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HomeMy WebLinkAboutPermit EL12-0483 - FUJITEC AMERICAFUJITEC AMERICA 12648 INTERURBAN AV S EL1 2-0483 City J. 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.: 2716000030 Address: 12648 INTERURBAN AV S TUKW Project Name: FUJITEC AMERICA ELECTRICAL PERMIT Permit Number: EL12 -0483 Issue Date: 05/24/2012 Permit Expires On: 11/20/2012 Owner: Name: EPROPERTYTAX INC DEPT #207 Address: PO BOX 4900 , SCOTTSDALE AZ Contact Person: Name: DAN LUNDBERG Phone: Address: 3325 S 116 ST, SUITE 109 , TUKWILA WA Contractor: Name: FIDELIS COMMUNICATIONS INC Address: 647 STRANDER BL , TUKWILA WA Contractor License No: FIDELCI921 QR Phone: Expiration Date: 206 - 622 -5565 206 - 725 -7728 11/19/2012 DESCRIPTION OF WORK: PROVIDE AND INSTALL PLENUM -RATED CATS AND CAT5e CABLING FOR VOICE AND DATA CONNECTIONS TO INCLUDE: THREE (3) SINGLE VOICE RUNS, YHREE (3) DUAL VOICE AND DATA RUNS (I VOICE, 1 DATA) THREE (3) TRIPLE RUNS (1 VOICE, 2 DATA), ONE (1) FIVE -PORT RUN (3 VOICE, 2 DATA) AND TERMINATING MATERIALS. Value of Electrical: NRES: $4,485.00 Fees Collected: $178.50 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: ;s-.)-/4--- I .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 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 o k. I1 am- authorized to sign and obtain this electrical permit. Signature: ,l/�%G( - v ` Date: �s ?-4, l 2- Print Name: " IE ` %4\-1 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 -0483 Printed: 05 -24 -2012 I • PERMIT CONDITIONS • Permit No. EL12 -0483 * *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: Arty 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 -0483 Printed: 05 -24 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, bf;-1 98188 http://www.TukwilaWA.gov Electrical. Permit No. CL1 )= Q 3 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: Tenant Name: King Co Assessor's Tax No.: (00204065 12648 Interurban Ave S. Tukwila, WA 98168 Suite Number: Ilia Floor: Fujitec America New Tenant: ® Yes ❑..No PROPERTY OWNER Name: EPROPERTYTAX INC DEPT #207 Address: PO BOX 4900 City: Scottsdale State: AZ Zip: 85261 CONTACT PERSON — person receiving all project communication Name: Dan Lundberg Address: 3325 South 116th Street Suite 109 City: Tukwila State: WA Zip: 98168 Phone: (206) 622 -5565 Fax: (206) 624 -5688 Email: dlundberg @fujutecamerica.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Fidelis Communications, Inc. Address: 580 Industry Drive City: Tukwila State: WA Zip: 98188 Phone: (206) 725 -7728 Fax: (206) 299 -3977 Contr Reg No.: FIDELCI921QR Exp Date: 12/31/2012 Tukwila Business License No.: BUS- 0992420 Valuation of Project (contractor's bid price): $ 4,485 Scope of Work (please provide detailed information): Provide and install plenum -rated CAT3 and CAT5e cabling for voice and data connections to include: Three (3) Single voice runs, Three (3) Dual voice & data runs (1 voice, 1 data), Three (3) triple runs (1 voice, 2 data) One (1) five -port run (3 voice, 2 data) and terminating materials. Will service be altered? ❑ Yes IJ No Type of Use: Low voltage - Voice /Data Type of work: ❑ New ❑ Addition • Low Voltage ❑ Generator Property Served by: • Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes 1 No ❑ Service Change ❑ Fire Alarm H:\Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh ❑ Remodel • Telecommunication ❑ Tenant Improvement ❑ Temporary Service o .5' Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) 0. 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 ELECT. ICAL CONTRACTOR: Signature: v � Date: 05/24/2012 Print Name: Marcy AK�t1 Day Telephone: (206) 725 -7728 Mailing Address: 580 Industry Drive Tukwila WA 98188 City H:\Applications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh State Zip Page 2 of 2 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #l00 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov RECEIPT Parcel No.: 2716000030 Permit Number: EL12 -0483 Address: 12648 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 05/24/2012 Applicant: FUJITEC AMERICA Issue Date: Receipt No.: R12 -01679 Initials: User ID: WER 1655 Payment Amount: $178.50 Payment Date: 05/24/2012 11:10 AM Balance: $0.00 Payee: TERRI LEIBLY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 361265 ACCOUNT ITEM LIST: Description 178.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 178.50 Total: $178.50 doc: Receiot -06 Printed: 05 -24 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6,11-arY3 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION fr— 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: f,)( `_ Type of Inspection: t Address: /Z4Lf k f O Date Called: ■ Special Instructions: Date Wanted: . / l al/o a.m. • p•m Requester: Phone No: IV .I Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: Date: n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION. RECORD Retain a copy with permit -6tao PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 � (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: Nrf iG Type of Inspection: / a ) Address: /Z613 (tJr a &3 Date Called: Special Instructions: Date Wanted:. 5,/.--- z a....11.. Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: APIAIA 114 C•11Fi/M' Inspector: Cl./(6-1)/A/6 ri 1---1 REINSPECTION FEE REQUIRED. rior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: d5,-/z.:5,/z..... 10 -01 -2012 City • Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director DAN LUNDBERG 3325 S 116 ST, SUITE 109 TUKWILA WA 98168 RE: Permit No. EL12 -0483 FUJITEC AMERICA 12648 INTERURBAN AV S 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 11/21/2012. 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 11/21/2012, 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, r Marshall Pe Technician File: Permit File No. EL12 -0483 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206-431 -3665 Contractors or Tradespeople Pinter Friendly Page 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 FIDELIS COMMUNICATIONS INC 2067257728 580 Industry Drive Tukwila WA 98188 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602840551 Active FIDELCI921QR Electrical Contractor 11/19/2008 11/19/2012 Telecommunications Electrical Administrator INFORMATION License WITTSS'925QL Name WITTSTOCK, SCOTT Status Active Business Owner Information Name Role Effective Date Expiration Date WITTSTOCK, SCOTT Agent 11/19/2008 Bond Amount WITTSTOCK, SCOTT T President 11/19/2008 32s213199 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 2 American States Insurance Co 32s213199 04/20/2012 Until Cancelled $4,000.0005/07/2012 01/24/2012 1 AM STATES INS 6612553 10/31/2008 Until Cancelled 05/07/2012 $4,000.0011 /19/2008 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 4 CONTINENTAL CAS CO B4018076078 03/02/2011 03/02/2013 $2,000,000.00 01/24/2012 3 VALLEY FORGE INS CO B4018076078 03/02/2010 03/02/2011 $2,000,000.00 09/10/2010 2 UNDERWRITERS AT LLOYDS 0U5057708 11/03/2009 11/03/2010 $2,000,000.00 11/02/2009 1 OMEGA US INSURANCE, INC OUS057708 11/03/2008 11/03/2009 $1,000,000.00 11/19/2008 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 /Print.aspx 05/24/2012