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Permit EL17-0715 - DSV - DATA CABLING
DSV 166300 CHRISTENSEN RD SUITE 300 ELI 7-0715 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 2523049078 Permit Number: 16300 CHRISTENSEN RD 300 Project Name: DSV Issue Date: Permit Expires On: EL17-0715 9/20/2017 3/19/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: TALON RIVERVIEW PLAZA LLC 720 OLIVE WAY STE 1020 , SEATTLE, WA, 98101 JASON BURRIS 1402 LAKE TAPPS PKWY SE , AUBURN, WA, 98092 STRUCTURED CABLING SOLUTIONS LLC 19814 11 ST E , BONNEY LAKE, WA, 98391 STRUCCS854BL Phone: (253) 732-5909 Phone: (253) 732-5909 Expiration Date: 1/13/2019 DESCRIPTION OF WORK: INSTALL 40 DATA CABLES TO 40 LOCATIONS Valuation of single family: $0.00 Valuation of mf/comm: $7,000.00 Type of Work: LOW VOLTAGE Fees Collected: $241.25 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: c-)-G-t 1 0 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: jag. CNN gtkipv. 5 Date: g12.0 / 171 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. L 1 -- Project 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: /(Q$OQ C\I\ S NSQ\A ,L Tenant Name: Q S V PROPERTY OWNER Name: ,1/41440.11/4. i G./` Name: Phone: _732.5001 Fax: Address: lya2 tl`,41_- 1494 QaVk Address: City: (4,4\3 th1"1\' tate: (� WLR (S Zip: 9 1 City: State: Zip: CONTACT PERSON — person receiving all project communication Name: ,1/41440.11/4. i G./` tkog6-.) Phone: _732.5001 Fax: Address: lya2 tl`,41_- 1494 QaVk _ 5e 10 City: (4,4\3 th1"1\' tate: (� WLR (S Zip: 9 1 Phone � ~ � Fax: '? Email: So 4u)$ I'tw Vt _ CUw Z King Co Assessor's Tax No.: Suite Number: -3 ©a Floor: New Tenant:f Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: I \ (...ctio\iy5 GItA11 Address: tl3eZ tAke 110S Acid u(`.o! 5I%t4 e City: !k\out o State: y W t (� Z�p: q , -2 `t� 1't Phone: _732.5001 Fax: Contr Reg No.:STamm_stvAt Exp Date: l l 13I 1 ci Tukwila Business License No.; ()kin^OctG`76`76 Valuation of Project (contractor's bid price): $ Scope of Work (pl ase provide detailed information): \\ 1-40 6Nkel. e keS CA d tOC.0 C3\NS Will service be altered? E YesNo Adding more than 50 amps? ❑ Yes [X] No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm yLTelecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light W:\Permit Center\Applications-HandoutsWermit Applications \PDF'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) ❑ 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 ❑ 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: 5jj0. u` Print Name: ki0400. b�uU�i� Mailing Address: (40Z. (-eke ` 'c C, par 4.10,10.1 W:\Permit Center \Applications-Handouts\Permit Applications \PDP's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Date: Day Telephone: �ER "73Z- 5-9OC St Abkvv UUA� Qf oq Z City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT PermitTRAK QUANTITY PAID $241.25 EL17-0715 Address: 16300 CHRISTENSEN RD 300 Apn: 2523049078 $241.25 Credit Card Fee $7.03 Credit Card Fee R000.369.908.00.00 0.00 I $7.03 ELECTRICAL $223.07 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 $223.07 TECHNOLOGY FEE $11.15 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R12356 0.00 $11.15 $241.25 Date Paid: Wednesday, September 20, 2017 Paid By: JASON BURRIS Pay Method: CREDIT CARD 68003G Printed: Wednesday, September 20, 2017 9:33 1 of 1 AM SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0: cul-o7/s CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: % , Type of Inspection: f Address: /6 3o o �5-_ j at Called: Special Instructions: Date Wanted: ' a.rn. m. Requester: Phone No: A.1 111(e KIApproved per applicable codes. Corrections required prior to approval. COMMENTS: CaP\6.64, op& • Inspector:j----- Date: L%7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit 6-17-07/(4 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: � ` V S Type of Inspection: ...-..-*'1, Ai/'C "' Address: /63,,0 6.0145 r 6Js; Date Called: 7P-11(14Ae(or ! Po t ni r (Al ac -a.-1461 Special Instructions: Date Wanted: /a/ri a:m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: r--- "' Ifr15Pt to or R ,g_ i,tovAip 7P-11(14Ae(or ! Po t ni r (Al ac -a.-1461 Inspector: Date: jcJtt 17 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. i INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project: aw Type of Inspection: r Address:/ 300 eid aS/ il6/Date Called: Special Instructions: D/Y Date Wanted: 7 Z. a.m p.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: a(1,141 edee ,6% -)tic -4 141 eofete-r-6 Inspector: ./ 6.41/416( Date:_ /�j 7 C REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Structured Cabling Solutns LLC Home Espanol Contact Safety & Health 0 Washington State Department of Labor & industries Claims & Insurance Page 1 of 2 A-7,, Index Help My L&1 Workplace Rights Trades & Licensing Structured Cabling Solutns LLC Owner or tradesperson Principals Burris, Jason C, PARTNER/MEMBER Burris, Beth A, PARTNER/MEMBER Doing business as Structured Cabling Solutns LLC WA UBI No. 603 465 659 19814 11th St E BONNEY LAKE, WA 98391 253-732-5909 PIERCE County Business type Limited Liability Company Governing persons BETH BURRIS JASON BURRIS; 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. STRUCCS854BL Effective — expiration 01/13/2015— 01/13/2019 Designated administrator Burris, Jason License type Electrical Administrator Bond ................ American Contractors Indem CO Bond account no. 100266103 Received by L&I 01/13/2015 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no. BURRIJ*876J2 $4,000.00 Effective date 01/12/2015 Expiration date Until Canceled Workers' comp Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603465659&LIC=STRUCCS854BL&SAW= 9/20/2017 Structured Cabling Solutns LLC Do you know if the business has employees? If Brify the business is up-to-date on workers' comp premitf L&I Account ID Account is current. 522,709-00 ................................ Doing business as STRUCTURED CABLING SOLUTIONS Estimated workers reported Quarter 2 of Year 2017 "1 to 3 Workers" L&I account contact T4 / ALISON WOODWARD (360)902-4629 - Email: WOAL235@lni.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://secure.lni.wa.gov/verify/Detail.aspx?UBI=603465659&LIC=STRUCCS854BL&SAW= 9/20/2017