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