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HomeMy WebLinkAboutPermit EL07-024 - MED DATAMED DATA 12101 TUKWILA INTERNATIONAL BL ELO7-024 Signature: doc: EL -4/07 Contractor: Name: EMERALD AIRE INC Address: 5108 D ST NW , AUBURN WA Contractor License No: EMERAAI991KG DESCRIPTION OF WORK: RELOCATE ONE THERMOSTAT Value of Electrical: $150.00 Type of Fire Protection: SPRINKLERS Permit Center Authorized Signature: Cit 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 Electrical Service provided by: PUGET SOUND ENERGY ELECTRICAL PERMIT Parcel No.: 0923049031 Permit Number: EL07 -024 Address: 12101 TUIKWILA INTERNATIONAL BL TUKW Issue Date: 04/13/2007 Suite No: Permit Expires On: 10/10/2007 Tenant: Name: MED DATA Address: 12101 TUKWILA INTERNATIONAL BL , TUKWILA WA Owner: Name: INTERNATIONAL GATEWAY WEST LLC Phone: Address: 12201 TUKVVILA INTERNATIONAL BLVD 4THFL , SEATTLE WA Contact Person: Name: SHANNON BUCKINGHAM Phone: 253 -872 -5665 Address: 5108 D ST NW , AUBURN WA Phone: 253 -872 -5665 Expiration Date: 05/07/2009 Fees Collected: National Electrical Code Edition: $58.00 2005 Date: g4"7 "7 I hereby 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 he perfo ' be of work. I am authorized to sign and obtain this mechanical permit. Date: L/ //3/07 Print Name: V This permit shall become null and void if the work i*'hot 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. EL07 -024 Printed: 04 -13 -2007 1: ** *ELECTRICAL * ** 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 PERMIT CONDITIONS Parcel No.: 0923049031 Permit Number: EL07 -024 Address: 12101 TUICWILA INTERNATIONAL BL TUKW Status: ISSUED Suite No: Applied Date: 04/13/2007 Tenant: MED DATA Issue Date: 04/13/2007 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 regula ' ' construction or the performance of work. Date: '1'' 3/6 EL07 -024 Printed: 04 -13 -2007 SITE LOCATIO] King Co Assessor's Tax No.: r_; f Site Address: 12.O C t LVJ tka ilk Q PUG • Suite Number. Floor. Tenant Name: �s .� )G , New Tenant: ❑ Yes ❑/. Ko Property Owners Name: 14 I I. fiate • L) 531111 Mailing Address: J2-20 I k .. _ _ 1, & 1 !' C • ' 1 ,30L. city CONTACT PERSON Who do we contact when your permit is readyjto be issued Name: CITY OF TUKWI Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 h ttp:ll www. ci. tkwila. wa. us Mailing Address:, D ST 1. Q E -Mail Address: Fax Number C) 709 57 g 7 ELECTRICAL CONTRACTOR INFORMATION Company Name: Ffyrr : ‘12e /n& Mailing Address: City state zi Contact Perso :I D 1a �� 1 Day Telephone: S 3 (I 0Z p E -Mail Address: Fax Number. 3S 3 &% 5757 Contractor Registration Number. Valuation of Project (contractor's bid price): $ ` J 9") W Scope of Work (please provide detailed information): / .� • / � �// • Will service be altered? ❑ Yes NCNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel C--Teilant Improvement 1`w Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pro erved b . get Sound Energy B'eattle City Light x:wpp icationsWmms- Applications On Lme\4 -2007 - Electrical Permit Applicatioadoc bb 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 ** ED,=ae, Jz Day Telephone: State Q- �-� wa goo!, C' state Expiration Date: 6l'7 /6 � Adding more than 50 amps? ❑ Yes Zip loSS �No Page 1 of 2 RESIDENTIA NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, fumace thermostat) 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) `.or D fh O ) Date Application Accepted: j / f _ 7 H:\Applications\Fams- Applications On Line4I-2007 - Electrical Pe,mit Application.doc bh $140.00 $75.00 ea $55.00 ea 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 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 0 R OR EL TRICAL CONTRACTOR: Signature: C / Date: * Print Name: A / _ Lr J Day Telephone: � a ,..i?o Mailing Address: hue') Qe City State Zip Date Application Expires: /O—), G � Staff Initials:0 Page2of2 Receipt No.: R07 -00568 Payee: EMERALD AIRE INC ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR 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 RECEIPT Parcel No.: 0923049031 Permit Number: EL07 -024 Address: 12101 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED Suite No: Applied Date: 04/13/2007 Applicant: MED DATA Issue Date: Initials: BLII Payment Date: 04/13/2007 08:42 AM User ID: ADMIN Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 7185 58.00 Account Code Current Pmts 000.322.101.00.0 58.00 Total: $58.00 Payment Amount: $58.00 7090 04/13 9716 TOTAL 231.71 doc: Receiot -06 Printed: 04 -13 -2007 Proj74, / Type of Inspecti Address: 77/4 eV/ 'L Date Called: Instructions: /7 Date Wanted: // a.m. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT �. CITY OF TUKWILA BUILDING DIVISION � � $ 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7 OMMENTS: Olt f/4/,4( Inspeefor err;-0/9,q Date:c) /( El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. Receipt No.: Date: p roved per applicable codes. ❑ Corrections required prior to approval. G) , Business Owner Information Name Role Effective Date Expiration Date DENT, CHARLES AGENT 05/07/2001 HAPPE, DOUGLAS, A PRESIDENT 05/07/2001 RIDGE, JOHN P VICE PRESIDENT 05/07/2001 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 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 I 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 EMERAAI991 KG EMERALD AIRE INC ELECTRICAL CONTRACTOR 600591552 CORPORATION 5108 D ST NW AUBURN KING WA 98001 2538725665 ACTIVE GENERAL UNUSED 5/7/2001 5/7/2009 EMERAAI0120T REINHJS956RK Electrical Administrator Information License Name Status REINHJS956RK REINHARDT, JEFFREY S ACTIVE https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= EMERAAI991KG 04/13/2007