HomeMy WebLinkAboutPermit EL19-0825 - ZOOMCARE - FRONT ENTRY ACCESS CONTROL WITH ELECTRIC STRIKE / IT ROOM DOOR ELECTRIC STRIKE ETCZOOMCARE
17250 SOUTHCENTER PKWY
136
ELI 9-0825
Parcel No:
Address:
City of Tukwila
of Department -"--....._.'^Development
—
6300 Southcenter BoulevardSuite #100
Tukwila, Washington 98188
Phone: 206^431,3670
Inspection Request Line: 206-438'9350
VVebs|te:h1tn://www.TwkmUaVVA.gov
ELECTRICAL OTC PERMIT
7888920020 Permit Number: EL19'0825
17250 SOUTHCENTER PKWY 136 Issue Date: 10/7/2019
Permit Expres On: 4/4/2020
Project Name: ZOOMCARE
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE, WA,
98006
MARK KRIBS
2639RE|0HARDTLNNESTE9'LA[2Y,
WA, 98516
METRO OVERHEAD DOOR INC
25Z5NECOLUMBIA BLVD '
PORTLAND, OR, 97211
METROOD997R4
'''
Phone: (253) 282-6283
Phone: (503) 285-7568
Expiration Date: 6/15/2021
DESCRIPTION OF WORK:
FRONT ENTRY ACCESS CONTROL WITH ELECTRIC STRIKE. IT ROOM DOOR ELECTRIC STRIKE, ACCESS CONTROL
PANEL AND POWER SUPPLY, TWO CAMERAS AND NVR.
Valuation of single family: $0.0
Valuation of mf/comm: $10,422.00
Type of Work: LOW VOLTAGE
Fees Collected: $319.33
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International BuiIdin Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signatu
2015
20152015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
20172017
2015
/12
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 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 permit and agree to the conditions attached to this permit.
Signature:,
Print Name: gill (A/ n ktet---
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:
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 296-466 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 TUKWI
Community Developmen epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httpJ/www.TukwilaWA.gov
Project No.
Date Application Accepted., r .
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 Address:
Tenant Name:
11-7.5-D CEJ - 1(03
1`i1--'J1i,N o fly 1 b rr6
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
PROPERTY OWNER
Company Name:
MEf11-0 Jk•C 4S C•4411241.
Address:
ZSSZS NE CAWtweiAA - St -V11
Name: /L�
tZS.)33'3.3333 (3iai)c) *cc • 3'3 4R
Co. tr eg No.: Exp Date:
�+► oo �t�4 Ot,• lc 1,021
Address: ' ksc ow 1
)N & v-��
Add
i''t g:C -Mlb
t ate: ol�
trt
CONTACT PERSON,— person.re
communication
Name: tM K Nr&S (AvrtiLDi,
Ate.:1.1
iLG-11JwFt?- rL J lye • ' r
C.t�t2i: ""-(
Stwek
'2fs3. 242• tp? R)3 Fax: 3b 0 • , 33ti}°I
Email:
1
AcM1E-S bAoswM
N"4 -1 -Y -K- Q.AS112> &*TCS. C ONt
Valuation of Project (contractor's bid price): $
Floor:
❑ Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
MEf11-0 Jk•C 4S C•4411241.
Address:
ZSSZS NE CAWtweiAA - St -V11
iPIA-14.44D o gttd4 I
tZS.)33'3.3333 (3iai)c) *cc • 3'3 4R
Co. tr eg No.: Exp Date:
�+► oo �t�4 Ot,• lc 1,021
Tukwila Business License No.;
Scope of Work (plese provide • etail d informati
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change ❑ Remodel
JLow Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
Adding more than 50 amps? ❑ Yes
Property Served by:
0 Puget Sound Energy 0 Seattle City Light
W:\Permit Center \Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1 7-1 9.docx
tEr Tenant Improvement
0 Temporary Service
Paae 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings ........... ,$120.00 ea
O Low voltage systems
(alarm) $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 addecUaltered 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
O 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 $1 1.00 ea
Each ride and generator truck $11.00 ea
***EFFECTIVE JANUARY 1,2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERIVIII. APPLICATION \OTES
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.
