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HomeMy WebLinkAboutPermit EL13-0748 - WILBUR ELLIS - LOW VOLTAGEWILBUR ELLIS 16300 CHRISTENSEN RD ELi 3-0748 City ofitukwila 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.: 2523049078 Address: 16300 CHRISTENSEN RD TUKW Project Name: WILBUR ELIS ELECTRICAL PERMIT Permit Number: EL13-0748 Issue Date: 08/07/2013 Permit Expires On: 02/03/2014 Owner: Name: BRCP RIVERVIEW PLAZA LLC Address: 248 HOMER AVE , PALO ALTO CA 94301 Contact Person: Name: LEANNE ARNOLD Address: 4425 ST SW , LYNNWOOD WA, 98087 Contractor: Name: INTERFACE TECHNOLOGIES NW INC Address: 4425 164 ST SW , LYNNWOOD WA 98087 Contractor License No: INTERTN991 J6 Phone: 425 977-2408 Phone: 425-774-1377 Expiration Date: 04/26/2015 DESCRIPTION OF WORK: INSTALLATION OF LOW VOLTAGE COMMUNICATION CABLING Value of Electrical: NRES: $22,053.17 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $501.90 Washington Cities Electrical Code: 2011 Date: I hereby certify that I have read and:�ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie •• hether specified herein or not. The granting of this permit does not prem'" e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the • erformance of work. I am auth . 'zed to sign and obtain this electrical permit. Signature: /` -= - - /L� Date: C/ Print Name: 4621/2/e ---e---- y e 1, 4/ 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 EL13-0748 Printed: 08-07-2013 di PERMIT CONDITIONS Permit No. EL13-0748 **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 EL13-0748 Printed: 08-07-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. €V� �O I!'{. U Project No. Date Application Accepted: Ob jOl1(3 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: t(0 1)D gg"�0,Yt6�1'�1(A gei(1 Tenant Name: \I rJtitvtt Les King Co Assessor's Tax No.: .'j 'L27 4 — 101 IS Suite Number: l 56 PROPERTYjOWNER Name. bof 9 vexvi17kz 1' �� Address: �,,Oy n �r A �� City: Y dl ktk,,, State: rA... Zip: giibbi CONTACT PERSON — person receiving all project communication Name: vdQ I(141P, l'pp KY17Q i d Address: 4 .2.5.1u4`rti` si w City:L bU State: ` „ 1 Q Zip: moo Phone: Fax X24.ciii.2.07 :•12.ii1.quo Email: P @ 1Ylk- --4l f.-1 e00nw, CAvv, Floor: New Tenant: ❑ Yes [v]'..No ELECTRICAL CONTRACTOR INFORMATION Company Name: `itit xiftCk0U1,0�i�6 �� Address::4 ilk Si- s w J 2 City: l..yn NNJOaci State: WA Zip:9g0g 7 Phone: 1 , 15.114.13 Faz•x•25.11 I •'IRI o Contr Re 4otkg_ IQ 991,1 to Exp Date: m I .1, c Tukwila Business License No.; buS_ 00112 /../...(a Valuation of Project (contractor's bid price): $ 22 0 5 6 • I i Scope of Work (please provide detailed information): C�A,Ip !,t ,ir... .1 . val IA I• .A14 /.. Will service be altered? ❑ Yes Er No Adding more than 50 amps? ❑ Yes 121" No Type of Use: Type of work: ❑ New El Addition ❑ Service Change [a' Low Voltage ❑ Generator El Fire Alarm Property Served by: [ya' Puget Sound Energy ❑ Seattle City Light Pr\Applications\rorms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13 docx Revised: July 2013 bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ 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) $65.00 ❑ 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. r 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: ✓�/ `" t/ Print Name: IW kv V M Day Telephone: 42r'J • '114 • 13'1'1 Date: .g• (y• 13 Mailing Address: -44/..6 . 1.10.1-0 1' ytM Wood City H:\Applications\Forms-Applications On Line\2013 Applications\Electncal Permit Application Revised 7-1-13 docx Revised: July 2013 bh State Zip Page 2 of 2 411111 wq� 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.: 2523049078 Address: 16300 CHRISTENSEN RD TUKW Suite No: Applicant: WILBUR ELIS RECEIPT Permit Number: EL13-0748 Status: PENDING Applied Date: 08/07/2013 Issue Date: Receipt No.: R13-02308 Payment Amount: $501.90 Initials: JEM Payment Date: 08/07/2013 11:28 AM User ID: 1165 Balance: $0.00 Payee: INTERFACE TECHNOLOGIES NORTHWEST, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 501.90 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 501.90 Total: $501.90 0.7..4...A• /10 n7 Ol144 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 FN3-�7'(d tali 6A-1)Project: Type of Inspection:. Zr .2 �a tS edSei� l 3'd° ate Called: Special Instructions: Date Wanted: 7(to a.m: Requester: Phone No: pApproved per applicable codes. EJ Corrections required prior to approval. COMMENT I 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 9818 _ (206) 431-3670 Permit Inspection Request Line (206) 431-2451 '�— E4 3 -olvr Project: j ‘61 f j> Type of Inspection: Address: 1�`C /� _Date Called: Instructions: Date Wanted: D mSpecial Cap, Requester: Phone No: Approved per applicable codes. tl Corrections required prior to approval. 5 COMMENTS: CAAiRoV44- ri) eatifihre r�✓� Inspector: Jr/44•16A\ n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 07/0/A3 7 0/ r3 Contractors or Tradespeople Per 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 INTERFACE TECHNOLOGIES NW INC 4257741377 4425 164Th St Sw Lynnwood WA 98087 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602103938 Active INTERTN991J6 Electrical Contractor 4/26/2001 4/26/2015 Telecommunications Electrical Administrator INFORMATION License SCHMIKG979R3 Name SCHMIDT, KEVIN G Status Active Business Owner Information Name Role Effective Date Expiration Date NEAL, WILLIAM Agent 04/26/2001 Bond Amount SCHMIDT, KEVIN President 04/26/2001 9372680 WIEDMER, LISA Treasurer 04/01/2005 ANTHONY, ANDREW Vice President 04/01/2005 CBIC COOK, DON Secretary 04/26/2001 11/07/2005 POND, TROY Treasurer 04/26/2001 11/07/2005 BATTISTA, VICKI Vice President 04/26/2001 11/07/2005 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 FEDERATED MUTUAL INS CO 9372680 04/07/2008 Until Cancelled $4,000.00 04/08/2008 1 CBIC SD6295 04/18/2001 Until Cancelled 06/30/2008 $4,000.00 04/30/2001 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 14 Federated Mutual Ins Co 9809447 08/10/2013 08/10/2014 $1,000,000.00 07/08/2013 13 Federated Mutual Ins Co 9809447 08/10/2012 08/10/2013 $1,000,000.0007/13/2012 12 Federated Mutual Ins Co 9809447 08/10/2011 08/10/2012 $1,000,000.00 07/11/2011 11 FEDERATED MUTUAL INS CO 9809447 08/10/2009 08/10/2011 $1,000,000.00 07/13/2010 10 FEDERATED MUTUAL INS CO 9809447 08/10/2008 08/10/2009 $2,000,000.00 07/16/2008 9 FEDERATED MUTUAL INS CO 9809447 08/10/2007 08/10/2008 $1,000,000.00 08/07/2007 https://fortress.wa.gov/lni/bbip/Print.aspx 08/07/2013