HomeMy WebLinkAboutPermit EL12-0959 - PDS TECHPDS TECH
12720 GATEWAY DR
EXPIRED
05 -01 -13
EL1 2-0959
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.TukwilaWA.gov
Parcel No.: 2716000070
Address: 12720 GATEWAY DR TUKW
Project Name: PDS TECH
ELECTRICAL PERMIT
Permit Number: EL12 -0959
Issue Date: 10/10/2012
Permit Expires On: 04/08/2013
Owner:
Name: EPROPERTY TAX INC DEPT #207
Address: PO BOX 4900 , SCOTTSDALE AZ 85261
Contact Person:
Name: TRAVIS BRADFORD
Address: 16821 SMOKEY PT BLVD , ARLINGTON WA, 98223
Phone: 360 - 657 -0777
Contractor:
Name: ULTRA ELECTRIC Phone: 360 657 -0777
Address: 16821 SMOKEY PNT BL PMB 241 , ARLINGTON WA 98223
Contractor License No: ULTRAEL961NT Expiration Date: 08/30/2014
DESCRIPTION OF WORK:
REWORK EXISTING SPACE - RELOCATING LIGHTS AND RECEPTACLES
Value of Electrical: NRES: $18,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Fees Collected:
National Electrical Code Edition:
Permit Center Authorized Signatur - `L i - Date:
I hereby certify that I have read and examined thi .• -rmit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whethe specified herein or not.
$402.10
2008
The granting o this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
constructign ojhe perforrtlance of work. I am authorized to sign and obtain this electrical permit.
Signature: ` �- Date:
Print Name:
l i , &A-o u^9
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.
(4l1u /1-t-
doc: EL -4/10
EL12 -0959 Printed: 10 -10 -2012
1111 •
PERMIT CONDITIONS
Permit No. EL12 -0959
* *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 -0959 Printed: 10 -10 -2012
CITY OF T
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
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:
TA-1, tj m o j
King Co Assessor's Tax No.:
Tenant Name: \OS 'r€
Suite Number: \G
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name n J t S 2(2A DP.4,0
Address: S
v k i c e N'r'o-A'� "'
City:
State: Zip:
Phone:
Fax:
Email:
6.4 Ari U IA Pt- 4 l ;rltNG.,AeA
Floor:
New Tenant: ❑ Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: U t p-/' C LF L,t�L.,
Address: U t StMO�I'� er 1lvv0 PMe x241
City: NP-LAN (To 0 State: 6, A Zip:46113
\
Phone: Fax:
3c�� �s� o��� 106 (psi ‘ ire
Contr Reg No.: u trr24 E LC1 IolNs Exp Date:
Tukwila Business License No.:6qc:?..?r___7(,0
Valuation of Project (contractor's bid price): $ U (J U
Scope of Work (please provide detailed information):
tr u M4. try E t sr IN SPA Ix= — c., Loriv- e-
Will service be altered? ❑ Yes
Type of Use: F P1 LA' TA
Type of work:
l_AGN-TS
�N!i
(Z.F Ge P t.- S
Adding more than 50 amps? ❑ Yes IS No
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:\ Applications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
an
❑ Remodel
❑ Telecommunication
25- Tenant Improvement
❑ Temporary Service
Page 1'of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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)
❑ Camivals $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:
Date:
Print Name: —1-71-2-1k d t 1 a." D(-0 M Day Telephone:
Mailing Address:t [4't S r" e tK't', Pc- 3L J 0 G M p `lock
City State
H :\Applications \Forms-Applications On Line\2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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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.: 2716000070
Address: 12720 GATEWAY DR TUKW
Suite No:
Applicant: PDS TECH
RECEIPT
Permit Number: EL12 -0959
Status: PENDING
Applied Date: 10/10/2012
Issue Date:
Receipt No.: R12 -02826
Initials:
User ID:
Payee:
TLS
1670
Payment Amount: $402.10
Payment Date: 10/10/2012 01:53 PM
Balance: $0.00
TRAVIS BRADFORD ULTRA ELECTRIC LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 09666G
ACCOUNT ITEM LIST:
Description
402.10
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 402.10
Total: $402.10
doc: Receiot -06 Printed: 10 -10 -2012
N
INSPECTION"°RECORD
Retain a copy with permit
6/12--(11151
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431 -367
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project:
16 11.0 ,
Type of Inspection:
�r
Address:
! 2'7
Date Called:
it)
Special Instructions:
6t‘41 al\
Date Wanted:.
