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Home My WebLink AboutPermit EL18-1000 - GENERAL INSULATION - INSTALL 20 TELECOMMUNICATION CABLES TO 10 FACEPLATE LOCATORSGENERAL INSULATION 410 ANDOVER PARK E ELI 8-1000 Parcel No: Address: Project Name: 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: http://www.TukwilaWA.gov 0223400071 410 ANDOVER PARK E GENERAL INSULATION EIECTRICAL OTC PERMIT Permit Number: ELI8-1000 Issue Date: 11/27/I018 Permit Expires On: 5/26/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: R2R INVESTMENTS LLC 7979 S 180TH ST , KENT, WA, 98032 MERB6HREVVS8EKRY Phone: (253) 347-3683 Zgl6NyNADEUA'SPOKANE, WA, 99207 SYSTEM TECH WASHINGTON INC Phone: (509) 590-1137 ZB16NMAD[UA,SPOKANE, WA, 99207 SYSTETW8560B Expiration Date: 9/2/2019 DESCRIPTION OF WORK: INSTALLATION OF APPROXIMATELY (20) TELECOMUNICATION (DATA/VOICE) CABLES TO APPROXIMATELY 10 FACEPLATE LOCATIONS. Valuation of srigIe family: $0.00 Valuation of mf/comm: $1,793l0 Type of Work: LOW VOLTAGE Fees Collected: $130.83 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Editon: International Residential Code Edition International Mechanica Code Edition: Uniform Plumbing Code Edition: International FueI Gas Code: Permit Center Authorized Signature: 2015 20152015 2015 2015 National ElectricaCode: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 20172017 2015 o I 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 agre to the conditions attached to this permit. Signature: Print Name: iJ T' Date: l (` 27- I S 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 http://www.Tukwi la W A. gov 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: 410 Andover Park E Tukwila WA 98188 Tenant Name: General Insulation PROPER -WOW FER Name: Herb Shrewsberry Address: 2816 N Madelia Name: Address: 2816 N Madelia Contr Reg No.: SYSTETW856OI Exp Date: Address: City: Spokane State: WA City: State: Zip: CONTACT PERSON—'person'receiving all project communication Name: Herb Shrewsberry Address: 2816 N Madelia City: Spokane State: WA Zip: 99207 Address: 2816 N Madelia Contr Reg No.: SYSTETW856OI Exp Date: Tukwila Business License No.; BUS -0998476 City: Spokane State: WA zip: 99207 Phone: (253) 347-3683 Fax: (866) 556-5256 Email: HShrewsberry@SystemTechWA.com King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: m Yes ❑..No EL CTI1CM COl'+fi I CTf1f R 3 'T E+L T ,.z. Company Name: System Tech WA Address: 2816 N Madelia City: Spokane State: WA Zip: 99207 Phone: (253) 347-3683 Fax: (866) 556-5256 Contr Reg No.: SYSTETW856OI Exp Date: Tukwila Business License No.; BUS -0998476 Valuation of Project (contractor's bid price): $ 1,793 Scope of Work (please provide detailed information): Installation of approx (20) telecommunication (data/voice) cables to approx 10 faceplate locations Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Type of work: ❑ New ❑ Addition 0 Service Change ❑ Remodel 0 Tenant Improvement 0 Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: Qj Puget Sound Energy 0 Seattle City Light W:\Permit Center\Applicauons-Handouts\Permit Applications \PAF's\Electrical Permit Application Revised 1-1-17. docx Revised. lanuap 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ 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 ❑ 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 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 582.21 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*** vI 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: Signature: Date: //— a IF Print Name: Bill Anderson Day Telephone: (206) 491-6077 Mailing Address: 14253 169th Dr SE Monroe WA 98272 City W:tPermit Center1Applications•HrdaaslPamit Applicauonr&PDPslElectrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT QUANTITY I PAID $130.83 E118-1000 Address: 410 ANDOVER PARK E Apn: 0223400071 $130.83 Credit Card Fee $3.81 Credit Card Fee I R000.369.908.00.00 0.00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM I R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15900 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Tuesday, November 27, 2018 Paid By: HERBERT SHREWSBERRY Pay Method: CREDIT CARD 01480G Printed: Tuesday, November 27, 2018 8:47 AM 1 of 1 SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 11/27/2018 08:47:15 AM CREDIT CARD SALE VISA CARD NUMBER: **********1434 K TRAN AMOUNT: $130.83 APPROVAL CD: 01480G RECORD #: 000 CLERK ID: Bill X {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy Page 1 of 2 https ://c las sic .convergepay c omN irtualMerchant/transaction.do?dispatchMethod=printTr... 11/27/2018 INSPECTION RECORD Retain a copy with permit 64- (000 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 438-9350 Project:, ,, (ifi\b9jilt- /4541--, Type of Inspection: Address: 110 A -PC Date Date Called: . ,• Special Instructions: 4/ Lo Date Wanted: .m. Requester: Phone No: JApproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: REINSPECTION 6EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. SYSTEM TECH WASHINGTON IN 41111111hk Washington State Department of / Labor & Industries 0 low Fspaiiol Contact !Search L&I A -Z Index Safety & Health Claims & Insurance Workplace Rights 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 UB1 No. 603 361 113 2816 N MADELIA SPOKANE, WA 99207 509.590-1137 SPOKANE County Business type Corporation Governing persons 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 License specialties LIMITED ENERGY License no. SYSTETW8560B 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. Active. Meets current requirements. License no. VVICKETN931LN $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. License Violations Page 1 of 2 -s Allot Help My L.Sz Trades & Licensing Help us improve https://seeure.lni.wa.gov/verify/Detail.aspx?UBI=603361113&LIC=SYSTETW8560B&SAW= 11/27/2018 SYSTEM TECH WASHINGTON INC No license violations during the previous 6 y, 'seriod. 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 3 of Year 2018 "31 to 50 Workers" L&I account contact T2 / SUSAN BETTS (360)902-4828 - Email: BETT235@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. 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 lavas of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603361113&LIC=SYSTETW8560B&SAW= 11/27/2018