HomeMy WebLinkAboutPermit EL13-0244 - ONE SOURCE TALENT - LOW VOLTAGEONE SOURCE TENANT
12720 GATEWAY DR
CANCELLED 04-16-13
EL1 3-0244
City ("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.: 2716000070
Address: 12720 GATEWAY DR TUKW
Project Name: ONE SOURCE TALENT
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL13-0244
03/13/2013
09/09/2013
Owner:
Name: EPROPERTY TAX INC DEPT #207
Address: PO BOX 4900 , SCOTTSDALE AZ 85261
Contact Person:
Name: PETE LINDSTROM
Address: 3702 W VALLEY HY N #302 , AUBURN WA, 98001
Contractor:
Name: EFFICIENT COMM SOLUTIONS INC
Address: 3702 W VALLEY HY N, STE 302 , AUBURN WA 98001
Contractor License No: EFFICCS944M5
Phone: 253 431-8438
Phone: 253 886-5400
Expiration Date: 07/25/2014
DESCRIPTION OF WORK:
LOW VOLTAGE VOICE/DATA CABLING
Value of Electrical:
NRES: $1,803.63
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Fees Collected: $115.50
National Electrical Code Edition:
Date:
2008
d this permit and know the same to be true and correct. All provisions of law and ordinances
ether specified herein or not.
The granting of this ermit does not pr
construction or the t rforrftance of wor
Signature: U 1
Print Name:
o give authority to violate or cancel the provisions of any other state or local laws regulating
authorized to sign and obtain this electrical permit.
C -1 iSTP- t\
Date:
3`13/13
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
EL13-0244 Printed: 03-13-2013
1111 II
PERMIT CONDITIONS
Permit No. EL13-0244
**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
EL13-0244 Printed: 03-13-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. - / 02911
Project No.
Date Application Accepted: p� V��I
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
Site Address: 12-12. l7 en,attA la 1�t-C.
Tenant Name: �n QCtA�
King Co Assessor's Tax No.: 2-1 �LpX - t7
Suite Number: 9,(i 0 Floor:
New Tenant: ® Yes ❑..No
PROPERTY OWNER
Name: -1 e.•} e L,kvvi SA- r vs...%
cess:
uZ W W. VI Li 1- y 14.302-.
Name:
n�
Pho"L3 •431 . co -43$ F 2.53. Win. St -Kb
EmaiiWt . Lt y.ct5+1'Ovtn6E:s
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: -1 e.•} e L,kvvi SA- r vs...%
cess:
uZ W W. VI Li 1- y 14.302-.
maxi in t.ttaitA cab i
n�
Pho"L3 •431 . co -43$ F 2.53. Win. St -Kb
EmaiiWt . Lt y.ct5+1'Ovtn6E:s
CGS o 1 i,cti a r+Z. c.o wv.
ELECTRICAL CONTRACTOR INFORMATION
FaVany Nam�pe
t L1 tv�t t b ~N.. ' c A.- t d AS . ?ant_. .
Cit 6v, ✓ State: W � Z p., < co I
Pl°4%•ssTo.54ub Fax .5S514:•.5�44 SD
CO�FF N! Reg ,Sau4rst\5 Exp
`11ZSIly
Tukwila Business License No.: /x "c . g Q i n ( p2
Valuation of Project (contractor's bid price): $ 0-3 • 1,03
Scope of Work (please provide detailed information):
Low vuk t6 /d& -I -i C�1oL•`^S
Will service be altered? 0 Yes ,Q No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
ig Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
R:lApplicaf Forms -Applications On L nc\20I 1 Applications\ Electrical Permit Application Revised 11-9-I I.docx
Revised: August 2011
be
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
O Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O 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
❑ I.ow 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Date: 03.13.13
Print Name: "R..00•e r k CiAvv.e. r o'
Mailing Address: 3102 W • VI tA 11wy *2302.
A: ApplicatioreWoma-Application On Lino \201 1 Applicatom\Hkctrical Pcnnit Application Rcviscd II -9-1 I.docx
Rcviscd: August 2011
bh
Day Telephone: 2.53 . YS SS (, OD
1�u tau �r
City
Mot RKoO
State Zip
Page 2 of 2
s
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.: 2716000070
Address: 12720 GATEWAY DR TUKW
Suite No:
Applicant: ONE SOURCE TALENT
RECEIPT
Permit Number: EL13-0244
Status: APPROVED
Applied Date: 03/13/2013
Issue Date:
Receipt No.: R13-01025
Payment Amount: $115.S0
Initials: JEM Payment Date: 03/13/2013 10:40 AM
User ID: 1165 Balance: $0.00
Payee: EFFICENT COMMUNICATIONS SO, PETER LINDSTROM
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 143595
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
.1..... o......:... /1C D.inln.l• Al 11 0/11 '1
Effidis o S LJOII IJ tJ IJ 11 LI ITi t S tIkET
SoI1utaoois, Onc.—
"Reliable Solutions through Integrity 9 Experience"
April 15, 2013
City of Tukwila
Department of Community Development
6300 Southcenter Blvd., #100
Tukwila, WA 98188
RE: Permit EL13-0244
To Whom It May Concern:
We got a permit for a project in the City of Tukwila but ended up not needing it. The customer used the
existing cabling instead of having us put in new.
The permit number is EL13-0244 from 3/13/13 for the amount of $115.50.
Please contact us at 253-886-5400 with any questions.
CITY TVEO
CW/LA
APR 16 2013
PERMIT CENTER
Sincerely,
Charles Bressler
ECS Account Executive
Contractors or Tradespeople kilter 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
EFFICIENT COMM SOLUTIONS INC
2538865400
3702 W Valley Hwy N Ste 302
Auburn
WA
98001
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602536415
Active
EFFICCS944M5
Electrical Contractor
7/25/2006
7/25/2014
Telecommunications
Electrical Administrator INFORMATION
License CAMERRM922JJ
Name CAMERON, ROBERT M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CAMERON, ROBERT M
Agent
06/10/2010
Bond Amount
CAMERON, ROBERT M
President
07/25/2006
105446556
BARBER, DONALD E
Vice President
07/25/2006
GRIMES, TAMRA L
Agent
07/25/2006
06/10/2010
GRIMES, TAMRA L
President
07/25/2006
06/10/2010
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
2
TRAVELERS CAS &
SURETY CO
105446556
07/05/2010
Until Cancelled
$4,000.00
07/02/2010
1
COLONIAL AM CAS
SURETY OF MD
LPM4070377
07/05/2006
Until Cancelled
08/21/2010
$4,000.00
07/25/2006
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
10
Liberty
Northwest Ins
Corp
C03174295
09/09/2012
09/09/2013
$1,000,000.0008/28/2012
9
Liberty
Northwest Ins
Corp
CO2 17 42 95
09/09/2011
09/09/2012
$1,000,000.00
08/24/2011
8
Liberty
Northwest Ins
Corp
C01 174295
09/09/2010
09/09/2011
$1,000,000.0004/27/2011
7
FARMERS INS
EXCHANGE
60171-26-95
05/14/2010
05/14/2011
$2,000,000.00
06/22/2010
6
FARMERS INS
EXCHANGE
601712695
09/21/2009
09/21/2010
$1,000,000.00
09/21/2009
httns://fortress.wa.gov/lni/bbip/Print.aspx
03/13/2013