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HomeMy WebLinkAboutPermit EL19-0326 - PACIFIC DENTAL - INSTALL NEW FIRE ALARM NOTIFICATION DEVICES.PACIFIC DENTAL 6840 FORT DENT WAY UNIT 225 ELI 9-0326 Parcel No: Address: City of Tukwila eportmentofCommunity Development 63U0SouthoenterBoulevard, Suke#1OO Tukwila, Washington 9O1DO Phune:206'4]1'3670 Inspection Request Line: ZO6'438-935O Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 2954900425 Permit Number: EL19-0326 604QFORT DENT WAY UnbZ25 Issue Date: 4/15/2019 Permit Expires On: 10/1I/2019 Project Name: PACIFIC DENTAL Owner: Contact Person: Name: Contractor: License No: Lender; Address: 2835OZNDAV5E#S-1,MERCER ISLAND, WA, 98040 MATT CARLIVIAN 2U6FRONTAGE RDN-SUITE C' PACIFIC, WA, 98047 FIRE SYSTEMS WEST INC (ELE[TRCAL 2OhFRONTAGE RDN - SUITE [' PACIFIC, WA, 98047 F|RESVV|055LVV Phone: (253)833'1248 Expiration Date: 6/16/2019 DESCRIPTION OF WORK: INSTALL NEW FIRE ALARM NOTIFICATION DEVICES, Valuation ofsingle fami|y� $0.00 Valuation qfmf/comm: $1,500.00 Type of Work: FIRE ALARM Fees Collected: $130-83 Electrical Service Provided by: PUGETSOUND ENERGY Water District: TUKVV|LA 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: ized Signa. National Electrical Code: VVACities Electrical Code: VvAC29d45B: WA State Energy Code: 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 ofthis permit do ot presumetogive authority toviolate orcancel the provisions nfany other state orlocal laws regu| ns�uodnnorthe pe�ormanceofwork, |amauthorized tusign and o�ainthis development permit 9nd��eetothe conditions attached tothis permit, Signature: Print Name: Y�+ /x�v 114L44if4f 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 or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: l: 'ELECTRICAL PERMIT [OND|T|ONS~** 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 bemaintained at the construction site and shall bereadily available tothe Electrical Inspector. 4: All electrical work shall beinaccordance with NFPA70 NEC, and requirements for electrical installations, Chapter Z96'468VVACand 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, guch equipment shall not be concealed until it has been inspected and'approved by the Electrical Inspector. 6: The issuance nfanelectrical work permit shall not beconstrued tobeapermit for, oranapproval of, any violation of the provisions of the electrical code or other ordinances of the jurisdiction, Permits orrelated documentation ihat 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: (ZV6)43D-935V 2100 ELECTRICAL FINAL 7003 ROUGH'/NELECTR|[AL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.Rov Electrical Permit Nb Project No. Date Application Accepted. 4 Date Application Expires: (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 Site Address: 6840 Fort Dent Way King Co Assessor's Tax No.: 295490-0425 Suite Number: 225 Floor: 2ND Tenant Name: PACIFIC DENTAL 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 New Tenanft: ® Yes ..No 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? ❑ Yes ® No Adding more than 50 amps? ❑ Yes li71 No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: 0 Puget Sound Energy ❑ Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applicalions \PDF's\Electrical Permit Application Revised 1.1-17.docs Revised: January 2017 bh Page 1 of 2 0 RESIDENTIAL NEW RESIDENTIAL SERVICE 0 New single family dwellings $155.91 (including an attached garage) 0 Garages, pools, spas and outbuildings $83.54 ea 0 Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES 0 Service change or alteration $83.54 (no added/altered circuits) 0 Service change with added/altered circuits $83.54 number of added circuits $12.00 ea 0 Circuits added/altered without service change $55.69 (up to 5 circuits) O Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea O Meter/mast repair $69.62 El 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) 0 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 perniit 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: Mat Carlrnan Day Telephone: (253) 951-6005 Mailing Address: 206 Frontage Rd N, Suite-C, Pacific, WA 98047 Date: 04/15/2019 City WAPerinit Center‘Applicalions-Handomslrennit Applications‘PDPsTlectrical Permit Application Revised 1-1-17.docy Revised: January 2017 bh State Zip Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PAID PerrnitTRAK 130.83 EL19-0326 Address: 6 40 FORT DENT WAY Unit225 Apn: 2954900425 130.83 Credit Card Fee $3.81 Credit Card Fee R000. 69.908.00.00 0.00 $3.81 ELECTRICAL $120.97 PERMIT FEE MU TI-FAM/COMM R000.322.10 .00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17407 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 03474D Printed: Monday, April 15, 2019 12:52 PM 1 of 1 YS HMS 0 CO CITY OF TUKNILA 0017348008802374404580 Dote: 04/15/2019 12:51:15 PM CREDIT CARD SALE VISA CARD NUMBER: **********4256 K TRAN AMOUNT: $130.83 APPROVAL [D: 03474D RECORD #: 008 [Lsnx ID: kandace X {[xnoHVuoER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE [xno ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy INSPECTION RECORD Retain a copy with permit INSPECTION NO. PIERMLT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431 Project: /J� Type oI" tnspectivn= Address:1)(544 Date Called: Special Instructions: p\pr `* ZZ ©ate Wanted: 7 a�m Requester: . Phone No: 7 Approved per applicable codes. Corrections required prior to approval. COMMENT Inspector: Date: REINSPECTIO FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reirrspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. P RMI i' 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 of Inspection: Addressf Date Called: Special Instructions: Date Wanted: .m. Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. Ins Date: 0 ` I REINSPECTIOI FEE REQUIRED. Prior to next inspection. fee thust be paid at 630E Southcenter Blvd.. Suite 100. Call to schedule reinspection. Home Bcr,aiiol Contact Search 1..81 Safety & Health Claims & Insurance 2111111 Washington State Department of ILI Labor & Industries A-Z Index Fl.Ip to L&I 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; 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. 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'972P8 $4,000.00 Effective date 05/24/1995 Expiration date Until Canceled Satisfied RCW/WAC WAC 296.46E-990 Violation amount $500.00 Help us improve