HomeMy WebLinkAboutPermit EL07-527 - CUSTOMER RESEARCHCUSTOMER RESEARCH
565 ANDOVER PK W
ELO7-527
Parcel No.: 2623049144
Address: 565 ANDOVER PK W TUKW
Suite No:
Tenant:
Name: CUSTOMER RESEARCH
Address: 565 ANDOVER PK W , TUKVVILA WA
Owner:
Name: SOUTHCENTER CORPORATE SQUAR Phone:
Address: 150 CALIFORNIA ST , SAN FRANCISCO CA
Contact Person:
Name: MARIO SERKA Phone: 206 948 -3014
Address: 32210 NE 32 ST , CARNATION WA
Contractor:
Name: COMMUNICATIONS MANAGEMENT SRVS Phone: 425 333 -6833
Address: 32210 NE 32 ST , CARNATION WA
Contractor License No: COMMUMS980C5 Expiration Date: 08/16/2008
DESCRIPTION OF WORK:
LOW VOLTAGE: INSTALL VOICE AND DATA CABLE
Value of Electrical: $8,000.00 Fees Collected:
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 $x
governing this work will be complied
doc: EL -4/07
Cit 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
P VIA- 0 s
ELECTRICAL PERMIT
Permit Number: ELO7 -527
Issue Date: 09/21/2007
Permit Expires On: 03/19/2008
$213.20
Date: D0t1 /it
ined this permit and know the same to be true and correct. All provisions of law and ordinances
, whether specified herein or not.
The granting of this • t does of presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or - /rfonmar of work. I am authorized to sign and obtain this electrical permit.
Date:
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 -527 Printed: 09 -21 -2007
Parcel No.: 2623049144
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
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
565 ANDOVER PK W TUKW
CUSTOMER RESEARCH
ifto
City of Tukwila
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL07 -527
ISSUED
09/21/2007
09/21/2007
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 pe t does not presume to give authority to violate or cancel the provision of any other work or local
laws regulating coast • ction or the performance of work.
Signature:
Print Name:
doc: Cond -Elec
EL07 -527
Date:
Printed: 09 -21 -2007
Site Address:
CITY OF TUKWILA
Community Development Department
Permit Center
63W Southcenter Blvd., Suite 1W
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 Prints*
/ King Co Assessor's Tax No.:
S S A- w / . Ali & G✓ 1 ite Number: /0/
Tenant Name:6 u77, / E 71 _ 4 ..6,EA.-u/
�/ /� New Tenant:
Property Owners Name:_ ert_ n w���/ E / � V S -
Mailing Address.m./ C�_V 1I t%/ i (P 0 sej ' (:lY�
City
/L-! 0 SCE // -
Name: in 309- Day Telephone: �h - 9'9 � 3 v
Mailing Address: 3 2-Zu /v-c- , 2 A-4. , 5 7 C I IZiv4 7yD'✓ t -/j- qlo/
�y City State Zip
E -Mail Address: / r 4-A-/ (, Gf S (Pi C0f Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company NameCO#M +'t /C4Q - 77V A! 4
Mailing Address: .3 Z.-2-L 4) /V6 .?-,Z4A0
Contact Person: / S , 4i6
E -Mail Address: f h 2/4.. t-lV lv C' /24 5 C-19m • C191
Contractor Registration Number( 0 M M 5986 C. g-
H:lApplicationeTF[me- Applicatione On lineal -2007 - Electrical Pe n it Apphwtica.doc
bh
Electrical Permit No.
Project No.
(For office use only)
1'
l
Floor:
413' Yes ❑ ..No
•r/
State Zip
S 7 /44 •('a/ f�
City State Zip
Day Telephone:
21 ••• c 7 yp 3 D
Fax Number:
Expiration Date: E/4/ Z_00 A
Valuation of Project (contractor's bid price): $ g t� (2Q - t'>' V
Scope of Work (please provide detailed information): //t/ / T4 - l.L (JOl °' e R�il3
Will service be altered? ❑ Yes - No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
c -- Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
0 Puget Sound Energy
❑ Seattle City Light
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 R ELEC,'�RICAL CONTRACTOR:
Signature:
Print Name: i rn z' o r j e rz.. -
Mailing Address: 3 2-L 6C' /V&C j'Z-fr ' S 7
I Date Application Accepted:
H:\Appiiationo\Ponne-Applicabaau On Line \4 -2007 - Electrical Permit Appliatim.doc
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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.
