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Permit EL17-0118 - VERIZON - CONDUIT FOR FIBER LINE
VERIZON 12682 GATEWAY DR EL17-0118 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: htto://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 2716000020 Permit Number: EL17-0118 12682 GATEWAY DR Project Name: VERIZON Issue Date: 2/13/2017 Permit Expires On: 8/12/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: EPROPERTY TAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE, WA, 85261 SCOTT MARSH 1100 MERRILL CREEK PARKWAY , EVERETT, WA, 98203 VALLEY ELEC CO OF MTVERNON INC 1100 MERRILL CREEK PKY, EVERETT, WA, 98203-7120 VALLEEC141NA /II Phone: (425) 322-7470 Phone: (425) 407-0832 Expiration Date: 8/1/2018 DESCRIPTION OF WORK: INSTALL 2" CONDUIT FOR FIBER LINE Valuation of single family: $0.00 Valuation of mf/comm: $2,500.00 Type of Work: TENANT IMP Fees Collected: $154.65 Electrical Service Provided by: SEATTLE CITY LIGHT 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 t 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 re ulating construction or the performance of work. I am authorized to sign and obtain this development per it a d agree to the conditions attached to this permit. Signature: Print Name: C� ///4ri .2 Date: /') 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 TUKV- A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov ELECTRICAL Applications and plans must be Applications will not Ig G8 - Electrical Per Project. No. Date Application Accepted: Date Application Expires: (For office use only) ,>,>,it No. .U_.11- d ([ 8 PERMIT APPLICATION complete in order to be accepted for plan review. be accepted through the mail or by fax. **Please Print** SITE LOCATION 2 C-14-0.,017Dr I24r2 Site Address: r44 C`-6 1". y !� Tenant Name: Vnei 7,4/h PROPERTY OWNER Name: S ,#. (tors 7� �l /1 Address: 110c) �7r'Yr,'// Cr rtt ft V Name: ' l� gg Email: i' 40 `'0'7'1 IX hoe yl -r, r . ri r,44-. Phone:L12 r yo7 OJ, p Fax: Jir Address: Contr Reg No.: VAeL C C j %/ PIE" Date, A %Zcy Tukwila Business License No.;09 9, 9 7 City: State: Zip: CONTACT PERSON — person receiving all project communication Name: S ,#. (tors 7� �l /1 Address: 110c) �7r'Yr,'// Cr rtt ft V City: 1 LVC State: Zip• t. u3 Phone: •ip,24- 32Z.....? y7F ax: /$,. Email: i' 40 `'0'7'1 IX hoe yl -r, r . ri r,44-. King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes . No ELECTRICAL CONTRACTOR INFORMATION Company Name:4. -- UG�Iq 1,--4,41/4,_,•iepm7'� s-nov Address: I >©v i.e.-,-I'% Gree. ar_ . % City: i vc1,e41. State: W� Zip: (,j.d- .1� Phone:L12 r yo7 OJ, p Fax: Jir Contr Reg No.: VAeL C C j %/ PIE" Date, A %Zcy Tukwila Business License No.;09 9, 9 7 n w_ Or Valuation of Project (contractor's bid price): $ 3bO ' `J Scope of Work (please provide detailed information): . Yu /% �► t C 9)1 Will service be altered? ❑ Yes pc No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New ' 0 Addition 0 Service Change O Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: O Puget Sound Energy ❑ Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh ❑ Remodel O Telecommunication ❑ Tenant Improvement O Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES 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 ❑ Service change or alteration $83.54 (excluding garage or outbuilding) (no added/altered circuits) O Service change with added/altered circuits $83.54 number of added circuits $12.00 ea O 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 O Meter/mast repair $69.62 O Low voltage systems $61.05 (alarm, furnace thermostat) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 ea 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: Signatur Print Name: Sc -9711 /774) -TA Mailing Address: PO 0 k/Yri // Crt -e k