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Permit el19-0697 - TEA TIME - FIRE ALARM AND NOTIFICATION DEVICES FROM RISER ROOM POWER SUPPLY
TEA TIME 16854 SOUTHCENTER PKWY ELI 9-0697 Parcel No: Address: City of Tukwila u ��m`���na t of Community Deent 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 2623049129 16854 SOUTHCENTER PKWY Project Name; TEA TIME Permit Number: EL19'0097 Issue Date: 8/29/2019 Permit Expires On: 2/25/2020 Owner: Name: PARKWAY SQUARE L L C Address: POBOX 5UO3,BBlEVUE,WA, 98009 Contact Person: Name: KATH|C/R5AK Address: 2264S83NDAVE 5'BLDG D,KENT, WA, 98032 Contractor: Name: Address: License No: Lender: Name: Address: NORTHWEST FIRE SYSTEMS LLC 7815 S 1805T' KENT, WA, 98032 NORTHFS875MJ ''' Phone: (206) 772-7502 Phone: (206) 772-7502 Expiration Date: 8/10/2021 DESCRIPTION OF WORK: FIRE ALARM TI, ADDING NOTIFICATION DEVICES TO TENANT SUITE FROM THEIR RISER ROOM POWER SUPPLY, Valuation of single family: $0,00 Valuation of mf/comm: 5932.00 Type of Work: LOW VOLTAGE Fees Collected: $104.94 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: lnternational Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2015International Fuel Gas Code: 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 20172017 2015 Permit Center Authorized Signature; a.4.46(a2/ --"de-41 ) (� Date: � 29" /5 t‘''* | hearby certify that | 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, 1 am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. DatepEg/zog 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: ~**ELECTR|[ALPERM|TOONDDl0NS*** 2: A copy of the electrical 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 NFR47O' NEC, and requirements for electricai 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 vafld. 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 EieciricafP,cytnit'No. Project 1\16:' Date Applidation Actepted:-*,;, Date Application Expires: -_ (Foro e,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.: otii2N.30+1!c-i ? Site Address: t1O 51-4 ecrt-e Pric_wy. Tenant Name: T nct Suite Number: Tea- I -0,.--r Floor: t New Tenant: Tenant: ,PROPERTY OWNER Name: Ktifill• wig tet1( Fry, 0 ay 41tAre.41_6.1,0 Address: 1,11 .11?1-1 5 V et Afe, S. 5146. D. P----- Name:LLL or , Address: City: k_44_14i State: 1,0 Zip41 sor CONTACT PERSON — person receiving all project communication Name: Ktifill• wig tet1( Fry, 0 ay 41tAre.41_6.1,0 Address: 1,11 .11?1-1 5 V et Afe, S. 5146. D. City: State: WA Zip:eitog.... Phone: utp In Istrx.Fax: gins ..3.-4,a ,T5D--ki Email: Kor ir et) to A . 1 R' Yes R..No 5 i eN. ow-A5ot- - . ELECTRICAL CONTRACTORINFORMATION Company Name: t\I ort+tvvie5t, ere 636fewis Address: a a 1.014., ,s -(-5 (ct Ave. s. Bizto, .D City: 1.4.einf. State: wA Zip:el lc 1)3 a, Phone:Q oto -I. 3A .3..50;z'ax: ao 6, -3.-ta 1604 Contr Reg No.:NOZTI±FSS 1-5 Alate: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 1" Scope of Work (please provide detailed information): 'Rise Atik-e-PY, 'ft act 4 -t -k -es not -i cAil dtviten. i-DtyvAx...t• -fY1TYv1/4, 1617QAt onitv•- pourcy- . Will service be altered? J Yes [2/No Adding more than 50 amps? Type of Use: 1-4k2 Vol fit/ etvcAriC.a J6r 6e-9 iSc La.. 11. Type of work: 0 New 0 Addition g(Low Voltage Generator Property prved by: IIPe' Puget Sound Energy 0 Seattle City Light 0 Service Change 0 Remodel Fire Alarm 0 Telecommunication WAPermit CentertApplications-liandouts \Permit Applications \PDFAElectrical Permit Application Revised 1-17-19.docx 1:: Yes No 0 Tenant Improvement Temporary Service Page 1 of 2 "wow RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $180.