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Permit EL07-804 - VERIZON WIRELESS
VERIZON 17100 SOUTHCENTER PY STE 100 ELO7-804 Parcel No.: 2623049081 Address: 17100 SOUTECENTER PY TUKW Suite No: Tenant: Name: VERIZON WIRELESS Address: 17100 SOUTHCENTER PY, STE 100 , TUHWILA 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: SMITE 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 DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT Value of Electrical: $3,838.00 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: doc: EL -4/07 City if 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 ELECTRICAL PERMIT 4 Fees Collected: Permit Number: EL07 -804 Issue Date: 12/26/2007 Permit Expires On: 06/23/2008 Type of Fire Protection: National Electrical Code Edition: 2005 $144.00 Date: l l I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 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 • e performance of work. I am authorized to sign and obtain this electrical permit. ) Signature: /_ . Date: I F -- J(Q l C7 Print Name: E� '�G F(_G{ P_S 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 -804 Printed: 12 -26 -2007 Parcel No.: Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** doc: Cond -Elec 2623049081 17100 SOUTUCENTER PY TUKW VERIZON WIRELESS 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 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL07 -804 ISSUED 12/26/2007 12/26/2007 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: 1 -taco x (77 EL07 -804 Printed: 12 -26 -2007 Site Address: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us 17100 SOUTHCENTER PARKWAY Tenant Name: VERIZON WIRELESS AT SOUTHCENTER New Tenant: © Yes ❑ ..No Property Owners Name: WIG PROPERTIES LLC. Mailing Address: 1811 134TH. PL. SE. - Who do we contact when your permit is ready to be issued Name: LEON PARKS Mailing Address: 1106 54TH AVE E E -Mail Address: LPARKS@SMITHFIRE.COM Fax Number: (253) 926 -0726 ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: SMITH FIRE SYSTEMS MANAGEMENT, LLC. 1106 54TH AVE E Contact Person: LEON PARKS E -Mail Address: LPARKS@SMITHFIRE.COM 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 ** Contractor Registration Number: SMITHLFS946L0 Expiration Date: 6120/08 Valuation of Project (contractor's bid price): $ 3838 Scope of Work (please provide detailed information): THE SCOPE OF THIS PROJECT IS TO ADD NOTIFICATION DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT. Will service be altered? J Yes Type of Use: RETAIL Type of work: ❑ New ❑ Addition Low Voltage 0 Generator Pro ; Served b . uget Sound Energy Seattle City Light ❑ No Adding more than 50 amps? ❑ Yes No ❑ Service Change Fire Alarm El (For office use only) King Co Assessor's Tax No.: 2623049447- OS( Suite Number: 116 Floor: BELLEVUE City Day Telephone: TACOMA City TACOMA ❑ Remodel 0 Telecommunication WA State (253) 248 -2002 WA State WA City Day Telephone: (253) 248 -2002 Fax Number: (253) 926 -0726 State Zip Zip 98006 98424 98424 Zip Tenant Improvement 0 Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE New single family dwellings $140.00 (including an attached garage) ['Garages, pools, spas and outbuildings $75.00 ea ID Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES El Service change or alteration $75.00 (no added/altered circuits) o Service change with added/altered circuits $75.00 number of added circuits $10.00 ea El Circuits added/altered without service change $50.00 (up to 5 circuits) El Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea El Meter /mast repair $65.00 El Low voltage systems $55.00 (alarm, furnace thermostat) Signature: Print Name: SCOTTJERKE I Date Application Accepted: BUILDING OWNER OR ELECTRICA- CONTRA R Mailing Address: 110654TH AVE E 2 24e 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) EJ 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: /2_ it/ /d - 7 Day Telephone: 12/21/07 TACOMA WA 98424 City State Zip D I Date Application Expires: j( n (n/ n (,9cb I Staff Initials: �ltGtx Parcel No.: 2623049081 Permit Number: EL07 -804 Address: 17100 SOUTECENTER PY TUKW Status: PENDING Suite No: Applied Date: 12/26/2007 Applicant: VERIZON WIRELESS Issue Date: Receipt No.: R07 -02857 Initials: JEM User ID: 1165 Payee: SFSM TRANSACTION LIST: Type Method Description Amount Payment Check 01881 144.00 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 000.322.101.00.0 144.00 Total: $144.00 Payment Amount: $144.00 Payment Date: 12/26/2007 10:53 AM Balance: $0.00 6478 12/26 9710 TOTAL 144.00 doc: Receipt-06 Printed: 12 -26 -2007 Pr 'ec� _ 'f �� Type of Inspection ' ✓' A c.1 /� `pate Called: special nstructions: Date Wanted: L � / / a.m. p.m. Requester: Phone No: 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION e. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 C¢MMENTS: ,•� ved per applicable codes. Corrections required prior to approval. Ins S / �IG . g �� IDat Av /t/ 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: VM4/ cyti Type of Inspection: -7Dz 3 Address: 0/S7D J / OK7i - IV7 h&j/ Date Called: Special Instructions: 'Date Wanted: / a Requester: Phone No: 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 OMMENTS: 09. (e) 094 p proved per applicable codes. Corrections required prior to approval. Inspect/Lk e4/446/7 /4/ f TS 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: 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, Electrician or Plumber License Detail 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 Page 1 of 2 12/26/2007