HomeMy WebLinkAboutPermit EL13-0149 - SGI USA - LOW VOLTAGESGI - USA
3438 S 148 ST
EL13-0149
City oikukwila •
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.: 0040001025
Address: 3438 S 148 ST TIIKW
Project Name: SGI - USA
ELECTRICAL PERMIT
Permit Number: EL13-0149
Issue Date: 02/12/2013
Permit Expires On: 08/11/2013
Owner:
Name: SOKA GAKKAI INTERNATIONAL
Address: 3438 S 148TH , SEATTLE WA 98168
Contact Person:
Name: MARK NOCHOLSON
Address: 12505 131 CT NE , KIRKLAND WA, 98034
Contractor:
Name: PEAK/CMS LLC
Address: 12505 131 CT NE , KIRKLAND WA 98034
Contractor License No: PEAKCL*890N3
Phone: 425-732-6100
Phone: 425-732-6100
Expiration Date: 08/23/2013
DESCRIPTION OF WORK:
INSTALL (14) VOICE/DATA CABLES
Value of Electrical: NRES: $1,470.00
RES: $0.00
Fees Collected:
$115.50
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
uff
Date:
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 p ume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe • rmance o or : I . utho ed to ' • and obtain this electrical permit.
Signature:
Print Name:
141 Awl_ IIJI 4 :1 A;�S/LJ
Date:
2,- 4Z- ( 3
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
EL13-0149 Printed: 02-12-2013
• PERMIT CONDITIONS •
Permit No. EL13-0149
**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 TO - 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
EL13-0149 Printed: 02-12-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. LI--\ rO 147
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: 3 y31 S iat Suite Number: Floor:
Tenant Name: So/eA /tit'f T►O^//--L- New Tenant: ❑ Yes..No
PROPERTY OWNER
Name: /L /!/ICLSpN
Address: / 2 cos- / 3/ =� of Aie-
Name:
Phone: tiZS732 6t06 Fax: 'f2.S'79t(o tp/
Email:oklez_�� �r1,6,Gv Y+-► ►*-t , co e...,
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: /L /!/ICLSpN
Address: / 2 cos- / 3/ =� of Aie-
City: befecm!/D State: WA Zip: 7 '43y
Phone: tiZS732 6t06 Fax: 'f2.S'79t(o tp/
Email:oklez_�� �r1,6,Gv Y+-► ►*-t , co e...,
ELECTRICAL CONTRACTOR INFORMATION
Company Name: I0.- CWI� r C
Address: 1 Z Oc 131 ,.._+ ^-f /oe
City: Vlate-la-N9 State: 11,)4 Zip:Qgoiq
Phone: qz - 7i2. &tDp Fax: y2S 731 6 to
Contr Reg No.: p6oceL+glic,ij3 Exp Date: 8123/ /3
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ /7
Scope of Work (please provide detailed information):
/' e,'2I A—A e1 ler
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change ❑ Remodel 0 Tenant Improvement
pf-Tow Voltage 0 Generator 0 Fire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line \2011 Applications'Electrical Permit Application Revised 8-9-I I.docx
Revised: August 2011
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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 CONTRACTO
Signature:
Print Name: %44�- /vie
Mailing Address: / 3 % 59- C7' R/e
H: \Applications\Forrts-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Date: Z / Z/ 13
Day Telephone: 5/2S 7 3 2. 6 /D D
City
w>'1
State
Zip
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
RECEIPT
Parcel No.: 0040001025 Permit Number: EL13-0149
Address: 3438 S 148 ST TUICW Status: PENDING
Suite No: Applied Date: 02/12/2013
Applicant: SGI - USA Issue Date:
Receipt No.: R13-00795
Payment Amount: $115.50
Initials: WER Payment Date: 02/12/2013 02:57 PM
User ID: 1655 Balance: $0.00
Payee: CMS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6006 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
a..... o....,.�..� nc
Printati• n9-17-9nil
1
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
(u3 0frY9
PERMIT NO.
Project: pe...014( /gem 5 ,cA,Type
at,
of Inspection's `
BOO
Address:31131, �, I `' 7 y-.
Date Called:
Special Instructions:
Date Wanted:.
c
a.m.
. r
Requester: ""
C
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Inspector:
Date:102z / 13
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
a
PERMIT NO
(206)431-3670
Project: optic 1 c , _ _c
�9
Type of Inspection:
Address: lit,
1 bit (l
Date Called:
Special Instructions:
41 DATA
Date Wanted:
2 {
1
b a.m.
p.m.
Requester:
Phone No:
1
1,414 ,2.101
0 Approved per applicable codes. Ei Corrections required prior to approval.
COMMENTS:
fra 04 f
0 j(
Inspector:
Date:
0//(411/
/(41 i
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Contractors or Tradespeople Peer 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
PEAK/CMS LLC
4257326100
12505 131St Ct Ne
Kirkland
WA
98034
King
Limited Liability Company
PEAK CMS LLC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602557653
Active
PEAKCL'890N3
Electrical Contractor
8/23/2011
8/23/2013
Telecommunications
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
PEAKCCS954KP
PEAK
COMMUNICATION
SYSTEMS LLC
Electrical
Contractor
Telecommunications
REDEAU, SHARON
8/1/2005
8/25/2013
Suspended
Electrical Administrator INFORMATION
License NICHOM'955NA
Name NICHOLSON, MARK
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
NICHOLSON, MARK
Agent
08/23/2011
Amount
NICHOLSON, MARK
Partner/Member
08/23/2011
98 -GM -5850-2
REDEAU, SHARON
Partner/Member
08/23/2011
MCSHURLEY, JERRY
Partner/Member
08/23/2011
State Farm Fire
&Cas Co
YBARRA, ANDREW
Partner/Member
08/23/2011
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
1
State Farm Fire f& Cas
Co
98BFQ4367
08/08/2011
Until Cancelled
$4,000.00
08/23/2011
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
3
State Farm Fire
& Cas Co
98 -GM -5850-2
09/14/2012
09/14/2013
$2,000,000.00
10/17/2012
2
State Farm Fire
&Cas Co
98GM58502
09/14/2011
09/14/2012
$2,000,000.00
12/27/2011
1
State Farm Fire
& Cas Co
98GM58502
09/14/2010
09/14/2011
$2,000,000.00
08/23/2011
Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type
httns://fortress.wa.uov/lni/bbin/Print.asnx
02/12/2013