HomeMy WebLinkAboutPermit EL07-052 - JOHNSON BRAUND DESIGN GROUPJOHNSON BRAUND DESIGN
15200 52 AV S
ELO7-052
Parcel No.: 9844400005
Address: 15200 52 AV 5 TUKW
Suite No:
Owner:
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be compile
Cityf Tukwila
Electrical Service provided by: SEATTLE CITY LIGHT
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
Tenant:
Name: JOHNSON BRAUND DESIGN GROUP
Address: 15200 52 AV S , TUKWILA WA
ELECTRICAL PERMIT
Name: ST CORPORATION Phone:
Address: 15200 52ND AVE S , SEATTLE WA
DESCRIPTION OF WORK:
INSTALL ADDITIONAL TWO LOW VOLTAGE CAMERAS TO VIDEO SURVEILLANCE SYSTEM
Permit Number: EL07 -052
Issue Date: 04/24/2007
Permit Expires On: 10/21/2007
Contact Person:
Name: STEVE ALL WINE Phone: 206 766 -8300
Address: 15200 52 AV S , TUKWILA WA
Contractor:
Name: ALLIED SAFE & VAULT CO INC Phone: 425 988 -6500
Address: W 425 2ND AV , SPOKANE WA
Contractor License No ALLIESV275BB Expiration Date: 01/31/2008
Value of Electrical: $1,100.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
$104.00
Date: 0 [2- C a
r ed this permit and know the same to be true and correct. All provisions of law and ordinances
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 the performance of work. I am authorized to sign and obtain this electrical permit.
Signature: (T ti, �7 Date: 4. 2 I . 07
Print Name: H v CV W L `v M ' S
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 -052 Printed: 04 -24 -2007
Parcel No.: 9844400005
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
1520052AVS
Print Name: Ci V W l Lt- t M-5
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
JOHNSON BRAUND DESIGN GROUP
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL07 -052
ISSUED
04/24/2007
04/24/2007
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.
Signature: Date: - • 1 - • C77
doc: Cond -Eiec EL07 -052 Printed: 04 -24 -2007
I SITE LOCATION
Community Development Departmero
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci,tulcwila,wa.ul
King Co Assessor's Tax No.: Q VW
Site Address: 1 S o.o0 6S aND . S • Suite Number. Floor:
Tenant Name: 7bI ')Sow ge4N1) UST-6- 6.- rf0c,4 P New Tenant: ❑ .... Yes 1E1=410
Property Owners Name:
Mailing Address: 1 Saco Sol A t6 S I
Name: SIT
.
Company Name: Au,- =EA
Mailing Address: 30 S (
Contact Person: re,4 ors
Property Served bv:
❑ Puget Sound Energy
Q-Sattle City Light
F - WIIA
imotret6oPOFaawAY6rw6onOoLWA- 20o7 -111evie PenaAooiawhbe
Electrical Permit No. 2- '
Project No.
(For ewe eniy)
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 '
7
1...4.14 •
dam
519 8S
zip
DayTekpbone: 4:31)6- 74 6 - 8300
Mailing Address: 1 TACO 6' •)-^" L+ ,9i. . S . To 6 K i..01:. CA - W A . °r Bi 8 $
Gil tuft ZiP
-Mail Address: Fax Number:
I CONTACT PERSON -Who do we coated win your.permit b .ie a dy to be issued
I ELECTRICAL CONTRACTOR INPORMA ION •
A T - R e 6n1D sCGu J T �
. v41/4.c.1-10 Je-e . w,4. 98 os7
atr awn zw
evr. W optP> Day Telephone: Y' S'd 8 -% e{9 $
): -Mail Mdress: l'vlorLonor% An eel - Seat r;+ e•r Fax Number. 14 as-- ,e8 - b y Sak
Contractor Registration Number: 4 44... L 4CS S BQ Expiration Date:
Valuation of Project (contractor's bid price): S 1 t � 0 0 •
Scope of Wait (please provide detailed informations -& Tok t- A- N LT O NA L
Tw G• Uot�r4la11~ C-4 —Ri4S TD ..,=4:14-4.1 ‘4404-1.444.e..4.
Wtli service be altered? ❑ Yes (rFs
Type of Use.
Tvae of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Q-row Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes Q ---
Psge 1 ol2
RESIDENTIA
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings S75.00 ea
❑ Low voltage systems
(alarm, fumace 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)
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 OWNER OR ELECTRICAL CONTRACTOR:
Signature:(
Print Name: At w twtva
Mailing Address: 30S l y L.A.X1
t Date Application Accepted: 6(.1
2 D
H:Upplications\Forms- Applications On Line41-2007 - Electrical Permit Application.doc
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City
Date: 1 - 1 • 2 - " A • 0 1
Day Telephone: L4 2S — ` 18 $ — 1—Y `/ 8
l.• C4 g l
State Zip
Date Application Expires: (p 12J t
Staff Initials y
1l"
Page 2 of 2
SITE LOCATION
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
CONTACT.PERS
Name:
Mailing Address:
E -Mail Address:
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
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 **
ELECTRICAL CONTRACTOR INFORMATIO
H:Wpplications\Forms- Applications On line\4 -2007 - Electrical Permit Application.doc
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King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
City
City
State
State
Zip
Day Telephone:
Zip
Fax Number:
State
Zip
City
Contact Person: Day Telephone:
E -Mail Address: ax Number:
Contractor Registration Number: E 'ration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? k Yes ❑ 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
Page 1 of 2
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.: 9844400005 Permit Number: EL07 -052
Address: 15200 52 AV S TVKW Status: APPROVED
Suite No: Applied Date: 04/24/2007
Applicant: JOHNSON BRAUND DESIGN GROUP Issue Date:
Receipt No.: R07 -00653
Initials: JEM Payment Date: 04/24/2007 11:09 AM
User ID: 1165 Balance: $0.00
Payee: ALLIED SAFE AND VAULT COMPANY
RECEIPT
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1498 104.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
Account Code Current Pmts
000.322.101.00.0 104.00
Total: $ 104.00
Payment Amount: $104.00
7474 04/24 9716 TOTAL 104.00
doc: Receiot -06 Printed: 04 -24 -2007
Project:
TOltrt) <NV of oid Ats/0
Type of Inspection:
,-, /0
Address: e ) i ) A „.....,
a o .-- -.C.-2- — I/ v i
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERM!
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
pproved per applicable codes. D Corrections required prior to approval.
COMMENTS:
Inspecto7?/t, Et:(7..rx694/7,
D 1'7/o/a 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
ALLIESV275BB
Licensee Name
ALLIED SAFE & VAULT CO INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
328031417
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
W 425 2ND AVE
Address 2
City
SPOKANE
County
SPOKANE
State
WA
Zip
99204
Phone
4259886500
Status
ACTIVE
Specialty 1
LIMITED ENERGY
Specialty 2
UNUSED
Effective Date
1/2/1973
Expiration Date
1/31/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
BACONG *954J5
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUNT, TERRILL E
01/01/1980
HUNT, ROBIN R
01/01/1980
HARNEY, DWAYNE
01/01/1980
BLEVINS, LINDA
01/01/1980
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.
Master Electrician Information
License
Name
Status
BACONG *954J5
BACON, GEORGE
ACTIVE
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= ALLIESV275BB 04/24/2007