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
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❑ 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
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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