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Home My WebLink AboutPermit EL07-161 - QWESTT9T 1.S 08i S i0i9 Parcel No.: Address: Suite No: doc: EL - 4/07 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: DESCRIPTION OF WORK: ADD POWER TO COMMUNICATIONS RACKS Value of Electrical: 126,000.00 Type of Fire Protection: Electrical Service provided by: Permit Center Authorized Signature I hereby certify that I have read an governing this work will be compli The granting of this permit; oes • t p construction or the perfoy'. ce •f w ��_ i Signature: / I Print Name: ' !l 3523049120 6101 S 180 ST TUKW Cit3f 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 QWEST 6101 S 180 ST , TUKWILA WA LA PIANTA LLC PO BOX 88028 , TUKVVI A WA ANDRE OST 9800 E EASTER AV, STE 140 , CENTENNIAL CO Contractor: Name: NETSTRUCTURES LLC Address: 9800 E EASTER AV, STE 140 , ENGLEWOOD CO Contractor License No: NETSTL *934K3 „Ai ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 303 961 -7372 Phone: 303 539 -0080 Expiration Date: 05/23/2009 ELO7 -161 05/31/2007 11/27/2007 Fees Collected: $1,814.00 National Electrical Code Edition: 2005 Date: nkittri- ex . ed this permit and know the same to be true and correct. All provisions of law and ordinances th, whether specified herein or not. s e to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this electrical permit. Date: 5: 3i -Q 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 clays from the last inspection. EL07 -161 Printed: 05-31 -2007 Parcel No.: 3523049120 Address: 6101 S 180 ST TUKW Suite No: Tenant: QWEST 1: ** *ELECTRICAL * ** Signature: Print Name: doc: Cond -Elec 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 City of Tukwila � • ,,trAnyi.., PERMIT CONDITIONS Permit Number: EL07 -161 Status: ISSUED Applied Date: 05/31/2007 Issue Date: 05/31/2007 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 co ns � t ction or th erf rmance of work. Date: 1-67 EL07 -161 Printed: 05-31 -2007 two CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://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: 4/ of s I ISO Tenant Name: aim 4- Property Owners Name: Mailing Address: CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: 1- 1r.c�ri C_) n Mailing Address: 9� P. E -Mail Address: O p r3f ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: r E -Mail Address: Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light �(n Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information Will service be altered? ❑ Yes 0 No H: Applications\Fmms- Applications On Line4 -2007 -Electrical Pemit Application.doc bh Day Telephone: .13- 941- ?-3 7 2 s+e. i ' e „14. ,n+'j 06 gAi 't?, City State Zip Fax Number: 4 . 14_ City State Zip Day Telephone: 303— 5 — 00 'c`) l ` C Fax Number: . Q3 — 539 — 0051 Contractor Registration Number: /V>�r �� 9 - ?4 , /e5 Expiration Date: D o 0 Project No. Electrical Permit No. (For office use only);'' King Co Assessor's Tax No.: . ' 119-0 Suite Number: /03 Floor: New Tenant: ❑ Yes ®..No yG / dku/hia, City nnta 114 91/Vg State Zip C nrovliCJo.r1s+,pN s RV' ik Adding more than 50 amps? ❑ Yes Xi No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm t Telecommunication ❑ Temporary Service ❑ Remodel ❑ Tenant Improvement Page 1 of 2 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 S75.00 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) PERMIT APPLICATION NOTES 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 I R ELE w ' CAL CONTRACTOR: / Signature: Print Name: Mailing Address: Date Application Accepted: H:Applications\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc bit Fees are based on the valuation of the electrical contract. {] 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 Day Telephone: City MULTI- FAMILY AND COMMERCIAL MISCELLANEOUS FEES Date: .5 3 0 State Zip Date Application Expires: Staff Initials: Page 2 of 2 Parcel No.: 3523049120 Address: 6101 S 180 ST TUKW Suite No: Applicant: QWEST Receipt No.: R07 -00975 Initials: JEM User ID: 1165 Payee: ANDRE D. OST 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 TRANSACTION LIST: Type Method Description Amount Payment Check 1073 1,814.00 Account Code Current Pmts 000.322.101.00.0 1,814.00 Total: $1,814.00 Permit Number: EL07 - 161 Status: PENDING Applied Date: 05/31/2007 Issue Date: Payment Amount: $1,814.00 Payment Date: 05/31/2007 09:14 AM Balance: $0.00 8791 06/01 9716 TOTAL 1814.00 doc: Receipt -06 Printed: 05 -31 -2007 (. T Type of v v INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Inspec INSPECTION RECORD Retain a copy with permit 4.e _iP4 �::�.�► t.. . (2 )431 -3 MMENTS: oie f //m //4/1)4,s ///ola/kik roved per applicable codes. Corrections required prior to approval. e 7 u‘ . /7/ Dat x/07 JJ $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: C 3 ) tiliSr Type of 193pection: _3 Address: 140/ -c I 9:0 Cr Date Called: Special Instructions: Date Wanted: / &/ p.m. Requester: Phone No: 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (407 /6 / IT NO. (206)431-3670 rZ pproved per applicable codes. El Corrections required prior to approval. COMMENTS: a(- 034 e 34 cmcu rrs /-z6 &PR- Z 3 ' - 6 LW/73 1' 'Inspector) / elca I 'Da& El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. 'Receipt No.: IDate: y :34.-*":*--4e' Project: I Type of Inspection: 707 Adez y, Date Called: Special Instructions: Date Wanted: �/ 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 PERN►T NO (20 431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: � � y )fTA)(- f29C7Z c �s xaii,'&i eY tiicc � /v C44'/1 1/LL ' e ` 4' ,/ IDate / El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: IDate: Business Owner Information Name Role Effective Date Expiration Date MCCOY, FREDERICK J PARTNER/MEMBER 05/23/2007 WILSON, ZACHARY T PARTNER/MEMBER 05/23/2007 Look Up a Contractor, Electrician or Plumber License Detail 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 NETSTL *934K3 NETSTRUCTURES LLC ELECTRICAL CONTRACTOR 602626403 LIMITED LIABILITY COMPANY 9800 E EASTER AVE. SUITE 140 ENGLEWOOD OUT OF STATE CO 80112 3035390080 ACTIVE GENERAL UNUSED 5/23/2007 5/23/2009 NETSTL *949PB OST *AAD930KP Electrical Administrator Information License Name Status OST *AAD930KP OST, ANDRE DOMENIK ACTIVE https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= NETSTL *934K3 Page 1 of 2 05/31/2007