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Home My WebLink AboutPermit EL18-0084 - WASHINGTON CITIES INSURANCE - AUDIO VIDEO UPGRADE TO TRAINING ROOMWASHINGTON CITIES INSURANCE 320 ANDOVER PARK E ELI 8-0084 Parcel No: Address: r� 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.eov ELECTRICAL OTC PERMIT 0223200060 Permit Number: EL18-0084 320 ANDOVER PARK E COMPLEX Project Name: WASHINGTON CITIES INSURANCE Issue Date: 1/26/2018 Permit Expires On: 7/25/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WA CITIES INSURANCE AUTHORI 901 POWELL AVE SW #101 C/O JSH PROPERTIES INC, RENTON, WA, 98057 PAUL TRUJILLO 652 INDUSTRY DR , TUKWILA, WA, 98188 ONE DIVERSIFIED LLC 2975 NORTHWOODS PARKWAY , NORCROSS, GA, 30071 ONEDIDL839CG Phone: Phone: (908) 245-4833 Expiration Date: 11/2/2019 DESCRIPTION OF WORK: AUDIO VIDEO UPGRADE TO TRAINING ROOM. INSTALL PROJECTOR, SCREEN AND 65" TELEVISION DISPLAY Valuation of single family: $0.00 Valuation of mf/comm: $23,400.00 Type of Work: LOW VOLTAGE Fees Collected: $573.11 Electrical Service Provided by: PUGET 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: 1—)_@-(8 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: /'V`-, �l 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 and the Washington Cities Electrical Code. S: 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 /_1 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.E0V Electrical Permit No. ELt %'^t/V' 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 King Co Assessor's Tax No.: 0223200060 Site Address: 320 Andover Park East Tenant Name: Washington Cities Insurance Authority Suite Number: PROPERTY OWNER Name: Paul Trujillo Address: 652 Industry Drive Name: WA Cities Insurance Authority Phone: (206) 694-1326 Fax: Email: ptrujillo@diversifiedus.com Address: 320 Andover Park East City: Tukwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Paul Trujillo Address: 652 Industry Drive City: Tukwila State: WA Zip: 98188 Phone: (206) 694-1326 Fax: Email: ptrujillo@diversifiedus.com New Tenant: Floor: 1 ...Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: CompView Address: 652 Industry Drive City: Tukwila State: WA Zip: 98188 Phone: (800) 448-8439 Fax: Contr Reg No.: ONEDIDL839C6Exp Date: 07/01/2018 Tukwila Business License No.; BUS -0992731 Valuation of Project (contractor's bid price): $ 23,400 Scope of Work (please provide detailed information): Audio Video upgrade to training room. Installing Projector, screen, and 65" TV display. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes IZ No Type of Use: Type of work: 0 New ❑ Addition 0 Service Change LI Remodel ❑ Tenant Improvement 0 Low Voltage ❑ Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: la Puget Sound Energy ❑ Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applicabons \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 583.54 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) ❑ 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: Signaturef Print Name: elt (I(✓v 1 ( I (1i Day Telephone: (206) 694-1326 Date: /— Z6 —76? Mailing Address: 652 Industry Drive, Tukwila, WA 98188 City W:\Permit Center\Applicalio s-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17. docs Revised: January 2017 bh State Zip Page 2 of 2 Cash Register. Receipt Receipt Number City of Tukwila R13576 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $573.11 EL18-0084 Address: 320 ANDOVER PARK E COMPLEX Apn: 0223200060 $573.11 Credit Card Fee $16.69 Credit Card Fee R000.369.908.00.00 0.00 $16.69 ELECTRICAL $529.92 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $529.92 TECHNOLOGY FEE $26.50 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13576 R000.322.900.04.00 0.00 ,, $26.50 $573.11 Date Paid: Friday, January 26, 2018 Paid By: DEBRORAH KLEIN Pay Method: CREDIT CARD 004314 Printed: Friday, January 26, 2018 3:52 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Ins ection Request Line (206) 438-9350 Project:WN Cf / . Type of Inspection: ------- ,M ATA1/ Address: 32,0 AT( Date Called: Special Instructions: kV f 11 Date Wanted: ( a Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ONE DIVERSIFIED LLC Washington State Departrrkent of Labor & Industries Home Espanol Contact Safety & Health Claims & Insurance Page 1 of 2 Search L&I A -Z Index Kelp My 1..8d Workplace Rights Trades & Licensing ONE DIVERSIFIED LLC Owner or tradesperson Principals HERMAN, BRUCE DENNIS, PARTNER/MEMBER Doing business as ONE DIVERSIFIED LLC WA UBI No 604 054 892 2975 NORTHWOODS PARKWAY NORCROSS, GA 30071 908-245-4833 Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Construction Contractor License specialties GENERAL License no. ONEDIDL839CG Effective — expiration 11/02/2017— 11/02/2019 Bond Arch Insurance Co Bond account no. SU1137831 Active. Meets current requirements. $12,000.00 Received by L&I Effective date 02/06/2017 01/16/2017 Expiration date Until Canceled Insurance Charter Oak Fire Ins Co Policy no. 6304H514783 $1,000,000.00 Received by L&I Effective date 08/11/2017 08/10/2017 Expiration date 08/10/2018 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period, but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Help us improve https://seeure.lni.wa.gov/verify/Detail.aspx?UBI=604054892&LIC=ONEDIDL839CG&SAW= 1/26/2018 ONE DIVERSIFIED LLC 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 645,339-01 Doing business as ONE DIVERSIFIED Estimated workers reported Quarter 3 of Year 2017 "7 to 10 Workers" L&I account contact T5 / JAVIER PAREDES (360)902-4639 • Email: PAJB235@lni.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. orkplace 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 suttject to the laws of the state of Washington Help us improve https://secureini.wa.goviverify/Detail.aspx?1.1131=604054892&LIC=ONEDIDL839CG&SAW---- 1/26/2018