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