HomeMy WebLinkAboutPermit EL13-0198 - LABOR & INDUSTRIES - LOW VOLTAGELABOR & INDUSTRIES
12806 GATEWAY DR
EXPIRED
OS -2(x13
EL13-0198
City otkukwila
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.: 2716000050
Address: 12806 GATEWAY DR TUKW
Project Name: LABOR & INDUSTRIES
ELECTRICAL PERMIT
Permit Number: EL13-0198
Issue Date: 02/27/2013
Permit Expires On: 08/26/2013
Owner:
Name: EPROPERTY TAX INC DEPT #207
Address: PO BOX 4900 , SCOTTSDALE AZ 85261
Contact Person:
Name: CHUCK BROWN
Address: 11824 N CREEK PY N #103 , BOTHELL WA, 98011
Contractor:
Name: POWERCOM INC
Address: PO BOX 2071 , BOTHELL WA 98041
Contractor License No: POWERI*937MJ
Phone: 425 489-8549
Phone: 425 489-8549
Expiration Date: 07/10/2013
DESCRIPTION OF WORK:
INSTALLATION OF LOW VOLTAGE CABLING
Value of Electrical: NRES: $650.00
RES: $0.00
Fees Collected:
$79.80
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Date: ' _ Z� 1
xami
with,
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether 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 ancework. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: '2' 2717
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
EL13-0198 Printed: 02-27-2013
PERMIT CONDITIONS
Permit No. EL13-0198
**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
EL13-0198 Printed: 02-27-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
Project No.
�j—Ol`l`6
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
{ r, �" i 1 King Co Assessor's Tax No.:
Site Address: 1/., I7 61U G�, iv#y Dr. 5 . Tuh wil is, wig, Suite Number: Floor:
New Tenant: ❑ Yes ..No
'211 Cpaoc
Tenant Name: S . L ..�
1 i1D8
PRQPERTY; O.W N'ER
Name: eQ 4
110
Address: V ,jn.,- ' j 40 00
V I�f L
City: 'p �State:'Zip:If5 1
CONTACT PERSON - person receiving all project
communication
Name: l.. t+. 1
vc [1,1
U rah•n
1
Address:11 13214 N C rGG 1 PK rkryA )V. IP) C 3
City: (1 X11 G 1) State: , Zip 4.60I )
Phc�rt2S-w91_ 95Li1 Faxj.)25- x'107- It 735
Email:
C. -brown & C.R11 AOWer(.Dell . C-Ohn
ELECTRICAL,CONTRAC:TOR INFORMATION
Company Name:
P6Lye. rc0rn 1nG,
Address: i`
IV, CrCGk Pari w� , 1'V. 1411231O3
t4 I� :111gZ1
City: (1 a1 hStateZip4130 i j
Phone z5- LItli- e55411Fax: )25_987_ 1035
Contrlie oa:x 4 9 3.7 M S Exp Date."7-0'13
7_ 1 D ') 3
Tukwila Business Licerta_ 09 q 3! 58
Valuation of Project (contractor's bid price): $ SO
IaCJ
Scope of Work (please provide detailed information): II
IvIsl'AllA,+;ow d I w-. VG
oI+v5e 'b 1013
r
Will service be altered? D Yes rgj No Adding more than 50 amps? ❑ Yes 'X1 No
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage 0 Generator
Propirty Served by:
- .. Puget Sound Energy 0 Seattle City Light
H:\Applications\forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
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❑ Service Change
❑ Fire Alarm
0 Remodel
a Telecommunication
❑ Tenant Improvement
❑ Temporary Service
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: a
Print Name: C IlUel 1,; rOv-V►
Mailing Address: 1.1924 Pi. Cr e.G) l Pr6f iv y
Day Telephone:
Date: 2-2-7— 13
q(39- 95'0
N. itJL3 k/4- qdO))
H:\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-1 l.docx
Revised: August 2011
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City State 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.: 2716000050
Address: 12806 GATEWAY DR TUKW
Suite No:
Applicant: LABOR & INDUSTRIES
RECEIPT
Permit Number: EL13-0198
Status: APPROVED
Applied Date: 02/27/2013
Issue Date:
Receipt No.: R13-00925
Payment Amount: $79.80
Initials: JEM Payment Date: 02/27/2013 03:05 PM
User ID: 1165 Balance: $0.00
Payee: POWERCOM INC, BILL ANDERSON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 644668
ACCOUNT ITEM LIST:
Description
79.80
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 79.80
Total: $79.80
Printprl• 07-77-2016
07-01-2013
011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
CHUCK BROWN
11824 N CREEK PY N #103
BOTHELL WA 98011
RE: Permit No. EL13-0198
LABOR & INDUSTRIES
12806 GATEWAY DR 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 08/26/2013.
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 08/26/2013, 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. EL13-0198
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fay 206-431-3665
Contractors or Tradespeople Peter 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
POWERCOM INC
4254898549
Po Box 2071
Bothell
WA
98041
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602030026
Active
POWERI*937MJ
Electrical Contractor
7/10/2007
7/10/2013
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
POWERI'006LH
POWERCOM
INC
Electrical
Contractor
Telecommunications
THOMPSON, COLIN
6/8/2000
6/8/2014
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 VILLARD8880F
Name VILLA, RORY D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
THOMPSON, COLIN
Agent
12/21/2012
ANDERSON, BILL
President
12/21/2012
THOMPSON, COLIN
Secretary
07/11/2007
CARITHERS, ROB
Vice President
07/11/2007
PARTRDGE, KEN
President
07/11/2007
12/21/2012
CARITHERS, BOB
Treasurer
07/11/2007
12/21/2012
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
FIDELITY & 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 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
httos://fortress.wa. i?ov/lni/bbip/Print.aspx
02/27/2013