HomeMy WebLinkAboutPermit EL13-0850 - FOSTER GREENS APARTMENTS - LOW VOLTAGEFOSTER GREEN APTS
13865 INTERURBAN AV S
ELi 3-0850
Parcel No.:
Address:
Project Name:
City oPI'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
0003000001
13760 Seo 4}v S
FOSTER GREENS APTS
TUKW
ELECTRICAL PERMIT
Permit Number: EL13-0850
Issue Date: 09/06/2013
Permit Expires On: 03/05/2014
Owner:
Name: NORTHLAND FINANCIAL CO
Address: %CYNTHIA PIETERS , 3500 W 80TH ST 55431
Contact Person:
Name: TOM BROWN
Address: PO BOX 3559 , ARLINGTON WA, 98223
Contractor:
Name: OLYMPIC SEC & COMM SYS INC
Address: PO BOX 3559 , ARLINGTON WA 98223
Contractor License No: OLYMPS012QP
Phone: 360-652-1088
Phone: 360-652-1088
Expiration Date: 11/17/2013
DESCRIPTION OF WORK:
REPLACE FA COMMUNICATIONS DEVICE (PHONE) WITITRADIO
Value of Electrical:
NRES: $1,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $118.60
Washington Cities Electrical Code: 2011
K -C
Date: /
4-(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 he a :manse of_vunrlc I am authorized to sign and obtain this electrical permit.
Signature: Date: O(( `011 3
Print Name: 5£v£.r✓ I "e I b r e -/i -LA
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
EL13-0850 Printed: 09-06-2013
PERMIT CONDITIONS
Permit No. EL13-0850
**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
EL13-0850 Printed: 09-06-2013
CITY OF TUK411
WILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. 0 v ET)
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
King Co Assessor's Tax No.: \
Site Address: V 5�1-o5 -g(1U'rbcx.�1 Ave S Suite Number: 1JV �QC Floor:
New Tenant: ❑ Yes g.No
oe D? oo 06 52
Tenant Name: rpc,1L-2.Ai' .
PROPERTY OWNER
Name:
� ��
Name: Wenes_
Phone cz.to vir Fax:
Qom.
Address:G fl51 NE. St,
i -kr. D2_
St 300
City: Vicba^
State: u jp1
Zip:C‘beaf
CONTACT PERSON — person receiving all project
communication
Name:
� ��
Address:
Phone cz.to vir Fax:
City:
State: ip:
Phone:
Email
`FFa_x: /
it
%K. fSS/S iein/ car,C> t r e4 . CO',
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
cilyivic ,....c.wily
Address:% g„- J 3c'Ss�
"Staate:
/ A,L Zip:W2,2,1
City:411 /"V "T
Phone cz.to vir Fax:
Date: I i /i i 1(3
Contr Regl(NN/o.bLympbs / ziipp
Tukwila Business License No.; BUS - Ogg4 cS
Valuation of Project (contractor's bid price): $
/ Svo
Scope of Work (please provide detailed information):
Re7(4 PA- Com, / 4 (P1S
14,1-111
Will service be altered? Yes No
Type of Use:
y
Type of work:
❑ New 0 Addition 0 Service Change ❑ Remodel
❑ Low Voltage ❑ Generator C>KfFire Alarm 0 Telecommunication
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
Adding more than 50 amps? ❑ Yes g No
H:\Applications\Fotms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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O Tenant Improvement
O 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.
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 L TRICAL CONTRACTOR:
Signature: �" v ✓ Date: 9 J�
Print Name: 1--Ve_co-vvbc 1\3 \ 1 Day Telephone:cc- ( J 2. - I0
Mailing Address: P• O - / 5 L RI" `A"(\ 7.X' ) Oit�' I U22 --
City State Zip
H:Wpplications'For ms -Applications On Line:2013 Applications\Electrical Permit Application Revised 7-I-I3.docx
Revised: July 2013
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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
RECEIPT
Parcel No.: 0003000001 Permit Number: EL13-0850
Address: 13865 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 09/06/2013
Applicant: FOSTER GREENS APTS Issue Date:
Receipt No.: R13-02557
Initials: WER
User ID: 1655
Payment Amount: $118.60
Payment Date: 09/06/2013 09:35 AM
Balance: $0.00
Payee: OLYMPIC SECURITY & COMMUNICATION SYSTEMS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 15264 118.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 118.60
Total: $118.60
An, aorcinr_na
Printed• 09-06-2013
INSPECTION NO.