I i �c�
a .m.
P.m.
Requester:
1
N
Phone No:
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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it)
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A Th eAti)
Date: { 1 /02— fa--
■//1 4441
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
INSPECTION NO.
INSPECTION- RECORD
Retain a copy with permit
04.-0151
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: pD5
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Type of Inspection:
3
Address: f,i .1�Q
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, )
Date Called:
V -
4
Special Instructions:
1
Date Wanted:.
ra 3
/
a.m..
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
(}VO`5 r
(:) ,
t
V -
4
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rtC emu&
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Inspector:
Date: , Q ( /, ?
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
• "' - ^- r-k, .�...,,.,•S ` ._.v -... ...i -`-r ■ Yom,.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. '
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
T/L
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Project: w 5�r, `
�t
Type of Inspection: �h0
6
- t11SSt L\ 4/.41.14D SCL J ttj j" gvr
Address: 6A-real
1 ` 1-o
Date Called:
- Z. 0s/c' Ac -d 0-04
.,�
Special Instructions:
/ Udil
(s
Date Wanted:.
/0/25"—
(m.
Requester:
Phone No:
❑ Approved per applicable codes.
nCorrections required prior to approval.
COMMENTS:
- t11SSt L\ 4/.41.14D SCL J ttj j" gvr
- ilJtikS 0 c, ti- S S J ?Po&.'i" m.44 `1'v
STciJa-kD 4k1.1)
- Z. 0s/c' Ac -d 0-04
t1/410 -tAN,
"`� Date:
roic�2.
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector: f�
�' `ek
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 !? ,(206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: N 664
Type of Inspection:
�0 a
Address:
/7,7a0C
Date Called:
Special Instructions:
I
Date Wanted:.
/ 02—
a.m.
6-351
Requester:
Phone No:
a❑ Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
41_ v 401.)6‹
Inspector:
1/
Date:
/0 /! 12.-
F-7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
04 -02 -2013
•
City of Tukwila
•
Department of Community Development
TRAVIS BRADFORD
16821 SMOKEY PT BLVD
ARLINGTON WA 98223
RE: Permit No. EL12 -0959
PDS TECH
12720 GATEWAY DR TUKW
Dear Permit Holder:
Jitit Haggerton, Mayor
Jack Pace, Director
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 05/01/2013.
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 05/01/2013, 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. ELI2 -0959
6300 8outhcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665
Contractors or Tradespeople Per 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
ULTRA ELECTRIC LLC
3606570777
16821 Smokey Pnt Blvd Pmb 241
Arlington
WA
98223
Snohomish
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602422204
Active
ULTRAEL961NT
Electrical Contractor
8/30/2004
8/30/2014
General
Unused
Master Electrician INFORMATION
License BRADFTJ963JG
Name BRADFORD, TRAVIS J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
SOUTHARD, MARK
Agent
08/30/2004
Bond Amount
BRADFORD, TRAVIS J
President
08/30/2004
9852714
SOUTHARD, MARK
Vice President
08/30/2004
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
Federated Mutual Ins
9852714
08/30/2011
Until Cancelled
$4,000.0008/30/2011
1
AMERICAN STATES INS
CO
6304945
08/30/2004
Until Cancelled
$4,000.0008/30/2004
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
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
EJONV00476
10/30/2006
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 10/10/2012