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HomeMy WebLinkAboutPermit EL07-123 - PUBLIC AMENITIES - TENANTPUBLIC AMENITIES 635 ANDOVER PK W ELO7-123 Parcel No.: 2623049143 Address: 635 ANDOVER PK W TUKW Suite No: Tenant: Name: PUBLIC AMENITIES - TENANT Address: 635 ANDOVER PK W , TUKWILA WA Owner: Name: SOUTHCENTER CORPORATE SQUARE Phone: Address: 150 CALIFORNIA ST , SAN FRANCISCO CA Contact Person: Name: KENT VANDER WEIDE Phone: 425 -788 -7710 Address: PO BOX 100 , DUVALL WA Contractor: Name: ZORKO ELECTRIC INC Phone: 425 - 788 -7710 Address: PO BOX 100 , DUVALL WA Contractor License No: ZORKOEI1210K Expiration Date: 09/12/2008 DESCRIPTION OF WORK: INSTALL OUTLETS, SWITCHES, RELOCATE LIGHTS IN EMPTY TENANT SUITE. Value of Electrical: $2,715.00 Type of Fire Protection: SPRINKLERS Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Signature: Print Name: doc: EL -4/07 City 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 rgAk Permit Number: EL07 -123 Issue Date: 05/15/2007 Permit Expires On: 11/11/2007 Fees Collected: National Electrical Code Edition: $124.00 2005 Date: Eji5 I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied whether specified herein or not. The granting of this pe , doe : not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or • erf e of yv)ork. I an horized to sign and obtain this electrical permit. Date: 5G1% -` 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 -123 Printed: 05-15 -2007 Parcel No.: 2623049143 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 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 - TENANT PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: ELM-123 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. S: 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 constructio or the performance of w Signature: Print Name: doc: Cond -Elec a-de_giakc Date: EL07 -123 Printed: 05-15 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.cLtukwila.wa.us bltk - t Electrical Permit N Project No. ce 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 ** SITE LOCATION Site Address: 6:2)s Ahiciativp4t.„ Tenant Name: Property Owners Name: Mailing Address: King Co Assessor's Tax No.: (� Suite Number: '1dt' Floor: { New Tenant: ❑ Yes ❑ ..No CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: AZ-1 ? "7 7 1 CI 10 —11 LAJA ?ISO 1, City ,1 State Zip E -Mail Address: VQ -� ¢— <%►G . Cam . Fax Number: 41.6 7$is - 7 7 3 O Name: Y'C v ° _ `A &a . 21.A..- Mailing Address: Ire • 6 • 157( / b0 ELECTRICAL CONTRACTOR INFORMATION Company Name: ed2v.e, 1 Mailing Address:. '0 . ',c / 0 . � V V �` Contact Person: VA.ct E -Mail Address: VS,+n ' ✓P . :1,-14-1 4 An.P.— C • 0 -111rri Contractor Registration Number: te.ta e.1 VU. ( Ana 9' Asa / �► City State Zip Day Telephone:42 -5 ? 8- 77 /i Fax Number: 4 t - 71§8 — 7 7 3 0 Expiration Date: 9).12 hats Y Valuation of Project (contractor's bid price): $ 7 /5 /r rr -- _ Scope of Work (ple se provide detailed information): Y»4t. ee ( 0 L_4s , SU S t Will service be altered? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Pu Sound Energy ❑ Seattle City Light H: Wpplications\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc bh Adding more than 50 amps? ❑ Yes ❑ No Tenant Improvement Page I of 2 Signature: Print Name: \ A V CM ",A 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 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) Mailing Address • d 'er7C /'00 Date Application Accepted: 1 H: \Applications'Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc 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 $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 OWNER OR ELECTRICAL CONTRACTOR: Date: Day Telephone: 4Z-s 7 D 71 I c vtak w14. 9'o )( City State Zip Date Application Expires: ' I —t C O 7 Staff Initial Page 2 of 2 Parcel No.: 2623049143 Permit Number: EL07 -123 Address: 635 ANDOVER PK W TUKW Status: APPROVED Suite No: Applied Date: 05/15/2007 Applicant: PUBLIC AMENITIES - TENANT Issue Date: Receipt No.: R07 -00841 Initials: BI,g Payment Date: 05/15/2007 01:46 PM User ID: ADMIN Balance: $0.00 Payee: ZORKO ELECTRIC INC TRANSACTION LIST: Type Method Description Amount Payment Check 6066 124.00 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 Account Code Current Pmts 000.322.101.00.0 124.00 Total: $124.00 Payment Amount: $ 124.00 8214 05/15 9716 TOTAL 517.60 doc: Receiot -06 Printed: 05-15 -2007 Project: t, 9 Gic A�" /F S- WANr Type of Inspection: I U" t ress; 3 - FNA Date Called: Special Instructions: Date Wanted /7 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 I lnsp�ytQ�.� f2 17WA 4/- I SA7 14.07 )7,1 PERM (206)431 -360 p roved per applicable codes. El Corrections required prior to approval. /COMMENTS: $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: P u,Q! ! c A /I !')ii7) s Type of Inspection: �f S ti s P/7�/.L7/'ii [ , / Ai Address: Q / 3r /9WDhi/rn J9APr v/ Date Called: // 1, " / 0 Special Instructions: Date Wanted: 4 •"-/5-07 a.m. p.m. Requester: 9 99 9 Phone No: p,75 I NSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 n/ I Approved per applicable codes. COMMENTS: QX & JAJ I INSPECTION RECORD Retain a copy with permit 40 Date: /77R K /t�I M2,7 4' /5 •D (206)43 1 -3670 ❑ Corrections required prior to approval. $58.O0 FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: _ Yik�i�x• �f,..�..?f -� `SFLCn.i'd�.w.a+i'+��+i'1 ": Project: /ijj9p C /9 / i / -. -r Type of Inspection: 7 00 dres s: ( S ovM f� Date Called: Special Instructions: Date Wanted: / // a.m. p.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 (206)431 -3670 COMMENTS: Ck—w&L roved per applicable codes. El Corrections required prior to approval. Inspects /LG apbr-rgen�/ , `Date //' 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: ki-07-/2.3 PERMIT NO. lT1" Business Owner Information Name Role Effective Date Expiration Date VANDERWEIDE, KENT 01/01/1980 VANDERWEIDE, KENT AGENT 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. 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 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= ZORKOEI121 OK 05/15/2007