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Home My WebLink AboutPermit EL14-0539 - FIDELIS COMMUNICATIONS - VOICE AND DATA CABLEFIDELIS COMMUNICATIONS 576 INDUSTRY DR EL1 4-0539 Parcel No: Address: 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 0223400010 576 INDUSTRY DR ELECTRICAL OTC PERMIT Project Name: FIDELIS COMMUNICATIONS Permit Number: EL14-0539 Issue Date: 6/9/2014 Permit Expires On: 12/6/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: BLUE DOG PROPERTIES TRUST PO BOX 847 C/0 THOMSON REUTERS PTS, CARLSBAD, WA, 92018 ROGER HUBA 580 INDUSTRY DR , TUKWILA, WA, 98188 FIDELIS COMMUNICATIONS INC 647 STRANDER BL, TUKWILA, WA, 98188 FIDELCI921QR Expiration Date: 11/19/2014 Phone: (425) 336-5085 Phone: (206) 725-7728 DESCRIPTION OF WORK: VOICE & DATA CABLE DROPS, CAT6 @ QTY 26. Valuation of single family: $0.00 Valuation of mf/comm: $1,950.00 Type of Work: TENANT IMP Fees Collected: $124.53 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International 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: 2012 2012 2012 Date: /CIV 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. act/ Signature: �� Date: CP Print Name: Ltk 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. L '' 41— 0531 Project No. Date Application Accepted: ( (r (o97/ y! / Date Application Expires: / ?/o'// `t (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: -76, [Nb/Us eve Tenant Name: -fi, -1 S Q9't& t% N l C U\ New Tenant: King Co Assessor's Tax No.: PROPERTY OWNERn I Name: l/ (2...��(.+'�Nl1 IVDA �(� fy, �to (3) l� Address: 1 7 1. f 1�,� t�_� .1 De4 va N1� V �St►atee:,W(, ZipG)'bd,6 City:'- jail LA- CONTACT PERSON — person receiving all project communication Name: goe�Y' •n 41) t t' I ai laic. Address: Gdf'�/Ki ('0wis-ri2 t / ��c1(jt vG �10 jl City: ---F1 r✓I/'� l 1 /t. State: U'rF4Jk Zip: is' 5E Vit v7,5 Phone:' ax: ,,,Y+'�. ^ l 1 . & -! l 7 . 74 [1c Email: R . rz/� &,R(J�Q N . &'M Suite Number: Floor: ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: pi fare l`� cola MU Nap p� Address: 5'o 1 t fv f'Ow t �� / n ve_ �J City:"u{�C/V ( State: VV4 Zip/$I OZJ Phone:77to 725.7120Fax: Q .��. 77 may r Contr Reg Nvi D iZci 24 Kxp Datfl Ili hit Tukwila Business License No.; (cl4,05( Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): V17I C ' 1>rAt n i iops, CAT-4/ Will service be altered? E YesNo Adding more than 50 amps? ❑ Yes ,No Type of Use: Type of work: ❑ New 0 Addition ❑ Service Change 0 Remodel Tenant Improvement Low Voltage ❑ Generator 0 Fire Alarm Telecommunication 0 Temporary Service Property Served by: )kl.syuget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: Print Name: Mailing Address: 5e0 I NI TNCT-Dsi Ill VS H:\Applications\Forms-Applications On Line\2014 Applications'Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Date: loci fi4 Day Telephone: 42 • ✓ - JC••� Thj i LA- V..,& `1SIS City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $124.53 EL14-0539 Address: 576 INDUSTRY DR Apn: 0223400010 $124.53 ELECTRICAL ; $118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R2312 R000.322.900.04.00 0.00 $5.93 $124.53 Date Paid: Monday, June 09, 2014 Paid By: FIDELIS COMMUNICATIONS Pay Method: CHECK 4356 Printed: Monday, June 09, 2014 1:42 PM 1 of 1 CR SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 6/11-0537 (4) Project: I Type of Inspection: -q' J r/�(�j Address: �j` mim_gi Date Called: Special Instructions: 1 Date Wanted: 7 � Ca m.i Requester: K_ , ,cx. Phone No: 9/ 74-7 I L(O t EdApproved per applicable codes. t._.J Corrections required prior to approval. COMMENTS: 1, Inspector: I Date. 07 (1 i /1 1 • REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ifi,t)64/4K. 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: //,� fIDOA Type of Inspection: , j @ t/ '4 Ai Address:` f,j k rit1 Date Called: Special Instructions: (41>Ark Date Wanted: / m Requester: t Phone No: qZc m 26 33 igApproved per applicable codes. L�J Corrections required prior to approval. COMMENTS: 1 - - voc, gJ,frk- (NJ coriPierf Inspector: y� �./r'(/Ili' `6fe‘� 4 v r REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: CCA �l `� FIDELIS COMMUNICATIONS INr' Page 1 of 2 0 Washington State ;department of Labor &Industries FIDELIS COMMUNICATIONS INC Owner or tradesperson WITTSTOCK, SCOTT T Principals WITTSTOCK, SCOTT T, PRESIDENT Zimmerman, Paul A, VICE PRESIDENT McDonald, LaRae, SECRETARY Wittstock, Scott, AGENT Doing business as FIDELIS COMMUNICATIONS INC WA UBI No. 602 840 551 580 INDUSTRY DRIVE TUKWILA, WA 98188 206-725-7728 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties TELECOMMUNICATIONS License no. FIDELCI921 QR Effective — expiration 11/19/2008— 11/19/2014 Designated administrator Wittstock, Scott License type Electrical Administrator Bond Active. Meets current requirements. License no. WITTSS*925QL American States Insurance Co $4,000.00 Bond account no. 32s213199 Received by L&I Effective date 05/07/2012 04/20/2012 Expiration date Until Canceled Bond history https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602840551 &LIC=FIDELCI921 QR&SAW= 06/09/2014