HomeMy WebLinkAboutPermit EL17-1021 - VALENTINE ROOFING - DATA CABLING AND SERVER RACKVALENTINE ROOFING
400 INDUSTRY DR COMPLEX
ELI 7-1021
Parcel No:
Address:
0
City of Tukwila
0
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
0223400010
400 INDUSTRY DR COMPLEX
Project Name: VALENTINE ROOFING
Permit Number: EL17-1021
Issue Date: 12/18/2017
Permit Expires On: 6/16/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
BKM ANDOVER 118 LLC
111 THEORY #250 , IRVINE, WA, 92617
BRAD MCPHERSON
580 INDUSTRY DR , TUKWILA, WA,
98188
FIDELIS COMMUNICATIONS INC
580 INDUSTRY DR, TUKWILA, WA,
98188
FIDELCI921QR
Phone: (253) 653-1701
Phone: (206) 725-7728
Expiration Date: 11/19/2018
DESCRIPTION OF WORK:
PROVIDE NEW DATA CABLING & SERVER RACK
Valuation of single family: $0.00
Valuation of mf/comm: $6,000.00
Type of Work: LOW VOLTAGE
Fees Collected: $221.73
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:
2017
2017
2017
2015
Date: Ia.-le-7
f\
C
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 to the conditions attached to this permit.
hflarAdOrjil
V r��
Signature:
Print Name:
Date: f a/0;
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 and the Washington Cities Electrical Code.
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 TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. LI —7 — (0)-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
Site Address: " OC) 'Vl a(AS
Tenant Name: \Jc( ,r")<
King Co Assessor's Tax No.:
(' usVsw\(A, WA, 41eo\Suite Number: Floor:
PROPERTY OWNER
Name: B �(G(J1 I A c h-P.'c., 4 2) G1/.
IAA (}
Address:_.60 zn p�1sl_ 01(
fil
Name:
Zip: 41Ic
City: N' ^ `, l � tate: l/✓ (' 1 f,/�
Address:
Phone: ZS�'I) 'ad Fax:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: B �(G(J1 I A c h-P.'c., 4 2) G1/.
IAA (}
Address:_.60 zn p�1sl_ 01(
fil
Address:
0 ivlaix u e(___
Zip: 41Ic
City: N' ^ `, l � tate: l/✓ (' 1 f,/�
Zip: q,2 �S
Phone: ZS�'I) 'ad Fax:
Email:
t
New Tenant: 14 Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:r-
Ci A�. � 5 Te t e, COrv! MtA,,,,, c,f ,Or
Address:_.60 zn p�1sl_ 01(
fil
City: Bc1A)l 1�
Stat:((
1�
Zip: 41Ic
Phone: Fax:
lob -7'25- -7 /-2�
Contr Reg No.: Exp Date:
Rd -e 161421(14
Tukwila Business License No.; (-6Zc5 U G
t
Valuation of Project (contractor's bid price): $ C? , () () t)
Scope \\of Work (please provide detailed information): p(O\I ti At, ki e t c c(&n, CGL 61 t 1r1 uJ `� ct)(V .<
eaC.YL
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
121 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
W:\Permit Center \Applications -Handouts \Permit Applications\Word\Hlectrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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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
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 0 : LE TRICAL CONTRACTOR:
Signature.
Date: Ri 2Pt.7
Print Name: (tel UGC ?/ Pa' in CN( Day Telephone: (8(7
indc6-it tics / (A cs g
City
Mailing Address:
W:Wermit Center\Applications-Handouts\Permil Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
bh
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT
PermitTRAK
QUANTITY
PAID
$221.73
EL17-1021 Address: 400 INDUSTRY DR COMPLEX Apn: 0223400010
$221.73
Credit Card Fee
$6.46
Credit Card Fee R000.369.908.00.00
0.00
�
$6.46
ELECTRICAL
$205.02
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
0.00
$205.02
TECHNOLOGY FEE
$10.25
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES PAID BY RECEIPT: R13042
0.00
$10.25
$221.73
Date Paid: Monday, December 18, 2017
Paid By: GAGE PALMER
Pay Method: CREDIT CARD 07733G
Printed: Monday, December 18, 2017 8:51 AM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Project: iiteltif r r
riA! I t�(
Type of Inspection: ( ,�, /
r ` � V
Address:
Date Called:
Special Inst uctions:
/,,A na l ik4.- RA -a,
(��
Date Wanted:/ 414.i.....
p.m.
Requester:
Phone No:
Approved per applicable codes. ['Corrections required prior to approval.
OMMENTS:
A
Abyv/
Inspector:4./(6_ I
eINPJ ,9
Date:
/21M /0
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
FIDELIS COMMUNICATIONS INt
I -10111C Espanol Contact
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Washington State Department of
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FIDELIS COMMUNICATIONS INC
Owner or tradesperson
Principals
WITTSTOCK, SCOTT T, PRESIDENT
Zimmerman, Paul A, VICE PRESIDENT
McDonald, LaRae, SECRETARY
Wittstock, Scott, AGENT
Doing business as
FIDELIS COMMUNICATIONS INC
WA UBI No.
602 840 551
580 INDUSTRY DRIVE
TUKWILA, WA 98188
206-725-7728
KING County
Business type
• Corporation
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.
FIDELCI921QR
Effective — expiration
11/19/2008— 11/19/2018
Designated administrator
Wittstock, Scott
License type
Electrical Administrator
Bond
...........
American States Insurance Co
Bond account no.
32s213199
Received by L&I
05/07/2012
Bond history
Insurance
..........................
West American Ins Co
Policy no.
BLW56656324
Received by L&I
04/11/2017
Active.
Meets current requirements.
License no.
WITTSS*925QL
$4,000.00
Effective date
04/20/2012
Expiration date
Until Canceled
$1,000,000.00
Effective date
06/01/2016
Expiration date
Help us improve
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FIDELIS COMMUNICATIONS INF
Insurance history
Savings •
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
06/01/2018
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.
164,546-00
Doing business as
FIDELIS COMMUNICATIONS INC
Estimated workers reported
Quarter 3 of Year 2017 "21 to 30 Workers"
L&I account contact
T5 / BETTY WHALIN (360)902-5137 - Email: VABE235@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
a, Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
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