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HomeMy WebLinkAboutPermit EL16-0706 - COWLITZ INDIAN TRIBE - VOICE/DATA CABLINGCOWLITZ INDIAN TRIBE 1545565 THAVE S LL16-0706 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.Rov ELECTRICAL OTC PERMIT Parcel No: 0003200004 Permit Number: EL16-0706 Address: 15455 65TH AVE S Issue Date: 8/1/2016 WA Cities Electrical Code: 2014 Permit Expires On: 1/28/2017 Project Name: COWLITZ INDIAN TRIBE 2014 Owner: 2015 WA State Energy Code: Name: COWLITZ INDIAN TRIBE 2015 Address: 1055 9TH AVE, LONGVIEW, WA, Permit Center Authorized Signature: 98632 — Contact Person: Name: JIM BRASSFIELD Phone: (206) 763-9991 Address: 800 SW 34TH ST, STE A, RENTON, WA, 98057 Contractor: Name: CLEARNET Phone: (206) 420-6970 Address: 257 SW 41 ST, RENTON, WA, 98057 License No: CLEAR**901PM Expiration Date: 10/14/2016 Lender: Name: Address: DESCRIPTION OF WORK: VOICE & DATA CABLING, 158 TOTAL CABLES, FIBER OPTIC BACKBONE Valuation of single family: $0.00 Fees Collected: $601.34 Valuation of mf/comm: $26,600.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 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: /// G 'r'—�� --(�� Date: S-1-16 Print Name: =rc.ssi �A1r 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 SITE LOCATION Electrical Permit No. , Project No. Date Application Accepted: Date Application Expires: or oJf1ce use only) ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for pian review. Applications will not be accepted through the mail or by fax. "Please Print" King Co Assessor's Tax No.: Site Address: ( 5 q S S G 67h A vL 5O Suite Number:_ N 1 A Floor: M\ �1-1arATS Tenant Name: Cow 1 Az- r1t.a�r. Zy`.%e_ New Tenant: ..... Yes ®..No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Address: a 5 w Ct City: 2ew�ulr. State: %vA Zip: qwS Phone: fib— 4�lCJ- �a tiU Fax: �6- 3 — 6960 Email: Gl r Valuation of Project (contractor's bid price): ELECTRICAL CONTRACTOR INFORMATION Company Name: y 1L Address: a5-, 5W 41'`T ST City: }yyy State: WA Zip: �eo5 Phone: fib- (Aao- 6A 0 Fax: Contr Reg No.: Exp Date: LL � Alpto-IWA Tukwila Business License No.; BUS - ORN Ia )a Scope of Work (please provide detailed information): V(2TL-e-, $ MO& C"hk-yl 1 0 -'rte«\ CtA61es Will service be altered? ❑ Yes M No Type of Use: Tempe of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served lb: ❑ Puget Sound Energy ❑ Seattle City Light Ii:Wpplicatioas\Fonrtc-Applicationa On Line\2014 ApplicationsMearical Permit Application Revised 1-1-14.dom Revised: lanuary 2014 bh Adding more than 50 amps? ❑ Yes JKf No ❑ Remodel ❑ Tenant Improvement > Telecommunication ❑ 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, 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. 1 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: Date: 18-1— 16 Day Telephone:),06 -- iAJ0- (60110 Mailing Address:�LrJl JVI/ i-(�� �� Q-F-AC'y,N V1rA ge)05:� City State Zip H:Wpplicatiom\Forma-.Applicatiam On Une12014 ApplicationAElectrical Permit Application Revised 1-1-14.doca Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $601.34 EL16-0706 Address: 15455 65TH AVE S Apn: 0003200004 $601.34 ELECTRICAL $572.70 PERMIT FEE MULTI-FAM/COMM 11000.322.101.00.00 0.00 $572.70 TECHNOLOGY FEE $28.64 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R9086 R000.322.900.04.00 0.00 $28.64 $601.34 Date Paid: Monday, August 01, 2016 Paid By: JAMES BRASSFIELD Pay Method: CREDIT CARD 06811E Printed: Monday, August 01, 2016 9:01 AM 1 of 1 1?SYS7EMS 0 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: / Type of Inspection: Address: /5 5- Date Called: Special Instructions: Date Wanted: a. ( M. Requester: _ Phone No: Approved per applicable codes. ECorrections required prior to approval. Ilnspector: ` /`. I� (Date: REINSPECTION PEE 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 -0 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address: Date Called: Special Instructions: C>�)yrX Date Wanted: a.m. m Requester: „�� f✓ r Phone No: � y3 j I IVI Approved per applicable codes.11 Corrections required prior to approval. LJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Clearnet Hoene Espanol Contact Safety & Health Claims & Insurance 45 Washington State Department of Labor & Industries Clearnet Owner or tradesperson 257 SW 41ST ST RENTON, WA 98057 Principals 206-420-6970 WALSTON, RICHARD, PRESIDENT KING County Steenvoorde, Andrew P, SECRETARY Walston, Rick, AGENT Doing business as Clearnet WA UBI No. Business type 602 615 301 Corporation Parent company Governing persons EPONYEXPRESSINC ANDREW Page 1 of 2 Search L&I� A -'L Index Help Ivly I..&I Workplace Rights Trades & Licensing STEENVOORDE RICHARD B WALSTON; 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. CLEAR**901 PM Effective — expiration 10/1412010-10/14/2016 Designated administrator Active. Walston, Richard B Meets current requirements. License type License no. Electrical Administrator WALSTRB901 PL Bond RLI INS CO $4,000.00 Bond account no. LSM0194769 Received by L&I Effective date 10/14/2010 10/01/2010 Expiration date Until Canceled .Savings ............ . No savings accounts during the previous 6 year period. License Violations ........................................... Infraction no. ed EBANX00445 Satisfied Issue date RCWlWAC https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602615301&LIC=CLEAR**901PM&SAW= 8/1/2016