HomeMy WebLinkAboutPermit EL16-0922 - UBER - AUDO/VISUAL EQUIPMENTLIBER
6450 SOUTHCENTER BLVD
102
EL16-0922
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: 0003200011
Permit Number: EL16-0922
Address: 6450 SOUTHCENTER BLVD 102
Issue Date: 10/10/2016
International Residential Code Edition:
Permit Expires On: 4/8/2017
Project Name: UBER
2014
Owner:
2015
Name: SOUTHCENTER 6450 BLDG LLC
2014
Address: 415 BAKER BL #200, TUKWILA, WA,
2015
98188
2015
Contact Person:
2015
Name: JAKE WEBER
Phone:
Address: 401 OLYMPIA AVE, NE #106, RENTON,
WA, 98056
Contractor:
Name: AMERICOM INC
Phone: (651) 726-2224
Address: 2910 WATERS RD, SUITE 170, EAGON,
MN, 55121
License No: AMERII*872QM
Expiration Date: 11/22/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE AUDIO VISUAL EQUIPMENT
Valuation of single family: $0.00
Fees Collected: $322.56
Valuation of mf/comm: $12,000.00
Type of Work: REMODEL
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:r'M IVA W IV 111 V Is I 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: Date: �� ��
Print Name: c.�c— .1L,VS,r-)on ��0O17tiJ��S
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 TUKW_ 1
•
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. twl ,- Oa
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"
SITE LOCATION
King Co Assessor's Tax No.:
Site Address: 6450 Southcenter Blvd., Tukwila WA 98188 Suite Number: / O 2 Floor:
Tenant Name: Uber New Tenant: ® .....Yes []..No
PROPERTY OWNER
Name: Andover Management Company
Address: 900 SW 16th Street, #100
City: Renton State: WA zip: 98058
CONTACT PERSON — person receiving all project
communication
Name: Jake Weber
Address: 401 Olympia Ave. NE # 106
City: Renton State: WA zip: 98056
Phone: (425) 273-2535 Fax:
Email: jweber@midwestamericom.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Americom Inc.
Address: 401 Olympia Ave NE., # 106
City: Renton State: WA zip: 98056
Phone: (651) 726-2200 Fax:
Contr Reg No.: AMERII*872QM Exp Date: 11/22/2017
Tukwila Business License No.; BUS -0996944
Valuation of Project (contractor's bid price): $ 12,000
Scope of Work (please provide detailed information): Install Low Voltage audio visual equipment
Will service be altered?
Type of U
Type of work:
❑ Yes m No
❑ New ❑ Addition ❑ Service Change
❑ 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: January 2014
bh
Adding more than 50 amps?
® Remodel
❑ Telecommunication
❑ Yes m No
❑ Tenant Improvement
❑ 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
$65.00
(no added/altered circuits)
Temporary service (generator) ...................................
❑
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
$80.60
(up to 5 circuits)
Number of concessions .........................
❑
Circuits added/altered without service change ...........
$54.60
$10.80 ea
(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.
Signature:
Date: % /0 7 o /06
Print Name: c-4 w goon ( j=ti11�>ti . S Day Telephone: Z06 1— 1(9 2.4
Mailing Address: �� 0 1 v tv, r� ,-, A e . /U r . 1 ve i,, � n (,) A gr
City State Zip
H:\Applicalions\Fomis-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January2014
bh
Page 2 of 2
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
$322.56
EL16-0922 Address: 6450 SOLITHCENTER BLVD 102 Apn: 0003200011
$322.56
ELECTRICAL
$307.20
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$307.20
TECHNOLOGY FEE
$15.36
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL FEES PAID BY RECEIPT: R9598
$15.36
Date Paid: Monday, October 10, 2016
Paid By: SALVADOR CENDEJAS
Pay Method: CREDIT CARD 05091A
Printed: Monday, October 10, 2016 10:28 AM 1 of 1 -
SY57EM5
INSPECTION RECORD
Retain a copy with permit 4114
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:)
Type of Inspection:
Address:
Date Called:
Special Instructions:
Date Wanted:m.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
s pector:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 5outhcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit 64v-07
INSPECTION NO. PERMIT Nb.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type of Inspection:A ,
V
Address: /
Date Called:
Special Instructions:
Date Wanted:
toZ a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
L&Jka
pector:
REINSPECTION FtE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
AmeriCom Inc
Horne. Espanol Contact
Safety & Health
Washington State Department of
4LJ labor & Industries
AmeriCom Inc
Page 1 of 2
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Claims & Insurance Workplace Rights Trades & Licensing
Owner or tradesperson 2910 Waters Road, Ste. 170
EAGAN, MN 55121
Principals 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.
ElectricalContractor Active.
....................... -- _................................
Meets current requirements.
License specialties
LIMITED ENERGY
License no.
AMERII*872QM
Effective — expiration
11/22/2013-11/22/2017
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
.... _......... _... _......... _..... _............
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603315420&LIC=AMERII* 872QM&SAW=
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