The URL can be used to link to this page

Home My WebLink AboutPermit EL19-1046 - DOUGH ZONE - REPLACE BACKFLOW DEVICE WITH NEW SHUT OFF VALVEDOUGH ZONE 120 ANDOVER PARK E COMPLEX 0223000062 EXPIRED E L19-1046 Parcel No: Address: 0 0 ^ «x °~ ^ / ^°"^U v « o Tukwila Department mfCommunity Development 6]DU5puthcenterBoulevard, Suite #10M Tukwila, Washington 9818Q Phone: 206'431'3670 Inspection Request Line: 206'438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 0223000062 Permit Number: EL19-1046 lZO4NDOVERPARK ECOMPLEX Issue Date: 12/17/2019 Permit Expires On: 6/14/2020 Project Name: DOUGHZONE Owner: Contact Person: Name: Address: Contractor: Address: License No: Lender: Name: lZOANDOVEKPARK E,TUKVV|U\WA, 98188 ]ERETHOMPSON 2O6Z88ROADVV4YAVE, SNDHOR4|SH, VVA,98Z96 BRIMSTONE FIRE SAFETY IVING LLC BR|N1SFS9028L ''^ Phone: (425)956'3434 ' Phone: 5)956'3434 Expiration Date: 1/13/2022 DESCRIPTION OFWORK: REPLACE EXISTING BACKFLOW DEVICE WITH NEW DERRINGER 8" BACKFLOW DEVICE WITH NEW OS & Y SHUT OFF VALVEValuation cfsingle family: $UlW Valuation ofmf/comm: $3,762.00 Type ofWork: FIRE ALARM Fees Collected: $178/0 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKVV|LA Sewer District: TUKVV|LA Current Codes adopted bythe City ofTukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: as Code: Permit Center Authorized Signature: National Electrical Code: VVACities Electrical Code: VVA[Z9h-468: WA State Energy Code: 2017 2017 2017 2015 OS 21 05 21 Date:[)--[ 7 .t I 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 Namle: Date: (Zt� 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 TUKWIIC) Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Per Project No. Date Application Accepted:. Date Application Expires: (For office use only) o. EL 1 0 1-(0 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: 120 Andover Park East Dough Zone Tenant Name: King Co Assessor's Tax No.: 022300-0062 Suite Number: Floor: 1st New Tenant: E1 Yes ..No PROPERTY OWNER Name: Jere Thompson Name: Andover 120 LLC City: Snohomish State: WA Zip: 98296 Address: 120 Andover Park East Email: fadesign@brimstonefiresafety.com City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Jere Thompson Address: 20628 Broadway Avenue City: Snohomish State: WA Zip: 98296 Phone: 425-956-3434 Fax: Email: fadesign@brimstonefiresafety.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Brimstone Fire Safety Address: 20628 Broadway Avenue City: Snohomish State: WA Zip: 98296 Phone: 425-956-3434 Fax: Contr Reg No.: BRIMSFS902BL Exp Date: 12-31-2019 Tukwila Business License No.; BUS -0995388 Valuation of Project (contractor's bid price): $ 3,762.00 Scope of Work (please provide detailed information): Replace existing backflow device with new Derringer 8" backflow device with new OS & Y shut off valve. Will service be altered? J Yes El No Adding more than 50 amps? EJ Yes No Type of Use: Type of work: 111 New CI Addition El Service Change ED Remodel L Tenant Improvement J Low Voltage L Generator E Fire Alarm 0 Telecommunication Temporary Service Property Served by: Puget Sound Energy Ei Seattle City Light WAPermit CentcnApplications-RandoutsWermit Applications PDFsTlectricalPermit Application Revised I-17-19.docx Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE 0 New single family dwellings $180.00 (including an attached garage) O Garages, pools, spas and outbuildings $120.00 ea D Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES 9 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 Li Circuits added/altered without service change $60.00 (up to 5 circuits) LJ Circuits added/altered without service change $60.00 (6 or more $10.00 ea D 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) 9 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 - h 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: Tp rurralf4.011. Print Name: jere inompson Date: 17 December 2019 Day Telephone: 425-956-3434 Mailing Address: 20628 Broadway Avenue Snohomish, WA 98296 City W:\Permit CenteMpplications-HandoutsTermit ApplicationslPDFslElectrical Permit Application Revisecl 1-17-19.docx State Zip Page 2 of 2 Receipt Number DESCRIPTIONS PermitTRAK 1 ACCOUNT 1 QUANTITY PAID $178.48 EL19-1046 Address: 120 ANDOVER PARK E COMPLEX Apn: 0223000062 $178.48 Credit Card Fee $5.20 Credit Card Fee R000.369.908.00.00 0.00 $5.20 ELECTRICAL $165,03 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $165.03 TECHNOLOGY FEE $8.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R19318 R000.322.900.04.00 0.00 $8.25 $178.48 Date Paid: Tuesday, December 17, 2019 Paid By: JERE THOMPSON Pay Method: CREDIT CARD 04327G Pri ntpri • Ti iocrlaw nprpm hpr 17 7n1 ci 11.1R AM 1 nf 1 if1211111 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433 -1870 CITY OF TUKWILA 0017340000802374464500 Date: 12/17/2019 11:18:10 AM CREDIT CARD SALE VISA CARD NUMBER: **********4841 K TRAN AMOUNT: $178.48 APPROVAL CD: 84327G RECORD #: 000 CLERK ID: Bill 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 0 CO Labor & Indust les oittps,llini.„,.qovl Contractors FETrimstone Fire Safety Mng LLC Owner or tradesperson Principals Neale, Susan L, PARTNER/MEMBER Gehlhausen, Kristine M, PARTNER/MEMBER Neale, James F, PARTNER/MEMBER Doing business as Brimstone Fire Safety Mng LLC WA UBI No. 602 918 660 Parent company Brimstone Fire Safety 20628 BROADWAY AVE SNOHOMISH, WA 98296 425.956-3434 SNOHOMISH County Business type Limited Liability Company Governing persons KRISTINE MARIE GEHLHAUSEN JAMES F HEALE; 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. BRIMSFS902BL Effective — expiration 01/13/2010— 01/13/2022 Designated administrator HEALE, JAMES F License type Electrical Administrator Bond WESTERN SURETY CO Bond account no. 70854952 Active Meets current requirements. License no. HEALEJF904BD $4,000,00 Received by L&I Effective date 01/13/2010 01/06/2010 Expiration date Until Canceled Savings No iiivings accounts during the previous 6 year period. License Violations Infraction no. ECLET00504 Issue date 11/23/2016 Violation city WOODINVILLE Type of violation ELECTRICAL CITATION Description Satisfied RCW/WAC 1928.101 RCW Violation amount 5250.00