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HomeMy WebLinkAboutPermit EL12-0174 - ANDREWS SPACEANDREWS SPACE 3415 S 116 ST EXPIRED 08-20-12 EL12 -0174 City oPI'ukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.Tukwila WA .gov Parcel No.: 1023049043 Address: 3415 S 116 ST TUKW Project Name: ANDREWS SPACE ELECTRICAL PERMIT Permit Number: EL12 -0174 Issue Date: 02/22/2012 Permit Expires On: 08/20/2012 Owner: Name: EPROPERTY TAX INC DEPT 207 Address: PO BOX 4900 , SCOTTSDALE AZ Contact Person: Name: JUSTIN FOX Address: 4425 164 ST SW , LYNNWOOD WA Contractor: Name: INTERFACE TECHNOLOGIES NW INC Address: 4425 164 ST SW , LYNNWOOD WA Contractor License No: INTERTN991 J6 Phone: 425 - 977 -2416 Phone: 425 - 774 -1377 Expiration Date: 04/26/2013 DESCRIPTION OF WORK: INSTALLATION OF LOW VOLT COMMUNICATIONS CABLING Value of Electrical: NRES: $6,977.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE ° LI IFT Fees Collected: National Electrical Code Edition: / Permit Center Authorized Signature: = . ,. Date` I hereby certify that I have read and examined this p It 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. $212.90 2008 Z The granting of this permit does nowt presume to give authori t to violate or cancel the provisions of any other state or local laws regulating construction or the perfo ce of work. -. • utho - • to sign an• o . • electrical permit. Signature: r Print Name: P•c#4■Q ° r 7-• r YLFCS+1 Date: 1.-12- 2.0 %Z This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/10 EL12 -0174 Printed: 02 -22 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0174 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -4/10 EL12 -0174 Printed: 02 -22 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Permit No. � / c2- / 71/ 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 Site Address: 3415 S. 116th St. King Co Assessor's Tax No.: Suite Number: 123 Floor: Tenant Name: Andrews Space PROPERTY OWNER Name: Justin Fox Address: 4425 164th St. SW Name: Phone: (425) 977 -2416 Fax: (425) 771 -7810 Email: justinf @interfacetechnw.com Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Justin Fox Address: 4425 164th St. SW City: Lynnwood State: WA Zip: 98087 Phone: (425) 977 -2416 Fax: (425) 771 -7810 Email: justinf @interfacetechnw.com New Tenant: ❑ Yes z..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Interface Technologies NW Address: 4425 164th St. SW City: Lynnwood State: WA Zip: 98087 Phone: (425) 774 -1377 Fax: (425) 771 -7810 Contr Reg No.: INTERTN991J6 Exp Date: 04/26/2013 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 6,977 Scope of Work (please provide detailed information): Installation of low voltage communications cabling. Will service be altered? ❑ Yes FA No Type of Use: Communications Cabling Type of work: ❑ New ❑ Low Voltage Property Served by: ❑ Puget Sound Energy ❑ Addition ❑ Generator Adding more than 50 amps? ❑ Yes No ❑ Service Change ❑ Fire Alarm ❑ Seattle City Light H:\ApplicationsWorms - Applications On Line \2011 Applications\Electrical Permit Application Revised 0 -9 -1 I.docx Revised: August 2011 bh ❑ Remodel Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 • RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) • MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea 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: �I_ Print Name: 1916 / 1 °=�` B W ,/� � N�I.UiDO� Mailing Address: •� f�7 City Date: 2.1(o` 12 Day Telephone: Jig . 9/4 • godt/ D H:\Applications'Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh WA 90a01 State Zip Page 2 of 2 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 1023049043 Address: 3415 S 116 ST TUKW Suite No: Applicant: ANDREWS SPACE RECEIPT Permit Number: EL12 -0174 Status: APPROVED Applied Date: 02/22/2012 Issue Date: Receipt No.: R12 -00755 Initials: TLS User ID: 1670 Payment Amount: $212.90 Payment Date: 02/22/2012 01:19 PM Balance: $0.00 Payee: INTERFACE TECHNOLOGIES NORTHWEST INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 18102 212.90 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 212.90 Total: $212.90 doc: Receipt -06 Printed: 02 -22 -2012 07 -02 -2012 City f Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director JUSTIN FOX 4425 164 ST SW LYNNWOOD WA 98087 RE: Permit No. EL12 -0174 ANDREWS SPACE 3415 S 116 ST TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a fmal inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 08/20/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or fmal inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 08/20/2012, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. EL 12 -0174 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665 Contractors or Tradespeople P;,r Friendly Page Electrical Contractor A business licensed by LEI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company INTERFACE TECHNOLOGIES NW INC 4257741377 4425 164Th St Sw Lynnwood WA 98087 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602103938 Active INTERTN991J6 Electrical Contractor 4/26/2001 4/26/2013 Telecommunications Electrical Administrator INFORMATION License SCHMIKG979R3 Name SCHMIDT, KEVIN G Status Active Business Owner Information Name Role Effective Date Expiration Date NEAL, WILLIAM Agent 04 /26/2001 Bond Amount SCHMIDT, KEVIN President 04/26/2001 9372680 WIEDMER, LISA Treasurer 04/01/2005 ANTHONY, ANDREW Vice President 04/01/2005 CBIC COOK, DON Secretary 04/26/2001 11/07/2005 POND, TROY Treasurer 04/26/2001 11/07/2005 BATTISTA, VICKI Vice President 04/26/2001 11/07/2005 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 FEDERATED MUTUAL INS CO 9372680 04/07/2008 Until Cancelled $4,000.00 04/08/2008 1 CBIC SD6295 04/18/2001 Until Cancelled 06/30/2008 $4,000.00 04/30/2001 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 12 Federated Mutual Ins Co 9809447 08/10/2011 08/10/2012 $1,000,000.0007 /11/2011 11 FEDERATED MUTUAL INS CO 9809447 08/10/2009 08/10/2011 $1,000,000.00 07/13/2010 10 FEDERATED MUTUAL INS CO 9809447 08/10/2008 08/10/2009 $2,000,000.00 07/16/2008 9 FEDERATED MUTUAL INS CO 9809447 08/10/2007 08/10/2008 $1,000,000.00 08/07/2007 8 TRINITY UNIVERSAL INS CO CAP250187200 12/19/2006 12/19/2007 $170,000.0012/29 /2006 https://fortress.wa.gov/lni/bbip/Print.aspx 02/22/2012