HomeMy WebLinkAboutPermit EL19-0964 - PROVIDENCE HEALTH & SERVICES - DD(3) CARD READERS TD ACCESS CONTROL SYSTEMPROVIDENCE HEALTH &
SERVICES
2811 S 102ND ST 220
ELI 9-0964
Parcel No:
Address:
City of Tukwila
a
ent of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438'9350
Web site: httP://www.TukwilaWA.Rov
0423049190
28115102NDST220
ELECTRICAL OTC PERMIT
Project Name: PROVIDENCE HEALTH & SERVICES
Permit Number: EL19'0964
Issue Date: 11/20/2019
Permit Expires On: 5/18/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Address:
License No:
Lender:
Name:
Address:
SABEY CORPORATION
12201 TUKWILA INTERN'L BLVD FU,
SEATTLE, WA98168
KOBERTSCHANTZ
8U0SVV]4THSTREET 'RENTON,WA,
98057
RFI COMMUNICATIONS
800 SW 34THSTREET SUITE 0,
RENTON, WA, 98057
I 1
Phone: (253) 981-0012
Phone: (253) 981-0026
Expiration Date:
DESCRIPTION OF WORK:
ADD (3) CARD READERS TO ACCESS CONTROL SYSTEM
Valuation of single family: $0.00
Valuation of mf/comm: $13,000.00
Type of Work: LOW VOLTAGE
Fees Collected: $358.38
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
nternatiorial Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
2015
2015
2015
2015
2015
Nationa Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Permit Center Authorized Signature:
(Pa ,t4
Date: /1-7-0-0
^^�
/hparbycertify 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 grantirlg of this permit does not presume to give authority to violate or cancel the provisions of any other
state or Iocal laws regulating construction or the performance of work. | am authorized to sign and obtain this
development perrnit and agree to nditions attached to this permit.
Signature:
Print Name:
Date: //— /7
This permit shall become null and void if the work is not commenced within 180 days for the date of issuarice, or if
the work is suspended or abandoned for a period of 180 days from the Iast 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 296-46B 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 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: (20G)43D'935D
2I00 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Elechical Permit No. tot —al�4
Project No.
Date Application Accepted: /1"--2--(:) /61
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: 2811 S. 102nd Street
Tenant Name: Providence Health & Services
King Co Assessor's Tax No.:
Suite Number: 210 Floor:
New Tenant:
PROPERTY OWNER
Name: Robert Schantz
Name:
Mellon Trust of Washington
Address: 800 SW 34th Street
Address:
Tukwila Business License No.; BUS -0993184
City: Renton
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Robert Schantz
Address:800 SW 34th Street, Suite D
City: Renton State: WA Zip: 98057
Address: 800 SW 34th Street
Contr Reg No.: RFICOS*990MC Exp Date: 7/1/2020
Tukwila Business License No.; BUS -0993184
City: Renton
State:WA
Zip: 98057
Phone: 253-981-0012
Fax:
Email: rschantz@rfi.com
[1] Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
RFI Communications
Address:800 SW 34th Street, Suite D
City: Renton State: WA Zip: 98057
Phone: 253-981-0026 Fax:
Contr Reg No.: RFICOS*990MC Exp Date: 7/1/2020
Tukwila Business License No.; BUS -0993184
Valuation of Project (contractor's bid price): $ 13,000
Scope of Work (please provide detailed information): add 3 card readers to access control system
•
Will service be altered? ri Yes Ell No Adding more than 50 amps? CD Yes 1:3 No
Type of Use:
Type of work:
0 New 0 Addition D Service Change 0 Remodel
El Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
Property Served by:
1)3 Puget Sound Energy Seattle City Light
W: \Permit Center \ Applications-Handoutammit Applications \ PDFs Electrical Permit Application Revised 1-17- 19.clomi
O Tenant Improvement
O Temporary Service
Pan 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
▪ 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 added/altered 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)
0 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 oftime 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 OI, ELECTRICAL CONT CTOR:
Signature:
Print Name:
Mailing Address:
WAPermit CenterNApplications-Handouts‘Permit Applications \PDFs\Electrical Permit Application Revised I -17-I9.docx
Date: /1-19-49
3-7/-02)26,
b4-- 9fdCS77
State Zip
Page 2 of 2
•
Cash Register Receipt
City of Tukwila
Receipt Number
R19116
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$358.38
EL19-0964 Address: 2811 S 102ND ST 220
Apn: 0423049190
$358.38
Credit Card Fee
$10.44
Credit Card Fee
R000.369.908.00.00
0.00
$10.44
ELECTRICAL
$331.37
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
1111111ETE
TECHNOLOGY FEE
$16.57
TECHNOLOGY FEE
TOTAL FEES PA D BY RECEIPT: R19116
R000.322.900.04.00
0.00
516.57
$358.38
Date Paid: Wednesday, November 20, 2019
Paid By: ROBERT SCHANTZ
Pay Method: CREDIT CARD 093874
PrintPri• \A/PrinPcriaw ninvpm her ,r) ?WI q 1 nf 1
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 11/20/2019 10:42:15 AM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: **********3967 K
TRAN AMOUNT: $358.38
APPROVAL CD: 093874
RECORD #: 000
CLERK ID: frankie
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. PRMIT 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:
Address:
Da e Called:
1
a.m.
p.m.
Specialn
c ons:
Date Wanted:
Requester:
Phone No:
proved per applicable codes.
Corrections required prior to approval.
Inspector:
REINSPECTIO FEE REQUIRED. Pilor to next inspection. fee : ust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Depaamcm
CA Labor & Industries (https://lni.wa.qov)
Contractors
R F I COMM & SECURITY SYS
Owner or tradesperson
Principals
WILSON, BRAD, PRESIDENT
DUELL, MARILYN, VICE PRESIDENT
BROOKS, MICHELLE, SECRETARY
REECE, LAWRENCE, CHIEF OPERATING
OFFICER
LUND, BRIAN, AGENT
REECE, DEAN, CHIEF EXECUTIVE
OFFICER
(End: 01/20/2009)
Doing business as
R F I COMM & SECURITY SYS
WA UBI No.
602 126 766
360 TURTLE CREEK COURT
SAN JOSE, CA 95125
408-298-5400
Business type
Corporation
Governing persons
MARILYN
DUELL
LAWRENCE L REECE;
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
HVAC/RFRG
License no.
RFICOS*990MC
Effective — expiration
07/03/2001— 07/07/2021
Designated administrator
LUND, BRIAN DOUGLAS
License type
Electrical Administrator
Bond
Guarantee Company of North America USA,
The
Bond account no.
12101870
Received by 1.8,1
09/12/2013
STAR INS CO
Bond account no.
Active
Meets current requirements.
License no.
LUND*BD035PD
$4,000 00
Effective date
09/20/2013
Expiration date
Until Canceled
$4,000.00