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HomeMy WebLinkAboutPermit EL12-1124 - ALLEGIANCE STAFFINGALLEGIANCE STAFFING 400 INDUSTRY DR EL12 -1124 City ATukwila • 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.: 0223400010 Address: 400 INDUSTRY DR TUKW Project Name: ALLEGIANCE STAFFING ELECTRICAL PERMIT Permit Number: EL12 -1124 Issue Date: 12/03/2012 Permit Expires On: 06/01/2013 Owner: Name: BLUE DOG PROPERTIES TRUST Address: C/0 THOMSON REUTERS PTS , PO BOX 847 92018 Contact Person: Name: LARAE MCDONAL;D Phone: 206 - 251 -1286 Address: 580 INDUSTRY DR , TUKWILA WA, 98188 Contractor: Name: FIDELIS COMMUNICATIONS INC Address: 647 STRANDER BL , TUKWILA WA 98188 Contractor License No: FIDELCI921QR Phone: 206 - 725 -7728 Expiration Date: 11/19/2014 DESCRIPTION OF WORK: PROVIDE AND INSTALL (12) CAT5e PLENUM CABLE RUNS FOR VOICE AND DATA CONNECTIVITY Value of Electrical: NRES: $945.00 RES: $0.00 Fees Collected: $92.40 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: c Date: 1)-- 3' 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 constructio i • , e = o s; . is resume to Iam ve authority to violate or cancel the provisions of any other state or local laws regulating ho ' • - • to 0 sign and obtain this electrical permit. Signature: Print Name: A¢ue KQ\rc&\cP Date: 1 ) ri 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 -1124 Printed: 12 -03 -2012 PERMIT CONDITIONS • Permit No. EL 12 -1124 * *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 -1124 Printed: 12 -03 -2012 CITY OF TUKW9A Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, W4 98188 http://www.TukwilaWA.gov Electrical Permit No. L L1)-r- l 1 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 King Co Assessor's Tax No.: Site Address: 400 Industry Drive Suite Number: 180 Floor: 1 Tenant Name: Allegiance Staffing PROPERTY' OWNER Name: LaRae McDonald Name: REIT Management Address: 580 Industry Drive Address: 617 Industry Drive City: Tukwila State: WA City: Tukwila State: WA Zip: 98188 "CONTACT PERSON — person receiving all project communication. Name: LaRae McDonald Address: 580 Industry Drive Address: 580 Industry Drive Phone: (206) 725 -7728 Fax: (206) 299 -3977 City: Tukwila State: WA Zip: 98188 Phone: (206) 251 -1286 Fax: (206) 299 -3977 Email: larae.mcdonald @fidelisnw.com New Tenant: m Yes ❑ ..No 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: 11/19/2014 Tukwila Business License No.: BUS- 0992420 Valuation of Project (contractor's bid price): $ 945 Scope of Work (please provide detailed information): Provide and install 12 CAT5e plenum cable runs for voice and data connectivity. Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes © No Type of Use: Phone and computer Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ▪ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service 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 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 - r it kie. 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 0 ER OR ELECTRIC _LCONTRACTOR: Signature: 0:1119241 1 1 Date: 12/03/2012 Day Telephone: (425) 336 -5080 Print Name: LaRae McDonald Mailing Address: 580 Industry Drive Tukwila WA 98188 State Zip City H:Wpplications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8 -9 -I I.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.: 0223400010 Address: 400 INDUSTRY DR TUKW Suite No: Applicant: ALLEGIANCE STAFFING RECEIPT Permit Number: EL12 -1124 Status: PENDING Applied Date: 12/03/2012 Issue Date: Receipt No.: R12 -03234 Payment Amount: $92.40 Initials: WER Payment Date: 12/03/2012 11:23 AM User ID: 1655 Balance: $0.00 Payee: FIDELIS COMMUNICATIONS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3375 92.40 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 92.40 Total: $92.40 ring. Raraint -(1R Printpri• 19411-M12 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO.' CITY OF TUKWILA BUILDING - DIVISION 6300 Southcenter Blvd_, #100, Tukwila. WA 98188 R- (206).43.1 -36 Permit Inspection Request Line (206) 431 -2451 Project:AA.I t `t(" rYpe of Inspection: Address: Date Called: Special Instructions: Date Wanted:. 1 �:. a , ) Requester: Phone No: (Approved per applicable codes. Corrections required prior to approval. Inspector: I _ 1 n REINSPECTION FEE REQUIRED. Prior to nextinspection•,_.fee must be `; paid at 6300 Southcenter Blvd., Suite 100. Call to achednl`e'-reinspection. ;: INSPECTION RECORD Retain a copy with permit, INSPECTION NO. y PERMIT NO. OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Q, .: , - `(206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: virr i e St' 1 of Inspection ,-_r Address: Pia) (4 v5r� Date Called: -- Special Instructions: fk Date Wanted:. -:. - a.rn. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1/J. A icovt04- eo /1 Inspector: /-. n REINSPECTION FEE REQUIRED. Prior to next inspection fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:' Contractors or Tradespeople Palter Friendly Page • Electrical Contractor A business licensed by Lai 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 FIDELCI921 QR Electrical Contractor 11/19/2008 11/19/2014 Telecommunications 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 AMERICAN 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 OUS057708 11/03/2009 11/03/2010 $2,000,000.00 11/02/2009 1 OMEGA US INSURANCE, INC 0U5057708 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 Infractions /Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 12/03/2012