INSPECTION -RECORD
Retain a copy with permit
PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206)431-3670
Permit Inspection Request Line (206)431-2451
Project: 6 -Type
5ril 6iffni
of Inspection:
/'- j
Address:
p60.,6 4
Date Called:
Special Instructions:
Date Wanted:
"7
am,.
471-
Requester:.
1
Phone No:
Approved per applicable codes.
_Corrections required prior. to approval.
COMMENTS:
0(7
Date:
03mft
n REINSPECTIOE1 FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.'
INSPE TION NO.
INSPECTIONRECORD
Retain a copy with permit
PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: / ` _ ) 4k5
Type of Inspection:
, 6:JAL-
Address: 137t0 0 5�fry _
Date Called:
Special Instructions:
4 . OA-
Date Wanted: / r
P•
Requester:
Phone No: , Sc.5,03 I Ara
EJApproved per applicable codes.
COMMENTS:
pCorrections required prior to approval.
- AkWA-vi
Inspector: L..1--&14),.40\
Date: (2-(f
REINSPECTION F E REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
City of Tukwila
REVISION
SUBMITTAL
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: 101(( i 13 Plan Check/Permit Number: EL ! 3- cs ss -
0
s
❑ Response to Incomplete Letter #
O Response to Correction Letter #
Revision # [ after Permit is Issued
O Revision requested by a City Building Inspector or Plans Examiner
Project Name: e,skr- r ee4.0
Project Address: lgc - „�,o, ,a.f 1Er ` LiklA,Clid
Contact Person: `,(o MA v4. f Phone Number: /3(c3 Gs -c. -/
Summary of Revision:
A 'press Cd r r t ' v
51</a ,ear `-v�wOtitettJA- 9g/G4
RECEIVED
OMOFTUKWRA
P RANT CENTER
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revisi
Received at the City of Tukwila Permit Center by:
E --Entered in Permits Plus on 1 a--1 I v( 3
H:\ApplicationsWorms-Applications On Line\2010 Applications\7-2010 - Revtslon Submtttal.doc
Revised. May 2011
Contractors or Tradespeople liter Friendly Page
Electrical Contractor
A business licensed by L&I 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
OLYMPIC SEC & COMM SYS INC
3606521088
Po Box 3559
Arlington
WA
98223
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601981540
Active
OLYMPSC012QP
Electrical Contractor
11/17/1999
11/17/2013
Limited Energy
Unused
Other Associated Licenses
LicenseSpecialty
Name
Type
Specialty 1
2
Effective
Date
Expiration
Date
Status
OLYMPSC113QAOLYMPIC
SECURITY
& COMM SYS
Electrical
Contractor
Limited
Energy
Unused
11/1/1989
11/1/1999
Archived
Master Electrician INFORMATION
License BROWNTD936BE
Name BROWN, TOM D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BROWN, TOM D
Cancel Date
01/01/1'980
Bond Amount
BROWN, SANDRA D
2
01/01/1980
615981521
BROWN, TOM D
Agent
01/01/1980
ELECTRICAL CITATION
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
United States Fire
Insurance Co
615981521
11/17/2012
Until Cancelled
19.28.041 RCW
ELECTRICAL CITATION
$4,000.00
11/07/2012
1
OLD REPUBLIC
SURETY CO
YLI238881
11/17/1999
Until Cancelled
$2,000.00
$4,000.00
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
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
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
ESTRL01002
12/16/2011
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ESTRL01001
12/16/2011
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
ESTRLO1000
12/16/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
httns://fortress.wa.aov/lni/bbio/Print.aspx 09/06/2013