HomeMy WebLinkAboutPermit EL19-0325 - MAINSPRING - INSTALL NEW FIRE ALARM NOTIFICATION DEVICES.MAINSPRING HEALTH
6840 FORT DENT WAY 160
ELI 9-0325
Parcel No:
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Department ufCommunity Development
63OVSouthcenterBoulevard, Suite #1o0
Tukwila, Washington 9B1,8Q
Phune:ZU6-431'367O
Inspection Request Line: 206'438'9350
Web site: http://www.TtikwilaWA.gov
ELECTRICAL OTC PERMIT
2954900425
6840 FORT DENT WAY 160
Project Name: MAINSPRING
Permit Number: EL19'0325
Issue Date: 4/15/2019
Permit Expires On: 10/12/2019
Owner:
Contact Person:
28J582NDAV5E#S-1,MERCER
ISLAND, WA, 98040
MATT CARLMAN
Address: 2O6FRONTAGE RDN SUITE C'
PACIFIC, WA, 98047
Contractor:
Address: ZO6FRONTAGE RDN
PACIFIC, WA, 98047
License No: FIRESWI055LW
Lender:
Address:
'^'
FIRE SYSTEMS WEST INC (ELECTRICAL)
5UKE['
Phone: (253)833'1248
Phone: (253)8]3-1248
Expiration Date: 6/16/2019
DESCRIPTION OrWORK:
INSTALL NEW FIRE ALARM NOTIFICATION DEVICES.
Valuation ofsingle family: $lUO
Valuation ofmVtnnnm: $1'500.00
Type ofWork: FIRE ALARM
Fees Collected: $130�83
Electrical Service Provided by: PUGETSOUND ENERGY
Water District: TUKYV|LA
Sewer District: TUKWILA
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:
ized Sign
National Electrical Code:
VVACities Electrical Code:
vVA[Z90-4613:
vVAState Energy Code:
2017
2017
2017
2015
05 21
05 21
���
Date: V~/s ' /
|heorbycertify that I have read and examined this permit and know the same to be true and correct. All
provisions oflaw and ordinances governing this work will becomplied with, whether specified herein nrnot.
The granting ofthis permit does not presume tngive authority 10violate orcancel the provisions ofany other
state nrlocal laws regulating c9ptructionorthe performance ufwork, |amauthorized tnsign and obtain this
development permit anogr
yyto the conditions attached to this permit.
Print Name:
'r�v1 ^'4°.,44414 f
Date:
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 orabandoned for aperiod ofl8Udays from the last inspection.
PERMIT CONDITIONS:
l: 'ELECTRICAL PERMIT CONDITIONS'
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector ateach 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 beinaccordance with NFPA7O NEC, and requirements for electrical installations,
Chapter 296'46MYVA[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 orrelated
documentation that presumes togrant 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 tnthe plans and additional review may be
required.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (2V6)43O-93S0
2I00 ELECTRICAL FINAL
7003 RDUGH'|NELECTR|[AL
7002 SERVICE
7001 UNDERGROUND/SLAB
11
0
Ale
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
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 LOCATIO]
Site Address: 6840 Fort Dent Way
Tenant Name: MAINSPRING
King Co Assessor's Tax No.: 295490-0425
Suite Number: 160 Floor: 1st
New Tenant: J Yes
PROPERTY OWNER
Name: JCR
Address: 2835 82nd Ave SE, S-1
City: Mercer Island State:
WA
Zip: 98040
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
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 Devices.
Will service be altered? 0 Yes 0 No Adding more than 50 amps? El Yes 0 No
Type of Use:
Type of work:
▪ New E Addition 0 Service Change 0 Remodel 0 Tenant Improvement
✓ Low Voltage E Generator V Fire Alarm 0 Telecommunication E] Temporary Service
Property Served by:
✓ Puget Sound Energy II Seattle City Light
WAPennit Center \ Applications -Handouts Perrnit Applications \ PDFsTlectrical Permit Application Revised 1-1.17.docx
Revised: January 2017
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
o New single family dwellings
(including an attached garage)
O Garages, pools, spas and outbuildings
El Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
E] Service change or alteration $83.54
(no added/altered circuits)
El Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
El Circuits added/altered without service change $55.69
(up to 5 circuits)
El Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
E1 Meter/mast repair $69.62
El Low voltage systems $61.05
(alann, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
0 Temporary service (residential) $66.30
1:1 Temporary service (generator) $82.52
El Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
111 Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
***EFFECTIVE JANUARY I, 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 ELEC RICAL CONTRACTOR:
04/15/2019
Signature: Date:
Print Name: Matt Ca lman Day Telephone: (253) 951-6005
206 Frontage Rd N, Suite-C, Pacific, WA 98047
Mailing Address:
City
WAPermit Center\ Applicalions-Handouts Pennit Applications \PDFsTlectrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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State Zip
Page 2 of 2
DESCRIPTIONS
ACCOUNT
QUANTITY
PAID
PermitTRAK
83
EL19-0325 Address: 6840 FORT DENT WAY 160
Apn: 2954900425
0.83
Credit Card Fee
$3.81
Credit Card Fee
R000. 69.908,00 00
0 00
$3.81
ELECTRICAL
$120.97
PERMIT FEE ULTI-FAM/COMM
R000 32 10 .00 00
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17406
R000 322,900 04.00
0.00
$6.05
$130.83
Date Paid: Monday, April 15, 2019
Paid By: MATT CARLMAN
Pay Method: CREDIT CARD 06177D
Printed: Monday, April 15, 2019 12:42 PM 1 of 1
CO TUKWlLA ETRxKIT
6200 S0UTHCEwT[R BLVD
TUKWILA, WA 98188
I06'433-1870
CITY OF TVKWlLu
Date: 04/15/I019 12:42:85 PM
CREDIT CARD SALE
VISA
CARD NUMBER: ***+*+**°°4256 K
TKAN AMOUNT: $130.83
APPROVAL [D: 80177D
RECORD #: 000
CLERK ID: kandace
Thank you!
Customer Copy
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
Project:
Type of nsp c on:
Address.
'Date
Called:
SpecialSpeciat Irstructions:
FVPhone
Date Wanted:
a.
. .
Requester:
No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
ns pec
Date:
REIt1SPETION FEE REQUIRED. Prior to next inspection. fee mus be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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;
Type + f lnspectit n:
' "=
Address:
Date Called:
Special Instructions:
L■{Requester:
rtte)
Date 'canted:
a.crt.
..y
Phone No:
_.
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
In pector:
Date:
296
fd-t
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd„ Suite 100. Call to schedule reinspection.
Homy Espanol Contact
Safely & Health Claims & Insurance
411.1114k Washington State Department of
/ Labor & Industries
A-Z [minx I-1,1p Aly
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;
icense
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
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.
137864642
Savings
No savings accounts during the previous 6 year period,
License Violations
Infraction no.
EALRD00373
Issue date
01/29/2019
Violation city
PACIFIC
Type of violation
ELECTRICAL CITATION
Description
Continuous non-compliance (3 or more
citations within a 3 year period). Serious
Active.
Meets current requirements.
License no.
HILFIB*972P6
$4,000.00
Effective date
05/24/1995
Expiration date
Until Canceled
Satisfied
RCM/VAC
WAC 296-46B-990
Violation amount
$500.00
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