HomeMy WebLinkAboutPermit EL07-315 - PUBLIC AMENITIES - GYMT
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Parcel No.: 2623049143
Address:
Suite No:
635 ANDOVER PK W TUKW
Tenant:
Name: PUBLIC AMENITIES - GYM
Address: 635 ANDOVER PK W , TUKWILA WA
Owner:
Name: SOUTUCENTER CORPORATE SQUAR
Address: 150 CALIFORNIA ST , SAN FRANCISCO CA
Contact Person:
Name: KENT VAN DER WIEDE
Address: P 0 BOX 100 , DUVALL WA
Contractor:
Name: ZORKO ELECTRIC INC
Address: PO BOX 100 , DUVALL WA
Contractor License No: ZORKOEl1210K
DESCRIPTION OF WORK:
ADD 4 DEDICATED OUTLETS, 2 SWITCHES
Value of Electrical: $1,875.00
Type of Fire Protection:
City.,f 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 Service provided by: PUGET SOUND ENERGY
The granting of this
construction or th
Signature:
doc: EL -4/07
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 - 788 -7710
Phone: 425 -788 -7710
Expiration Date: 09/12/2008
ELOZ -315
07/19/2007
01/15/2008
Fees Collected: $104.00
National Electrical Code Edition: 2005
r
Permit Center Authorized Signature: v V Date: — 1' I R (f)
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.
rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
work. I am authorized to sign and obtain this electrical permit.
Date: 7-/9
Print Name: ( /� V
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 -315 Printed: 07 -19 -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 - GYM
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
ELOZ -315
ISSUED
07/19/2007
07/19/2007
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: 6a Date: / / -0 7
Print Name: V ' C� /L 2r5 _AD
doc: Cond -Elec
EL07 -315 Printed: 07 -19 -2007
4-
Name:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto:/ /www. ci. tukwila. wa. us
Site Address: 6 35 Aytiov44. 9w2..Y Li
Tenant Name: PV b' Aiyt i .L't � gl ysiel
Property Owners Name: ? 'r 44.A41 l 44 WS( _
;
Mailing Address: At& Go Ali 5,,WAk lM S ! ..404 t
City
CONTACT PERSON -
ho do we contact when your permit is ready to be issue
Day Telephone: AZ5 7 'Bit 77
Mailing Address: . 6 . V (c...11 t.A.rtoc ?"60/
`'� City A State Zip
E -Mail Address: XR. VQ '27.3.4t443 e-- �G . Cst�m Fax Number: 42 71St 7 3 O
Vo.
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 INFORMATION
Company Name: a'dR. '.C.
Mailing Address:. d O • 'r( /0 V V c . 9 so
Contact Person: 1.Ia lc t V o..w_e
E -Mail Address: ✓ j(L 1 - 15 \nx. C • 0-ttviN
Contractor Registration Number: '`(L 1 e.\ MI ( a V.,
Valuation of Project (contractor's bid price): $ j 5 r t ( ,,r
Scope of Work (please provide detailed information): 4AA. � d.l. c.,, J�-d.- O,J- CQ.'C5 a
5'wAsccio6
H: Applications\Porms- Applications On Lineal -2007 - Electrical Permit Application.doc
bh
Electrical Permit No.
Project No.
or office use only)
King Co Assessor's Tax No.: (9)- C)
Suite Number:
New Tenant:
Floor:
❑ Yes X.No
wA
State
Expiration Date: 91IZ tau Y
Zip
City State Zip
Day Telephone:' —Z 8 7 7 AI
Fax Number: 4 Zs- 7 - 7 7 3
Will service be altered? ❑ Yes[}` No Adding more than 50 amps? ❑ Yes tto No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change '* Remodel 1-Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Prope Served by:
Puget Sound Energy
❑ Seattle City Light
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
El 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)
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 THA I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJUR B ` I LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OW
CA C ! ' ;'CTOR:
Signature: , ` �.
Print Name: \ `� V G ..v d n - �.�1 �--
Mailing Address • 0 a '�t97C f(C)
HA Applications On Lineal -2007 - Electrical Permit Application.doc
bh
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
Date: i/, loi-
Day Telephone: 41-6 7 "5 ' - 7 7 I O
W +4a
910 )et
State Zip
Cit
MULTI - FAMILY AND COMMERCIAL
MISCELLANEOUS FEES
I Date Application Accepted:
Date Application Expires:
Staff Initials:
Page 2 of 2
Receipt No.: R07 - 01431
Payee: ZORKO ELECTRIC
ACCOUNT ITEM LIST:
Description
doc: Receiot -06
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 -315
Address: 635 ANDOVER PK W TUKW Status: PENDING
Suite No: Applied Date: 07/19/2007
Applicant: PUBLIC AMENITIES - GYM Issue Date:
Initials: WER Payment Date: 07/19/2007 09:48 AM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 6070 104.00
Account Code Current Pmts
000.322.101.00.0 104.00
Total: $104.00
Payment Amount: $104.00
0471 07/20 9716 TOTAL 248.00
Printed: 07 -19 -2007
P i/&,c `7 1�f /"/ / 1fS - 6l/' i
f /
Type of Inspect4n: �
�• C �
v
A d :
Date Called:
,.......
Special In tructions:
Date Wanted: � / �
,
a
m.
Requester:
Phone No:
3
INSPECTION RECORD
Retain a copy with permit
PERMIT NO. /1 r -
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
MMENTS:
+ roved per applicable codes. ['Corrections required prior to approval..
'Inspect
- ( /v11,//417#9
US M q (
$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:
Pr ect:
/W9-IC C hrneit
),46 9 YA
Type of Inspe n
Y�� 3
Aryl; p
/ g i�W
Date Called:
Special Instructions:
Date Wanted: �! „,
Carr
p.m.
Requester:
Phone No:
INSPECTION RECORD
I Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION V.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 3
COMMENTS:
---
roved per applicable codes. Corrections required prior to approval.
I IDat / rjo
x $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:
Type of Inspection:
77
Address:
.(.-7c fi/libolitx 4 &
Date Called:
Special Instructions:
Date Wanted:
r,
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
PERM
NO
( 06)431 -36
OMMENTS:
proved per applicable codes. El Corrections required prior to approval.
Inspec
/1, Arr
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:
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 07/19/2007