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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 bh ❑ 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 bh 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