HomeMy WebLinkAboutPermit EL07-418 - INSPA6TT'ILS
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Parcel No.: 2623049081
Address: 17100 SOUTHCENTER PY TUKW
Suite No:
Tenant:
Name: INSPA
Address: 17100 SOUTHCENTER PY, STE 112 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS Phone:
Address: 4811 134TH PL SE , BELLEVUE WA
Contact Person:
Name: LEON PARKS Phone: 253 248 -2002
Address: 1106 54 AV E , TACOMA WA
Contractor:
Name: SMITH FIRE SYSTEMS MGMT LLC Phone: 253- 926 -1880
Address: 110654 AV E , TACOMA WA
Contractor License No: SMITHFS946LO Expiration Date: 06/20/2008
DESCRIPTION OF WORK:
LOW VOLTAGE: ADD NOTIFICATION TO THE EXISTING FRCP, FOR THE PURPOSE OF TENANT
IMPROVEMENT.
Value of Electrical: $8,065.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: /
I hereby certify that I have read and
Cityif 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
governing this work will be complied ' , whether specified herein or not.
The granting of this permit does not pr
construction or the performance of w
Signature:
Print Name:
ELECTRICAL PERMIT
Fees Collected:
Permit Number: EL07 -418
Issue Date: 08/22/2007
Permit Expires On: 02/18/2008
$229.60
Date: DI IlaktYl"
ed this permit and know the same to be true and correct. All provisions of law and ordinances
e authority to violate or cancel the provisions of any other state or local laws regulating
orized to sign and obtain this electrical permit.
Date: 0:07
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.
doc: EL -4/07 EL07 -418 Printed: 08 -22 -2007
Parcel No.: 2623049081
Address: 17100 SOUTHCENTER PY TUKW
Suite No:
Tenant: INSPA
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
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PERMIT CONDITIONS
Permit Number: EL07 -418
Status: ISSUED
Applied Date: 08/22/2007
Issue Date: 08/22/2007
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 performanp of work.
Si
Date:
EL07 -418 Printed: 08 -22 -2007
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
King Co Assessor's Tax No.: 2_6Z5 D t O O$\
Site Address: 11 WO So k C e v4 e( pe.f lLW cam Suite Number: < <Z- Floor:
Tenant Name: T■ IV G•.
Property Owners Name: W °, Pi -e
Mailing Address: L1 I 13 0,0' • E
Name: t- e o k ?c - kes..5
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 **
Mailing Address: t\ 0 (c' • A - e• C
Will service be altered? ❑ Yes A, No
Type of Use: *0Cfn . l
Tvpe of work:
❑ New ❑ Addition
. Low Voltage ❑ Generator
Property Served by:
at Puget Sound Energy
❑ Seattle City Light
H: Appliations\Forms- Applications On Line4-2007 - Electrical Permit Application.doc
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❑ Service Change
l.. Fire Alarm
Electrical Permit No.
Project No.
(For office use only)
City
New Tenant: - Yes ❑ ..No
7io o c0
W VI
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Day Telephone: S 3- 2 c! Y 2 0 O Z.
1 vv ,A 4ligZY
City State Zip
E -Mail Address: Fax Number: a 5 3 -- ° l 2 (c) - 0 7 Z (o
I ELECTRICAL CONTRACTOR INFORMATION
Svc ; to ( -e s ✓V1 c.,/in&C 4Ae4A k 1 L- LC-
Company Name:
Mailing Address: 1 \ 0 (0 S 4an. A-u- . 4. TQ..c,.O a- w 114 9 eq-z.q
n City State Zip
Contact Person: L.- 01A. ( it L S Day Telephone: a 5 - a 4 - Z 0 O Z
E -Mail Address:
Contractor Registration Number: g ii 1-1--w F.5 9 4 (o L 0 Expiration Date: to /Z 0/ D 3
Fax Number: - Q Z ( - 01 Z (o
Valuation of Project (contractor's bid price): $ 0 C' (o S
Scope of Work (please provide detailed information): A 01 v oc : o v ,_ A- 9k„-.
scZ5s‘: y, 0 f `4 1 oLA-i yD05e- o c A-
vwe { OV- evv. -e r•-
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel - Tenant Improvement
❑ 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 CHANCES
❑ 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 ELECTRWAL CONTRACTOR:
Signature:
Print Name: c ,1 � e— pp
Mailing Address: \ ` 0 (0 6 "1 " \l1e - C.i,
Date Application Accepted: f(
HAApplications\Fonns- Applications On Lineal -2007 - Electrical Permit Application.doc
bh
MULTI- FAMILY AND COMMERCIAL
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 $10.00 ea
PERMIT APPLICATION NOTES
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Day Telephone:
1 -0' CO v1n (n
cit
MISCELLANEOUS FEES
Date: r /2'(0 7
253 — 2 L{ 2-(.9cj'
State Zip
Staff Initials: I
Date Application Expires:
Page 2 of 2
Parcel No.: 2623049081 Permit Number: EL07 -41$
Address: 17100 SOUTHCENTER PT TUKW Status: ISSUED
Suite No: Applied Date: 08/22/2007
Applicant: INSPA Issue Date: 08/22/2007
Receipt No.: R07 -01768 Payment Amount: $229.60
Initials: JEM Payment Date: 08/22/2007 09:54 AM
User ID: 1165 Balance: $0.00
Payee: SFSM
TRANSACTION LIST:
Type Method Description Amount
Payment Check 01636 229.60
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
000.322.101.00.0 229.60
Total: $229.60
1 906 08/22 9710 TOTAL 229.60
doc: Receiot -06 Printed: 08 -22 -2007
Project:
Type of Inspection: ^
�`
\
/ 2/ VV � GfN I
,Date
9 W�/
�j[
Called:
Special Instructions:
Date Wanted:
/
/// ! `r-
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION It
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7
v?3
COMMENTS:
proved per applicable codes. El Corrections required prior to approval.
I ` /�� n ' c I
$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:
(G07- r/s
Project:
� 1//
Type of Inspection: 7005
Address:
/
ate Called:
Special Instructions:
Date Wanted:
/U / / t
: m
Requester:
Phone No:
INSPECTION RECORD 1
Retain a copy with permit 407— W 7
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION jZ
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMMENTS: M
� ) G 1)//LC S
�7 fi4/l1 G/4 C- E /G /r✓GS
Eepproved per applicable codes. Corrections required prior to approval.
I lnspectgr: it rEiQ4,/,//G /./ ' Date: /�1 ()
$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:
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
GTH CORPORATE
SERVICES LLC
AGENT
06/20/2006
SMITH, MARK B
PARTNER/MEMBER
06/20/2006
Look Up a Contractor, Electrir m 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
SMITHFS946LO
SMITH FIRE SYSTEMS MGMT LLC
ELECTRICAL CONTRACTOR
602601418
LIMITED LIABILITY COMPANY
1106 54TH AVE E
TACOMA
PIERCE
WA
98424
2539261880
ACTIVE
LIMITED ENERGY
UNUSED
6/20/2006
6/20/2008
SMITHFS98ORP
PARKSLD952LC
Master Electrician Information
License
Name
Status
PARKSLD952LC
PARKS, LEON D
ACTIVE
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= SMITHFS946LO 08/22/2007