HomeMy WebLinkAboutPermit EL13-0754 - 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.
EL13-0754
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
ELi 3-0754
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
Project Name: COURTYARD BY MARRIOTT
ELECTRICAL PERMIT
Permit Number: EL13-0754
Issue Date: 08/08/2013
Permit Expires On: 02/04/2014
Owner:
Name: CSM CORP
Address: C/O STEFFEN TERRY , 500 WASHINGTON AVE #3000 55415
Contact Person:
Name: JOE LYNCH Phone: 425 888-5500
Address: 16038 WEST VALLEY HY , TUKVVILA WA, 98108
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 (7) SEVEN CAT5E CABLES TO VARIOUS LOCATIONS THROUGHOUT THE PROPERTY
Value of Electrical: NRES: $1,975.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Fees Collected: $118.60
Washington Cities Electrical Code: 2011
Permit Center Authorized Signature: i lNL Date:
Dliotth
I hereby certify that I have read and : xam ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie • with whether specified herein or not.
The granting of this permit does not pre 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: ' Date: k/cfi Z d / 3
Print Name:
)44/!0 13Lr-r�
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
EL13-0754 Printed: 08-08-2013
PERMIT CONDITIONS
Permit No. EL13-0754
**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
EL13-0754 Printed: 08-08-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcentcr Blvd., Suite 100
Tukwila, WA 98188
ht tp://www.TukwilaWA.gov
•
Electrical Permit No.
Project No.
u9.7 -trKik
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 he accepted through the mail or by fax.
**Please Print**
SITE LOCATION
King Co Assessor's Tax No.: ocfd —OiX25
Site Address: 16038 W Valley Hwy, Tukwila, WA 98108 Suite Number: Floor:
New Tenant: ❑ Yes ® .. No
Tenant Name: Courtyard by Marriott
PROPERTY OWNER •
Name: Joe Lynch
Address: 16038 W Valley Hwy
Name: Courtyard by Marriott
Phone: (425) 888-5500 Fax:
Email:
Address: 16038 W Valley Hwy
City: Tukwila State:
WA
Zip: 98108
CONTACT PERSON — person receiving all project
communication
Name: Joe Lynch
Address: 16038 W Valley Hwy
City: Tukwila State: WA Zip: 98108
Phone: (425) 888-5500 Fax:
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: EPITechnology Solutions, Inc.
Address: PO Box 2916
City: Redmond State: WA Zip: 98073
Phone: (425) 748-5215 Fax:
Contr Reg No.: EPITESI1879BW Exp Date: 01/24/2015
Tukwila Business License No.; BUS -0994577
Valuation of Project (contractor's bid price): $ 1,975
Scope of Work (please provide detailed information): Install seven CAT5e cables to various locations throughout
the property.
Will service be altered? ❑ Yes No
Adding more than 50 amps? ❑ Yes m No
Type of Use: Telecommunication
Type of work:
❑ New ❑ Addition 0 Service Change ❑ Remodel ❑ Tenant Improvement
0 Low Voltage ❑ Generator ❑ Fire Alarm ® Telecommunication ❑ Temporary Service
Property Served by:
2 Puget Sound Energy 0 Seattle City Light
11 \Appli..afuns\Poon.-Appli,.,tnm. un I Inc120I 7 AppUcn)m.\flee Iu.al I' mn Apphcao„n Res i,cd 7-1-11 do,
Revised: July 2013
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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.
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: 08/06/2013
Print Name: David Bletz Day Telephone: (425) 748-5215
Mailing Address: PO Box 2916 Redmond, WA 98073
City
H Appliwrions\roans-Applic.a inns On 1.11102013 Appin.ahuns Permit Appheauuu Res ised 7-1-13.docx
Revised: July 2013
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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.: 0005800005
Address: 16038 WEST VALLEY HY TUKW
Suite No:
Applicant: COURTYARD BY MARRIOTT
RECEIPT
Permit Number: EL13-0754
Status: APPROVED
Applied Date: 08/08/2013
Issue Date:
Receipt No.: R13-02318
Initials:
User ID:
JEM
1165
Payment Amount: $118.60
Payment Date: 08/08/2013 09:13 AM
Balance: $0.00
Payee: DAVID BLETZ
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 01526Z
ACCOUNT ITEM LIST:
Description
118.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 118.60
Total: $118.60
a,.,.• oe..ei.,+_na
Printed: 08-08-2013
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(if 015.
PERMIT Na
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project, ,
MO
Type of Inspection: /�
-
Address: %,,AT1
,1°Tr"
7
Date Called:
Special Instructions:
I fce
c .
Date Wanted: a.m
3.m.
Requester:
./.
Phone No: y 7te 521 5....'.
^j,5....'.
Approved per applicable codes.
/COMMENTS:
Corrections required prior to approval.
V
L
Inspector:
Date:
2-134,3
F71 REINSPECTION FEE REQUIRED: Prior. to next inspection. fee must be:
paid at 6300 Southcenter Blvd.. Suite -100. Call to schedule reinspection.
Contractors or Tradespeople Pier Friendly Page
S
Electrical Contractor
A business licensed by Lai 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
EPITECHNOLOGY SOLUTIONS INC
4257485215
Po Box 2916
Redmond
WA
98073
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603028363
Active
EPITESI879BW
Electrical Contractor
1/24/2013
1/24/2015
Telecommunications
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
Page 1 of 1
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.gov/1ni/bbip/Print.aspx 08/08/2013