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HomeMy WebLinkAboutPermit EL12-1080 - SHOWALTER MIDDLE SCHOOLSHOWALTER MIDDLE SCHOOL 4628 S 144 ST EL12 -1080 City ofTukwila 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.: 1523049164 Address: 4628 S 144 ST TIIKW Project Name: SHOWALTER MIDDLE SCHOOL ELECTRICAL PERMIT Permit Number: EL12 -1080 Issue Date: 11/15/2012 Permit Expires On: 05/14/2013 Owner: Name: TUKWILA SCHOOL DISTRICT Address: 4640 S 144TH ST , TUKVVILA WA 98168 Contact Person: Name: CHUCK BRAN Address: 11824 NORTH CREEK PY, SUITE 103 , BOTHELL WA, 98011 Phone: 425 - 489 -8549 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: TELECOMMUNICATION CABLE TO PORTABLE & TELECOMMUNICATION CABLING WITHIN PORTABLE, (11) FACEPLATE LOCATIONS Value of Electrical: NRES: $8,723.00 Fees Collected: $247.30 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: National Electrical Code Edition: 2008 Date: 1 "— . " 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 pe an . I am authorized to sign and obtain this electrical permit. Signature: Print Name: 4-7( Date: // /.) -; /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 -1080 Printed: 11 -15 -2012 PERMIT CONDITIONS Permit No. EL12 -1080 * *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 -1080 Printed: 11 -15 -2012 CITY OF TUKW ' 4 Community DeveloprnWepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.Tukwi la W A.gov Electrical' P it No. ( p Project Noe 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: ciC, ,I � r1y A yi C�.9 9Fic,p Suite Number: Floor: Tenant Name: 7u/ft. ,.'/4 __re:/Lo /72v ,` New Tenant: ❑ Yes ,®.. No PROPERTY OWNER Name: -,/ , c / � Address: ll$c 27 /id-frft (;„4.41,% vei /V Name: Phone: Fax: r y ?9 �Sy9 Fax: Y2r'yF71 0.45. Email: Ca-au.1,1 ca Cal //b(.„erCO„n, cow Address: City: State: Zip: CONTACT. PERSON= person receiving all project 'communication Name: -,/ , c / � Address: ll$c 27 /id-frft (;„4.41,% vei /V City: ne) 7‘41/ Stat 4— Zip: p`, Phone: Fax: r y ?9 �Sy9 Fax: Y2r'yF71 0.45. Email: Ca-au.1,1 ca Cal //b(.„erCO„n, cow ELECTRICAL CONTRACTOR INFORMATION• Company Name: A [blur' £Ow. Address: / i9/ ���z y /00-1(4 sdc �� /f/irIOJ City: 4714// State v4 Zip:9 f0`f Phone: Fax: y2T y 1 7 Pry? un ry i 7z 03 se Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 7 2.3 .0 Scope of /Work (please provide detailed information): % // / // / r rcc..f,KCe4,'r /$z .��J/ OoUhJ lr 1 f c% cao �J o;7 , !'sl : j 4, o �.�. /,c5 /e C/) 7-4ceto4, /Ca Tian Will service be altered? ❑ Yes] No Adding more than 50 amps? ❑ Yes E] No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator • ❑ Fire Alarm 14 Telecommunication ❑ Temporary Service Property Served by: 0 3 ❑ Puget Sound Energy ❑ Seattle City Light u'1 H:Wpplications \Forms- Applications On Line \2011 ApplicationskElectrical Permit Application Revised 8 -9 -1 I.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 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: Mailing Address: Cf" eay l(P.2 //nAcPri,/g-Lv//tv /0) H:\Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8.9- 11.docx Revised: August 2011 bh Date: `(" /)7/� Day Telephone: 20‘ 19/ 9257 (//91State Zip Wit Page 2 of 2 r • 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.: 1523049164 Address: 4628 S 144 ST TUKW Suite No: Applicant: CITY OF TUKWILA RECEIPT Permit Number: EL12 -1080 Status: PENDING Applied Date: 11/15/2012 Issue Date: Receipt No.: R12 -03122 Initials: User ID: WER 1655 Payment Amount: $247.30 Payment Date: 11/15/2012 11:25 AM Balance: $0.00 Payee: BILL ANDERSON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 642219 ACCOUNT ITEM LIST: Description 247.30 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 247.30 Total: $247.30 fin Ranaint -OR Printarl• 11 -15 -7(117 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 6t2-tolo Project: 640 f irk 14 kt, Type of Inspection: Address:116 a S • Ng sr- Date Called: Special Instructions: Z -30 Date Wanted:. 517 autl; (per Requester: Phone No: © Approved per applicable codes. Corrections required prior to approval: COMMENTS: 1 L Inspector: f % INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 s. (206) 431- 367.0 Permit Inspection Request Line (206) 431 -2451 cgo Project: c UJA� -t Type of Inspection: loci Address: 1/621 ,5 - / ST• Date Called: _. Special Instructions: Date Wanted:. • ate, Requester: Phone No: Approved per applicable codes. Corrections required'prior to approval. COMMENTS: e Fok 51 2:30p. Inspector: �' 6446\ REINSPECTION FEE REQUIRED. Prior to next inspection,. fee. Must be :..: paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:?:-` City of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 04 -02 -2013 CHUCK BRAN 11824 NORTH CREEK PY, SUITE 103 BOTHELL WA 98011 RE: Permit No. EL12 -1080 SHOWALTER MIDDLE SCHOOL 4628 S 144 ST 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 05/14/2013. Based on the above, you are hereby advised to: I) 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 05/14/2013, 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, —4of,02_ Bill Rambo Permit Technician File: Permit File No. EL12 -1080 6300 •outhcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665 Contractors or Tradespeople yoter Friendly Page • Electrical Contractor A business licensed by Liil 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 Other 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'994PK POWERCOM INC Electrical Contractor General Unused 10/12/2001 10/12/2005 Archived POWERI'922KR POWERCOM INC Electrical Contractor General Unused 4/28/2008 4/28/2012 Expired Electrical Administrator INFORMATION License ANDERWF89ORM Name ANDERSON, WILLIAM F 111 Status Active Business Owner Information Name Role Effective Date Expiration Date ELEVEN - FOURTEEN INC Agent 01/01/1980 Amount ANDERSON, WILLIAM President 12/20/2011 4TC0317M316 CARITTHERS, ROB Secretary 12/20/2011 THOMPSON, COLIN P Secretary 01/01/1980 National Fire Insurance Co PARTRIDGE, KEN J 11/01/2009 01/01/1980 12/20/2011 MORGAN, GENE R President 01/01/1980 08/31/2005 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 FIDELITY ft DEPOSIT CO OF MD 08821124 09/01/2005 Until Cancelled $4,000.00 09/09/2005 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 8 Phoenix Insurance Company, The 4TC0317M316 11/01/2010 11/01/2013 $1,000,000.00 10/15/2012 7 National Fire Insurance Co 4020103183 11/01/2009 11/01/2010 $1,000,000.00 11/03/2009 https://fortress.wa.gov/lni/bbip/Print.aspx 11/15/2012