Loading...
HomeMy WebLinkAboutPermit EL07-043 - PDSPDS 12761 GATEWAY DR ELO7O43 Parcel No.: 2716000060 Address: Suite No: 12761 GATEWAY DR TUKW Tenant: Name: PDS Address: 12761 GATEWAY DR , TUKWILA WA Owner: Name: AMB INSTITUTIONAL ALLIANCE Phone: Address: C/O MCELROY GEORGE & ASSOC , 3131 S VAUGHN WAY STE 301 Contact Person: Name: JAMES REVEAR JR Phone: Address: 15610 65 AV CT E , PUYALLUP WA Contractor: Name: NEX -US TELECOMMUNICATIONS Phone: Address: 15610 65 AV CT E , PUYALLUP WA Contractor License No: NEXUST*973JP DESCRIPTION OF WORK: ISNTALL PHONE AND COMPUTER CABLES FOR 30 -40 WORKSTATIONS. Value of Electrical: $5,800.00 Type of Fire Protection: SPRINKLERS Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: 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 •f this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction - the performance of work. Ipm authorized to sign and obtain this electrical permit. Signature: Print N CityLJf Tukwila aet 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 Permit Number: EL07 -043 Issue Date: 04/20/2007 Permit Expires On: 10/17/2007 Expiration Date: Fees Collected: National Electrical Code Edition: 253- 223 -4690 253 - 223 -4690 04/17/2009 Date: $180.40 2005 Date: V /22 k / 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 EL07 -043 Printed: 04 -20 -2007 Parcel No.: 2716000060 Address: 12761 GATEWAY DR TUKW Suite No: Tenant: PDS 1: ** *ELECTRICAL * ** Signature: h ftYW 3 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 Permit Number: EL07 - 043 Status: ISSUED Applied Date: 04/20/2007 Issue Date: 04 /20/2007 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 construction or the performance of work. Print N ��s /" IeV ' ar Date: W20/0 7 EL07 - 043 Printed: 04 -20 -2007 CITY OF TUKWILA Community Developme lepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 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: 1a / 76 I 60 1e way or. Tenant Name: P D .5 Property Owners Name: Address: 1 1 (0 1 6Q-4-6/Ja Pr King Co Assessor's Tax No.: Zi ( (QC)0 OC(' ) Suite Number: Floor: 1 5 T New Tenant: [I.... Yes ❑ ..No t )4. 9 e1.t ate 3 City St Zip CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: 021 VIA S t /ea r Day Telephone: (253) 223- y6 j`' Mailing Address: 1570 6 r #1 v . 6T. vQ//u� (.r/14 , F8375 / City State Zi p E -Mail Address: - 77 ( @ 04$x7 . 6/0-7 Fax Number5 6 ,38" / cq 8J7 ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: JkX-c s T2 /e owl /71 f q -/ vi 5 C $ 4 ire. Cl. 6". P yo/4�, &44 • I�P3�� � Zip Contact Person: c lc l� Q v1? / I fe . Day Telephone: (25 273-V6 �O E -Mail Address: JREvcde /Y1 ASH . CO 4-i Fax Number: (253) 5-3g- y��/ Contractor Registration Number: N Lax t s1 9/73-0 Expiration Date: o y /1' /o 9 Valuation of Project (contractor's bid price): $ 1 j , 5 00 Scope of Work (please provide detailed information): 1'1 -k 1 t P t4 o✓12 et vtCi C o t n.cet.( -i ( Co to ks -jr 30 - y0 ctJor ks o0So Will service be altered? ❑ Yes d No Adding more than 50 amps? ❑ Yes 0 No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ( "Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light HAApplications\Porms- Applications On Line14-2007 - Electrical Permit Application.doc Page 1 of 2 RESIDENTIAL ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea NEW RESIDENTIAL SERVICE ❑ 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 OWNER OR ELECTRICAL CONTRACTOR: Signature: Print N Mailing A Date Application Accepted: A -20 H:Wpplications\Forms- Applications On Line 4 -2007 - Electrical Permit Application.doc MUL'I:MILY 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. Date: V/207260 Day Telephone: (2C 3) ZZ 3- `f(o l v Pcix /Ar cv, . 997 t State Zip Date Application Expires: /D _ 0 , 7 Staff Initial Page 2 of 2 Parcel No.: 2716000060 Permit Number: ELO7 -043 Address: 12761 GATEWAY DR TUKW Status: APPROVED Suite No: Applied Date: 04/20/2007 Applicant: PDS Issue Date: Receipt No.: R07 -00624 Initials: BLH Payment Date: 04/20/2007 09:57 AM User ID: ADMIN Balance: $0.00 Payee: NEX -US COMMUNICATIONS TRANSACTION LIST: Type Method Description 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 Amount Payment Check 3822 180.40 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Account Code Current Pmts 000.322.101.00.0 180.40 Total: $ 180.40 Payment Amount: 5180.40 7324 04/20 9716 TOTAL 180.40 doc: Receipt -06 Printed: 04 -20 -2007 Project: Type of Inspe don:: Address: /L »3 64 ti4 y Called: I S//g Special Instructions: Date Wanted: ..r/2 / a.m. p.m. Requester: Phone No: ki.02-0n INSPECTION NO. PERM O CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 ( 06)431 -3670 INSPECTION RECORD Retain a copy with permit COMMENTS: 0/0f/i/U4 roved per applicable codes. Corrections required prior to approval. P Pp � � q P � PP roval. 3 Inspec7 , CV1— o Da /\ /G, 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: Project�� Type of Inspection: /0'0 Add `° , / �J l C�/� 1�`G✓�1 �� 2 Date Called: S ecial Instructions: / Date Wanted: .. a.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 (206)431 -36 c orrections required prior to approval. COMMENTS: VPO,JJ M.'/1 Tr/// //1 Approved per applicable codes. Inspec Ein Date: / //0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. j Receipt No.: Date: Project:nc Type of lnspej - Address: 6/ /on . - t ill Y Date Called: Special Instructions: Date Wanted: a.m. 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 6/.42-010 Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspectn fi074/469//6# Date / / l 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: COMMENTS: Type of Inspection: - 7a U.3 X 779 C9 ,/t)d 1" - //' r%af i ?Y / / /()r tfN,E gE Sow. Tli 4' C / //t)G Cry/ a Special Instructions: Date Wanted: �f / r a.m. P.m. Requester: Phone No: Project, 5 Type of Inspection: - 7a U.3 Address: /),763 Cmrx e ,62 Date Called: Special Instructions: Date Wanted: �f / r a.m. P.m. Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 D Approved per applicable codes. INSPECTION RECORD Retain a copy with permit Corrections required prior to approval. Inspecto . / ia_ L<w 7r/L/ ' ,J//6 J1 Date / r/U 7 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: License Information License NEXUST *973JP Licensee Name NEX -US TELECOMMUNICATIONS Licensee Type ELECTRICAL CONTRACTOR UBI 602288444 Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 15610 65TH AVE CT E Address 2 City PUYALLUP County PIERCE State WA Zip 98375 Phone 2532234690 Status ACTIVE Specialty 1 TELECOMMUNICATIONS Specialty 2 UNUSED Effective Date 4/17/2003 Expiration Date 4/17/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License REVEAJ *973JP Business Owner Information Name Role Effective Date Expiration Date REVEAR, JAMES JR OWNER 04 /17/2003 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 4 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. Electrical Administrator Information License Name Status REVEAJ *973JP REVEAR, JAMES ACTIVE Bond Information I Bond I Bond I https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= NEXUST *973JP 04/20/2007