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HomeMy WebLinkAboutPermit EL07-032 - MED DATAMED DATA 12101 TUKWILA INTERNATIONAL BL ELO7-032 Parcel No.: 0923049031 Permit Number: EL07 -032 Address: 12101 TUKWILA INTERNATIONAL BL TUKW Issue Date: 04/17/2007 Suite No: Permit Expires On: 11/05/2007 Tenant: Name: MED DATA Address: 12101 TUKWILA INTERNATIONAL BL , TUKWILA WA Owner: Name: INTERNATIONAL GATEWAY WEST LLC Phone: Address: 12201 TUKWII,A INTERNATIONAL BLVD 4THFL , SEATTLE WA Contact Person: Name: STEVE BERGMAN Phone: 360 862 -8062 Address: 408 MAPLE AV , SNOHOMISH WA Contractor: Name: CORRIDOR ELECTRIC INC Address: 721 AVE D STE E , SNOHOMISH WA Contractor License No: CORRIEI993R7 DESCRIPTION OF WORK: PARTIAL FLOOR TENANT IMPROVEMENT OF AN EXISTING OFFICE SPACE TO INCLUDE MISC LIGHTS AND OU'T'LETS 6 -16 -07 REVISION #1 ADD 10 ADDITIONAL CIRCUITS AND HOOK -UP MODULE FIRNITURE. ADD MISC LOW VOLTAGE (PHONE AND DATA) Value of Electrical: $11,800.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: 6-1(D-67 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 't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction o work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: doc: EL -4/07 Cityf 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 PERMIT c?:) cQwAAp Phone: 360 862 -8062 Expiration Date: 12/27/2007 $278.80 Date: k4 �� 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. EL07 -032 Printed: 05-16 -2007 Cityf 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 PERMIT Parcel No.: 0923049031 Permit Number: EL07 -032 Address: 12101 TUIKWILA INTERNATIONAL BL TUICW Issue Date: 04/17/2007 Suite No: Permit Expires On: 10/14/2007 Tenant: Name: MED DATA Address: 12101 TUKVVILA INTERNATIONAL BL , TUKWILA WA Owner: Name: INTERNATIONAL GATEWAY WEST LLC Phone: Address: 12201 TUKWILA INTERNATIONAL BLVD 4THFL , SEATTLE WA Contact Person: Name: STEVE BERGMAN Phone: 360 862 -8062 Address: 408 MAPLE AV , SNOHOMISH WA Contractor: Name: CORRIDOR ELECTRIC INC Phone: 360 862 -8062 Address: 721 AVE D STE E , SNOHOMISH WA Contractor License No: CORRIEI993R7 Expiration Date: 12/27/2007 DESCRIPTION OF WORK: PARTIAL FLOOR TENANT IMPROVEMENT OF AN EXISTING OFFICE SPACE TO INCLUDE MISC LIGHTS AND OUTLETS Value of Electrical: $6,800.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Of AM-- "IliktPQ Date: o l (14 64 I hereby certify that I have read and x ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie tit, latther 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 rmance of work. I am authorized to sign and obtain this mechanical permit. �1 . 4 - ^b7 Signature: �•1L� Date: Print Name: eL�1t !� 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. doc: EL -4/07 $196.80 EL07 -032 Printed: 04 -17 -2007 1: ** *ELECTRICAL * ** Signature: 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 Parcel No.: 0923049031 Permit Number: ELO7 -032 Address: 12101 TUICWILA INTERNATIONAL BL TUKW Status: ISSUED Suite No: Applied Date: 04/17/2007 Tenant: MED DATA Issue Date: 04/17/2007 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 -468 WAC. 6: 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 construction or the performance of work. Print Name: ' Cam A--s-,) PERMIT - i- PERMIT CONDITIONS Date: 4- k- 2N doc: Cond -Elec EL07 -032 Printed: 04 -17 -2007 CITY OF br Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htta://www.ci.tukwila.wa.us SITE LOCATION IN-MK f}- I, ST King Co Assessor's Tax No.: 0 Site Address: la j 0 T . (UJ J 1 LP An 11 73 �/6_ Suite Number. E3C- // Floor: , , Tenant Name: U Ri7 " New Tenant: Yes Property Owners Name: £4 'F l ,nR etl Mailing Address:_ City ��11 -W C .� -t -l+v City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be Issued n m AA]. Day Telephone: a1 0 L?&3 af � [ � 408 m Mailing Address: 4 tiP 111*:- 6)Qf-hai 64 " `igA n E-Mail Address:1M I,1..ceeLEc. toLeU` / 1 Fax Number: 3V0 ec 1C) ELECTRICAL CONTRACTOR INFORMATION Company Name: [ 1 J 1 J oil Mailing Address: L Contact Person: . ■ I I n: A Id torn E-Mail Address: mt 1 � / OL - to m Contractor Registration Number. r. OK I13 i7 Valuation of Project (contractor's bid price): $ t j!i 600' 0 0 Scope of Work (please provide detailed information): �► 0 ou.T.S Will service be altered? ❑ Yes 14 No ,� A / dding more than 50 amps? Type of Use: or - F ILE. - frwh1 C }l , a t Luiv Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Propertv Served bv: ❑ Puget Sound Energy Seattle City Light HAAppticatiauWorms- Applications On Line 4 -2007 - Electrical Permit Applicatioadoc bh & /N C. ❑ Service Change ❑ Fire Alarm Electrical Permit No. 6 04-052— Project No. (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 ** ❑ Remodel ❑ Telecommunication 0 City State Day Telephone: . b O / rU 2 p� eb(0 ^2 Fax Number. ��O �) b hal C1 15O Expiration Date: IcJ a /- a 001 ❑ Yes ' No X r e Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings S140.00 (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 S75.00 (no added/altered circuits) ❑ Service change with added/altered circuits S75.00 number of added circuits S10.00 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 S55.00 (alarm, furnace thermostat) Date Application Accepted: n:MpplicationsWoms- Application On Line4S-2007 - Electrical Permit Applicmw.doe bh 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 580.00 (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 Application Expires: Staff Initials: Page 2 of 2 1 Receipt No.: R07 -00857 Payee: CORRIDOR ELECTRIC 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: / /wwwci.tukwila.wa.us RECEIPT Parcel No.: 0923049031 Permit Number: EL07 -032 Address: 12101 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED Suite No: Applied Date: 04/17/2007 Applicant: MED DATA Issue Date: 04 /17/2007 Initials: WER Payment Date: 05/16/2007 12:21 PM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 7468 82.00 Account Code Current Pmts 000.322.101.00.0 82.00 Total: $82.00 Payment Amount: $82.00 8256 05/16 9716 TOTAL 82.00 doc: Receiot -06 Printed: 05 -16 -2007 Parcel No.: 0923049031 Permit Number: EL07 -032 Address: 12101 TUIKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 04 /17/2007 Applicant: MED DATA Issue Date: Receipt No.: R07 -00589 Initials: JEM Payment Date: 04/17/2007 12:06 PM User ID: 1165 Balance: $0.00 Payee: CORRIDOR ELECTRIC TRANSACTION LIST: Type Method Description Amount Payment Check 7438 196.80 ACCOUNT ITEM LIST: Description City of Tukwila ELECTRICAL PERMIT - NONR 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 Account Code Current Pmts 000.322.101.00.0 196.80 Total: $196.80 Payment Amount: $196.80 7198 04/18 9710 TOTAL 196.80 doc: Receipt -06 Printed: 04 -17 -2007 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 k t,o7- 03 Special nstructions: Date Called: Requester: Phone No: 06)431 -36 ' 0 PERMIT NO. COMMENTS: roved per applicable codes. Corrections required prior to approval. InspectoL /t- 2�.. Y�� �/I , / �J f/ Da / >/v ri $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: M A Project / Mt Type of Inspection: "M3 Address: �l () 7 i ,� ' /MJ,4 ate Called: S pecial Instructions: Date Wanted: _ el? i.m. Requester: Phone No: INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 COMMENTS: proved per applicable codes. Corrections required prior to approval. Inspector. iiiare/21W4// 77 / °7 $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: • TM, , s - , - `10 t. 4w7 -a3 PER 206)431 -3670 Project: ALFA ) Type of Inspection: -- 217o3 "— Address: 2/ 7W.wIL/ /N7 Q1. Date Called: Special Instructions: Date Wanted: ?// . a.m. p.m. Requester: Phone No: INSPECTION RECORD � 7 � 03 � l �� Retain a copy with permit INSPECTION NO. - PERMIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 4(31 3670 roved per applicable codes. COMMENTS: Ma- 5 1 /./47z04/9//6fr 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: Corrections required prior to approval. D ate i4 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 :/fwww,ci tukwila.wa.us Steven M. Mullet, Mayor Steve Lancaster, Director Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mai4 fax etc. Date: C5" rL (, — Plan Cheek/Permit Number: E L b -.032 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ❑ Revision # after Permit is Issued Revision requested by a City Building Inspector or Plans Examiner Project Name: '� ` t/� ` `0 r- P4 - C - 14 Project Address: k. 22 o \ — C' K w L. ik �C E 12 �<kl� y4( Oc-v .fl Fva74 Contact Person: EsT `sue j 4ZCo v A 3 Phone Number. X ' C? 7 (P Summary of Revision: 4 n 0 1 0 A.AD ry IT\ or....) A L C'_ OP, c-' T'S IA o oS — J p' i _ ©-A- V 4 P--■o. > Sheet Number(s): "Cloud" or highlight all areas of revision including date o revision Received at the City of Tukwila Permit Center by: f L )J L Entered in Permits Plus on S' I (4'07 1appliationsl[onns- applications on bnetievision submittal Created: 8-13-2004 Revised: License Information License CORRIEI993R7 Licensee Name CORRIDOR ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 602165975 Ind. Ins. Account Id 97797000 Business Type CORPORATION Address 1 721 AVE D STE E Address 2 City SNOHOMISH County SNOHOMISH State WA Zip 98290 Phone 3608628062 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 12/27/2001 Expiration Date 12/27/2007 Suspend Date Separation Date Parent Company Previous License CORRIE *015KJ Next License Associated License BERGMSP965DD Business Owner Information Name Role Effective Date Expiration Date BERGMAN, STEVEN P AGENT 12/27/2001 BERGMAN, STEVEN P PRESIDENT 12/27/2001 BERGMAN, STEVEN P VICE PRESIDENT 12/27/2001 Look Up a Contractor, Electric' an 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. Master Electrician Information License Name Status BERGMSP965DD BERGMAN, STEVEN P ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= CORRIEI993R7 04/17/2007