HomeMy WebLinkAboutPermit EL13-0994 - COMPUPAY / BENEFIT MALL - TENANT IMPROVEMENTCOMPUPAY/BENEFIT MALL
565 ANDOVER PK W
EL1 3-0994
City olikukwila
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.: 2623049144
Address: 565 ANDOVER PK W TUKW
Project Name: COMPUPAY/BENEFIT MALL
ELECTRICAL PERMIT
Permit Number: EL13-0994
Issue Date: 10/11/2013
Permit Expires On: 04/09/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
SOUTHCENTER CORPORATE SQUAR
150 CALIFORNIA ST , SAN FRANCISCO CA 94111
JASON BURRIS
27111 167TH SE STE 105-203 , COVINGTON WA, 98042
Contractor:
Name: WIRED TELECOM SVCS LLC
Address: 27111 167 PL SE, STE 105-203 , COVINGTON, WA 98042
Contractor License No: WIREDTS907LJ Expiration Date: 04/29/2015
Phone: (253) 732-5909
Phone: 206 249-8641
DESCRIPTION OF WORK:
INSTALL APPROXIMATELY 160 DATA CABLES TO 85 LOCATIONS.
Value of Electrical:
NRES: $19,000.00 Fees Collected:
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Washington Cities Electrical Code:
$431.10
2011
Date: (0/// // 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)e performaryce of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
kritt'')
Date:
ity/1113
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
EL13-0994 Printed: 10-11-2013
• •
PERMIT CONDITIONS
Permit No. EL13-0994
**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
EL13-0994 Printed: 10-11-2013
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Sonthcenter Bh d., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
/0 M3
v LJ/ / //V
(For office use on11)
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
/� �Q ' /� p King Co Assessor's Tax No.:
Site Address: CCAS An&), y 1 LVS2ft
Mak Suite Number: ZO Floor: z
iga
Tenant Name: C.O�t`i1 u �QV1Q � J V ICl 1' New Tenant: Yes ❑ ..No
PROPERTY OWNER
Name: V cx jcy\N tN`lrp 11 )
Address: p7I„ i 4,ti Q` 6E 5 to5'`2c'
Name:
Phone: ^ ', S3 32 -gOcax:
L
d\
Email:
U L"'' `�:�Rk e 4\ . he-\---
Address:
Tukwila Business License No.; his ,coknoi
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: V cx jcy\N tN`lrp 11 )
Address: p7I„ i 4,ti Q` 6E 5 to5'`2c'
City: L.ou l� Nva State: (\ Zip: q BOq'
l., it 4
Phone: ^ ', S3 32 -gOcax:
L
d\
Email:
U L"'' `�:�Rk e 4\ . he-\---
7
ELECTRICAL CONTRACTOR INFORMATION
Company Name: tt& y\e,1erytwivAi G Mot,„ S
l}-'
Address:�•t�
�� m 1 Go v\ SG- 5�e. (0526:
City:Cou4c7A State: w Q` Zip: cQti(
:
Phone: .206,24q,,,844 ' Fax:
Contr Reg No.:64 D- i5- p Date: LA
2r4
11
Tukwila Business License No.; his ,coknoi
Valuation of Project (contractor's bid price): $ i -11 060
f l
.
Scope of Work (pl se provide detailed inf ation): lb'�bt1(L\ oT0 Wee 1..) I CSO Ac o
Vi\e, 6 $ loco t �S 1
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? 0 Yes 0 No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
O Low Voltage 0 Generator 0 Fire AlarmTelecommunication 0 Temporary Service
Property Served by: TTTT
❑ Puget Sound Energy 0 Seattle City Light
H:',ApplicatiomtFmua-Applicatiow On Line:2013 Applicationaledrical Permit Applicatiaa Relived 7.1-13.doce
Revised: July 2013
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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 COAIIVIERCIAL
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
-ITRMITAPPLICATION 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: C 4\ Date: 10/
Print Name: ei.Gd N /6U'r'1'i' 1 Day Telephone: 206`'9-"'1. _` —86`"t
Mailing Address: it t 161' Q1,. 6 -6.10S --2o3 COC7k1Ai)oV\ W P ! V O 1
City
H.1AppliratiemForms-Application On Line'21113 Applicatioar.Electrical Permit Application Raved 7.1-13.doca
Revised: July 2013
bh
State Zip
Page 2 of 2
• •
J�`Ni�A 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.Qov
Parcel No.: 2623049144
Address: 565 ANDOVER PK W TUKW
Suite No:
Applicant: COMPUPAY/BENEFIT MALL
RECEIPT
Permit Number: EL13-0994
Status: PENDING
Applied Date: 10/11/2013
Issue Date:
Receipt No.: R13-02866
Initials:
User ID:
LAW
1632
Payment Amount: $431.10
Payment Date: 10/11/2013 11:50 AM
Balance: $0.00
Payee: WIRED TELECOMMUNICATION
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 001359
ACCOUNT ITEM LIST:
Description
431.10
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 431.10
Total: $431.10
Printari• 10-11-7013
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. - . PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila.. WA 98188 (206) 4.31-3670
Permit Inspection Request Line (206) 431-2451
M-01711
Project: PJP
Type of Inspection:
"*.--A/
Address: %/'
i
Date Called:
Special Instructions:
:..
Date Wanted:
11(17;
r
p.m.
Requester:
Phone No:
IlgApproyed per applicable codes.
COMMENTS:
Corrections required prior -to approval.
Inspector:
Date:
n REINSPECTION tEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd:. Suite 100. Call to schedule reinspection.
INSPECTION RECORD 61A5 -
Retain a copy with permit T
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
Project:6 r}'J `�
_ �y\((AI J, ` r.
Type of Inspection:
70°3
/
Address:
Date Called:
Instructions:
Date Wanted:
,D %
/
(Special
nom
m.
Requester:
i
Phone No:
Approved per applicable codes.
OMMENTS:
Corrections required prior to approval.
X-AAN 641
X49004- (Alcopipre-ft
Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100; Tukwila. WA 98188 (206) 431=3670
Permit Inspection Request Line (206) 431-2451 •
r3 '
PERMIT NO.
Project: /7
t( P
Type of Inspection:
7�
Address:
Date Called:
Special Instructions:
CAC
Date Wanted:l
J.
a.m.
Requester:
Phone No:• -
ElApproved per applicable codes.
COMMENTS:
Corrections required.,prior to approval.
n1�) A-ete5 "..
2FcAt.t 05PEail>J A -AID
WsININt.€ Acr�
Inspector:
Date: 45 1)
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Piper Friendly Page
•
Electrical Contractor
A business licensed by L81 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
WIRED TELECOM SVCS LLC
2062498641
27111 167Th PI Se Ste 105-203
Covington
WA
98042
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603017681
Active
WIREDTS875JT
Electrical Contractor
4/29/2013
4/29/2015
Limited Energy
Unused
ciated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
WIREDTS907LJ
WIRED
TELECOM
SVCS LLC
Electrical
Contractor
Telecommunitations
06/10/2013
6/11/2010
6/11/2014
Suspended
Electrical Administrator INFORMATION
License BURRIJ`876J2
Name BURRIS, JASON
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BURRIS, JASON C
Partner/Member
04/29/2013
Bond Amount
ESCAMILLA, LARRY E
Partner/Member
04/29/2013
61710977
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
Western Surety Co
61710977
06/10/2013
Until Cancelled
$4,000.0009/06/2013
1
Developers Surety 8
Indem Co
273947C
06/10/2010
Until Cancelled
06/30/2013
$4,000.0006/15/2010
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 No records found for the previous 6 year period
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10/11/2013