1 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:
Mailing Address: .2.0-01. eciN 1+11tzsC 1+1 t4f sre, f 14tan W ibr `T Iss-1
City State Zip
Day Telephone:
Date: 04-7-20)/
2-53.
WAPerrnit Center \ Applications -Handouts \ Permit Applications \PDFs\Electrical Permit App licaiion Revised I- l7-19.ducx
Pave 7 of 7
Pe mitTRAK
DESCRIPTIONS
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY I PAID
EL19-0825 Address: 17250 SOUTHCENTER PKWY 136
Apn:7888920020
Credit Card Fee
$9.30
Credit Card Fee
R000.369.908.00.00
0.00
$9,30
ELECTRICAL
$295.27
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$295.27
TECHNOLOGY FEE $14.76
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18758
R000.322.900.04.00
0.00
$14.76
$319.33
Date Paid: Monday, October 07, 2019
Paid By: METRO OVERHEAD DOOR INC
Pay Method: CREDIT CARD 642300
Printed: Monday, October 07, 2019 10:24 AM 1 of 1
CRW Y5 TEM5
0
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 10/07/2019 10:24:23 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********6049 K
TRAN AMOUNT: $319.33
APPROVAL CD: 642300
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
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. ' ERI IT
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: 1,7i
4
Date Called:
Special Instructions:
A -C,6655
'
Date Wanted:
a.m.!
p.m.
Requester:
Phone No:
Approved per applicable codes.
0NMENT
Corrections required prior to approval.
nspecto
Date:
REINSPECTION IEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Horne Espanol Contact
Safety & Health Claims & Insurance
lk Washington State Department of
Labor & Industries
Search L&I
St.
A -Z Index Help My1,&.1
Workplace Rights Trades & Licensing
METRO OVERHEAD DOOR INC
Owner or tradesperson
Principals
GONROVVSKI, DONALD S, PRESIDENT
HOFFERT, PATRICK S, VICE PRESIDENT
GONROWSKI, CHRISTY A, SECRETARY
HOFFERT, DENICE C, TREASURER
GONROWSKI, BRENT D, DIRECTOR
KRUEGER, JOHN R, AGENT
Doing business as
METRO OVERHEAD DOOR INC
WA U8I No
600 544 587
2525 NE COLUMBIA BLVD
PORTLAND, OR 97211
503-285-7568
Business type
Corporation
Governing persons
CHRISTY
ANN
GONROWSKI
DON SCOTT GONROWSKI;
DENICE CAROL HOFFERT;
PATRICK SIMON HOFFERT;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active
Meets current requirements.
License specialties
DOORS & GATES SPECIALTY
License no.
METROOD997R4
Effective — expiration
12/24/2001— 06/15/2021
Designated administrator
KRUEGER, JOHNATHAN R
License type
Electrical Administrator
Bond
Ohio Cas Ins Co
Bond account no.
848583C
Active
Meets current requirements.
License no.
KRUEGJR943RM
$4,000,00
Received by L&I Effective date
08/23/2019 08/26/2019
Expiration date
Until Canceled
Bond history
Help us improve
#4114,
SYIFIC1A.
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EBRRQ00709
Issue date
03/24/2014
Violation city
Portland
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Satisfied
RCWNVAC
19.28.101 RCW
Violation amount
$1,000.00
Certifications & Endorsements
orvyvaECerlificatioqs
No active certifications exist for this business.
Apprentice Training Agent
Not allowed to have apprentices.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
Account is current.
L&I Account ID
923,772-00
Doing business as
METRO OVERHEAD DOOR OF
Estimated workers reported
Quarter 2 of Year 2019 "7 to 10 WorRers"
L&I account contact
T5 / LINDSAY BARLOW (360)902-4735 - Email: BLIN235@lni.wa.gov
Public Works Requirements
Verify the contractor is eligible to perform work on public works projects.
Required Training— Effective July 1, 2019
Exempt from this requirement.
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.
0 Washington State Dept, of Labor & Industries. Use of this site is subject to the laws of the state of VVashington.
Help us improve