HomeMy WebLinkAboutPermit EL19-0599 - VALENTINE ROOFING - ADD CAT6 INFRASTRUCTURE FOR PHONE AND DATA NETWORKINGVALENTINE ROOFING
400 INDUSTRY DR
EXPIRED
01/22/2020
ELI 9-0599
Parcel No:
Address:
Project Name:
City of Tukwila
a
Department of Community Development
630O3outhcenterBoulevard, Suite #1OO
Tukwila, Washington 98188
Phone: 206-431,3670
Inspection Request Une: 206-438'9350
Web site: htto://www.TukwilaWA.gov
0223400010
400 INDUSTRY DR 140
VALENTINE ROOFING
ELECTRICAL OTC PERMIT
Permit Number: EL19'0599
Issue Date: 7/26/2019
Permit Expires On: 1/22/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
BKM ANDOVER 118 LLC
l7OlUWk&STSTE1OO,NEWPORT
BEACH, WA, 92660
BRAD MCPHERSON
58OINDUSTRY DR,TUKWILA, WA,
98188
Phone: (253) 653-1701
FIDELIS COMMUNICATIONS INC Phone: (206) 725-7728
580 INDUSTRY DR , TUKWILA, WA,
98188
F|DEL[|9ZI(lR Expiration Date: 11/19/2020
I 0
DESCRIPTION OF WORK:
PROVIDE NEW LOCAL CAT6 INFRASTRUCTURE FOR PHONE & DATA NETWORKING AT 9 WALLLOCATIOI'JS AND 12
CUBICLE WORKSTATIONS. NEW CABLING WILL TERMINATE AT EXISITING COMMUNICATIONS CABINET IN
CUSTOMER SUITE.
Valuation of single famUy: $0.00
Valuation of mf/comm: $4,00000
Type of Work: LOW VOLTAGE
Fees Collected: $178.48
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 FueI Gas Code:
Permit Center Authorized Signa
2015
20152015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-468:
WA State Energy Code:
Date:
2017
20172017
2015
-7Y
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:
r C.
C JFu�ctisc�`i
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
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.eov
Electrical Permit No. Ll.. --(f Ds -9c(
Project No.
Date Application Accepted: ?'LP- 1 9
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
Site Address:
Tenant Name:
458 t44,54ry Pr
V4LcArifivt.e_ gooLTv,
PROPERTY OWNER
Name: Ecal mit Ph
Name: A J i
Address:
Address:
.
00
Phone: Z17„5,65504-101 Fax:
City: toutxyj urixarl
State: wis
Zip: CIZ646,
CONTACT PERSON — person receiving all project
communication
Name: Ecal mit Ph
Address:
City:.rUe: wit.c Zip:
.
00
Phone: Z17„5,65504-101 Fax:
:ial
Email:
t>A3IfiyttIJAnectriniAti1^_.
King Co Assessor's Tax No.:
Suite Number: (4j Floor:
New Tenant: [l] Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
i ki C,
Address:
Ci : S ate: Go
Z
:ial
f
Phone: (1)—(i2:725.-77Z8Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information
Will service be altered? 17 Yes No Adding more than 50 amps? El Yes
Type of Use: 0._,CAmmtt,(AtkcaS-VSYL$ OCAL.301-Lon
Type of work:
111 New 0 Addition El Service Change 0 Remodel 0 Tenant Improvement
54, Low Voltage E1IJ Generator El Fire Alarm El Telecommunication El Temporary Service
Property Served by:
Puget Sound Energy [11 Seattle City Light
WAPermil CenteikApplications-HandoutslPermit Applications \PDFskElectrical Permit Application Revised l -I 7-I9.doca
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
11 New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
O Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
O Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
O Circuits added/altered without service change $60.00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
O Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCLAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $60.00
O Temporary service (generator) $90.00
0 Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
O Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $11.00 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 OW R OR/ LECTRECAL CONTRACTOR:
Signature:
Print Nam : DayTelephone:
tv.4,64,7
Mailing Address:
Date: r712-4 /16)
--717)14i,mia, VA
City
WAPermit Center \ Applications -Handouts \Permit Appl icationstPDPsTlectrical Permit Application Revised 1.17- I 9.doex
Cte
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$178.48
E119-0599 Address: 400 INDUSTRY DR 140
Apn: 0223400010
$178.48
Credit Card Fee
$5.20
Credit Card Fee
R000.369.908.00.00
0.00
$5.20
ELECTRICAL
$165.03
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$165.03
TECHNOLOGY FEE
$8.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18198
8000.322.900.04.00
i
,
0.00
1111111.1311
$178.48
Date Paid: Friday, July 26, 2019
Paid By: JOHN JENNINGS
Pay Method: CREDIT CARD 09820G
Printed: Friday, July 26, 2019 10:24 AM
1 of 1
c.)
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 07/26/2019 10:23:52 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********4463 K
TRAN AMOUNT: $178.48
APPROVAL CD: 09820G
RECORD #: 000
CLERK ID: kandace
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
12/3/2019
City of Tukwila
Allan Ekberg, Mayor
Department of Community Development
BRAD MCPHERSON
580 INDUSTRY DR
TUKWILA, WA 98188
RE: Permit No. ELI9-0599
VALENTINE ROOFING
400 INDUSTRY DR 140
Dear Permit Holder:
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 1/22/2020.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for,the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 1/22/2020, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: EL19-0599
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Washington State Department of
Labor & Industries
0
Home 1:f„spairlol Contoei
Safety & Health Claims & Insurance
rS-e-a-r7C h L &
A -Z Index Help My 1.k.1
Workplace Rights Trades & Licensing
FIDELIS COMMUNICATIONS INC
Owner or tradesperson
Principals
WITTSTOCK, SCOTT T, PRESIDENT
Zimmerman, Paul A, VICE PRESIDENT
McDonald, LaRae, SECRETARY
Wittstock, Scott, AGENT
Doing business as
FIDELIS COMMUNICATIONS INC
WA UBI No.
602 840 551
580 INDUSTRY DRIVE
TUKWILA, WA 98188
206-725-7728
KING County
Business type
Corporation
Certifications & Endorsements
•11•11•1=•111
OMWBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
Not allowed to have apprentices.
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
TELECOMMUNICATIONS
License no.
FIDELCI921QR
Effective — expiration
11/19/2008— 11/1912020
Designated administrator
Wittstock, Scott
License type
Electrical Administrator
Bond
American States Insurance Co
Bond account no
32s213199
Active.
Meets current requirements.
License no.
WITTSS`925QL
$4,000.00
Received by L&I Effective date
05/07/2012 04/2012012
Expiration date
Until Canceled
Insurance
West American Ins Co
$1,000,000.00
Help us improve
Policy no.
BLW56656324
Received by L&I
04124/2019
Insurance history
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Effective date
06/01/2016
Expiration date
06/01/2020
Workers' comp
Public Works Requirements
Workplace safety and health
State Dept (f Lab), & !niJustries Use (If ts site is subjecl: tc; Iiiws lite ,Oate of ,JVash,n;yon
Help us improve