HomeMy WebLinkAboutPermit EL17-0555 - TUKWILA DENTURE - CAMERASTUKWILA DENTURE
13955 INTERURBAN AVE S
ELI 7-0555
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
ELECTRICAL OTC PERMIT
3365900220 Permit Number: EL17-0555
13955 INTERURBAN AVE S
Project Name: TUKWILA DENTURE
Issue Date: 7/19/2017
Permit Expires On: 1/15/2018
Owner:
Name:
Address:
SINGH HARCHAND+ANGREJ KAUR
19225 102ND AVE SE , RENTON, ,
98055
Contact Person:
Name: TUKWILA DENTURE
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
OCC PIONEER CABLE CONTRACT INC
2204 KAUSEN DR SUITE 100 , ELK
GROVE, CA, 95758
OCCPIPCS36T4
Phone: (206) 431-0953
Phone: (916) 686-3700
Expiration Date: 2/24/2019
DESCRIPTION OF WORK:
INSTALLING LOW VOLTAGE CAMERAS ON SITE
Valuation of single family: $0.00
Valuation of mf/comm: $200.00
Type of Work: LOW VOLTAGE
Fees Collected: $69.62
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:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2014
2014
2014
2015
Permit Center Authorized Signature:
Date: 1 161
11
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:
Print Name:
CJks(rte,J LLi.- -6
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.
Date:7/ 1 /
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 TUKWIZ
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Il' n6C174
Electrical Permit No. / f
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: 13 si S5 -D,s "_12u o - .j AU S
King Co Assessor's Tax No.:
Tenant Name: 1 L S Uj t t
Suite Number: Floor:
PROPERTY OWNER
Name: Tum Lou Pr
OrzN.1T,,,o_e-
Name: 774.11).1/4(
O►..) G� "—
City: �u.,L,ti'
Address: l .3 c(. S 5
Tc, kt....2
��LLi 420
pro ....s -
City: --k--
City:.-k-- usc Lev_W
State:
�}-
Zip:
9fr/e>9
CONTACT PERSON - person receiving all project
communication
Name: Tum Lou Pr
OrzN.1T,,,o_e-
Address:
Prwt-6.-
O►..) G� "—
City: �u.,L,ti'
State: UJf}.-Zip: ie P 6g
Phone:ucc. 43 1
5,E Fax:
Email:
New Tenant: ❑ Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: l�-01e ok
. �P co N¢-
0 GCom
Address:
_
City:.' ` % l,\ State: to Zip: qg7 c
ax:
Phone: 7 4 `L 3i.76
Contr Reg No.:0 , P 1 Pc 8't3Ej (t xp Date:
Tukwila Business License No.; Bu.5 O"tCI 7 ' -t ?
Valuation of Project (contractor's bid price): $ WO 52-
Scope of Work (please provide detailed information):
iicklth ( Loop Uo 1-- CA-wt,-1/4-e_2r-5
o0 6t"`►z
Will service be altered? ❑ YesNo Adding more than 50 amps? ❑ Yes s�No
Type of Use: STf r \ LoLo VO �Tf� c €_ Ca-Mq_Ap S
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel
❑ Tenant Improvement
Low Voltage 0 Generator 0 Fire Alarm
0 Telecommunication 0 Temporary Service
Property Served by:
Ar Puget Sound Energy 0 Seattle City Light
W:\Permit Center\Applications-Handouts\Permit Applications \ Word \Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Page 1 of 2
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RESIDENTIAL
NEW RESIDENTIAL SERVICE
O 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
O 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)
O 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
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:
06-6 ley c.►LL(A-tks
Mailing Address: r 0 3 01 2- ' GP Eo (L2E.:Cr
Date:
Day Telephone: '7 2,5 ITC/ Lig 47
City
W:'Permit Center\Applications-HandoutsWermit Applications \Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT I QUANTITY
PAID
PermitTRAK
$69.62
EL17-0555 Address: 13955 INTERURBAN AVE S
Apn: 3365900220
$69.62
ELECTRICAL
$66.30
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$66.30
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.32
TOTAL FEES PAID BY RECEIPT: R11948
$69.62
Date Paid: Wednesday, July 19, 2017
Paid By: OCC PIONEER CABLE CONTRACT INC
Pay Method: CHECK 123291
Printed: Wednesday, July 19, 2017 9:44 AM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy 6TOK
with permit INSPECTION NO. P
IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-367
Project: �I� /�L��
�J
ite
��
Type of Inspection:
fr l
Address:
I
C��-�
Date Called:
Special Instructions:
Date Wanted:ia.
