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
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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