HomeMy WebLinkAboutPermit EL18-0181 - TUKWILA SCHOOL DISTRICT / TRANSPORTATION BUILDING - INSTALL (330 CAT6 CABLES FOR (14) TELECOM OUTLETSTSD
TRANSPORTATION BLDG
3825 S 128 ST
ELI 8-0181
Parcel No:
City of Tukwila
of
-,-'----'Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: httD://www.TukwlIaWA.gov
2384200010
3825 S 128TH ST
ELECTRICAL OTC PERMIT
Project Name: TSD - TRANSPORTATION BUILDING
Permit Number: EL18-0181
Issue Date: 2/28/2018
Permit Expires On: 8/27/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
TUKWILA SCHOOL DISTR #406
4G4O5l44TH5T,TUKVV|U\WA,
98168
BILL ANDERSON
14Z53l69DKSE'SUITE 787'
MONROE, WA, 98272
SYSTEM TECH WASHINGTON INC
2816NMADELIA.SPOKANE, WA,
99207
SYSTETVV856OB
'''
Phone: (206) 491-6077
Phone: (509) 590-1137
Expiration Date: 9/2/2019
DESCRIPTION OF WORK:
INSTALLATION OF(320[AT6CABLES FOR (14)TELECOM OUTLETS. BLDG SIZE |5J,B5 SQ FT
Valuation of single family: $0.00
Valuation of mf/comm: $4,00]0
Type of Work: LOW VOLTAGE
Fees Collected: $202.30
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW
Current Codes adopted by the City of Tukwila:
International Builthag Code Edition:
International Residential Code Edition:
International Mechanical Code Edition
Uniform Plumbing Code Edition:
International FueI Gas Code:
2015
20152015
2015
2015
National Electrical Code
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Permit Center AuthorizeSignature:
Date:
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: 2--/2 e/IS
Print Name: 41477- 4381i-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 TUKW10
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. 1Ile--1 0- o (g
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
as0)-E- s
King Co Assessor's Tax No.:
Site Address: r ° e NA 1 4CT °IL kis1A)/ h 18 SuiteNumber: Floor:
Tenant Name: r <-'-i'- Sc Sc Aocti. -rtituiSPO, New Tenant: . Yes
PROPERTY OWNER
Name: , i t).., Ni1/41>oz4
Address: 1 H -2., 5 3 1 oci tii be_ cg
Name:
Phone:() i4 q 1 . 6071. Fax(fj (c (0). ssw _5z si.Q
Email: 13 coAt)c-At )CJ Q s '1-EC,k4 VA . Cc' xel
Phone: co) 1-rfl - ()Oil'
Address:r2 e5c ‘
E.
0 hecri,:, ()IL, vopq
Tukwila Business License No.;
City.
00,143 i L ft
State:
Zip:9t
CONTACT PERSON - person receiving all project
communication
Name: , i t).., Ni1/41>oz4
Address: 1 H -2., 5 3 1 oci tii be_ cg
City: State: lAcit\; e 0 -- state.
. zip:1 eri 2_
Phone:() i4 q 1 . 6071. Fax(fj (c (0). ssw _5z si.Q
Email: 13 coAt)c-At )CJ Q s '1-EC,k4 VA . Cc' xel
0
ELECTRICAL CONTRACTOR INFORMATION
Company Name: .5,/5-1-0A -reetA - V.P1/4
Address: ‘i-1153 loci
e SE ST .
City:
State: uo./k zipile,,a/
Phone: co) 1-rfl - ()Oil'
Fax:
Conti- Reg No.:
Date: Date: 41 iio
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ , •
Scope of Work (please provide detailed information): T1rt-Lt-f2t1l Oki O'F- (7-53) C cA3L-E_
(H) 'C -of-'\ )1-1--E T3 13 Z, 5 35 S eFEY.
