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Home My WebLink AboutPermit EL13-0743 - AMERICAN MEDICAL RESPONSE - LOW VOLTAGEAMERICAN MEDICAL RESPONSE 13075 GATEWAY DR ELi 3-0743 City oiikukwila S 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 ELECTRICAL PERMIT Parcel No.: 0004800010 Address: 13075 GATEWAY DR TUKW Project Name: AMERICAN MEDICAL RESPONSE Permit Number: EL13-0743 Issue Date: 08/05/2013 Permit Expires On: 02/01/2014 Owner: Name: GATEWAY BLDG 10 LLC Address: C/O COAST REAL ESTATE SVCS , 2829 RUCKER AVE STE 100 98201 Contact Person: Name: BRANT BUTTE Address: 13075 GATEWAY DR , TUKWILA WA, 98168 Contractor: Name: TELECOM LABS INC Address: 5050 20 ST EAST , 1 -'l1 -t. WA 98424 Contractor License No: TELECLI004R1 Phone: 206 444-4471 Phone: 206-575-9100 Expiration Date: 06/11/2014 DESCRIPTION OF WORK: LOW VOLTAGE CABLE INSTALLATION Value of Electrical: NRES: $9,616.66 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 ,:mi ;th, J d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. Fees Collected: $271.80 Washington Cities Electrical Code: 2011 Date: The granting of this permit does not presu e 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: SNAIL 14/ e Nr176N Date: 63/S//3 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 -7/13 EL13-0743 Printed: 08-05-2013 • PERMIT CONDITIONS Permit No. EL 13-0743 **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 -7/13 EL13-0743 Printed: 08-05-2013 CITY OF TUKWal Community Developm Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pelt No. Project No. Date Application Accepted: Date Application Expires: CLL;- DT -I3 os - (For (For ofce 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 DR weKing Co Assessor's Tax No.: 000Lt 1n - ©b Site Address:/31237.5"A W Y Tu kW/tA A/ _ 9 8/68 Suite Number: " 6 �i � /t'( /Oo Floor: / New Tenant: ❑ Yes gi 510 Tenant Name: AA1g721c.+/d MEvirM.. RE -SPONSE' PROPERTY OWNER Name: &Rfric Ba 77 Address: Name:-- VIPE� �\+ 62n'1 t7 r V° Email: BM -?7 • S ET -Te —6/4-71-E @ AM R . NFT Address: ir �\ D�i ! 1„�„ s ��d �S`t-ate: i�WY City: r 1"� t` Zip: at DA ---11 1 CONTACT PERSON — person receiving all project communication Name: &Rfric Ba 77 Address: City: —,--KW (1 '4 State: w h . Zip: 9B/68 Phone() 09., y 4 Fax: Email: BM -?7 • S ET -Te —6/4-71-E @ AM R . NFT ELECTRICAL CONTRACTOR INFORMATION Company Name:--TL�ZELo M C -A 8 -S- Address: Address: S -i g --o Zo 5'1: E . City: F/ FE State: W'i - Zip: 9 84hz'1 Phone: 46,)�� 9/06 Fax: Contr Reg No.:. `-ccZ 0y..mixp Date: ,''I////ic Tukwila Business LicenseNo.;l� AS_ OCe £ i 3 -40$(0x-[3 Valuation of Project (contractor's bid price): $ /, 6 / 6 Scope of Work (please provide detailed information): Lau, - I/ o LTA G6 ('A -B N 66 Will service be altered? ❑ Yes [ No Adding more than 50 amps? ❑ Yes [No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement �ow Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: I, Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line \2013 Applications\Electiical Permit Application Revised 7-1-13.docx Revised: July 2013 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 El 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) $65.00 O Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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: Print Name: Mailing Address: �SNkR i,1 WA- R R / N¢7-0 N Date: Day Telephone: City H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7.1-13.docx Revised: July 2013 bh State Zip Page 2 of 2 S City of Tukwila nl �2 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.ov RECEIPT Parcel No.: 0004800010 Permit Number: EL13-0743 Address: 13075 GATEWAY DR TUKW Status: APPROVED Suite No: Applied Date: 08/05/2013 Applicant: AMERICAN MEDICAL RESPONSE Issue Date: Receipt No.: R13-02296 Initials: JEM User ID: 1165 Payment Amount: $271.80 Payment Date: 08/05/2013 03:19 PM Balance: $0.00 Payee: DOUG GRAHAM, TELECOM LABS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 015838 ACCOUNT ITEM LIST: Description 271.80 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 271.80 Total: $271.80 Printart. OR -ns -9013 INSPECTION RECORD 6134104 Retain a co py with permit INSPECTION NO. ,PERMIT NO. CITY.OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -Permit Inspection Request Line (206) 431-2451 Project: Type of Inspection:- %0 Address: `4 7 641,.....c447 � /�41 Date Called: Special Instructions: Date Wanted: b ? Y J�. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: D f � g:ksiv Inspector: 11)541k, REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: ber/30`3 r INSPECTION RECORD 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 12- fv3-o7Y3 Project: Type of Inspection: v` Address: l 307 S Ctk1 Al Date Called: :. - pw Bio r T`( APre Tb 6 Special Instructions: I Date Wanted: 4Z3 an. Requester: Phone No: DApproved per applicable codes. Corrections required prior to appro��al. _ate COMMENTS: -r kW 00/44 CAW AhTO SE R&ii kb wE LE kcaicirsa - InlSi *tk - tni+ 1Jb C Le SUfto SS :. - pw Bio r T`( APre Tb 6 WK.L.4 & PIP( A, C34bJ t f-5 Inspector: '/ "i b&J4 Date: *23 /1 3 I ! REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pryer Friendly Page S Electrical Contractor A business licensed by MI 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 TELECOM LABS INC 2065759100 3513 93Rd Ave Olympia WA 98512 Thurston Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601706139 Active TELECLI004R1 Electrical Contractor 3/21/2001 6/11/2014 Telecommunications Electrical Administrator INFORMATION License WARRIS'881 LK Name WARRINGTON, SHARLA Status Active Business Owner Information Name Role Effective Date Expiration Date GRAHAM, DOUG Cancel Date 01/01/1980 Bond Amount SHELBY, BRUCE 2 01/01/1980 9817050 GRAHAM, DOUG Agent 01/01/1980 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 Lexon Ins Co 9817050 08/31/2013 Until Cancelled $4,000.00 06/24/2013 1 COLONIAL AM CAS l3 SUR CO LPM4053180 06/20/2000 08/31/2013 $4,000.00 03/22/2001 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 13 American States Insurance Co 01CH499113 06/01/2013 06/01/2014 $1,000,000.00 05/31/2013 12 American States Insurance Co 01CH499113 06/01/2011 06/01/2013 $1,000,000.00 06/03/2011 11 AMERICAN STATES INS CO 01CH499113 06/01/2010 06/01/2011 $1,000,000.00 05/28/2010 10 AMERICAN STATES INS CO 01CH499113 06/01/2009 06/01/2010 $1,000,000.00 05/21/2009 9 AMERICAN STATES INS CO 01CH499113 06/01/2008 06/01/2009 $1,000,000.00 05/05/2008 8 AMERICAN STATES INS CO 01CG499113 06/01/2007 06/01/2008 $1,000,000.00 06/01/2007 Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type https://fortress.wa.gov/lni/bbip/Print.aspx 08/05/2013