Loading...
HomeMy WebLinkAboutPermit EL17-0605 - ALBERT LEE INC - CAT6 CABLINGALBERT LEE INC 404 STRANDER BLVD ELI 7-0605 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 0223200020 Permit Number: 404 STRANDER BLVD ALBERT LEE INC Issue Date: Permit Expires On: EL17-0605 8/7/2017 2/3/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: LEE ALBERT APPLIANCE 1476 ELLIOTT AVE W , SEATTLE, WA, 98119 JEFF BROWNELL 55 E LINCOLN, STE 101, SPOKANE, WA, 99208 BLACK BOX NETWORK SERVICES PO BOX 327 , LEWIS CENTER, OH, 43035 BLACKBN847Q3 //1 Phone: (509) 465-3458 Phone: (952) 352-4102 Expiration Date: 11/23/2018 DESCRIPTION OF WORK: INSTALL 12 CAT6 CABLES Valuation of single family: $0.00 Valuation of mf/comm: $2,787.00 Type of Work: LOW VOLTAGE Fees Collected: $154.65 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: Permit Center Authorized Signature: kJ1,,.. 116/ 2014 2014 2014 2015 Date: ql/h 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 an agree to the conditions attached to this permit. Signatur V �� Print Name: ( r 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. 0v 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** T LOCATION Site Address: 404 Strander Blvd Tenant Name: Albert Lee Inc King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ®..No PROPERTY OWNER Name: Jeff Brownell Address: 55 E Lincoln, Suite 101 Name: Albert Lee Inc Phone: (509) 465-3458 Fax: (509) 467-2268 Email: jeff.brownell@blackbox.com Address: 404 Strander Blvd City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Jeff Brownell Address: 55 E Lincoln, Suite 101 City: Spokane State: WA Zip: 99208 Phone: (509) 465-3458 Fax: (509) 467-2268 Email: jeff.brownell@blackbox.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Midwest Comm Tech dba Blackbox Address: 800 SW 34th Street, Suite A City: Renton State: WA Zip: 98058 Phone: (425) 291-1300 Fax: (206) 767-6880 Contr Reg No.: BLACKBN847Q: Exp Date: 11/23/2018 Tukwila Business License No.; BUS00997539 Valuation of Project (contractor's bid price): $ 2,787 Scope of Work (please provide detailed information): Install 12 CAT6 Cables Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes 0 No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement VI Low Voltage ❑ Generator ❑ Fire Alarm 0 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 bh 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 ❑ 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 O 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 ❑ 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 ***EFFECTIVi..' JANUARY I, 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 Signatu NER 1 ELECTRICAL CONTRACTOR: 4 (-(7-ke=14/- Date: 08/07/2017 Print Name: Jeff Kusterer Day Telephone: (206) 830-6565 Mailing Address: 800 SW 34th Street Suite A, Renton, WA 98057 City W:\Permit Center\Applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY , PAID $154.65 EL17-0605 Address: 404 STRANDER BLVD Apn: 0223200020 $154.65 Credit Card Fee $4.50 Credit Card Fee R000.369.908.00.00 0.00 I $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: R12070 R000.322.900.04.00 0.00 $7.15 $154.65 Date Paid: Monday, August 07, 2017 Paid By: BLACK BOX NETWORK SERVICES Pay Method: CREDIT CARD 031085 Printed: Monday, August 07, 2017 12:26 PM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Address: Special Instructio s: G✓ Type of Inspection: r Date Called: Date Wanted: Requester: 1 ,4c. Phone No: 26_3 777 557/ A Approved per applicable codes. L Corrections required prior to approval. COMMENTS: `"6:6A -t Inspector: Date: I/0 07 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1/2/2018 C 0 City of Tukwila Department of Community Development JEFF BROWNELL 55 E LINCOLN, STE 101 SPOKANE, WA 99208 RE: Permit No. EL17-0605 ALBERT LEE INC 404 STRANDER BLVD 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 2/3/2018. 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 2/3/2018, 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: EL17-0605 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Black Box Network Services CWashington State Department of O Labor & Industries 11 one Espanol Contact: Safety & Health Claims & Insurance Search L&I Page 1 of 2 ARCCfi'' A -Z [r:dex Help My I&I Workplace Rights Trades & Licensing Black Box Network Services Owner or tradesperson Principals Huffmyer, Timothy C, PRESIDENT Basso, Ronald, VICE PRESIDENT CT Corporation System, AGENT Doing business as Black Box Network Services WA UBI No. 603 573 417 Parent company Midwest Communication Tech Inc PO Box 327 LEWIS CENTER, OH 43035-0327 952-352-4102 Business type Corporation Governing persons RONALD BASSO TIMOTHY C HUFFMYER; 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. BLACKBN847Q3 Effective — expiration 11/23/2016-11/23/2018 Designated administrator Hall, Clifton License type Electrical Administrator Bond ............... Travelers Cas and Surety Co of America Bond account no. 106588744 Active. Meets current requirements. License no. HALL*C*885JB 54,000.00 Received by L&I Effective date 11/23/2016 11/01/2016 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations .......- ........................ No license violations during the previous 6 year period. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603573417&LIC=BLACKBN847Q3&SAW= 8/7/2017 Black Box Network Services 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 Account is current. 622,898-00 ................ _.......... Doing business as MIDWEST COMMUNICATIONS TECHNOL Estimated workers reported Quarter 2 of Year 2017 "31 to 50 Workers" L&I account contact T5 / MELISSA VEST (360)902-5613 - Email: VESM235@Ini.wa.gov 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. Page 2 of 2 ©Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secureini.wa.gov/verify/Detail.aspx?UBI=603573417&LIC=BLACKBN847Q3&SAW= 8/7/2017