HomeMy WebLinkAboutPermit EL13-0331 - OMNICARE - LOW VOLTAGEOMNICARE
12674 GATEWAY DR
EL1 3-0331
City ofTukwila •
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206-431-36 65
Web site: http://www.TukwilaWA.gov
Parcel No.: 2716000020
Address: 12674 GATEWAY DR TIIKW
Project Name: OMNICARE
ELECTRICAL PERMIT
Permit Number: EL13-0331
Issue Date: 04/08/2013
Permit Expires Ort: 10/05/2013
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, SUITE 103 , BOTHELL WA, 98011
Contractor:
Name: POWERCOM INC
Address: PO BOX 2071 , BOTHELL WA 98041
Contractor License No: POWERI*937MJ
Phone: 206-391-9977
Phone: 425 489-8549
Expiration Date: 07/10/2013
DESCRIPTION OF WORK:
INSTALLATION OF TELECOMMUNICATION CABLING IN OFFICE SPACE AS WELL AS WAREHOUSE
SPACE
Value of Electrical: NRES: $18,290.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$419.30
2008
Date: 14- 0-15
I hereby certify that I have read and examined this permit and know the sante 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the%�j erformancerfof work. I am authorized to sign and obtain this electrical permit.
Le��h'z-�. t� Date: �) -9-0
Signature:
Print Name: 0-k11 GGS 1J to h-vt
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
EL13-0331 Printed: 04-08-2013
Ill •
PERMIT CONDITIONS
Permit No. EL 13-0331
**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
EL13-0331 Printed: 04-08-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. 1 L....\ 0 331
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: 12674 Gateway Drive Suite Number: Floor: 1st & 2nd
Tenant Name: Omnicare New Tenant: m Yes E] ..No
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Chuck Brown
Address: 11824 N. Creek Parkway N. #103
City: Bothell State: WA Zip: 98011
Phone: (206) 391-9977 Fax: (425) 487-1035
Email: cbrown@callpowercom.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: PowerCom Inc.
Address: 11824 N. Creek Parkway N. #103
City: Bothell State: WA Zip: 98011
Phone: (425) 489-8549 Fax: (425) 487-1035
Contr Reg No.: pOWERI*937MJ Exp Date: 07/10/2013
Tukwila Business License No.: 602030026
Valuation of Project (contractor's bid price): $ 18,290
Scope of Work (please provide detailed information):
Installation of telecommunication cabling in office space as well as warehouse space.
Will service be altered? ❑ Yes ❑✓ No Adding more than 50 amps? ❑ Yes ✓❑ No
Type of Use:
Type of work:
❑ New 0 Addition ❑ Service Change m Remodel ® Tenant Improvement
O Low Voltage 0 Generator 0 Fire Alarm m Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light Lk0 319
H:\Applications\Forms-Applications On Line \2011 Appbcations\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 -
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:
Date: 04/08/2013
Print Name: Bill Anderson Day Telephone: (425) 489-8549
Mailing Address: 11824 N. Creek Parkway N. #103 Bothell WA 98011
City
H:\Apphcahons\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.docx
Revised. August 2011
bh
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.: 2716000020
Address: 12674 GATEWAY DR TUKW
Suite No:
Applicant: OMNICARE
RECEIPT
Permit Number: EL13-0331
Status: PENDING
Applied Date: 04/08/2013
Issue Date:
Receipt No.: R13-01247
Initials: WER
User ID: 1655
Payment Amount: $419.30
Payment Date: 04/08/2013 02:03 PM
Balance: $0.00
Payee: CHARLES BROWN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 893140
ACCOUNT ITEM LIST:
Description
419.30
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 419.30
Total: $419.30
a oe e.�na
PrintP(l• fl4-nA-2n13
INSPECTION RECORD
Retain a copy with permit
INS ECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206)431-367
Permit Inspection Request Line (206) 431-2451
Fu3-633�
Project: opwi e „
Type of Inspection:®
Address:12444cio_EiAll
Date Called:
Special Instruction!:
Date Wanted:.
eaa..RR,,��,��
Requester:
I
-
Phone No:
-
SiApproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
"69- - 4AL--
A
klatt ikAk 11/4 1 Dr6 CAS
cJAk �St (A) g RC
Date: ^J
Inspector: ,y /!2
in REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be;
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 imp (206) 431-3670
Permit Inspection Request Line (206) 431-2451 wm
kr 3 - o 331_
Project: Di
�l
L
Type of Inspection:
do
7
Address: r26 7
(
Date Called:
Special Instructions:
Date Wanted:.
m.
arm•
Requester:
Phone No:
Approved per applicable codes.
Fl Corrections required prior to approval.
COMMENTS:
edioos
r'
n
Epi:
6)1f4 f/
dviPtEre
Inspector: ibi
Date: " h/'
n REINSPECTION FEE REQUIRED. Prior to next inspection; feemust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
M'033/
'PERMIT NO:.
CITY OF TUKWILA BUILDING DIVISION -
6300 Southcenter Blvd., #100, Tukwila. WA 98188 j' {s: (206) 431-3670 :_
Permit Inspection Request Line (206) 431-2451
Project: OpidirA
`^ e
�'(�'
Type of Inspection:
OD
�
Address:
7 1.6)47
Date Called:
.'
Special Instructions:'
Date Wanted:.
,
(Lax.,
Requester:
Phone No:
ElApproved per applicable codes.
ACorrections required prior to approval. I.
COMMENTS:
tau ,sPeoro&A/N/6 r,o4s
A741) .t'Sr11( - ...
,9
Inspector: JR/66.440.0\
El REINSPECTION FEE REQUIRED. Prior to next inspection, fee mustbe
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection;
Contractors or Tradespeople Piller Friendly Page
•
Electrical Contractor
A business licensed by LEI 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
1
Bond Company Name
FIDELITY a DEPOSIT
CO OF MD
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
08821124
09/01/2005
Until Cancelled
54,000.00
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
httns.//fortress_wa _ vnv/l ni/hhin/Print.asnx
04/08/2013