $ 511'6' " Scope of Work (please provide detailed information): iltplatin.4Vadym. Lzict rth, vite„ actAt.d.., Ae-leA-i INN rat; c.A.ktA cimei CAA . rte.ttilm. -Arc o-tekinv._ V- li.P• 0 (i5. LVE p-tArg • oaoi 6 expired • Will service be altered? Yes 13 No Adding more than 50 amps? 1J Yes Ea No Type °Rise: •-.N1C— 0-120(1•6 -(f rye Art.AArl • Type of work: 0 New 0 Addition El Service Change 0 Remodel Er Tenant Improvement Er Low Voltage El Generator Er Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Zi Puget Sound Energy El Seattle City Light Wild'erm it CenterkApplications-Handouts Permit Applications \PDFAElectrical Permit Application Revised 1 -17- 19.docx Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings (including an attached garage) O Garages, pools, spas and outbuildings Low voltage systems (alarm) $180.00 $120.00 ea $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES 0 Service change or alteration $120.00 (no added/altered circuits) • Service change with added/altered circuits $100,00 number of added circuits $10.00 ea o Circuits added/altered without service change $60,00 (up to 5 circuits) o Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea 0 Meter/mast repair $80.00 O Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $60.00 o Temporary service (generator) $90.00 o Manufactured/mobile home service $100.00 (excluding garage or outbuilding) o Carnivals . .$100.00 Number of concessions $11.00 ea Each ride and generator truck $11.00 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT AffileD- 71%,,ais,g1s 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 WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT, BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: ti<A4.6,.: crka-c‘h..0 re print Name: 14... ft.; OO—r- FOY NJ OYAn.v...1 S•tii 14%, s. Mailing Address: 645 73rd_ Ave- S f61616 D. Date: 03.64401f Day Telephone: 201, q7.a '/"S 0 efs-D3 City ip State Z WAPermit Center \Applient ions -Handouts \ Pormit A rzpl icat ions \PDFs \Electrical Permit Application Revised 1-17-19.donx Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $1,307.84 EL19-0193 Address: 15920 WEST VALLEY H Y Apn: 0005800024 $1,307,84 Credit Card Fee $38.09 Credit Card Fee ROO .369.908.00.00 0.00 $38.09 ELECTRICAL $1,209.29 PERMIT FEEMULTI-FA COMM R000.322.101.00.00 0.00 $1,209.29 TECHNOLOGY FEE $60.46 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17063 R000,322.900.04.00 0.00 $60.46 $1,307.84 Date Paid: Monday, March 04, 2019 Paid By: BRIAN BROSSMAN Pay Method: CREDIT CARD 07854G Printed: Monday, March 04, 2019 11:33 AM 1 of 1 SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 03/04/2019 11:33:15 AM CREDIT CARD SALE VISA CARD NUMBER: **********1181 K TRAN AMOUNT: $1,307.84 APPROVAL CD: 07854G RECORD #: 000 CLERK ID: jazzel X {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 CO TUKWILA ETnuKIT 6200 5OUTH[ENTER BLVD TVKWIL4, WA 98188 206'433'1870 CITY OF TUKWIL4 Date: 83/04/2019 11:33:15 AM [ncozT CARD sxLF VISA CARD NUMBER: % TRAw AMOUNT: $1'307.84 APPROVAL [D: 07854G RECORD #: 808 CLERK ID: 1azzel Thank you! Customer Copy INSPECTION NO. INSPECTION RECORD Retain a copy with permit P R IT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 6 Permit Inspection Request Line (206) 438-9350 Project: 'Type of n pe ion: Address: Date Called: 5pecia1 n u n : Date Wanted: . . . Phone No: 47L,- 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: n pec Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Cali to schedule reinspection. c 0 I twine Contact Safety & Health Claims & Insurance Ck Washington State Department of O Labor & industries 'Search L&I A-Z Index liclp My I.&I Workplace Rights Trades & Licensing NORTHWEST FIRE SYSTEMS LLC Owner or tradesperson Principals Potter, Mary M, PARTNER/MEMBER Potter, Clark III, PARTNER/MEMBER Potter, Mary M, AGENT Doing business as NORTHWEST FIRE SYSTEMS LLC WA UBI No 602 799 167 22645 83rd AVE S Bldg D KENT, WA 98032 206-772-7502 KING County Business type Limited Liability Company Governing persons MARY MARIE POTTER CLARK POTTER III; 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 License no. NORTHFS875MJ Effective — expiration 07/11/2013— 08/10/2019 Designated administrator Sheldon, Joseph A Active. Meets current requirements. License type License no. Electrical Administrator SHELDJA867QL Bond Merchants Bonding Co (Mutual) Bond account no. WA5131410 $4,000.00 Received by L&I Effective date 07/02/2018 06/2012018 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Workers' comp Help us improve /446N ("1 Do you know if the business has employees? If rriverify the business is up-to-date on workerscomp premiums. This company has multiple workers' comp accounts. Active accounts L&I Account ID 874,868-01 Account is current. Doing business as NORTHWEST FIRE SYSTEMS LLC Estimated workers reported Quarter 4 of Year 2018 "51 to 75 Workers" L&I account contact T5 1 MELISSA VEST (360)902-5613 - Email: VESM235@lni.wa.gov Track this contractor 9 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. iff Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the stale of Washington. Help us improve