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HomeMy WebLinkAboutPermit EL19-0772 - PUGET SOUND PAIN CLINIC - ADD DEVICES TO INTRUSION ALARMPUGET SOUND PAIN CLINIC 7200 S 180T" ST 102 ELI 9-0772 Parcel No: Address: City of Tukwila of Department -^---.—_.'^Development — 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206431'3670 Inspection Request line: 206'438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 3623049013 Permit Number: EL18'0772 7200 S 180TH ST 102 Project Name: PUGET SOUND PAIN CLINIC Issue Date: 9/19/2019 Permit Expires On: 3/17/2020 Owner: Name: Address: KHK INVESTMENT LLC 26]Z88TH AVE S'DES MOINES, WA, 98198 Contact Person: Name: JEmN|FER[OVELLO Phone: (360) 945-2787 Address:Name: ADT LLC Phone: (561) 988-3600 980831AVE5E'EV[RETT 9DZO8 Contractor: Expiration Date: 3/20/2020 980831AVE5E'EV[RETT WA,9DZO8 Address: 6102 N NINTH ST SUITE 700TACOMA, WA, 98406 License No: ADTLLi~881D0 Lender: Name: Address: ''' DESCRIPTION OF WORK: ADD DEVICES TO EXISTING 10W VOLTAGE INTRUSION ALARM. Valuation ofsingle family: $0.00 Valuation of mf/comm: $887.00 Type of Work: LOW VOLTAGE Fees Collected: $101.88 Electrical Service Provided by: PVGETSOUND ENERGY Water District: RENTON Sewer District: RENTON Curren Codes adopted by the City of Tukwila: International Building Code Edition: International Residentiat Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International FueI Gas Code: Permit Center Authorized Signature: 2015 2015 20152015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: 2017 2017 2015 1 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 cancelthe 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. Signature: Print Name: .711 /^ 170011 This permit shall become null and void if the woris not commenced within 180 days for the date of issuanceor 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 accessAble 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 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 documentatiorthat 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 permitc Where approved plans have been issued, revisions to the plans and additional review may be required. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206)43g'935o 2106 ELECTRICAL FINAL 7003 ROUGH'|NEL[CTR|CAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUK Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. c4../9 07 7 2 - Project No. Date Application Accepted: 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 King Co Assessor's Tax No.:3623049013 Site Address:7200 S 180th St Tenant Name:PUget Sound Pain Clinic Suite Number:102 PROPERTY 0 N R Name: Puget Sound Pain Clinic Address7200 S 180th St Suite 102 Tukwila, 98188 CONTACT PERSON — person receiving all project communication Name: Jennifer Covello/ NW PERMIT 9808 31st Ave SE EVERETT WA 98208 3609452787 888-400-0383 JENNIFER@NWPERMIT.COM Floor: New Tenant: .....Yes J ..No ELECTRICAL CONTRACTOR INFORMATION Company Name:ADT LLC 11824 NORTH CREEK PKWY N # 105 BOTHELL WA 98011 3609452787 8884000383 ADTLLL*881D0 03/20/2019 Valuation of Project (contractor's bid price): $887 Scope of Work (please provide detailed information):add devices to existing low voltage intrusion alarm Will service be altered? E3 Yes PE No Adding more than 50 amps? Yes LJ No Type of Use:COMMERCAIL Type of work: 0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement El Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication D Temporary Service Property Served by: 0 Puget Sound Energy 0 Seattle City Light W:Terrnit Center \ Applications-liandoutsTermit Applications\ PDFAElearicalPerrnit Application Revised 1- t 7-19.doex Page 1 of 2 RESIDENTIAL NEM RESIDENTIAL SERVICE 0 New single family dwellings (including an attached garage) O Garages, pools, spas and outbuildings O Low voltage systems (alarm) $180.00 $120.00 ea $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $120.00 (no added/altered circuits) O 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) 0 Circuits added/altered without service change $60.00 (6 or more circuits) $10,00 ea • Meter/mast repair $80.00 0 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 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: print Name:WILLIAM MILLHOLLIN Date.09/19/2019 Day Telephone:3609452787 Mailing Address:9808 31ST AVE SE EVERETT WA 98208 VeVermit Center \ Applications -Handouts \ Permit Applications PDPsT tectricalPermit App lic.a non Revised I 17- 19. docx City State Zip Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PAID PermatTRAK 01.88 E119-0772 Address: 7200 S 180TH ST 102 Apn: 3623049013 01.88 ELECTRICAL $97.03 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 $97.03 TECHNOLOGY FEE $4.85 TECHNOLOGY FEE R000.322.900.04.00 0.00 $4.85 TOTAL FEES PAID BY RECEIPT: R18620 $101.88 Date Paid: Thursday, September 19, 2019 Paid By: NORTHWEST PERMIT INC Pay Method: CHECK 3810 Printed: Thursday, September 19, 2019 1:30 PM 1 of 1 CRWYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE' ?IIT NO. CITY" OF TUKWILA BUILDING DIVISION L 6300 Se uthcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit inspection Request Line (206) 438-9350 Project: ' ype of inspection: I r Address:tD?ate 7Zw$/SOr Called: Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. nspec Date: REINSPECTI©H FEE REQUIRED. Prior to next inspection. fee rnust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 0 Home Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & industries 0 Search L&I gSearch A -Z index Help My 1,8:1 Workplace Rights Trades & Licensing ADT LLC Owner or tradesperson Principals Finney, Gray P, PARTNER/MEMBER Bresingham, Daniel M, MANAGER CT, CORP SYSTEM, AGENT Gursahaney, Naren K, PARTNER/MEMBER (End: 07/13/2016) Beleisch, Nelson D, PARTNER/MEMBER (End: 07/13/2016) Tulsyan, Ravi, PARTNER/MEMBER (End: 07/13/2016) Whall, Timothy J, PARTNER/MEMBER (End: 08/16/2019) Doing business as ADT LLC WA UBI No. 603 190 246 16810 E EUCLID AVE S-19 SPOKANE, WA 99216 509-496-0567 SPOKANE County Business type Limited Liability Company Governing persons LLC ADT DANIEL M BRESINGHIAM; P GRAY FINNEY; JEFFREY LIKOSAR; TIMOTHY J WHALL; Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. 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. ADTLLL*881D0 Effective — expiration 0312012012-0312012020 Help us improve Designated administrator Simmons, Otls D Active. Meets current requlremen License type License no. Electrical Administrator SIMMOOD813N2 Bond Federal Ins Co Bond account no. 82295436 Received by L&I 03/2012012 Savings No savings accounts during the previous 8 year period. License Violations No license violations during the previous 6 year period. 54,000.00 Effective date 03/01/2012 Expiration date Until Canceled Workers' comp Public Works Requirements 1 Workplace safety and health thr.ilshington State Dept. of Labor & Industries Use of this site is subject to the aWS of the state of Washington. Help us improve