Date: / .— Lo *2
Day Telephone: 7 0 to " ff D zD`
09 -i✓Atirie fit ?rot 4e
City State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
Parcel No.: 2623049144
Address: 565 ANDOVER PK W TUKW
Suite No:
Applicant: CUSTOMER RESEARCH
Receipt No.: R07 -02057
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
Initials: JEM Payment Date: 09/21/2007 12:10 PM
User ID: 1165 Balance: $0.00
Payee: COMMUNICATIONS MANAGEMENT SERVICES INC
TRANSACTION LIST:
Type Method Description
Payment Check 5701 213.20
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
Amount
Account Code Current Pmts
000.322.101.00.0 213.20
Total: $213.20
Permit Number: EL07 -527
Status: PENDING
Applied Date: 09/21/2007
Issue Date:
Payment Amount: $213.20
09/21 9710 TOTAL 213.20
doc: Receiot -06 Printed: 09 -21 -2007
Project:
Gus 73, 2/4 2 f44 S cC g
Type of Inspection:
;
Add ess: '
1 41 . ii NA <�t M ii W
Date Called:
Special Instructions:
Date Wanted:
/ /
/ U / 24
p.m.
Requester:
Phone No:
LI
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
MMENTS:
p • roved per applicable codes. El Corrections required prior to approval.
I lnspecto
GG
f ry Date
672( %.
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.:
'Date:
Project:
C/Slarw:it �2 6s44 Cif
Type of
.
Address: !mil
5(S' al 4
Date Called:
Special Instructions:
Date Wanted:
.
/00
Requester:
Phone No:
El Approved per applicable codes.
X07 -�� 7
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION x-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
.Corrections required prior to approval.
COMMENTS:
IJ&)/Jt ,qd1 S ELF ON h/1777
f61U/Pr1CAJr
Inspector /L f& iii(c y I Dat /07ja/0
$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:
"a=' 1,0 :._ af'r " .fi.'' "'r'� Ott:, ... -Y a Qv" s.
Project:
'T))/ EW aSeVcii
Type of Inspection:
-- )o - o3
Address: ,
ii/V6 0 I/ 4
Date Called:
Special Instructions:
Date Wanted:
a.m.
P.m.
Requester:
Phone No:
( to? ng
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670
pa qproved per applicable codes. El Corrections required prior to approval.
COMMENTS:
0/4— - /7" All
Insefttor:
f--
0 A . 64 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.:
'Date:
Project: /�
eu c 7 awl r RI'SFA
Type of Inspection:
' 700.3
Address: //��
.��.� JON 7Do vrn PI 23
Date Called
9-0N- v
Special Instructions:
Date WanteA: _ t/ a
a.m
p.m.
Requester:
)"l A >Z 1 0
Phone No:
` J ' /f3 -3 o/ V
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION V-
6300 Southcenter Blvd., #100, Tukwila, WA (206)431 -3670
❑ Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
6 ) kiWir
,4c C CAS Js 1 ✓e )-1) e , (;
fi
O N
$58.00 INSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
(Receipt No.:
`Date:
4061;1011U&
Project:
G4IS TDr)"4 agMAC #
Type of Inspection:
7 0 0 3
Address:
,5 7 S — PA/A/Ng fi4 A/
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
1 INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - 6
0 Approved per applicable codes. El Corrections required prior to approval.
COMMENTS: "/7
0/ -- /L /4/6 C...m//L
>(c.er I IT G&0/
Ins 4L G a 77 R /m6 I/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:
License Information
License
COMMUMS980C5
Licensee Name
COMMUNICATIONS MANAGEMENT SRVS
Licensee Type
ELECTRICAL CONTRACTOR
UBI
600630226
Ind. Ins. Account Id
57295600
Business Type
INDIVIDUAL
Address 1
32210 NE 32ND ST
Address 2
City
CARNATION
County
KING
State
WA
Zip
98014
Phone
4253336833
Status
ACTIVE
Specialty 1
TELECOMMUNICATIONS
Specialty 2
UNUSED
Effective Date
2/25 /2002
Expiration Date
8/16/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
SERKAMS961MT
Business Owner Information
Name
Role
Effective Date
Expiration Date
SERKA, MARIO
OWNER
02/25/2002
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
SERKAMS96I MT
SERKA, MARIO S
ACTIVE
Bond Information
No Matching Information
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= COMMUMS980C5 09/21/2007