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Permit EL19-0323 - COWLITZ INDIAN TRIBE - PANEL 1 NEW FIRE RATED SLEEVE. TEST VOICE AND DATA LOW VOLTAGE.
COWLITZ INDIAN TRIBE 15455 65TH AVE S ELI 9-0323 Parcel No: Address: Project Name: City ocTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98:188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov 0003200004 15455 65TH AVE S COWLITZ INDIAN TRIBE ELECTRICAL OTC PERMIT Permit Number: EL19-0323 Issue Date: 4/15/2019 Permit Expires On: 10/12/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: COWLITZ INDIAN TRIBE 1055 9TH AVE , LONGVIEW, WA, 98632 JASIE MCCONKEY 275 SW 41ST ST , RENTON, WA, 98057 CLEARNET 257 SW 41 ST , RENTON, WA, 98057 CLEAR**901PM I Phone: (206) 420-6970 Phone: (206) 420-6970 Expiration Date: 10/14/2020 DESCRIPTION OF WORK: INSTALL 56 NEW RISER RATED CAT 6 CABLES, MOVE 1 EXISTING CABLE. ORIGINATE FROM NEW 48 PORT PATCH PANEL 1 NEW FIRE RATED SLEEVE. TEST AND LABELED. VOICE AND DATA LOW VOLTAGE. Valuation of single family: $0.00 Valuation of mf/comm: $8,735.00 Type of Work: LOW VOLTAGE Fees Collected: $280.29 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: 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: Date LI 11 /hearbycertify 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 urlocal laws regulating construction orthe performance ofwork. |amauthorized tnsign and obtain this development permit and agree tnthe conditions attached tothis permit. l \ /\ Signature: ^�_/�*Q.�K~ \�� C ' Date: Print Name: � >D��P . �8� � `~v^```�/ "~``'—`�` ~'^^ This permit shall become null and void ifthe work isnot commenced within 1QOdays for the date ofissuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: 'ELECTRICAL PERMIT CONDITIONS' Z: 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 bemaintained at the construction site and shall bereadily available tuthe Electrical Inspector. 4: All electrical work shall beinaccordance with NFPA7U'NEC, and requirements for electrical installations, Chapter J96'468VVA[and the Washington Cities Electrical Code. S: When any portion ofthe electrical installation is tobehidden from view bypermanent placement ofparts 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 orrelated documentation that presumes togrant 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'|N[L[[TRI[AL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKLA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: Li ) 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.: Site Address: \54 55 Los t. S. Suite Number: Floor: Tenant Name: CDUD\ kyviieLAA„., 1—Yk \t, New Tenant: 0...,..Yes PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Nume: jas,.' , kk c jnejc_atAk__ Address: gply.-1 sw qt s A City: rp.....tAA.61.A_ State: w *p: Phon6:mp Luo .vv-10 Fax: • . Email: 5V/Viuz@j artA et 0 ELECTRICAL CONTRACTOR INFORMATION Company Name: QAttui Address: a s...\ sv‘i 41e_ s..yrtct • City:ReAt\„ State: Zip: Ct bog Phone: D as . 4 ao .temFax: oc .iLit . ConeNo E .fct 01 t) ikk t3ctg PateIim .z.z) Tukwila Business License No.; bLIS .01 al it.Q 30, Valuation of Project (contractor's bid price): $ ti) 55 • -7a13 Scope of Work (please provide detailed information): ky‘s-icel Sly &-VC ‘.(7 r t\AQV -k-e_ X.A"\-1 Vkta- tip(t . Dv\ V\ixikk— -kijr1M.ti47) ?cork k Auk) ktr-k ak?