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Permit EL07-259 - VACANT SPACE - SUITE 101
VACANT, SUITE 101 16040 CHRISTENSEN RD ELO7-259 Parcel No.: 2523049039 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: TITAN ELECTRIC INC Address: 900 N 34 ST, SUITE 108 , SEATTLE WA Contractor License No: TTFANEI963OB DESCRIPTION OF WORK: TENANT IMPROVEMENT: LIGHT FIXTURE UPGRADE, REPLACE 40 EXISTING 2X4 FIXTURES WITH NEW Value of Electrical: Type of Fire Protection: Electrical Service provided by: doc: EL -4/07 Citysf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us 16040 CHRISTENSEN RD TUKW VACANT SPACE, STE 101 16040 CHRISTENSEN RD , TUKWILA WA BRCP RIVERVIEW PLAZA LLC 248 HOMER AVE , PALO ALTO CA TRAVIS CROOK 900 N 34, STE 108 , SEA'ITLE WA $5,500.00 Permit Center Authorized Signatur 1/1iAN lei PUGET SOUND ENERGY ELECTRICAL PERMIT EL07 -259 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 633 -2811 Phone: 206 - 633 -2811 Expiration Date: 09/02/2008 Fees Collected: National Electrical Code Edition: EL07 -259 07/03/2007 12/30/2007 $180.40 2006 Date: t/ j pal DI- I hereby certify that I have read an ex ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie th, whether specified herein or not. �.� • e does not presume to ority to violate or cancel the provisions of any other state or local laws regulating construction o ce of work. am au orize o s tain this electrical permit. The granting of Signature: "� l/ `� ���� Date: L ^v 7 Print Name: !/// / kijO`l eK /.()/_. This This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. Printed: 07 -03 -2007 Parcel No.: 2523049039 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: Print Name: doc: Cond -Elec City of-Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us 16040 CHRISTENSEN RD TUKW VACANT SPACE, STE 101 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: Date: 7 ? EL07 -259 ISSUED 07/03/2007 07/03/2007 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. 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating const ction or the performance of wor EL07 -259 Printed: 07-03 -2007 CITY OF TUKWILZ'' Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httrx/Iwww.ci.tukwila.wa.us p� / Cr, ing Co Assessor's Tax No.: "c� t Site Address: 16o40 (Yin- 4 ?, /51 I Suite Number: /in Floor: Tenant Name: Property Owners Name: �jya Mailing Address: /O en ./'L►r i, -014. CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: "re AM !S Cez k Mailing Address: ' � '" 5 IV Sad L © 8 E -Mail Address: 7Q�t C. 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 ** Property Served by: [� Puget Sound Energy ❑ Seattle City Light Company Name: f i Tit-1V rLLC1 R�'`v H: \Applications\Porms- Applications On Line \4 -2007 - Electrical Permit Application.doc bh 7 . Ti1 /e fr c-. Avr Mailing Address: �OV N 3 5agt / Contact Person: - Maw/ awl S l iM`p - E -Mail Address: 4A4L es T% -MLA/ , Contractor Registration Number: +l +4 ►I 'qti [N Electrical Permit No. l I- ' 2-G Project No. (For office use only) City iedark New Tenant: State ❑ Yes ❑ ..No Zip Day Telephone(44) (D 3 Z' l/ featk 9, City ate Zi Fax Number. 2 / el, ELECTRICAL CONTRACTOR INFORMATION w fel b ,Epate 1 n? Z5 1) City Day Telephone: Fax Number: ( ) 9 2- I z Expiration Date: l' Valuation of Project (contractor's bid price): $ C7 te / Scope of Work (please provide detailed information): C t y ►oil (e /l 11 '� t .,qua s�►1 - z x a x- e- s w t Nei • Adding more than 50 amps? ❑ Yes No Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ck Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) BUILDING OWNE)!t OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: ?IV N 34t1t yitZ /06 I Date Application Accepted: H: Applications\Forms- Applications On Line \4 -2007- Electrical Permit Application.doc bh Date Application Expires: MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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. Date: Day Telephon(t1Q 2 (:0 3 3 - 2 -8 It, 1 Cit State Zip Staff Initials: Page 2 of 2 n,. • aprcpmc -CIA RECEIPT NO: R07 -01284 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 -431 -3665 Web site: http. //www. ci. tukwila. wa. us Initials: JEM Payment Date: 07/03/2007 User ID: 1165 Total Payment: 324.40 Payee: TITAN ELECTRIC, INC. SET ID: S000000805 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount EL07 -259 180.40 EL07 -260 144.00 TOTAL: 324.40 SET RECEIPT TRANSACTION LIST: Type Method Description Amount Payment Check 004903 324.40 TOTAL: 324.40 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Account Code Current Pmts 000.322.101.00.0 324.40 TOTAL: 324.40 t't ^7/ 5 t; T 9966 �� � . '�..: . �� :1.:_ : ilk AL 324,40 Project: Vh f C4 / / Type of Inspectio .. e) Address: Date Called: r Special Instructions: Date Wanted: c/ 0 / #f ID p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)43 1 -3670 proved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: lInspec p ar2540 , m/6 " / IDate / / J $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: Project: VA£ W J 7 J/ c1 / Type of Inspection: 7(10_3 N. Address: /(oio c. / / ,2lS ushii Date Called: Special Instructions: Date Wanted: q /� Vim,. m. Requester: Phone No: I INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 OMMENTS: (OX — C,47/41r7 Ed! oved per applicable codes. (Inspect / L 1 & I Date: g /7 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: 1 11;-,_y 1• Corrections required prior to approval. Business Owner Information Name Role Effective Date Expiration Date FUNG, LAWRENCE H AGENT 09/02/2004 BURKE, PATRICK D PRESIDENT 09/02/2004 FUNG, LAWRENCE H SECRETARY 09/02/2004 CROOK, TRAVIS J VICE PRESIDENT 09/02/2004 Look Up a Contractor, Electric; an or Plumber License Detail Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full -time supervisory employee. License Information License Licensee Name Licensee Type UBI Ind. Ins. Account Id Business Type Address 1 Address 2 City County State Zip Phone Status Specialty 1 Specialty 2 Effective Date Expiration Date Suspend Date Separation Date Parent Company Previous License Next License Associated License TITANEI963OB TITAN ELECTRIC INC ELECTRICAL CONTRACTOR 602250925 4568600 CORPORATION 900 N 34TH STE 108 SEATTLE KING WA 98103 2066332811 ACTIVE GENERAL UNUSED 9/2/2004 9/2/2008 TITANE *986Q5 FUNG *LH967M9 Master Electrician Information License Name Status FUNG *LH967M9 FUNG, LAWRENCE H ACTIVE Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= TITANEI963OB 07/03/2007