HomeMy WebLinkAboutPermit EL13-1220 - FAIRWAY CENTER - LOW VOLTAGEFAIRWAY CENTER
14240 INTERURBAN AV S
SUITE 190
EL1 3-1220
Parcel No:
Address:
Project Name:
1111
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
3365901881 Permit Number: EL13-1220
14240 INTERURBAN AVE S 190 Issue Date: 12/2/2013
Permit Expires On: 5/31/2014
FAIRWAY CENTER
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
BELLTOWN INVESTMENT PARTNER
2505 2ND AVE #520 , SEATTLE, WA,
98121
KEITH BOE
2525 BROADWAY #3003 „EVERETT,
WA, 98201
BUSINESS COMMUNICATION SVS INC
2525 BROADWAY, SUITE 3003 ,
EVERETT, WA, 98201
BUSINCS901K5
Phone: (206) 390-9090
Phone: (425) 265-1117
Expiration Date: 5/25/2014
DESCRIPTION OF WORK:
INSTALLATION/TERMINATION OF 37 DATA/VOICE CABLE RUNS.
Valuation of single family: $0.00
Valuation of mf/comm: $7,030.00
Type of Work: LOW VOLTAGE
Fees Collected: $236.40
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
Date:
2012
2012
2012
• •
I hearby 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 the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature: %YL ��Date: /2-
2-)3
Print Name: f OI%J n Pod yn a
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKW
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)
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:
King Co Assessor's Tax No.:
iLt 2-4° n r lA rbaAve 5
Tenant Name: FFZLucky C+-e,r'
PROPERTY OWNER
Name:�e
%e ► �h
Address: 2.5 25 43rcx4t 4 3W3
Name:
Phone: 206 _30 __ q x:
Email: 1(1-)0e. be -.F-el- net
Address:
Phone: _390_ (Wax:
2\
Contr Reg No.: ,i3u51 N l of tc p Date: sitci �_ j
`7
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name:�e
%e ► �h
Address: 2.5 25 43rcx4t 4 3W3
y
City: State: `,i �i- Zip:58201
EveIre Vl/
Phone: 206 _30 __ q x:
Email: 1(1-)0e. be -.F-el- net
Suite Number: q56 Floor:
New Tenant: l`C Yes .. No
1
ELECTRICAL CONTRACTOR INFORMATION
Company Name:atsi, oPss � byn iA b.nl Cct'hOn
se,
Address: 25z5 Brcladc, y _ 3
City: C �e reit State: IF16 \ ,t , n Zip: q �y,4
P"� `0�3��
Phone: _390_ (Wax:
2\
Contr Reg No.: ,i3u51 N l of tc p Date: sitci �_ j
`7
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ �J 03(7,6-°-
Scope of Work (please provide detailed information): 1 1/15fc 1 1 G i--) b n /Tr ryn n c fin h
37 da-i-ct.. //Dir. e cable, ,r -urs
Will service be altered? ❑ Yes
XNo Adding more than 50 amps? ❑ Yes A No
Type of Use: Lo W - WI e,
Type of work:
0 New 0 Addition 0 Service Change Remodel 0 Tenant Improvement
ticLow Voltage 0 Generator 0 Fire Alarm Telecommunication 0 Temporary Service
Property Served by:
0 Puget Sound Energy 0 Seattle City Light
H:\Applicattons\Forms-Applications On Lme\2013 Apphcattons\Electncal Permit Application Revised 7-1-13.docx
Revised: July 2013
bh
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:
alma_
Print Name:
sn \n r\ 1=0 mcu
Date: 12 -Z-13
Day Telephone: 4go —2g l
Mailing Address: 2 2.5 �YOC LAD cx.y 30953 City
EVece' WA l8 Z -J
H:Wpplications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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Page 2 of 2
Cash. Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY PAID
$236.40
EL13-1220 Address: 14240 INTERURBAN AVE S 190 Apn: 3365901881
$236.40
ELECTRICAL
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R235
R000.322.101.00.00
$236.40
$236.40
$236.40
Date Paid: Monday, December 02, 2013
Paid By: BUSINESS COMMUNICATION SERVICE
Pay Method: CHECK 3209
Printed: Monday, December 02, 2013 2:23 PM 1 of 1
I?SYSTEMS
2
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6u3-,zio
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:
/rk t
C
Type of Inspection: 6---dito,
Address: f ti Z� O
o
Date Called:
Special Instructions:
iit,(Requester:
1
Date Wanted: rk
a.m
p.m.
l
J' Jitc0
Phone No:5Lar 331 Tgrg
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
gii5
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 N0. PERMIT NO.
CITY. OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 •
Permit Inspection Request Line (206) 431-2451
(05-1zio
Project: c.644
/1
Type of Inspection:
Address:.
3
Date Called:
Special Instructions:
Date Wanted:
/
7
an
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
-h�
tAACI 41/416S
Inspector:
Date:
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 Prr Friendly Page
Electrical Contractor
A business licensed by LftI 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
BUSINESS COMMUNICATION SVS INC
4252651117
2525 Broadway #3003
Everett
WA
98201
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602776747
Active
BUSINCS901K5
Electrical Contractor
5/25/2010
5/25/2014
Telecommunications
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
BUSINCS9840L
BUSINESS
COMMUNICATION
SERVICE
Electrical
Contractor
Telecommunications
BOE, ANGELA L
9/13/2002
9/13/2010
Out Of
Business
Electrical Administrator INFORMATION
License BOE**KD983NT
Name BOE, KEITH D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BOE, KEITH D
Agent
05/25/2010
Amount
BOE, KEITH D
President
05/25/2010
01C137264140
BOE, ANGELA L
Vice President
05/25/2010
05/10/2013
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
1
TRAVELERS CAS a
SURETY CO
105446551
05/25/2010
Until Cancelled
$4,000.00
05/25/2010
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
05/24/2014
Cancel Date
Impaired Date
Amount
Received Date
4
American
States
Insurance Co
01C137264140
05/24/2013
$1,000,000.00
05/10/2013
3
American
States
Insurance Co
01C137264130
05/24/2012
05/24/2014
$1,000,000.00
05/02/2013
2
Safeco Ins Co of
America
01C137264120
05/24/2011
05/24/2012
$1,000,000.00
05/23/2011
1
AMERICAN
STATES INS CO
01C137264102
05/24/2010
05/24/2011
$1,000,000.0005/25/2010
httus://fortress.wa.l;ov/lni/bbip/Print.aspx
12/02/2013
Contractors or Tradespeople Prir Friendly Page
•
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
Page 2 of 2
https://fortress.wa.gov/lni/bbip/Print.aspx 12/02/2013