HomeMy WebLinkAboutPermit EL17-0080 - KEURIG GREEN MOUNTAIN - VOICE AND DATA CABLINEKEURIG
GREEN MOUNTAIN
7100 FORT DENT WAY
EL1 7-0080
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
2954900440
7100 FORT DENT WAY
ELECTRICAL OTC PERMIT
Project Name: KEURIG GREEN MOUNTAIN
Permit Number: EL17-0080
Issue Date: 2/1/2017
Permit Expires On: 7/31/2017
Owner:.
Name: JOHN C RADOVICH DEV CO
Address: 2835 82ND AV SE #S-1, MERCER
ISLAND, WA, 98040
Contact Person:
Name: JIM BRASSFIELD
Address: 257 SW 41ST ST , RENTON, WA, 98057
Contractor:
Name: CLEARNET
Address: 257 SW 41 ST, RENTON, WA, 98057
License No: CLEAR**901PM
Lender:
Name:
Address:
I 11
Phone: (206) 420-6970
Phone: (206) 420-6970
Expiration Date: 10/14/2018
DESCRIPTION OF WORK:
LOW VOLTAGE VOICE AND DATA CABLINE
Valuation of single family: $0.00
Valuation of mf/comm: $5,865.00
Type of Work: TELECOM
Fees Collected: $221.73
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:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Date: °a'/O/ 772
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: A /7 -or-1 / Date: --- ,
Print a Nierc,SS Q ekfil
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
httn://www.TulcwilaWA.gov
Electrical Permit No. E)....1-7- 00E°
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
Site Address: 7100 Fort Dent Way
Tenant Name: Keurig Green Mountian
PROPERTY OWNER
Name: Jim Brassfield
Address: 257 SW 41st Street
Name:
Phone: (206) 420-6970 Fax: (206) 336-4016
Email: Jim@clmet.net
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Jim Brassfield
Address: 257 SW 41st Street
City: Renton State: WA Zip: 98057
Phone: (206) 420-6970 Fax: (206) 336-4016
Email: Jim@clmet.net
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Clearnet
Address: 257 SW 41st Street
City: Renton State: WA Zip: 98057
Phone: (206) 420-6970 Fax: (206) 336-6970
Contr Reg No.: Clear* * 901 PM Exp Date: 10/18/2018
Tukwila Business License No.; 0944232
Valuation of Project (contractor's bid price): $ 5,865
Scope of Work (please provide detailed information):
Low Voltage Voice and Data cabling
Will service be altered? ❑ Yes m No
Adding more than 50 amps? ❑ Yes 0 No
Type of Use: Voice and Data
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement
❑ Low Voltage ❑ Generator 0 Fire Alarm m Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
W:\Permit Center\Applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 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:
Signaturee_��,,.., a .-' Date: 02/01/2017
Print Name: James A. Brassfield Day Telephone: (206) 420-6970
Mailing Address: 257 SW 41st Street, Renton, WA. 98057
City
W:\Pennit Center1Applicatiois-Handou1s\Pcrmit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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State Zip
Page 2 of 2
/411141
Lo
Cash Register Receipt
City of Tukwila
(Receipt Number
R10704
DESCRIPTIONS
PermitTRAK
I ACCOUNT
I QUANTITY
PAID
$221.73
EL17-0080 Address: 7100 FORT DENT WAY
Apn: 2954900440
$221.73
Credit Card Fee
$6.46
Credit Card Fee
R000.369.908.00.00
0.00
$6.46
ELECTRICAL
$205.02
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$205.02
TECHNOLOGY FEE
$10.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R10704
R000.322.900.04.00
0.00
$10.25
$221.73
Date Paid: Wednesday, February 01, 2017
Paid By: EPONEYEXPRESS INC
Pay Method: CREDIT CARD 02433G
Printed: Wednesday, February 01, 2017 11:21 AM 1 of 1
CRWSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
&7-oo3o
PMIT 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:
kt--
Address: 7ioo
` bate
Called:
Special Instructions:
�
�`v
Date Wanted:
3 i't '
.m.
Requester:
Phone No:
Approved per applicable codes.
L.! Corrections required prior to approval.
COMMENTS:
Inspector:
Date: 63/2.2
REINSPECTI0FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Sduthcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD d-{TOOt
Retain a copy with permit
INSPECTION NO. PT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-36
Project:
eti
Type of inspection:
r
C14
d
Address: 7o1e'f(
Date Called:
Special Instructions:
i— l/
IlID
Date Wanted:
m:
Requester:
Phone No:
G.
0040%
OApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
aikAAI6 6791/6
fo,q4& d ClPc.tTe
Inspector:
17
k
Date: �2i�
REINSPECTION FE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Clearnet Page 1 of 2
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Clearnet
Owner or tradesperson
Principals
WALSTON, RICHARD, PRESIDENT
Steenvoorde, Andrew P, SECRETARY
Walston, Rick, AGENT
Doing business as
Clearnet
WA UBI No.
602 615 301
Parent company
EPONYEXPRESS INC
257 SW 41ST ST
RENTON, WA 98057
206-420-6970
KING County
Business type
Corporation
Governing persons
ANDREW
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
10/14/2010-10/14/2018
Designated administrator
Walston, Richard B
License type
Electrical Administrator
Bond
..._............
RLI INS CO
Bond account no.
LSM0194759
Active.
Meets current requirements.
License no.
WALSTRB901PL
$4,000.00
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.
Satisfied
...........................
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https://secure.lni.wa.gov/verify/Detail.aspx?UBI=6026153 01 &LIC=CLEAR* * 901 PM&SAW= 2/1/2017