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Permit EL17-0512 - LABOR & INDUSTRIES - VOICE AND DATA CABLING
LABOR & INDUSTRIES 12806 GATEWAY DR ELI 7-0512 Parcel No: Address: Project Name: 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 2716000050 Permit Number: 12806 GATEWAY DR LABOR & INDUSTRIES Issue Date: Permit Expires On: EL17-0512 7/5/2017 1/1/2018 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 JOOHN HORGER 9140 BLUE MOUNTAIN LANE SW - SUITE A , OLYMPIA, WA, 98512 CTS 2720 S ASH ST, TACOMA, WA, 98409 CTS**TS881BK Phone: (360) 951-8124 Phone: (206) 686-2000 Expiration Date: 1/12/2018 DESCRIPTION OF WORK: RELOCATE AND PULL NEW VOICE AND DATA CABLING TO FACILITATE RECONFIGURED FURNITURE Valuation of single family: $0.00 Valuation of mf/comm: $2,500.00 Type of Work: TENANT IMP Fees Collected: $150.15 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: 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: 7 vS f 7 \ J J 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 tptre conditions attached to this permit. Signature: Print Name: o cl G,, bI ©� 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. t—L.► 7— 0,S 1 % 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 King Co Assessor's Tax No.: Site Address: 12806 Gateway Drive, Tukwila, WA 98168 Suite Number: Floor: Tenant Name: Labor and Industries PROPERTY OWNER Name: John Horger Name: Labor and Industries City: Olympia State: WA Zip: 98512 Address: 7273 Linderson Way SW Email: jolmh@cablects.com City: Tumwater State: WA Zip: 98501 CONTACT PERSON — person receiving all project communication Name: John Horger Address: 9140 Blue Mountain Lane SW, Suite A City: Olympia State: WA Zip: 98512 Phone: (360) 951-8124 Fax: (206) 686-2000 Email: jolmh@cablects.com New Tenant: El Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: CTS Address: 2720 S Ash Street City: Tacoma State: WA Zip: 98409 Phone: (206) 686-2000 Fax: (206) 686-2000 Contr Reg No.: CTS**TS881BK Exp Date: 01/12/2018 Tukwila Business License No.; BUS -0994566 Valuation of Project (contractor's bid price): $ 2,500 Scope of Work (please provide detailed information): Relocate and pull new voice and data cabling to facilitate reconfigured furniture Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ❑ New 12I Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement ▪ Low Voltage ❑ Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 121 Puget Sound Energy ❑ Seattle City Light W:Permit Center Applications -Handouts \Permit Applications iPDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) O Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) O 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) O Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 O Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O 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: Signature: Print Name: Heather Nunez Mailing Address: 2720 S Ash Street Date: 06/22/2017 Day Telephone: (206) 686-2000 Tacoma WA 98409 City W:\Permit Center\Applications-Handouts \Permit Applications \PDF's\Electrical Permit Application Revised I-1-17.docx Revised: January 2017 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID 150i EL17-0512 Address: 12806 GATEWAY DR Apn: 2716000050 150.15 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11859 R000.322.101.00.00 R000.322.900.04.00 0.00 0.00 $143.00 $7.15 $150.15 Date Paid: Wednesday, July 05, 2017 Paid By: C T S Pay Method: CHECK 12384 Printed: Wednesday, July 05, 2017 1:52 PM 1 of 1 RWSYSTEMS INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION43 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 / I� INSPECTION NO. 647-09 NO. Project: 4/ Ty o InspectionO�1� / AW Address: oL irLci Al ate ailed: Special Instructions: h _ / k f r; -t �Q 1'- Date Wanted:7/�� p.m. Requester: Phone No: C P J ®L_ 75-3 1111 Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Inspector: s Date: 071x11 REINSPECTION FEE REQUIRED. Prior to next inspection. fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. CTS Home .Espanol Contact. Safety & Health Claims & Insurance 0 Washington State Department of Labor & industries Page 1 of 4 Search L&I A -Z Index help NIv LMI Workplace Rights Trades & Licensing CTS Owner or tradesperson Principals KURASPEDIANI, TIMOTHY S, PARTNER/MEMBER Doing business as CTS WA UBI No. 602 970 115 Parent company PACIFIC APEX CONSTRUCTION LLC 2720 S ASH ST TACOMA, WA 98409 206-686-2000 PIERCE County Business type Limited Liability Company License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties LIMITED ENERGY License no. CTS**TS881 BK Effective — expiration 01/12/2012— 01/12/2018 Designated administrator KURASPEDIANI, TIMOTHY License type Electrical Administrator Bond Lexon Ins Co Bond account no. 9810801 Active. Meets current requirements. License no. KURAST*905BJ $4,000.00 Received by L&I Effective date 11/30/2011 01/12/2012 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. ESTEF00489 Issue date 04/01/2014 Violation city Tacoma Type of violation ELECTRICAL CITATION Satisfied RCW/WAC 19.28.101 RCW Violation amount $100.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602970115&LIC=CTS* *TS881 BK&SAW= 7/13/2017 CTS Description Class B eligible work - The Class B work permit is not valid as referenced in WAC 296- 46B-901 and WAC 296-46B-908. Infraction no. EHOSD00341 Issue date 11/25/2013 Violation city TACOMA Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an 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. EHOSD00339 Issue date 11/25/2013 Violation city TACOMA Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an 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. EHOSD00337 Issue date 11/25/2013 Violation city TACOMA Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an 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. EBIEA01200 Issue date 11/13/2013 Violation city TACOMA Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication Satisfied RC WNVAC 19.28.101 RCW Violation amount $250.00 Satisfied RCWWAC 19.28.101 RCW Violation amount $250.00 Satisfied RCWNVAC 19.28.101 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $250.00 Page 2 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602970115&LIC=CTS**TS881BK&SAW= 7/13/2017