HomeMy WebLinkAboutPermit EL19-0972 - SUNRISE DENTAL - REPLACE INTRUSION ALARM SYSTEMSUNRISE DENTAL OF
TUKWILA
7100 FUN CENTER WAY 110
ELI 9-0972
Parcel No:
Address:
City of Tukwila
ent of Community Development
6300 Southcenter Boulevard, Suite #100
)
Tukwila, Washington 98188
Phone: 2 31-3670
Inspection Request Line206~438-93E0
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
2423049092
7100 FUN CENTER WAY 110
Project Name: SUNRISE DENTAL OF TUKWILA
Permit Number: EL19-0972
Issue Date: 11/21/2019
Permit Expires On: 5/19/2020
Owner:
Name:
Address:
Contact Person:
Name:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
H2 OFFJCE LLC
71UUFUN CENTER WAY STE1UU,
TUKWILA, WA, 98188
JENNIFER COVELLO
9808 31 AVE SE , EVERETT, WA, 98208
ADT LLC
16810 E EUCLID AVE S 19 , SPOKANE,
WA, 99216
ADTLLL*881C0
'''
Phone: (360) 945-2787
Phone: (561) 988-3600
Expiration Date: 3/20/2020
DESCRPTION OF WORK:
REPLACE EXISTING LOW VOLTAGE INTRUSION ALARM WITH ALL IN ONE INTRUSION ALARM SYSTEM.
Valuation ofsingle family: $0.00
Valuation of mf/comm: $494.00
Type of Work: LOW VOLTAGE
Fees Collected: $83.44
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International BuIding Code Edition:
international Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
2017WA State Energy Code:
2017
2017
2015
Date: /P4---/-1,�
��
/
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 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: f•j j,11cA.
A-44
Date: l ('Z!f "Z011
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 296-46B 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: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKWILC
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No
Project No,
Date Application Accepted: (1 Z_1
2-1
Date Application Expires:
(For office use only)
ELECTRICAL PERMIT 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:7100 Fun Cetner Way
Tenant Name:Sunrise Dental of Tukwila
King Co Assessor's Tax No.:2423049092
Suite Number:Suite 110 Floor:
New Tenant: .....Yes ..No
PROPERTY 0
NER
Name: Sunrise Dental of Tukwila
Address7100 Fun Cetner Way Suite 110
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
ELECTRICAL CONTRACTOR INFORMATION
Company Name:ADT LLC
16810 E Euclid AVE #S-19
Spokane WA 99216
3609452787 8884000383
ADTLLL*881D0 03/20/2021
Valuation of Project (contractor's bid price): $494.00
Scope of Work (please provide detailed information):
replace existing low voltage intrusion alarm with all in one intrusion alarm system
Will service be altered? El Yes 1J No Adding more than 50 amps? J Yes EJ No
Type of Use:COMMERCIAL
lype of work:
0 New 0 Addition Service Change 0 Remodel
• Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
Property Served by:
Puget Sound Energy 0 Seattle City Light
WAPerrnit CenteinApplications-HandoutsWermit Applications \PDFAElearical Permit Application Revised I - I 7-I9.docx
0 Tenant Improvement
Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
0 Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 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
0 Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation ofthe electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
El 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%
TECI-INOLOGY 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.
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:WILLIAM MILLHOLLIN
Mailing Address:9808 31ST AVE SE
W:\Permit CenteMpplications-Handouts1Permit Applications \PDFs \ElecArical Permit Application Revised I- I 7-19.docs
Date:11/21/2019
Day Telephone:3609452787
EVERETT WA 98208
CityZip
State
DESCRIPTIO S
ACCOUNT
QUANTITY
PAID
PermitTRAK
$210.46
EL19-0972 Address: 7100 FUN CENTER WAY 110 Apr): 2423049092
$83.44
ELECTRICAL
79.47
PERMIT FEE MU TI-FAM/COMM
R000.322.101.00.00
0.00
$79.47
TECHNOLOGY FEE
$3.97
TECHNOLOGY FEE
R000. 22.900.04.00
0.00
$3.97
E119-0973 Address: 1028 INDUSTRY DR
Apm 2523049071
127.02
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0,00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$6.05
TOTAL FEES PAID BY RECEIPT: R19134
$210.46
Date Paid: Thursday, November 21, 2019
Paid By: NORTHWEST PERMIT INC
Pay Method: CHECK 4011
Printpri• Thiircriav KInvpmher 71 7019 .1•54 PM 1 nf 1
INSPECTION RECORD
Retain a copy with permit
N' F'ECTION NO. ' ERWIIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.. #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Projett:�r�i�V�
Type of Inspection:
Address"
Date Called:
Special Instructions:
-
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
IXApproved per applicable codes.
COMMENTS:
Corrections required prior to approval.
Inspector:
Date:
a/4/1i
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
kj Labor & Industries (littps://ini.wa.qov)
Contractors
ADT LLC
Owner or tradesperson
Principals
DeVries, James D, PARTNER/MEMBER
Likosar, Jeffrey A, PARTNER/MEMBER
Small, David W, 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)
VVhall, Timothy J, PARTNER/MEMBER
(End: 08/16/2019)
Finney, Gray P, PARTNER/MEMBER
(End: 10/09/2019)
Doing business as
ADT LLC
WA UB1 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 BRESINGHAM;
P GRAY FINNEY;
JEFFREY LIKOSAR;
TIMOTHY J WHALL;
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
03/20/2012— 03/20/2020
Designated administrator
Simmons, Otis D
Active
Meets current requirements.
License type License no.
Electrical Administrator SIMMOOD813N2
Bond
Federal Ins Co
Bond account no.
82295435
$4,000.00