-(A- sktAft .1"--tzsv Uttact4 . VD ttNtiV k 0 LL) \f‘O Will service be alter *Yes 0 No Adding more than 50 amps? 0 Yes No Type of Use: Type of work: Ei New 0 Addition 0 Service Change 0 Remodel El Tenant Improvement Low Voltage 0 Generator 0 Fire Alarm CI Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light W:Wemsh Center Applications-RandoutsWennit ApplicationAWord1Elec1rical Permit Application Revised S-1-2017.docx Revised: January 2017 bh Page I 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, fumace 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: Signature: i 1 A. iq --t Date: ` ( 15 `U) 111 Print Name: \iA-ki t/ IA Lw VA.Day Telephone: ai1 • 4 o) 0 . L04-10 Mailing Address: as- 6V 4 4- e,--\ L.v.,--Lott. � ‘Am- as City state zip W:1P nnii CenteAApplicattoa-HaadoutsWcnnil ApplicationslWotdtEkarical Permit Appikalbn Revised I-1.2017.doca Revised: January 20 t 7 bh Page2of2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $280.29 EL19-0323 Address: 15455 65TH AVE 5 Apn: 0003200004 $280.29 Credit Card Fee $8.16 Credit Card Fee R000.369.908.00.00 0.00 $8.16 ELECTRICAL $259.17 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $259.17 TECHNOLOGY FEE $12.96 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17400 R000.322.900.04.00 0.00 $12.96 $280.29 Date Paid: Monday, April 15, 2019 Paid By: CLEARNET Pay Method: CREDIT CARD 102358 Printpri• Mnnrinv Anril 15 ?Mg 11.75 AM 1 nf 1 1"1211111 CO TUKNILA ETRAKIT 6200 SOUTH[ENTER BLVD TVNWILA' WA 98180 206-433-1870 CITY OF TUxwzLA 0017340000802374464500 Date: 04/15/2019 11:25:18 AM VISA cxnn NUMBER: TKAN AMOUNT: APPROVAL [o: nE[Vno #: [Lsxx ID: x CREDIT CARD SALE **********5575 K $280.29 102358 000 1azzel {[xnuxOLosx'S SIGNATURE} z x6nsE TO PAY THE Ao0xs TOTAL AMOUNT ACCORDING TO THE [xno zS5Upn AGREEMENT (MERCHANT 4GnssmsmT IF [nsozT VOUCHER) Thank you! Merchant Copy 0TUKwL4BRAKD 6200 S0UrV{ENTER aLvD ToxwILA, WA 98188 206'433'1878 CITY OF TUKWILA Date: 04/15/2019 VISA [Ano NUMBER: Tn4N AMOUNT: APPROVAL [D: nECVnu #/ CLERK ID: 11:25:18 AM CREDIT CARD SALE **~*******5575 $3V8'Z9 10Z]5O 000 jazzel Thank youl Customer Copy % INSPECTION RECORD Retain a copy with permit INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 P oject: ( y e io Address: Date Called: Special In u ons: Date Wanted: a, . . • Requester:, Phone No: Approved per applicable codes. OMMENTS: Corrections required prior to. approval. Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection. Home Espa Poi Contact Search L&I Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries A-Z-Inclex Help My L&I Workplace Rights Trades & Licensing Clearnet Owner or tradesperson Principals WALSTON, RICHARD, PRESIDENT Steenvoorde, Andrew P, SECRETARY Walston, Rick, AGENT Doing business as Clearnet 257 SW 41ST ST RENTON, WA 98057 206-4204970 KING County WA UBI No. Business type 602 615 301 Corporation Parent company Governing persons EPONYEXPRESS INC RICHARD B WALSTON ANDREW STEENVOORDE; 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, CLEAR**901PM Effective — expiration 10/14/2010— 10/14/2020 Designated administrator Walston, Richard B License type Electrical Administrator Bond RLI INS CO Bond account no. LSM0194759 Active. Meets current requirements. License no. WALSTRB901PL $4,000.00 Received by L&I Effective date 10/14/2010 10/01/2010 Expiration date Until Canceled §aYIPP No savings accounts during the previous 6 year period. License Violations Infraction no. EBANX00445 Issue date Satisfied RCWAA/AC Help us improve 11/2012015 Violation city GIG HARBOR Type of violation ELECTRICAL CITATION Description Class B eligible work - Falling to obtain an electrical/telecommunications work permit, or post a provisional electrical work permit, or valid Class B label prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. 19.28.101 RCW \ vine Violation amount $100.00 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workerscomp premiums. L81 Account ID Account is current. 194,045-00 Doing business as EPONYEXPRESS INC Estimated workers reported Quarter 4 of Year 2018 "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. Washington Slate Dept. of Labor & ndustries. Use of this site is subject to the laws of the state of Washington. Help us improve