HomeMy WebLinkAboutPermit EL18-0471 - DEPARTMENT OF LABOR & INDUSTRIES - ADD NETWORK JACK FOR LANGUAGE LINE PHONESDEPARTMENT OF LABOR &
INDUSTRIES
12806 GATEWAY DR BLDG 5
ELI 8-0471
Parcel No:
Address:
Project Name:
e
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: htto://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
2716000050 Permit Number:
12806 GATEWAY DR BLDG 5 Issue Date:
Permit Expires On:
DEPARTMENT OF LABOR & INDUSTRIES
EL18-0471
5/22/2018
11/18/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
BOEING EMPLOYEES' CREDIT UN
12770 GATEWAY DR, TUKWILA, WA,
98168
JOHN HORGER
2720 S ASH ST , TACOMA, WA, 98409
CTS
2720 S ASH ST, TACOMA, WA, 98409
CTS**TS881BK
Phone: (360) 951-8129
Phone: (206) 686-2000
Expiration Date: 1/12/2020
DESCRIPTION OF WORK:
Valuation of single family: $0.00
Valuation of mf/comm: $3,500.00
Type of Work: LOW VOLTAGE
Fees Collected: $173.28
Electrical Service Provided by: SEATTLE CITY LIGHT
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:
2017
2017
2017
2015
Permit Center Authorized Signature:VaA)
1 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: 4/ l
Print Name: NW/lc-not\ tJ A O 4'J
Date: x'22 \ tb
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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htt ,/1www.TukwilaWAZw
Electrical Perini_
Proieet N(3.. :
Tae Application Accepted;'; . .
Date Application Expires:
(Por ofccsese 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 Address: l _
Tenant Name
King Co Assessor's Tax No.:
Suite Number: Floor:
ew Tenant: 0 Yes
1
No
aCTRICAL CONTRACT()41NFORMATION
Company Name:
Address: a, -i s
Cityrik » ✓State: Zip: 61,240-0"
Phone: 71 , GSG , 2.400 Fax:
Contr Reg No.: cit.siNTglibi �xro Date: (� Z (2.0
Tukwila Business License No.; 13 US 039454oC+
ttit '241' 11s
Valuation of Project (contractor's bid price): $ 35o 0
Scope of Work (please provide detailed information):
-AM a 1164-wo . Tik la4=1,114-
mD
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes
Type of Use:
Type of work:
❑ New 0 Addition ❑ Service Change D Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm D Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
W:1Permit CeatcriApplicationa-Handouts malt ApplicationaTDPalectrical l'er-mit Application Revise} I-I-i7.docx
Reviacd: !tumefy 2017
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Page 1 of 2
Name: l,.. 5 1
Address: 1�,�^t.2430‘:. 6144
lt
/L.
City., - r4 J State:
Zip:4V i
oy
1
No
aCTRICAL CONTRACT()41NFORMATION
Company Name:
Address: a, -i s
Cityrik » ✓State: Zip: 61,240-0"
Phone: 71 , GSG , 2.400 Fax:
Contr Reg No.: cit.siNTglibi �xro Date: (� Z (2.0
Tukwila Business License No.; 13 US 039454oC+
ttit '241' 11s
Valuation of Project (contractor's bid price): $ 35o 0
Scope of Work (please provide detailed information):
-AM a 1164-wo . Tik la4=1,114-
mD
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes
Type of Use:
Type of work:
❑ New 0 Addition ❑ Service Change D Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm D Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
W:1Permit CeatcriApplicationa-Handouts malt ApplicationaTDPalectrical l'er-mit Application Revise} I-I-i7.docx
Reviacd: !tumefy 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
p New single family dwellings
(including an attached garage)
O Garages, pools, spas and outbuildings
O Low voltage systems
(alarm, furnace thermostat)
$155,91
$83.54 ea
$61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 Service change or alteration $83.54
(no added/altered circuits)
El Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
O 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
O 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
O Temporary service (residential) $66.30
O Temporary service (generator)....., ....... ..,.,.. $82.52
O Manufactured/mobile home service 587.98
(excluding garage or outbuilding)
O 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***
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 onc extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
1 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 ELECT AL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
Day Telephone:
Date: SI ./g
2-04 6g6 - z000
City J Stoic
wAp.mit ento1Applicatioug-Handouteerrn it Appliutiono \ PDPsaEloctric al Permit Application Ravi tort 1-1-17 (box
Reviscd: January 2017
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Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY PAID
PermitTRAK
173.28
EL18-0471 Address: 12806 GATEWAY DR BLDG 5 Apn: 2716000050
$173.28
ELECTRICAL
$165.03
PERMIT FEE MULTI-FAM/COMM
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14547
R000.322.101.00.00
R000.322.900.04.00
0.00
0.00
$165.03
$8.25
$173.28
Date Paid: Tuesday, May 22, 2018
Paid By: C T S
Pay Method: CHECK 13634
Printed: Tuesday, May 22, 2018 12:17 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-367
t•--
Type of Inspection:
JProject:
Address: I iscic . ...
