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HomeMy WebLinkAboutPermit EL17-0818 - DCHS - VOICE / DATA CABLINGDCHS 645 ANDOVER PARK W ELI 7-0818 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 2623049143 Permit Number: 645 ANDOVER PARK W Project Name: DCHS Issue Date: Permit Expires On: EL17-0818 10/17/2017 4/15/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: SOUTHCENTER CORPORATE SQUAR 635 ANDOVER PARK W #107 , TUKWILA, WA, 98188 MICHAEL RUSSELL 6825 216 ST SW - SUITE E , LYNNWOOD, WA, 98036 INTERFACE TECHNOLOGIES NW INC 6825 216 ST SW , LYNNWOOD, WA, 98036 INTERTN858DS Phone: (425) 977-2408 Phone: (425) 774-1377 Expiration Date: 3/10/2019 DESCRIPTION OF WORK: RUNNING NEW LOW VOLTAGE CAT6 CABLE FOR VOICE/DATA Valuation of single family: $0.00 Valuation of mf/comm: $47,000.00 Type of Work: LOW VOLTAGE Fees Collected: $1,022.09 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: 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: I O-ri r 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: `, Date: ! 17/(7 Print Name: ( 'G Vf• (r/`C,L 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-1-1"7 --00/6 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: 645 Andover Parkway W Bldg 6 King Co Assessor's Tax No.: DNK Suite Number: Floor: Tenant Name: King County C -IIS PROPERTY OWNER Name: Michael Russell Address: 6825 216th St SW, Suite E Name: DNK Email: michaelr@interfacetechnw.com Tukwila Business License No.; BUS -0997501 Address: City: State: Zip: CONTACT PERSON- person receiving all project communication Name: Michael Russell Address: 6825 216th St SW, Suite E City: Lynnwood State: WA Zip: 98036 Phone: (425) 977-2408 Fax: (425) 771-7810 Email: michaelr@interfacetechnw.com New Tenant: ® Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Interface Technologies NW Address: 6825 216th St SW Suite E City:Lynnwood State: WA Zip: 98036 Phone: (425) 977-2408 Fax: (425) 771-7810 Contr Reg No.: INTERTN858DS Exp Date: 03/10/2018 Tukwila Business License No.; BUS -0997501 Valuation of Project (contractor's bid price): $ 47,000 Scope of Work (please provide detailed information): Running new low voltage cat 6 cable for voice/data Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Voice/Data Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement 0 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: m Puget Sound Energy ❑ Seattle City Light W:1Permit Center Applications -Handouts \Permit ApplicationsWPDF'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) ❑ 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) ❑ 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 ***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 EX INED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE S OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL Signature: CTOR: Date: 10/16/2017 Print Name: Michael Russell Day Telephone: (425) 977-2408 Mailing Address: 6825 216th St SW, Suite E Lynnwood WA 98036 City W:\Permit Center \Applications-Ilandouts\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 I QUANTITY I PAID $1,022.09 EL17-0818 Address: 645 ANDOVER PARK W Apn: 2623049143 $1,022.09 Credit Card Fee $29.77 Credit Card Fee R000.369.908.00.00 0.00 $29.77 ELECTRICAL $945.07 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 I $945.07 TECHNOLOGY FEE $47.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12581 R000.322.900.04.00 0.00 $47.25 $1,022.09 Date Paid: Tuesday, October 17, 2017 Paid By: GREGORY TUILLO Pay Method: CREDIT CARD 079113 Printed: Tuesday, October 17, 2017 8:29 AM 1 of 1 CRWSYSTEMS 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: 0 c44.3 Type of Inspection: MA •5 / Address: 6115- (\ 1 Date Called: Special Instructions: Cfrr 4°' Date Wanted: ( a.m: Requester: Phone No: 206 W7voW Approved per applicable codes. EJ Corrections required prior to approval. OMMENTS: Inspector: Date: / t ` q REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100, Call to schedule reinspection. 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 Inspection Request Line (206) 438-9350 Project:ciro Type of Inspection: `�` I Address: 6'15' 'I Date Called: Special Instructions: Date Wanted: Ii %a r m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ,g (4 0) Pert. Inspector: Date: 1117:1117 1 7:1 r REINSPECTION FEE REQUIRED. Prior to next inspection. fee m st be paid at 6300 Soluthcenter Blvd.. Suite 100. Call to schedule reinspection. INTERFACE TECHNOLOGIES NNC 1 -Lorne Espanol Contact. Safety & Health Washington State Department of Labor & Industries Claims & Insurance Search L&I Page 1 of 2 ARS" A -L Index Help My LL&I Workplace Rights Trades & Licensing INTERFACE TECHNOLOGIES NW INC Owner or tradesperson Principals Schmidt, Kevin G, PRESIDENT Anthony, Andrew S, VICE PRESIDENT Wiedmer, Lisa, SECRETARY Wiedmer, Lisa, TREASURER Anthony, Andrew S, AGENT Doing business as INTERFACE TECHNOLOGIES NW INC WA UBI No. 602 103 938 6825 216th St SW Suite E LYNNWOOD, WA 98036 425-774-1377 SNOHOMISH County Business type Corporation Governing persons VICKI L BATTISTA DONALD G COOK; TROY J POND; KEVIN G SCHMIDT; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties LIMITED ENERGY License no. INTERTN858DS Effective — expiration 03/10/2015— 03/10/2019 Designated administrator .............................. _... Schmidt, Kevin G License type Electrical Administrator Bond ....._......._ Federated Mutual Ins Co Bond account no. 9372680 Received by L&I 03/10/2015 Savings Active. Meets current requirements. Active. Meets current requirements. License no. SCHMIKG856DF $4,000.00 Effective date 04/07/2008 Expiration date Until Canceled Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602103938&LIC=INTERTN858DS&SAW= 10/17/2017 INTERFACE TECHNOLOGIES NW.,INC No savings accounts during the previous 6 y '2eriod. 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 009,325-00 Account is current. Doing business as INTERFACE TECHNOLOGIES NORTHWE Estimated workers reported Quarter 2 of Year 2017 "21 to 30 Workers" L&I account contact T4 / MELVINA RAMSDELL (360)902-4814 - Email: RAMM235@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://secure.lni.wa.gov/verify/Detail.aspx?UBI=602103938&LIC=INTERTN858DS&SAW= 10/17/2017