HomeMy WebLinkAboutPermit EL07-671 - FUJIFUR
16300 CHRISTENSEN RD
STE 213
EL07-671
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Value of Electrical:
Type of Fire Protection:
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
2523049078
16300 CHRISTENSEN RD TUKW
FUJI
16300 CHRISTENSEN RD, STE 213 , TUKWILA WA
BRCP RIVERVIEW PLAZA LLC
248 HOMER AVE , PALO ALTO CA
BRENT BOLOMEY
PO BOX 80564 , SEATTLE WA
RAIN CITY ELECTRIC INC
Address: PO BOX 80564 , SEATTLE WA
Contractor License No: RAINCCE965L4
DESCRIPTION OF WORK:
REPLACE (16) EXISTING 2X4 FIXTURES WITH BUILDING STANDARD
$4,794.00
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Signature:
Print Name:
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 335 -4444
Phone: 206 3354444
Expiration Date: 06/24/2008
Fees Collected:
National Electrical Code Edition:
ELO7 -671
11/08/2007
05/06/2008
$164.00
2005
Date: 1,1 ^ e_0-7
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 p rmit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the p - o y. e of work. I am authorized to sign and obtain this electrical permit.
Date:
tilP/o'r
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 -671 Printed: 11 -08 -2007
City of Tukwila
Parcel No.: 2523049078
Address: 16300 CHRISTENSEN RD TUKW
Suite No:
Tenant: FUJI
1: ** *ELECTRICAL * **
Signature:
Print Name:
doc: Cond -Elec
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
PERMIT CONDITIONS
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.
Permit Number: EL07 -671
Status: ISSUED
Applied Date: 11/08/2007
Issue Date: 11/08/2007
Date: ip/a
EL07 -671 Printed: 11 -08 -2007
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Mailing Address: P' 0 gO6'4 4/
Name:
E -Mail Address: P.44
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.cLtukwila.wa.us
Scope of Work (please provide detailed information):
pat ku,a4A)ii
Will service be altered? El Yes No
Propert Served by:
Puget Sound Energy
El Seattle City Light
H: Applicationaorms- Applications On Line\4 -2007 - Electrical Permit Application.doc
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Electrical Permit
Project No.
ee use only)
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 **
SITE LOCATION
King Co Assessor's Tax No.: ..10
Site Address: l b 300 Oh .1 E,v -itJ Suite Number: Q._13 Floor: 7i
Tenant Name: N../ I New Tenant: Yes ❑..No
Property Owners Name: g1eC'P pi 1/5.4i4 P
Mailing Address: 7,4g gegme. 4 _ .° *Tv
City
CONTACT PERSON ' Who, do we contact when your perinit is ready to he issued
Day Telephone: (z ) 3? S `''
C ity State Zip
■6 4 G e. ✓ i'1 Cn77)a-7 Fax Number: -'a°) .3'9 z -- 9 Yy
ELECTRICAL CONTRACTOR INFORMATION
gill4 /CAL T F-t.L:1 rad-- / /vc
P, D, o ,o6
Valuation of Project (contractor's bid price): $ J 1-et 4,
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage El Generator El Fire Alarm ❑ Telecommunication
gtate
Zip
14.1)6k tat rme
City State Zip
Day Telephone: (? ) 33 it —V ( i6/
Contact Person: i V7 x-OW-MCI
�
E -Mail Address: �t i • �Tnt Fax Number: 2 ) b'`l'L�
Contractor Registration Number: RAIA/C Q(o `v Expiration Date: t' '7i1G1?-62B
Adding more than 50 amps? ❑ Yes ACNo
Tenant Improvement
❑ Temporary Service
Page 1 of 2
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)
I Date Application Accepted:
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H:Wpplications\Forms- Applications On Line\4 -2007 - Electrical Permit Applieation.doc
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$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 $10.00 ea
PERMIT APPLICATION NOTES
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules. -
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: i
Print Name: 60eAr 6
Mailing Address: 1 c$ -�� `
City State Zip
Staff Initials:
Date:
g/t
Day Telephone: ( 7206) 3 7 r ti F F q
Date Application Expires:
Page 2 of 2
Receipt No.: R07 -02455
Payee: RAIN CITY ELECTRIC
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
Parcel No.: 2523049078 Permit Number: EL07 -671
Address: 16300 CHRISTENSEN RD TUKW Status: APPROVED
Suite No: Applied Date: 11/08/2007
Applicant: FUJI Issue Date:
Initials: WER Payment Date: 11/08/2007 02:17 PM
User ID: 1655 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 2311 164.00
Account Code Current Pmts
000.322.101.00.0 164.00
Total: $164.00
Payment Amount: $164.00
1
doc: Receipt -06 Printed: 11 -08 -2007
Project;
Type Inspection:
v
Ad ress:
6-th,g7,-,,k,a
Date Ca
Special Instructions:
# ;./
Date Wanted:
////L/
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:m.
Requester:
AWL
Phone No:
7% U...??,s
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
407-67/
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION c g
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 ( 36 0
proved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
C7 / - f - //f/in
l inspe ry : � rre1 -iCi 1f I Da f //
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:
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
Bond Information
i
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= RAINCCE965L4 11/08/2007