HomeMy WebLinkAboutPermit EL14-0665 - DEPARTMENT OF LABOR & INDUSTRI - DATA CABLEDEPARTMENT OF
LABOR & INDUSTRIES
12806 GATEWAY DR
EL1 4-0665
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
2716000050
12806 GATEWAY DR
ELECTRICAL OTC PERMIT
Project Name: DEPARTMENT OF LABOR & INDUSTRI
Permit Number: EL14-0665
Issue Date: 7/15/2014
Permit Expires On: 1/11/2015
Owner:
Name:
Address:
EPROPERTY TAX INC DEPT #207
PO BOX 4900 , SCOTTSDALE, WA,
85261
Contact Person:
Name: AL CARTER
Address:
9146 A BLUE MTN. LN. SW , OLYMPIA,
WA, 98512
Contractor:
Name: PACIFIC APEX CONSTRUCTION LLC
Address: 2720 S ASH ST , TACOMA, WA, 98409
License No: CTS**TS881BK
Lender:
Name:
Address:
Phone: (360) 951-2623
Phone: (206) 686-2000
Expiration Date:
DESCRIPTION OF WORK:
PROVIDE AND INSTALL SMART SET DATA CABLE
Valuation of single family: $0.00
Valuation of mf/comm: $400.00
Type of Work: LOW VOLTAGE
Fees Collected: $77.28
Electrical Service Provided by: SEATTLE CITY LIGHT
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:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
;A, RJ
Date: 1 ` f ���
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 pgrmit and agree to the conditions attached to this permit.
Signature.
Print Name:
Date: `!'( L5
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
ALPI I EJAQ011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. l . L` 0 (0lp S"
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
y ^� / �j� King Co Assessor's Tax No.:
Site Address: 1---1�5310 C'(1 .JA JJr S. 1 Suite Number:
Tenant NameJJp . Ot L or art_ diSTrit$ New Tenant: ❑ Yes \[�..No
l �,
PROPERTY OWNER
11 `` Name;)p'4. 0(' LA bee + du s+rk�
Address:P 866 Ciblex,-Dr, lS
City,Tui] df la tate: �n Zip:00.1 4 g'
CONTACT PERSON — person receiving all project
communication
Name: AI C6 _- _
SW
Address:91% A 1J ue, Mlyi. L((�WWJJ
City: O S te: A Zip: gg�ia
P ;, ow.
Phone Cab Fax:
3& 51-?(,�3
Email: A% C @ c I ke, GkS . Carl
Floor:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: QT c
Address:2 0 S. Yks17 5+.
City: I dc.oh� ate: WA Zip: gg40q
Phoney�O(foG 8�,- �000 Fax:&O(o� (og to' hoop
o(g)
V:Ci
Contr Reg No
* *Ts ;iv bil� Exp
1 / 1. / is
Tukwila Business License No.;
u 0
Valuation of Project (contractor's bid price): $ y08. o- '
Scope of Work (please provide detailed information):?roVi cAe, ancl. Zrs-- l Srnzr% 3 e1- dz4a
Gaffe. .
Will service be altered? ❑ Yes [g No Adding more than 50 amps? EI Yes [4.6 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
gr Low Voltage ❑ Generator ❑ Fire Alarm Er Telecommunication ❑ Temporary Service
Property Served by:
n". Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Page 1 01.2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
0 Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $81.90
(no added/altered circuits)
O 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
0 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
O 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 $10.80 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signaturett
Print Nam r; Slit) C
Mailing Address: a f u o A Vat M+ Lt
H:\Applications\Fortes-Applications On Line\2014 Applications \Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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Date: 4/ t O f I /4
Day Telephon42O ) (.4 a 7 - 35$O
olarn ► L (JA cit s
C State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ermitTR
ACCOUNT
QUANTITY I
r
PAID
1,
EL14-0665 Address '12806 GATEWAY DR
Apn 2716000050
tr
Nkf
h„k$77
��
1�
28
ELECTRICAL
$73.60
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$73.60
TECHNOLOGY FEE
$3.68 ,.
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2592
R000.322.900.04.00
0.00
$3.68
$77.28
Date Paid: Tuesday, July 15, 2014
Paid By: CTS
Pay Method: CHECK 8201
Printed: Tuesday, July 15, 2014 2:18 PM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
6-11-066S
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
4-Project. 1
Type of Inspection:�r-tA2.-
Date Called:
Address: I2101 6
Special Instructions:
Li CALE
I
Date Wanted: a.m.
3 1 2--
Requester: AL"
Phone No:
3G o 75 / 2-4 2,-3
piApproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
/1
1t
k
inspector:
1
Date: 6 g
I t t
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
CTS
Page 1 of 4
0 Washington State Department of
Labor & Industries
CTS
Owner or tradesperson
KURASPEDIANI, TIMOTHY S
Principals
KURASPEDIANI, TIMOTHY
S, PARTNER/MEMBER
Doing business as
CTS
WA UBI No.
602 970 115
Parent company
PACIFIC APEX CONSTRUCTION LLC
2720 S ASH ST
TACOMA, WA 98409
206-686-2000
PIERCE County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
LIMITED ENERGY
License no.
CTS**TS881 BK
Effective — expiration
01/12/2012— 01/12/2016
Designated administrator
KURASPEDIANI, TIMOTHY
License type
Electrical Administrator
Bond
Lexon Ins Co
Bond account no.
9810801
Active.
Meets current requirements.
License no.
KURAST*905BJ
$4,000.00
Received by L&I Effective date
11/30/2011 01/12/2012
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602970115&LIC=CTS* *TS881 BK&SAW= 07/15/2014