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Home My WebLink AboutPermit EL13-0541 - COURTYARD BY MARRIOTT - LOW VOLTAGE This record contains information which is exempt from public disclosure pursuant to the Washington State Public Records Act, Chapter 42.56 RCW as identified on the Digital Records Exemption Log shown below. EL13-0541 Courtyard By Marriott 16038 West Valley Hwy DIGITAL RECORDS (DR) EXEMPTION LOG THE ABOVE MENTIONED PERMIT FILE INCLUDES THE FOLLOWING REDACTED INFORMATION Page # Code Exemption Brief Explanatory Description Statute/Rule The Privacy Act of 1974 evinces Congress' intent that social security numbers are a private concern. As such, individuals’ social security Personal Information – numbers are redacted to protect those Social Security Numbers 5 U.S.C. sec. individuals’ privacy pursuant to 5 U.S.C. sec. DR1 Generally – 5 U.S.C. sec. 552(a); RCW 552(a), and are also exempt from disclosure under section 42.56.070(1) of the Washington 552(a); RCW 42.56.070(1) State Public Records Act, which exempts under 42.56.070(1) the PRA records or information exempt or prohibited from disclosure under any other statute. Redactions contain Credit card numbers, debit card numbers, electronic check numbers, credit Personal Information – expiration dates, or bank or other financial RCW 9 DR2 Financial Information – account numbers, which are exempt from 42.56.230(5) disclosure pursuant to RCW 42.56.230(5) RCW 42.56.230(4 5) , except when disclosure is expressly required by or governed by other law. COURTYARD BY MARRIOTT 16038 WEST VALLEY HY EL1 3-0541 City ofii'ukwila 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.: 0005800005 Address: 16038 WEST VALLEY HY TUKW Project Name: COURTYARD BY MARRIOTT ELECTRICAL PERMIT Permit Number: EL13-0541 Issue Date: 06/04/2013 Permit Expires On: 12/01/2013 Owner: Name: CSM CORP Address: C/O STEFFEN TERRY , 500 WASHINGTON AVE #3000 55415 Contact Person: Name: JOHN LYNCH Phone: 425-255-0300 Address: 16038 WEST VALLEY HY , TUKVVILA WA, 98188 Contractor: Name: EPITECHNOLOGY SOLUTIONS INC Address: PO BOX 2916 , REDMOND WA 98073 Contractor License No: EPITESI879BW Phone: 425-748-5215 Expiration Date: 01/24/2015 DESCRIPTION OF WORK: INSTALL (122) CAT5E CABLES IN VARIOUS LOCATIONS IN THE MAIN HALLWAYS Value of Electrical: NRES: $2,350.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $136.50 2008 Date: (0— 1+- 3 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: 17,41e/j n /76 c;T Date: lv//ZdI_? 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 EL13-0541 Printed: 06-04-2013 0111 1111 PERMIT CONDITIONS Permit No. EL 13-0541 **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 EL13-0541 Printed: 06-04-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. L 1-\- 05 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 Site Address: 16038 W Valley Highway Tenant Name: Courtyard by Marriott PROPERTY OWNER Name: John Lynch Name: Courtyard by Marriott City: Tukwila State: WA Zip: 98108 Address: 16038 W Valley Highway Email: City: Tukwila State: WA Zip: 98108 CONTACT PERSON — person receiving all project communication Name: John Lynch Address: 16038 W Valley Highway City: Tukwila State: WA Zip: 98108 Phone: (425) 255-0300 Fax: Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes j ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: EPITechnology Solutions Address: PO Box 2916 Cih': Redmond State: WA Zip: 98073 Phone: (425) 748-5215 Fax: Contr Reg No.: EPITESI879BW Exp Date: 01/24/2015 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 2,350 Scope of Work (please provide detailed information): Install 12 CAT5e cables in various locations in the main hallways. Will service be altered? ❑ Yes ❑✓ No Adding more than 50 amps? ❑ Yes Q No Type of Use: Type of work: ❑ New 0 Addition ❑ Service Change 0 Remodel ❑ Tenant Improvement O Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: O Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line \20I1 Applications\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 O 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 O Manufactured/mobile home service $84.00 (excluding garage or outbuilding) O Carnivals $78.75 Number of concessions $10.50 ea P.ERMIT,.APELICATION 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: Print Name: David Bletz Day Telephone: Mailing Address: PO Box 2916 Redmond WA 98073 Date: 06/04/2013 City H:\ Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-1 Ldocx Revised: August 2011 bh State Zip Page 2 of 2 • �J�`N 4 wqs 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.: 0005800005 Address: 16038 WEST VALLEY HY TUKW Suite No: Applicant: COURTYARD BY MARRIOTT RECEIPT Permit Number: EL13-0541 Status: APPROVED Applied Date: 06/04/2013 Issue Date: Receipt No.: R13-01797 Payment Amount: $136.50 Initials: WER Payment Date: 06/04/2013 11:53 AM User ID: 1655 Balance: $0.00 Payee: DAVID BLETZ TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 314035 ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 rinr• Roroinf_rIn Print. nA_!ld_9A1Q INSPECTION RECORD 643 V,�15"ti Retain a copy with permit INSPECTION NO. • PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 (� tYpe ProjecTo of Inspectio.p�f" 7 isii Address: sg,/ ittil Date Called: Special Instructions: Date Wanted: - / /2-19 m Requester: Phone No: Approved per applicable codes. O Corrections required prior to approval. f COMMENTS: Inspector: Date: o/ L6 '? n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Mer Friendly Page 1 Pagelofl 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 EPITECHNOLOGY SOLUTIONS INC UBI No. 603028363 Phone 4257485215 Status Active Address Po Box 2916 License No. EPITESI879BW Suite/Apt. City Redmond State WA Zip 98073 County King Business Type Corporation Parent Company License Type Electrical Contractor Effective Date 1/24/2013 Expiration Date 1/24/2015 Suspend Date Specialty 1 Telecommunications Specialty 2 Electrical Administrator INFORMATION License BLETZWE884RM Name BLETZ, WILLIAM E Status Active Business Owner Information Name Role Effective Date Expiration Date BLETZ, DAVID Agent 01/24/2013 BLETZ, DAVID President 01/16/2013 Bond Information No records found for the previous 6 year period Assignment of Savings Information Savings Assignment of Savings Account Number Effective Date Release Date Assignment Type Impaired Date Amount Received Date 2 1/8/2013 Until Released Bond $4,000.00 1/16/2013 Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 1 Sentinel Insurance Co LTD 83SBMRZ8338 01/10/2013 01/10/2014 $1,000,000.00 01/16/2013 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 Infractions/Citations Information No records found for the previous 6 year period httns://fortress.wa. 2ov/lni/bbip/Print.aspx 06/04/2013