J l C
.m.
Requester:
Phone No:
xiApproved per applicable codes.
COMMENTS:
DCorrections required prior to approval.
PlEibg
11�
v1
6/1/11,/
REINSPECT! N FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 " outhcenter Blvd.. Suite 100. Call to schedule reinspection.
P RK-0
MIT
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspe ion Request Line (206) 438-9350
Project:/I
/I�/ AI LA- D LJP6
Type of Inspection: Ems/
mkt...,
t4 ekria.,- /1
Address: ...
Date Called:
0 1 1 A s ti -r..70 o iJ
Special Instru tions:
�E
Date Wanted:
/ 4
a.m.
p.m.
Requester:
M4u
Phone No:
6 ti316753
Approved per applicable codes.
cliCorrections required prior to approval.
COMMENTS:
tAit4) 'A (l6`114.77141C of l-1tg4
t4 ekria.,- /1
0 1 1 A s ti -r..70 o iJ
inspector:
Date:
r
REINSPECTIpN FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
5/1/2018
City of Tukwila
Department of Community Development
TUKWILA DENTURE
13955 INTERURBAN AVE S
TUKWILA, WA 98168
RE: Permit No. EL17-0555
TUKWILA DENTURE
13955 INTERURBAN AVE S
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 6/9/2018.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 6/9/2018, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: EL17-0555
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
12/1/2017
City of Tukwila
Department of Community Development
TUKWILA DENTURE
RE: Permit No. EL17-0555
TUKWILA DENTURE
13955 INTERURBAN AVE S
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 1/15/2018.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 1/15/2018, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
titY)p
Rachelle Ripley
9
Permit Technician
File No: EL17-0555
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
OCC PIONEER CABLE CONTRACINC
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OCC PIONEER CABLE CONTRACT INC
Owner or tradesperson
Principals
Freeman, Forrest C, PRESIDENT
Wray, Larry L, VICE PRESIDENT
Freeman, Carla Jean, SECRETARY
Tataryn, Peter Andrew, TREASURER
CT Corporation System, AGENT
Doing business as
OCC PIONEER CABLE CONTRACT INC
WA UBI No.
604 087 197
2204 Kausen Drive Suite 100
ELK GROVE, CA 95758
916-686-3700
Business type
Corporation
Governing persons
CARLA
FREEMAN
FORREST CRAIG FREEMAN;
PETER TATARYN;
LARRY WRAY;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
TELECOMMUNICATIONS
License no.
OCCPIPCS36T4
Effective — expiration
02/24/2017— 02/24/2019
Bond
Fidelity & Deposit Co of MD
Bond account no.
9237446
$4,000.00
Received by L&I Effective date
02/24/2017 02/23/2017
Expiration date
Until Canceled
Insurance
Nationwide Mutual Ins Co $1,000,000.00
Policy no.
ACPGL03017323311
Received by L&I Effective date
02/24/2017 10/01/2016
Help us improve
https://seeure.lni.wa.gov/verify/Detail.aspx?UBI=604087197&LIC=OCCPIPCS36T4&SAW= 7/19/2017
OCC PIONEER CABLE CONTRA INC
Expiration date
10/01/2017
Savings
........................
No savings accounts during the previous 6 year period.
License Violations
............
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
641,055-00
Doing business as
OCC PIONEER CABLE CONTRACTORS
Estimated workers reported
Quarter 1 of Year 2017 "0" Workers
L&I account contact
T1 / NICHOLE CAROW (360)902-5634 - Email: CANI235@Ini.wa.gov
Account is current.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
No strikes have been issued against this contractor.
Contractors not allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
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