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HomeMy WebLinkAboutPermit EL12-0813 - TUKWILA SCHOOL DISTRICTTUKWILA SCHOOL DISTRICT 4242 S 144 ST EL12 -0813 City oiiliukwila • 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.: 1523049108 Address: 4242 S 144 ST TUKW Project Name: TUKWILA SCHOOL DISTRICT ELECTRICAL PERMIT Permit Number: EL12 -0813 Issue Date: 08/27/2012 Permit Expires On: 02/23/2013 Owner: Name: TUKWILA SCHOOL DISTRICT Address: 4640 S 144TH ST , TUKWILA WA 98168 Contact Person: Name: Cj SANTEFORD Phone: (206)391 -9977 Address: 11824 NORTH CREEK PARKWAY N SUITE 103 , BOTHELL WA, 98011 Contractor: Name: POWERCOM INC Phone: (425)489 -8549 Address: 11824 NORTH CREEK PARKWAY N SUITE 103 , BOTHELL WA 98011 Contractor License No: POWERI *006LH Expiration Date: 06/08/2014 DESCRIPTION OF WORK: PROVIDE INNERDUCT AND FIBER BACKBONE CABLE BETWEEN FOSTER HS AND SHOWALTER MS. Value of Electrical: NRES: $18,500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $419.30 National Electrical Code Edition: 2008 Date: 0607// 9 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 erfprtan e o, ork. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: Q ' 67-212 2 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 -0813 Printed: 08 -27 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0813 * *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 -0813 Printed: 08 -27 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, W4 98188 http://www.TukwilaWA.gov Electrical Permit No. EA/ a- o� i3 Project No. Date Application Accepted: 0e1a -7/t. Date Application Expires: 6?_f2.7 /13 ___ (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.: iS2 -204 11/01) Site Address: 4242 S 144th St Tukwila WA 98168 Suite Number: Floor: Tenant Name: %u jo. -5X.csel Ark PROPERTY OWNER Name: CJ Santeford Name: 1-[.,0 Address: , t j d 40 7 i tt cif City: / 11/1l%►I State: ki f � zip: 011) CONTACT PERSON — person receiving all project communication Name: CJ Santeford Address: 11824 North Creek Parkway N Suite 103 City: Bothell State: WA Zip: 98011 Phone: (206) 391 -9977 Fax: (425) 487 -1035 Email: CJSanteford @callpowercom.com New Tenant: ❑ Yes ® ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: PowerCorn Inc. Address: 11824 North Creek Parkway N Suite 103 City: Bothell --1): WA Zip: 98011 Phone: (425) 489 -8549 Fax: (425) 487 -1035 Contr Reg No.: Exp Date: Tukwila Business License No.: Cum_ It (2,66 O15-4 8 Valuation of Project (contractor's bid price): $ )15', re/0'04 Scope of Work (please provide detailed information): Provide innerduct and fiber backbone cable between Foster HS and Showalter MS Will service be altered? ❑ Yes 21 No Adding more than 50 amps? ❑ Yes VI No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seat- tle City Light H:.Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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: Print Name: Bill Anderson Date: 08/26/2012 Day Telephone: (425) 489 -8549 Mailing Address: 11824 North Creek Parkway N Suite 103 Bothell WA 98011 City State Zip H:\ Applications\ Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh 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.: 1523049108 Address: 4242 S 144 ST TUKW Suite No: Applicant: TUKWILA SCHOOL DISTRICT RECEIPT Permit Number: EL12 -0813 Status: APPROVED Applied Date: 08/27/2012 Issue Date: Receipt No.: R12 -02465 Payment Amount: $419.30 Initials: LAW Payment Date: 08/27/2012 03:20 PM User ID: 1632 Balance: $0.00 Payee: POWERCOM INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 690422 ACCOUNT ITEM LIST: Description 419.30 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 419.30 Total: $419.30 doc: Receiot -06 Printed: 08 -27 -2012 INSPECTION.,RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431 -367 Cul-o7f3 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Projects/ Type of Inspection: Address: 11Z1 6 -/95i- Date Called: Special Instructions: 311,1—* 1v P11 A' trtof ti`L.2,:,� joo` j Date Wanted:. // a. , . m. Requester: ii Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: l Inspector: dribc4k-is Date: ar Z1 j ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr1r Friendly Page • Page 1 of 2 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 POWERCOM INC 4254898549 11824 North Creek Parkway N SUITE 103 Bothell WA 98011 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602030026 Active POWERI *006LH Electrical Contractor 6/8/2000 6/8/2014 Telecommunications her Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status POWERI *937MJ POWERCOM INC Electrical Contractor Limited Energy Unused 7/10/2007 7/10/2013 Active POWERI *922KR POWERCOM INC Electrical Contractor General Unused 4/28/2008 4/28/2012 Expired POWERI *994PK POWERCOM INC Electrical Contractor General Unused 10/12/2001 10/12/2005 Out Of Business Electrical Administrator INFORMATION License ANDERWF89ORM Name ANDERSON, WILLIAM F III Status Active Business Owner Information Name Role Effective Date Expiration Date ELEVEN - FOURTEEN INC Agent 01/01/1980 ANDERSON, WILLIAM President 12/20/2011 CARITTHERS, ROB Secretary 12/20/2011 THOMPSON, COLIN P Secretary 01/01/1980 PARTRIDGE, KEN J 01/01/1980 12/20/2011 MORGAN, GENE R President 01/01/1980 08/31/2005 Bond Information https://fortress.wa.gov/lni/bbip/Printaspx 08/27/2012 Contractors or Tradespeople 10ter Friendly Page • Page 2 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date 3 FIDELITY & DEPOSIT CO OF MD 08821124 09/01/2005 Until Cancelled 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 Amou 8 Phoenix Insurance Company, The 4TC0317M316 11/01/2010 11/01/2012 6/9/2009 19.28.101 RCW $1,000,01 7 National Fire Insurance Co i 4020103183 11/01/2009 11/01/2010 ELECTRICAL CITATION Not satisfied $1,000,01 6 CONIGARD INS CM 010691 11/01/2008 11/01/2009 $1,000.00 $1,000,01 5 CONIGARD INS CM010691 11/01/2007 11/01/2008 $1,000,01 4 CONIGARD INS CM 010691 11/01/2006 11/01/2007 $170,01 3 CONIGARD INS CM010691 11/01/2005 11/01/2006 $170,01 1 MA CAS CON33880403 11/01/1999 Until Cancelled 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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EHRAL00627 6/9/2009 19.28.041 RCW ELECTRICAL CITATION Satisfied $500.00 EHRAL00628 6/9/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECHRW00386 6/18/2012 19.28.470 RCW ELECTRICAL CITATION Not satisfied $1,000.00 EAND000496 3/11/2011 19.28.470 RCW ELECTRICAL CITATION Satisfied $1,000.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 08/27/2012