Date Called:
---..
Special Instructions
.
Date Date Wanted:
a. .
. .
Requester:
Phone No:
pproved per applicable codes. OCorrections required prior to approval
COMMENTS:
Date:
REINSPECTIONFEE REQUIRED. Prior to next inspection, fee thust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
CTS
Cli) Washington State Department of
Labor & Industries
0
Borne Espairol Contact Search L&I
A-7 Index Help
Safety & Health Claims & Insurance Workplace Rights
CTS
Owner or tradesperson
Principals
KURASPEDIANI, TIMOTHY
S, PARTNER/MEMBER
Doing business as
CTS
WA UBI No.
602 970 115
Parent company
PACIFIC APEX CONSTRUCTION LLC
2720 S ASH ST
TACOMA, WA 98409
206-686-2000
PIERCE County
Business type
Limited Liability Company
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
LIMITED ENERGY
License no.
CTS**TS881 BK
Effective — expiration
01/12/2012— 01/12/2020
Designated administrator
KURASPEDIANI, TIMOTHY
License type
Electrical Administrator
Bond
Lexon Ins Co
Bond account no
9810801
Received by L&I
11/30/2011
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
ESTEF00489
Issue date
04/01/2014
Violation city
Tacoma
Type of violation
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
KURAST*905BJ
$4,000.00
Effective date
01/12/2012
Expiration date
Until Canceled
Satisfied
RCWNVAC
19.28.101 RCW
Violation amount
$100.00
Page 1 of 4
ARCH
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Trades & Licensing
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602970115&LIC=CTS * *TS881 BK&SAW= 5/22/2018
CTS
ELECTRICAL CITATION
Description
Class B eligible work - The Class B work
permit is not valid as referenced in WAC 296-
46B-901 and WAC 296-46B-908.
Infraction no.
EHOSD00341
Issue date
11/25/2013
Violation city
TACOMA
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
EHOSD00339
Issue date
11/25/2013
Violation city
TACOMA
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
EHOSD00337
Issue date
11/25/2013
Violation city
TACOMA
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
EBIEA01200
Issue date
11/13/2013
Violation city
TACOMA
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
Satisfied
......._...............
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
.....................
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
.........._..._.........
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
.............. ...........
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Page 2 of 4
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CTS
installation or alteration as referenced inye
296-46B-901.
Infraction no.
EBIEA01202
Issue date
11/13/2013
Violation city
TACOMA
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
Installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
EBIEA01198
Issue date
11/13/2013
Violation city
TACOMA
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no
EBIEA01196
Issue date
11/13/2013
Violation city
TACOMA
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Satisfied
RCWIWAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCM/VAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
............. ...
ROW/WAC
19.28.101 RCW
Violation amount
$250.00
4 Page 3 of 4
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
186,523-00
..... _ .........................
Doing business as
CTS
Estimated workers reported
Quarter 1 of Year 2018 "31 to 50 Workers"
L&I account contact
T4 / TERRI MADISON (360)902-4654 • Email: KIRT235@Ini.wa.gov
Account is current.
Public Works Strikes and Debarments
Help us improve
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CTS ,,,,g�
Verify the contractor is eligible to perform work ojlic 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 4 of 4
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