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Home My WebLink AboutPermit EL07-669 - MEGSAMMEGSAM 16000 CHRISTENSEN RD STE 100 ELO7-669 Parcel No.: Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: RAIN CITY ELECTRIC INC Address: PO BOX 80564 , SEATTLE WA Contractor License No: RAINCCE965L4 DESCRIPTION OF WORK: RELOCATE (2) LIGHTS AND ADD (2) OUTLETS City ;..A 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 2523049077 16000 CHRISTENSEN RD TUKW MEGSAM 16000 CHRISTENSEN RD, SUITE 100 , TUKWILA WA BRCP RIVERVIEW PLAZA LLC 248 HOMER AVE , PALO ALTO CA BRENT BOLOMEY PO BOX 80564 , SEATTLE WA Value of Electrical: $900.00 Fees Collected: $86.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Signature: Print Name: doc: EL -4/07 ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 335 -4444 Phone: 206 335 -4444 Expiration Date: 06/24/2008 ELO7 -669 11/08/2007 05/06/2008 Permit Center Authorized Signature: L_)1JL.L Date: 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 perfo e of work. I am authorized to sign and obtain this electrical permit. Date: y/(91-- 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 -669 Printed: 11 -08 -2007 Parcel No.: 2523049077 Address: 16000 CHRISTENSEN RD TUKW Suite No: Tenant: MEGSAM 1: ** *ELECTRICAL * ** Signature: Print Name: 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 )1 24' ( -"'? PERMIT CONDITIONS Permit Number: ELOZ - 669 Status: ISSUED Applied Date: 11/08/2007 Issue Date: 11/08/2007 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. Date: 11 lylo?, doc: Cond -Elec EL07 -669 Printed: 11 -08 -2007 Tenant 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: I <D ooO obwAscr iw , e6 Property Owners Name: 13t C I ur,e_ Mailing Address: 7,4 ' 1-k-11464.. (' -La 1 44 'V City Name: 6 '/`0 ikit4i 1 Mailing Address: P. 0 a 641-1 g � 7i ' L . ( E -Mail Address: 1(01.4\41 V14914 G07'►� 1 ELECTRICAL CONTRACTOR INFORMATION • Company Name: I fAi (AD( fit- / A/c- Mailing Address: 0 6-91' rot y Valuation of Project (contractor's bid price): $ '1 i Scope of Work (please provide detailed information): 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.: 2-- o1-' Suite Number: 4Id0 Floor: ( SI— New Tenant: ❑ Yes )C3 ..No edt State Zip CONTACT PERSON - do we contact when your permit is ready to be issue Day Telephone: CZO () 1 6 V 96 t - q no? City State , t Zip Z 2 , q Fax Number: C ) x12 / / 8s44"Le 04- 9 fl18 City f State Zip loc i Contact Person: t i �-- boriam'y Day Telephone: C 33 6 — gill, 1 E -Mail Address: t/A/�ll�l �i{L( -rL [4 14,194 . G�� l Fax Number: C 6) 7. — �? Contractor Registration Number: P.Al i rCCa. el 6 6L4- Expiration Date: / / fl g Will service be altered? ❑ Yes X Adding more than 50 amps? ❑ Yes , 4o Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Propert y Served bv: uget Sound Energy ❑ Seattle City Light H:\ Applications TForn e- Applications On Line4I-2007 - Electrical Permit Appliation.doc bh Page 1 of 2 i RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) 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: bee/17r 1 44 6 r Mailing Address: J. 4). 6 + j� a la Date Application Accepted: ( [ ozb ji v 1- H: Applications\Fomu- Applications On Line\4 -2007 - Electrical Permit Application.doc bh $140.00 $75.00 ea $55.00 ea 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 NO 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: n Y jr Day Telephone: &'& 53 s if /y fir* (44— (1 City State Zip Date Application Expires: Page 2 of 2 Parcel No.: 2523049077 Permit Number: EL07 -669 Address: 16000 CHRISTENSEN RD TUKW Status: APPROVED Suite No: Applied Date: 11/08/2007 Applicant: MEGSAM Issue Date: Receipt No.: R07 -02453 Initials: WER Payment Date: 11/08/2007 02:09 PM User ID: 1655 Balance: $0.00 Payee: RAIN CITY ELECTRIC TRANSACTION LIST: Type Method Description Amount Payment Check 2311 86.00 ACCOUNT ITEM LIST: Description doc: Receipt - 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 Account Code Current Pmts 000.322.101.00.0 86.00 Total: $86.00 Payment Amount: $86.00 Printed: 11 -08 -2007 Project: 6s � Type of Inspection: d , VA/ �n „ Date Called: Special Instructions: Date Wanted: �/( .m. Requester: Phone No: t i'? -a9 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION v.. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 OMMENTS: 0/- c_E/Ci/V proved per applicable codes. Corrections required prior to approval. Inspect ) `G it1 woo M ' $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: /r7L6S, /t1 Type of Inspection: 706,7 Address: /� �/�� / /f of CiJ�r�Z/.S�S14/ �� Date Called: Special Instructions: Date Wanted: i - /y m Requester: Phone No: INSPECTION NO. r z. INSPECTION RECORD Retain a copy with permit 0 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION a; 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 MMENTS: N4 (VZ 14)136C C-ol/r roved per applicable codes. ❑ Corrections required prior to approval. J lnsPectorp ' � /j� ' El $58.00 REINSPECTION F REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. 'Receipt No.: 'Date: License Information License RAINCCE965L4 Licensee Name RAIN CITY ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 602381609 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 PO BOX 80564 Address 2 City SEATTLE County KING State WA Zip 981080564 Phone 2063354444 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 6/24/2004 Expiration Date 6/24/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License BOLOMB *9620G Business Owner Information Name Role Effective Date Expiration Date BOLOMEY, BRENT A AGENT 06 /24/2004 BOLOMEY, BRENT A PRESIDENT 06/24/2004 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. Master Electrician Information License Name Status BOLOMB *9620G BOLOMEY, BRENT A ACTIVE I Bond Information Nuov https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= RAINCCE965L4 11/08/2007