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
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❑ 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
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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