HomeMy WebLinkAboutPermit EL07-345 - RED LIONRED LION
11244 TUKWILA
INTERNATIONAL BL
ELO7-345
Parcel No.: 0923049153 Permit Number: EL47 -345
Address: 11244 TUKWILA INTERNATIONAL BL TUKW Issue Date: 07/31/2007
Suite No: Permit Expires On: 01/27/2008
Tenant:
Name: RED LION
Address: 11244 TUKWJLA INTERNATIONAL BL , TUKWILA WA
Owner:
Name: SLEEPING TIGER LLC Phone:
Address: 2900 NE BLAKELEY ST #B , SEATTLE WA
Contact Person:
Name: SERGIO TESTADO Phone: 425 - 482 -0584
Address: 7202 NE 175 ST , KENMORE WA
Contractor:
Name: G B SYSTEMS INC Phone: 425 - 482 -0584
Address: 7202 NE 175 ST , KENMORE WA
Contractor License No: GBSYSI *000CM Expiration Date: 02/14/2008
DESCRIPTION OF WORK:
RELOCATE 3 THERMOSTATS
Value of Electrical: $3,000.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Signature:
Print Name:
doc: EL -4/07
Cityf 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
S ER.(GLo "IoS\v01
ELECTRICAL PERMIT
r
$124.00
Date: 7-3f -cj
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.
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 p for:mance of wor - am authorized to sign and obtain this electrical permit.
Date: 1 3l 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 days from the last inspection.
EL07 -345 Printed: 07 -31 -2007
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
1: ** *ELECTRICAL * **
City of Tukwila
PERMIT CONDITIONS
Parcel No.: 0923049153 Permit Number: ELO7 -345
Address: 11244 TUKWILA INTERNATIONAL EL TUKW Status: ISSUED
Suite No: Applied Date: 07/31/2007
Tenant: RED LION Issue Date: 07/31/2007
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 construction or the performance of work.
Signature: � Date: 1 /4 47
Print Name: SE ° Teo 16 a7 v
doc: Cond -Elec
EL07 -345 Printed: 07 -31 -2007
Tenant Name:
Name:
Company Name:
Mailing Address:
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://Www.ci.tukwila.wa.us
Site Address: I( 244 ?ict F).n. Hwy S
5ERZ(I 10 — T4 6 1-4? " )
Mailing Address: 1 2-c g,
H:\Applications\Forms- Applications On line \42007 - Electrical Permit Application.doc
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City
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 **
King Co Assessor's Tax No.: 09)3() 15
Suite Number: Floor:
New Tenant: ❑ Yes 01 ..No
Property Owners Name:
Mailing Address:
State
Zip
I CONTACT PERSON — Who do we contact when your permit is ready to be issued
Day Telephone: (4 0 — c 4
State Zip
City
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
4f3 SI SA
.12 O M SI 41 i ■. 5 02
City // State �/ Zip
Contact Person: STS CO t dSlwt D Day Telephone: (4 2 4a S) ()I1
E -Mail Address: T 4 � Fax Number:
Contractor Registration Number: C113 S\IS 1 oda Gm. Expiration Date:
Valuation of Project (contractor's bid price): $ t4
Scope of Work (please provide detailed information): ILE 1a��� 3 E1 L4 y �
Will service be altered? ❑ Yes kJ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change rd Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm
❑ Telecommunication ❑ Temporary Service
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 $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)
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
SFR C . - 1 /4 5 - Ton a -
2-0Z n5TR
1 Date Application Accepted: '"'� 31 _ 7
H:1Applications \Forms - Applications On Line 4 -2007 - Electrical Permit Applicationdoc
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City
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
12 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.
Date: 1 /3 I /
Day Telephone: 0 2 V - 1 D 2v - oS 9'
h
State Zip
Date Application Expires: 1 31 -CJ g-
Staff Initials:
Page 2 of 2
Receipt No.: R07 -01539
Payee: SERGIO TOSTADO
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
City of Tukwila
Department of Communit 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.: 0923049153 Permit Number: EL07 -345
Address: 11244 TUKWILA. INTERNATIONAL BL TUICW Status: PENDING
Suite No: Applied Date: 07/31/2007
Applicant: RED LION Issue Date:
Initials: WER Payment Date: 07/31/2007 10:13 AM
User ID: 1655 Balance: $0.00
Amount
Payment Cash 124.00
Account Code Current Pmts
000.322.101.00.0 124.00
Total: $124.00
Payment Amount: $124.00
0080 07/31 9710 TOTAL 124.00
doc: Receiot -06 Printed: 07 -31 -2007
Project:
fitD U0/
Type of Inspection: °
/lam /�
Address. --
/I ' 0 /I/41. /Air 'z-
Date Called:
/,A
Special Instructions:
Date Wanted: �-/ /� a.m.
�j 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 -36x0
COMMENTS:
r)/4 v6i-/-- /A)
0// - F /Ah#9-6,
proved per applicable codes. Corrections required prior to approval.
InsP . r: Arrt-4441,9i (Date /2"/a 7
$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:
License Information
License
GBSYSI *000CM
Licensee Name
G B SYSTEMS INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601353544
Ind. Ins. Account Id
AGENT
Business Type
CORPORATION
Address 1
7202 NE 175Th ST
Address 2
City
KENMORE
County
KING
State
WA
Zip
98028
Phone
4254820584
Status
ACTIVE
Specialty 1
HVAC/RFRG LTD ENERGY
Specialty 2
UNUSED
Effective Date
2/14 /2000
Expiration Date
2/14 /2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
BERG *G *005CM
Business Owner Information
Name
Role
Effective Date
Expiration Date
BERG, GREG
01/01/1980
BERG, GREG
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.
Electrical Administrator Information
License
Name
Status
BERG *G *005CM
BERG, GREG
ACTIVE
I Bond Information
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= GBSYSI *000CM 07/31/2007