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HomeMy WebLinkAboutPermit EL07-122 - PUBLIC AMENITIES - TRAININGPUBLIC AMENITIES TRAINING 635 ANDOVER PK W EL07422 Parcel No.: 2623049143 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: 635 ANDOVER PK W TUICW City if 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 PUBLIC AMENITIES - TRAINING 635 ANDOVER PK W , TUKWILA WA SOUTHCENTER CORPORATE SQUARE 150 CALIFORNIA ST , SAN FRANCISCO CA KENT VANDER WEIDE PO BOX 100 , DUVALL WA ZORKO ELECTRIC INC Address: PO BOX 100 , DUVALL WA Contractor License No: ZORKOEI1210K ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: DESCRIPTION OF WORK: INSTALL OUTLETS, SWITCHES, RELOCATE LIGHTS IN GYM, TRAINING AND EMPTY OFFICE SPACES. Value of Electrical: Type of Fire Protection: Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and - governing this work will be complied The granting of this construction or Signature: Print Name: doc: EL -4/07 $8,833.00 SPRINKLERS e ( do - = not presume t of k 41( Pa Phone: Phone: 425 - 788 -7710 Phone: 425 - 788 -7710 Expiration Date: 09/12/2008 EL07 -122 05/15/2007 11/11/2007 Fees Collected: $229.60 National Electrical Code Edition: 2005 Date: i (1 1c - ed this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. ve authority to violate or cancel the provisions of any other state or local laws regulating thorized to sign and obtain this electrical permit. Date: 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 -122 Printed: 05-15 -2007 Parcel No.: 2623049143 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: Print Name: 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 635 ANDOVER PK W TUKW PUBLIC AMENITIES - TRAINING PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: Date6Iddi_ ELM-122 ISSUED 05/15/2007 05/15/2007 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 d • es not presume to give authority to violate or cancel the provision of any other work or local laws regulating cons ctio J. r the performance of work. EL07 -122 Printed: 05-15 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tkwila. we. 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 ** c King Co Assessor's Tax No.: Site Address: 3 S A ,&?Mz.\4 Suite Number: 6\ a New Tenant: ❑ Tenant Name: Ekdit/A, p 1/ _ � kM f� if, C Property Owners Name: ' t N N$•C.' ULA.\ '� 4 - `F • Mailing Address: Name: V o _ Lter J.11.‘', — Mailing Address: ? . (5 • a7C. l b0 E -Mail Address:L ✓ & 3311L1 Company Name: LZC►R. 4 EtQldo c.- ZlU C-- Mailing Address: • 'o p 7zelle /0 vc.k.V 1,, Contact Person: t V Q.+w A n r d a E -Mail Address: 1 Am-4.. 23..s4-1 • e-csv■ Contractor Registration Number: `!'L lie Et it/ I el Will service be altered? ❑ Yes KNo Type of Use: A nA4M.146..A A eo Type of work: ❑ New ❑ Addition ❑ ❑ Low Voltage ❑ Generator Property Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc bh Service Change Fire Alarm Electrical Permit No. et,o1-12,1, Project No. (For office use only) City $1 5 State Floor: t Yes R:.No Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: 4 t5 '7 231 a 7 7 o -- Dv rc...f1 9$0 /g City ,,11 State Zip �1�rv■ Fax Number: 4 Zs ? 7 7 3 ELECTRICAL CONTRACTOR INFORMATION City State Zip Day Telephone: 4 Sg - 7 7 I( Fax Number: 1 t -- 7 - 77 3 o Expiration Date: 9 I IZ /tLTC i I? Valuation of Project (contractor's bid price): $ g QS 3 Scope of Work (please provi s e detailed information):I © 2'v5 - �Wi S t?t 0 C - 4 - 4 4 - Adding more than 50 amps? la Remodel ❑ Telecommunication ❑ Yes 1F(No M Tenant Improvement ❑ Temporary Service Page 1 of 2 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) Sae RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea Mailing Address • 0 • 1 C f( I Date Application Accepted: 6, o1 H:\Applications\Forms- Applications On Line \4 -2007 - Electrical Permit Application.doc bh ftw MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. City Date Application Expires: 11 --IS-- o ? 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 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. BUILDING OW , R 'f r E ICAL CONTRACTOR: Date: 3 / /'I6 4 Signature: i Print Name: 'ac V CLAAA Day Telephone: 4i_ 7 Z" - 7 ? 1 0 w 9510 Of State Zip Staff Initials: Page 2 of 2 Receipt No.: R07 -00840 Payee: ZORKO ELECTRIC 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.: 2623049143 Permit Number: EL07 -122 Address: 635 ANDOVER PK W TUKW Status: APPROVED Suite No: Applied Date: 05/15/2007 Applicant: PUBLIC AMENITIES - TRAINING Issue Date: Initials: BLH Payment Date: 05/15/2007 01:44 PM User ID: ADMIN Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 6066 229.60 Account Code Current Pmts 000.322.101.00.0 229.60 Total: $229.60 Payment Amount: $229.60 8214 05/15 9716 TOTAL 517.60 doc: Receiot -06 Printed: 05-15 -2007 Pr ject: / �1LGiC �/'lf/� /i /�-�� t4 Type of InspecS' n: ,' /UV A d�,ss: Date Called: Special Instructions Date Wanted: 6/ a.m p.m. Requester: Phone No: 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PER (206)431 -3670 COMMENTS: ved per applicable codes. El Corrections required prior to approval. Ins c ofiL V ` 3 a 7 , 6469A // IDate:c, /4_ / 0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Project: »e s9m`, T/t s - G Type of Inspection: 7 3 Ad r s Date Called: Special Instructions: Date Wanted: 0/. 2 a.m. p.m. Requester: Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 6,07 —/ y 2 PERM (206 431 -3670 roved per applicable codes. Corrections required prior to approval. COMMENTS: Inspect fi ames.48144/ Date)5 t, I d /z74 T7 ❑ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Project: RA.6i l c. A fif ern-Tie Type of Inspection: )J, Den< 904 At • N / . LAS Addre ss: /0.35 A AiDoV 1L / I lw,y Date Called: t 4 J L I . !� / Special Instructions: _ Date Wanted: 2 — /5 D P f a.m. p.m. Requester: 9 99 9 Phone No: .,?r.3— . ?''J')— /,-,2 / '7001 I INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 £2 /a.2 (206)431 -3670 Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: SLA1 Inspecto . Dat z�P,zy , / ??N - /- 17- 0 7 $58.00 EINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: Business Owner Information Name Role Effective Date Expiration Date VANDERWEIDE, KENT 01/01/1980 VANDERWEIDE, KENT AGENT 01/01/1980 Look Up a Contractor, Electr^ian 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 1 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 ZORKOEI121 OK ZORKO ELECTRIC INC ELECTRICAL CONTRACTOR 601099999 CORPORATION PO BOX 100 DUVALL KING WA 98019 4257887710 ACTIVE GENERAL UNUSED 9/12/1988 9/12/2008 VANDES* 145NB VANDEK *975CS Master Electrician Information License Name Status VANDEK *975CS VANDERWEIDE, KENT ACTIVE I Bond Information httnc• / /fnrtrpcc wa ornv/lni/hhin /nrinter acny?T.irence= 7fPKfFT1)1(MC ns /1 S / ')nm