HomeMy WebLinkAboutPermit EL16-0209 - EMBASSY SUITES - AUDIO SYSTEMEMBASSY SUITES
15920 W VALLEY HM7Y
EXPIRED 09/05/16
EL16-0209
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
Parcel No: 0005800031 Permit Number: EL16-0209
Address: 15920 W VALLEY HWY Issue Date: 3/9/2016
Permit Expires On: 9/5/2016
Project Name: EMBASSY SUITES
Owner:
Name: KOAR-SEATAC PARTNERS LP
Address: 370 AMAPOLA AVE #210 C/O
HASEMAN AMERICA INC, TORRANCE,
WA, 90501
Contact Person:
2012
Name: SALVADOR CENDEJAS
Phone: (206) 261-4926
Address: 401 OLYMPIA AVE NE, RENTON, WA,
2012
98056
2014
Contractor:
2012
Name: AMERICOM INC
Phone: (651) 726-2224
Address: 2910 WATERS RD, SUITE 170, EAGON,
2012
MN, 55121
2012
License No: AMERII*872QM
Expiration Date: 11/22/2017
Lender:
Name:
Address:
��'�
DESCRIPTION OF WORK:
INSTALL AUDIO SYSTEM
Date:
Valuation of single family: $0.00
Fees Collected: $378.32
Valuation of mf/comm: $15,000.00
Type of Work: LOW VOLTAGE
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:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
��'�
Permit Center Authorized Signature:
Date:
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/' -5 Date: 9 i 3
Print Name: �,41AIAQOM_ �GN9 SNS
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.
S: 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 TUKH I
Community Development Department
Permit Center
• 6300 Southeenter Blvd., Suite 100
Tukwila, WA 98188
http:/hvww.TukwilaWA.eov
SITE LOCATION
Site Address:
Tenant Nam
Electrical Permit No. t L,lto, mo
Project No.
Date Application Accepted:
Date Application Expires: _
use
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"
King Co Assessor's Tax No.:
Number: Floor:
New Tenant: ❑ ..... Yes
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON - person receiving all project
communication �t
Name:IALVAu )cam CCANDF 51,5
Address: yO ` (\ A-Je , PF—
City:
F—
City: QGNTD XJ State: W Zip:b5�
Phone: 2C�lo_ 261-0 �1 L Fax: `b
Email:
SCev�eS�aMeY.cow� Ge
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address:
Z000 Wad e rS nQ . S4 -e-. 170
City: State: Z1
GC., a r MQ Zip S5-1
Phone/6 S 7 Zfo - 2 Z�y Fax:
Contr Reg No.: AME RI 1 "872 omExp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 157,6 OO
Scope of Work (please provide detailed information): A "A " O
Will service be altered? ❑ Yes fifl No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
10 Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1.1.14.docx
Revised: July 2013
bh
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page] 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
$65.00
❑
(no added/altered circuits)
$80.90
❑
Service change with added/altered circuits.................$81.90
$86.25
number of added circuits .......................$11.55
ea
❑
Circuits added/altered without service change ............
$54.60
(up to 5 circuits)
$10.80 ea
❑
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)
PERMIT APPLICATION NOTES -
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***
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:
Date: 32c, J2 0
Print Name: �a lya j o ' Day Telephone: '2Z(,,-2(6( —492-C
Mailing Address: qO ( S oJ-e- 106 V VkV0 v1 L1 A g6�C�S
City State Zip
H:Wpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$378.32
EL16-0209 Address: 1S920 W VALLEY HWY
Apn: OOOS800031
$378.32
ELECTRICAL
$360.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00 0.00
$360.30
TECHNOLOGY FEE
$18.02
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R7872
R000.322.900.04.00 0.00
$18.02
$378.32
Date Paid: Wednesday, March 09, 2016
Paid By: SALVADOR CENDEJAS
Pay Method: CREDIT CARD 08970A
Printed: Wednesday, March 09, 2016 3:26 PM 1 of 1 0r;?
SY57EM5
QDCity of Tukwila Allan Ekberg, Mayor
Department of Community Development Jack Pace, Director
8/2/2016
SALVADOR CENDEJAS
401 OLYMPIA AVE NE
RENTON, WA 98056
RE: Permit No. ELI 6-0209
EMBASSY SUITES
15920 W VALLEY HWY
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 9/5/2016.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 9/5/2016, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
hAullu)
Rachelle Ripley4
Permit Technician
File No: ELI 6-0209
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
AmeriCom Inc
Home isspanol Contaact.
Safety & Health
Washington State Department of
Labor & Industries
AmeriCom Inc
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Owner or tradesperson 2910 Waters Road, Ste. 170
Principals EAGAN, MN 55121
p 651-726-2224
JAKUBOWICZ, DEAN R, PRESIDENT
JAKUBOWICZ, DEAN R, SECRETARY
JAKUBOWICZ, JULIE S, TREASURER
NATIONAL REGISTARD AGENTS
INC., AGENT
Doing business as
AmeriCom Inc
WA UBI No. Business type
603 315 420 Corporation
Governing persons
DEAN
R
JAKUBOWICZ
JULIE S JAKUBOWICZ;
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.
AMERII*872QM
Effective — expiration
11/2212013-11122/2017
Designated administrator
Active.
weber, Jacob John
Meets current requirements.
License type
License no.
Electrical Administrator
WEBERJJ876PP
Bond
Federated Mutual Ins Co
$4,000.00
Bond account no.
9860945
Received by L&I
Effective date
11/22/2013
11/14/2013
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
............... _............. _........................
No license violations during the previous 6 year period.
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603315420&LIC=AMERII*872QM&SAW= 03/09/2016