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $120.00 ea ❑ Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ 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 ❑ Circuits added/altered without service change $60.00 (up to 5 circuits) ❑ Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea ❑ Meter/mast repair $80.00 ❑ Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $90.00 ❑ Manufactured/mobile home service $100.00 (excluding garage or outbuilding) ❑ 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 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: K. t1'k L' -t4k Yv frFL -4-- Date: . (-GI Print Name: KATE D' $2- E ./L Fina. r pit114 re r flee' Day Telephone: Olo '-tSO? Mailing Address: a� i s C3 rZL A -v t . S 13(.45 . 5 Tl 0e4A.,) °t iv 3 a. City State Zip W:\Permit Center \Applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1.17-19.docx Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $104.94 EL19-0697 Address: 16854 SOUTHCENTER PKWY Apn: 2623049129 $104.94 Credit Card Fee $3.06 Credit Card Fee R000.369.908.00.00 0.00 $3.06 ELECTRICAL $97.03 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $97.03 TECHNOLOGY FEE $4.85 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R18448 R000.322.900.04.00 0.00 $4.85 $104.94 Date Paid: Thursday, August 29, 2019 Paid By: KATHI O'REAR Pay Method: CREDIT CARD 03596G Printed: Thursday, August 29, 2019 9:44 AM 1 of 1 SYSTEMS C CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 08/29/2019 09:44:00 AM CREDIT CARD SALE VISA CARD NUMBER: **********9781 K TRAN AMOUNT: $104.94 APPROVAL CD: 03596G RECORD #: 000 CLERK ID: kandace 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 1 P ION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 00 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit inspection Request Line (206) 438-9350 Project; Type ©e d* Address: � � � mate Called: Special Instructions: ©ate Wanted: a.m.: p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS Inspector: Date: 1 REINSPECTIO FEE REQUIRED. Prior to next inspectio . fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION N0. INSPECTION RECORD Retain a copy with permit P ' IYI IT N 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: / Address:- i mate Called: Special Instructions: ©ate Wanted: �,-�'" a.m. p.m. Requester: Phone No: Approved per applicable codes. COMMENTS: Corrections required prior to approval. REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION Na 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 nspe on: Address: Date Called: Special Instructions: r11:SC. Aril% 10 Date Wanted: a.m. p.m. Reques : Phone N : 7 Approved per applicable codes. ._COMMENTS: Corrections required prior to approval. nspector e: 01 REINSPECTION ItEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. NSPECT1ON NO, INSPECTION RECORD Retain a copy with permit P RMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: Type of Inspection: Address: Date Called: Specia Instruction (1/1 ,Date ante * : + a.m. p.m. Requester: Phone No: QApproved per applicable codes. Corrections required prior to approval. 'COI MENTS: Inspector: s f Lew Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: s f Lew Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Washington State Department of k Labor & Industries Home .FH)l Contact Safety & Health Claims & Insurance Search L&I AZ index Help My 1.4-1 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 UB I 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; Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent. Check their eligible programs and occupations. 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— 08/10/2021 Designated administrator Sheldon, Joseph A License type Electrical Administrator Bond Merchants Bonding Co (Mutual) Bond account no. WA5131410 Active. Meets current requirements. License no. SHELDJA867QL $4,000.00 Received by L&I Effective date 07/02/2018 06/20/2018 Expiration date Help us improve 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 Public Works Requirements Workplace safety and health tite D. of Labor nidustnes, Use of this site is subject to tho laws o the stain. of Washington, Help us improve