Will service be altered? D Yes No Adding more than 50 amps? D Yes
Type of Use:
Type of work:
• New 0 Addition D Service Change 0 Remodel 0 Tenant Improvement
O Low Voltage 0 Generator 0 Fire Alarm 111., Telecommunication 0 Temporary Service
Property Served by:
O Puget Sound Energy 0 Seattle City Light
WAPermit CenteAApplications-Handouts \Permit Applications \ WorthElectrical Permit Application Revised 1-1-2 17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$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 OR ELECTRICAL CONTRACTOR:
Signatu
Date: 717 8/l
Print Name: f ivB13 A -e I Day Telephone: (7.40 L 4 / - (o
Mailing Address: 1 Li 2 S3 ((Q �(1H C7 2 SE 5 . Ma Al ea W'A— 6197 1-2—
City
S71-Z—
City State Zip
W:.Pcrmit CenteMpplications-HandoutsWennit Apphcations\WordElcctrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
EL18-0181
Address: 3825 S 128TH ST
Apn: 2384200010
Credit Card Fee
Credit Card Fee
R000.369.908.00.00
0.00
$5.89
$5.89
ELECTRICAL
$187.06
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$187.06
TECHNOLOGY FEE
$9.35
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R13897
R000.322.900.04.00
0.00
$9.35
$202.30
Date Paid: Wednesday, February 28, 2018
Paid By: BILL ANDERSON
Pay Method: CREDIT CARD 09621G
Printed: Wednesday, February 28, 2018 3:53 PM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Pm
El %--1%1
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
-rs troy, (Pori,-P� I dl
Type of 1 ection:
le Ft �cti(
Address:
CC mac' S 12ckrk S' -
Date Called:
Special
Instructions:
Date Wanted: a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
InAoPfooeJ-
Inspect
n 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
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Projectr-i...N ...-Iztt. lc
/ )1)— p
Type of Inspection:
,
/ 0 CI41+ /
V
Address3. ..,1.5.-- .
Date Called:
---.
Special Instructions:
Date Wanted:
a.
. .
Requester:
Phone No:
paApproved per applicable codes.
0 Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTIOJ FEE REQUIRED. Prior to next inspection. fee tnust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
SYSTEM TECH WASHINGTON Ilt5
Horne ii'spanol Contact Search L&1
A -'L tndex tlelp
Safety & Health Claims & Insurance Workplace Rights
4 Washington State Department of
Labor & Industries
SYSTEM TECH WASHINGTON INC
Owner or tradesperson
Principals
Conner, Scott, PRESIDENT
Anderson, William F, VICE PRESIDENT
Conner, Scott, AGENT
Mortensen, Robert T, SECRETARY
(End: 08/02/2017)
Doing business as
SYSTEM TECH WASHINGTON INC
WA UBI No.
603 361 113
2816 N MADELIA
SPOKANE, WA 99207
509-590-1137
SPOKANE County
Business type
Corporation
Governing persons
ROBERT
TROY
MORTENSEN
BILL ANDERSON;
BILL F ANDERSON III;
SCOTT DEAN CONNER;
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,
SYSTETW856OB
Effective — expiration
09/02/2015— 09/02/2019
Designated administrator
................
WICKES, TANYA N
License type
Electrical Administrator
Bond
Old Republic Surety Co
Bond account no.
W150215962
Active.
Meets current requirements.
License no.
WICKETN931LN
$4,000.00
Received by L&I Effective date
09/02/2015 01/26/2015
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
Page 1 of 2
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SYSTEM TECH WASHINGTON Ill
License Violations rr
No license violations during the previous 6 yea' 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
985,759-01
................................
Doing business as
SYSTEM TECH WASHINGTON INC
Estimated workers reported
Quarter 4 of Year 2017 "31 to 50 Workers"
L&I account contact
T2 / SUSAN BETTS (360)902-4828 - Email: BETT235@Ini.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.
Workplace safety and health
No inspections during the previous 6 year period.
Page 2 of 2
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