Or) W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised I-1-2017.docx Revised: January 2017 bh Date: z//,// 7 Day Telephone: 020C," — k/ City qw3 State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK 1 ACCOUNT QUANTITY I PAID $154.65 EL17-0118 Address: 12682 GATEWAY DR Apn: 2716000020 $154.65 , Credit Card Fee $4.50 Credit Card Fee R000.369.908.00.00 0.00 $4.50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10808 R000.322.900.04.00 0.00 $7.15 $154.65 Date Paid: Monday, February 13, 2017 Paid By: E S MARSH Pay Method: CREDIT CARD 71644P Printed: Monday, February 13, 2017 11:51 AM 1 of 1 CSYSTEMS 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367fINSPECTION RECORD Retain a copy with permit '1 O INSPECTION NO. PE MIT N�. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: , /cc, 2.40A Type of Inspection: 6 r iV Address: aksez_ 6ericj i Date Called: Special Instructions: 2 1, em, / -ri C- Date Wanted: 1 n. Requester: Phone No: i'i � 3 Q 3 lot Approved per applicable codes. L Corrections required prior to approval. OMMENTS: 0 A/41. Inspector: Date: ®� REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. VALLEY ELEC CO OF MTVERWN INC Home Espafiol Contact Safety & Health Claims & Insurance Washington State Department of L. Labor & Industries Search L&I Page 1 of 6 ' A -'T. Index Help My L&1 Workplace Rights Trades & Licensing VALLEY ELEC CO OF MTVERNON INC Owner or tradesperson Principals Garcia, Jeret M, PRESIDENT Cannon, Kirk M, VICE PRESIDENT Davis, Gary, VICE PRESIDENT Probtsfield, John, VICE PRESIDENT Denson, Ronald M, VICE PRESIDENT Carrithers, Robert S, SECRETARY Skagit Law Group PLLC, AGENT WARD, PATTI L, AGENT (End: 07/19/2004) MYERS, VICKI K, SECRETARY (End: 08/08/2005) CARRITHERS, ROBERT (End: 10/28/2014) WARD, PATTI L, PRESIDENT (End: 10/28/2014) WARD, ERNEST J, VICE PRESIDENT (End: 10/28/2014) WARD, ANDY, SECRETARY (End: 10/28/2014) Doing business as VALLEY ELEC CO OF MTVERNON INC WA UBI No. 600 560 647 1100 MERRILL CREEK PKWY EVERETT, WA 98203 425-407-0832 SNOHOMISH County Business type Corporation Governing persons GARY DAVIS JERET M GARCIA; JOHN PROBTSFIELD; KIRK M CANNON; ROBERT D CARRITHERS; RONALD MICHEAL DENSON; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. .....................................:......................... Meets current requirements. License specialties GENERAL License no. VALLEEC141NA Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600560647&LIC=VALLEEC 141NA&SAW= 2/13/2017 VALLEY ELEC CO OF MTVERNON INC Effective — expiration 08/01/1986— 08/01/2018 Designated administrator ........................................................................... SHIPMAN, MARK L License type Electrical Administrator Hanover Insurance Company, The Bond account no. 1039715 Bond ................. Active. Meets current requirements. License no. SHIPMML044NS $4,000.00 Received by L&I Effective date 07/15/2015 08/01/2015 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Infraction no. ELE0000277 Issue date 04/21/2016 Violation city EVERETT Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. FAILING TO OBTAIN A PERMIT Infraction no. EFRIM00203 Issue date 04/08/2016 Violation city EVERETT Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EFRIM00215 Issue date 04/08/2016 Violation city EVERETT Type of violation ELECTRICAL CITATION Description Covering or concealing installations prior to inspection. Infraction no. EHRAL01255 Satisfied ........................... RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Satisfied ........................... RCW/WAC 19.28.101 RCW Violation amount $250.00 Satisfied ......................... RCW/WAC 19.28.101 RCW Violation amount $250.00 Satisfied Page 2 of 6 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600560647&LIC=VALLEEC 141NA&SAW= 2/13/2017