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Home My WebLink AboutPermit EL13-1091 - OTIS ELEVATOR - LOW VOLTAGEOTIS ELEVATOR 3315 S 116 ST EL13-1091 City oftukwila 1 Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov Parcel No.: 0923049068 Address: 3315 S 116 ST TUKW Project Name: OTIS ELEVATOR ELECTRICAL PERMIT Permit Number: EL13-1091 Issue Date: 10/30/2013 Permit Expires On: 04/28/2014 Owner: Name: EPROPERTY TAX INC DEPT 207 Address: PO BOX 4900 , SCOTTSDALE AZ 85261 Contact Person: Name: CHUCK BROWN Address: 11824 N CREEK PY N # 103 , BOTHELL WA, 98011 Phone: 425 489-8549 Contractor: Name: POWERCOM INC Phone: (425)489-8549 Address: 11824 NORTH CREEK PARKWAY N SUITE 103 , BOTHELL, WA 98011 Contractor License No: POWERI*006LH Expiration Date: 06/08/2014 DESCRIPTION OF WORK: INSTALLATION OF TELECOMMUNIATION CABLING AND TERMINATION TO 55 LOCATIONS Value of Electrical: NRES: $11,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie xami with, Fees Collected: $289.50 Washington Cities Electrical Code: 2011 Date: Lb "!(C) 11-3 ed this permit and know the same to be true and correct. All provisions of law and ordinances 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: 2L9 -3i) -j3 Print Name: 1/1. vGf= 13 r1/4n 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 EL13-1091 Printed: 10-30-2013 110 PERMIT CONDITIONS • Permit No. EL 13-1091 **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 TO - 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. ioc: EL -7/13 EL13-1091 Printed: 10-30-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: (For office use only) v0220 11 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: 3315 S. 116th St., Tukwila, WA Tenant Name: Otis Elevator 0'1727U-1 —1cLel, Suite Number: 149 Floor: 1 PROPERTY OWNER Name: Chuck Brown Name: el toe City: Bothell State: WA Zip: 98011 Address: n D vi,D\t ii LC00 7k Email: `Era1,11 g Ga11pc, werr,oin, Coni State: City: itc Zip: Ic f „I CONTACT PERSON — person receiving all project communication Name: Chuck Brown Address: 11824 N. Creek Pkwy N. #103 City: Bothell State: WA Zip: 98011 Phone: (425) 489-8549 Fax: (425) 487-1035 Email: `Era1,11 g Ga11pc, werr,oin, Coni New Tenant: ® Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: PowerCom Inc. Address: 11824 N. Creek Pkwy N. #103 City: Bothell State: WA Zip: 98011 Phone: (425) 489-8549 Fax: (425) 487-1035 Contr Reg No.: POWERI*006LH Exp Date: 06/08/2014 Tukwila Business License No.; 0993758 Valuation of Project (contractor's bid price): $ 11,000 Scope of Work (please provide detailed information): Installation of telecommunication cabling and termination to 55 locations. Will service be altered? Type of Use: Type of work: ❑ New ❑ Low Voltage Property Served by: ugetfioar>�E ❑ Yes m No Adding more than 50 amps? (❑ Yes m No ❑ Addition ❑ Generator ❑ Service Change ❑ Fire Alarm Seattle City Light H:Wpplications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7.1-13.docx Revised: July 2013 bh Remodel El Telecommunication ❑ Tenant Improvement ❑ 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, fumace 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 PER.MITL4PPLICATI'ON.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 1 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: Print Name: C i/ C !+c 13 ✓JJ w✓i Mailing Address: 1) f32'-) f Ct/'u Pkw)✓ )V. )0 3 H:\Applications\Forth-Applications On Line12013 Appltcattons\Electncal Perrot Application Revised 7-1-13.docx Revised: July 2013 bh Day Telephone: Date: 49-30-1 3 Eoi - 3qJ- gq 77 )30t1tc 1 I 109. l Y O ) City State Zip Page 2 of 2 • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov Parcel No.: 0923049068 Address: 3315 S 116 ST TUKW Suite No: Applicant: OTIS ELEVATOR RECEIPT Permit Number: EL13-1091 Status: APPROVED Applied Date: 10/30/2013 Issue Date: Receipt No.: R13-03011 Initials: User ID: JEM 1655 Payment Amount: $289.50 Payment Date: 10/30/2013 11:49 AM Balance: $0.00 Payee: POWERCOM INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3439 289.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 289.50 Total: $289.50 a o enc Prinforl• 1n_'in_�n1'3 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 Project: r13 i/k, a /) Type of Inspection: nA� Address: 35#5 t 1( r f Date Called: Special Instructions: i--1 Date Wanted: r Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 Inspector: Date: 12 1(3 (1) REINSPECTION FEE REQUIRE . 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. WA98188(206) 431-3670 Permit Inspection Request Line (206) 431-2451 613 - Project: Type of Inspection:. Address: 331ss . i+r� sT Date Called: /- Special Instructions: j 1;114. r� "' :. Date Wanted:fm. Requester:. Phone No:. . Approved per applicable codes. LJ Corrections required prior to approval: OMMENTS: - ck41 Inspector: Date: /1.6Z s3. REINSPECTION FEE REQUIRE6. Prior to next inspection, fee must be: . paid at 6300. Southcenter Blvd.: Suite 100. Call to=schedule reinspection: Contractors or Tradespeople Pre Friendly Page 1 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 POWERCOM INC 4254898549 11824 North Creek Parkway N SUITE 103 Bothell WA 98011 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602030026 Active POWERI'006LH Electrical Contractor 6/8/2000 6/8/2014 Telecommunications Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status POWERI*937MJ POWERCOM INC Electrical Contractor Limited Energy Unused 7/10/2007 7/10/2015 Active POWERI'994PK POWERCOM INC Electrical Contractor General Unused 10/12/2001 10/12/2005 Archived POWERI*922KR POWERCOM INC Electrical Contractor General Unused 4/28/2008 4/28/2012 Expired Electrical Administrator INFORMATION License ANDERWF89ORM Name ANDERSON, WILLIAM F III Status Active Business Owner Information Name Role Effective Date Expiration Date ELEVEN -FOURTEEN INC Agent 01/01/1980 Amount ANDERSON, WILLIAM President 12/20/2011 DTC0317M3168PHX13 CARITTHERS, ROB Secretary 12/20/2011 THOMPSON, COLIN P Secretary 01/01/1980 PARTRIDGE, KEN J 11/01/2010 01/01/1980 12/20/2011 MORGAN, GENE R President 01/01/1980 08/31/2005 Bond Information Page 1 of 2 Bond 3 Bond Company Name FIDELITY & DEPOSIT CO OF MD Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 08821124 09/01/2005 Until Cancelled $4,000.00 09/09/2005 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 9 Phoenix Insurance Company, The DTC0317M3168PHX13 11/01/2013 11/01/2014 $1,000,000.00 10/28/2013 8 4TC0317M316 11/01/2010 11/01/2013 $1,000,000.0010/15/2012 https://fortress.wa.gov/lni/bbip/Print.aspx 10/30/2013