HomeMy WebLinkAboutPermit EL12-0188 - KING COUNTY HOUSING AUTHORITYKING COUNTY
HOUSING AUTHORITY
700 ANDOVER PK W
EXPIRED
12 -10-12
EL12 -0188
City Tukwila il 1
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
ELECTRICAL PERMIT
Parcel No.: 2623049124
Address: 700 ANDOVER PK W TUKW
Project Name: KING COUNTY HOUSING AUTHORITY
Permit Number: EL12 -0188
Issue Date: 02/27/2012
Permit Expires On: 08/25/2012
Owner:
Name: KC HOUSING AUTH
Address: 600 ANDOVER PARK W , SEATTLE WA
Contact Person:
Name: KYLE GILL
Address: 12527 51 AV NE , MARYSVILLE WA
Contractor:
Name: CLEANLINE COMMUNICATION LLC
Address: 12527 51 AV NE , MARYSVILLE WA
Contractor License No: CLEANCL894DQ
Phone: 425- 422 -7958
Phone: 425- 422 -7958
Expiration Date: 03/18/2013
DESCRIPTION OF WORK:
INSTALL VOICE AND DATA IN THE 700 BUILDING. INSTALL FIBER FROM BUILDING 625 TO
700
Value of Electrical: NRES: $40,000.00 Fees Collected: $780.50
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
Jo- W
Date. ( --`z_
I hereby 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 e complied with, whether specified herein or not.
The granting of t - r� /'t do j: not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ce of work. I am authorized to sign and obtain this electrical permit.
construction o
Signature:
Print Name:
/7
; —7- ) --
Date:
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 -0188 Printed: 02 -27 -2012
• 4
PERMIT CONDITIONS
Permit No. EL12 -0188
* *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 -0188 Printed: 02 -27 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite /00
Tukwila, WA 98/88
http://www.TukwilaWA.gov
Electrical Permit No. L LI O 18[J
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
King Co Assessor's Tax No.:
Site Address: 700 Andover Park West Suite Number: Floor:
Tenant Name: King County Housing Authority New Tenant: ® Yes ❑ ..No
PROPERTY OWNER
Name: Kyle Gill
Name: King County Housing Authority
City: Marysville State: WA Zip: 98271
Address: 625 Andover Park West
Email: kgill @cleanlinellc.com
City: Tukwila State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Kyle Gill
Address: 12527 51st Ave N E
City: Marysville State: WA Zip: 98271
Phone: (425) 422 -7958 Fax: (360) 287 -2793
Email: kgill @cleanlinellc.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Cleanline Communication LLC
Address: 12527 51st Ave N E
City: Marysville State: wa Zip: 98271
Phone: (425) 422 -7958 Fax: (360) 287 -2793
Contr Reg No.: CLEANCL894DQ Exp Date: 03/18/2013
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 40,000
Scope of Work (please provide detailed information):
Install Voice and Data In the 700 Building Install Fiber From Building 625 to 700
Will service be altered'? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes
Type of Use:
Type of work:
1I New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication ❑ Temporary Service
No
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H: \Applications \Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 0 -9 -1 I. does
Revised: August 2011
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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 E LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNS' I,1_ ,,1r ECTY_►.• -/ /4 NTRACTOR:
Signature: / �/j 06/22/2012
g Date:
Print Name: Kyl
Gill
Mailing Address: 12527 51st Ave N E
Day Telephone: (425) 422 -7958
Marysville WA 98271
City
H: \Applications \Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 8-9 -1 I.docx
Revised August 2011
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State Zip
Page 2 of 2
Ili •
�Jy�`N w City of Tukwila
�� �2 Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -43 1 -3670
Fax: 206-431-3665
Web site: http: / /www.TukwilaWA.ov
RECEIPT
Parcel No.: 2623049124 Permit Number: EL12 -0188
Address: 700 ANDOVER PK W TUKW Status: PENDING
Suite No: Applied Date: 02/27/2012
Applicant: KING COUNTY HOUSING AUTHORITY Issue Date:
Receipt No.: R12 -00812
Initials:
User ID:
WER
1655
Payment Amount: $780.50
Payment Date: 02/27/2012 11:54 AM
Balance: $0.00
Payee: KYLE GILL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 501206
ACCOUNT ITEM LIST:
Description
780.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 780.50
Total: $780.50
doc: Receiot -06 Printed: 02 -27 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 pt, (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: I 4 Y;
Type of Inspection: 7003
Address: 7
f
us/
Date Called:
Special Instructions:
! ,.—
Date Wanted:.
b l
Apr
Requester:
Phone No:
nApproved per applicable codes. D Corrections required prior to approval. 7
COMMENTS:
N.
gothlio
Inspector:
Date:
0 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
11 -01 -2012
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
KYLE GILL
12527 51 AV NE
MARYSVILLE WA 98271
RE: Permit No. EL12 -0188
KING COUNTY HOUSING AUTHORITY
700 ANDOVER PK W TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final 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 12/10/2012.
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 final 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 12/10/2012, 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. EL12 -0188
6300 Southcenter Boulevard, Suite #100 • Tuk -wila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665
Contractors or Tradespeople Per Friendly Page
go
Electrical Contractor
A business licensed by L &I 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
CLEANLINE COMMUNICATION LLC
4254227958
12527 51St Ave Ne
Marysville
WA
98271
Snohomish
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603068722
Active
CLEANCL894DQ
Electrical Contractor
3/18/2011
3/18/2013
Telecommunications
Electrical Administrator INFORMATION
License GILL'KM924MG
Name GILL, KYLE M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GILL, KYLE
Agent
03/18/2011
GILL, KYLE
Manager
03/18/2011
WILLIS, MATT
Manager
03/18/2011
KELSCH, NATHAN
Manager
03/18/2011
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
Lexon Ins Co
9804346
03/17/2011
Until Cancelled
$4,000.00
03/18/2011
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
1
American
Family Mutual
Insuran
46X1194301
03/15/2011
03/15/2012
$1,000,000.00
03/18/2011
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https://fortress.wa.gov/lni/bbip/Printaspx
02/27/2012