HomeMy WebLinkAboutPermit EL09-0007 - AT&TAT& T
16415 SOUTHCENTER PY
ELO9-0007
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
5379200290
16415 SOUTHCENTER PY TUKW
AT &T
16415 SOUTHCENTER PY , TUKWILA WA
ARGUS GROUP LTD
C/O METROVATION , 225 108TH AVE NE #520
BRAD LEEHAN
539 SHATTUCK AVE S SUITE A , RENTON WA
Contractor:
Name: J & J COMMUNICATIONS
Address: 8624 S 133 PL , SEATTLE WA
Contractor License No: JJCOMJC934KJ
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE VOICE & DATA CABLE
Value of Electrical: NRES: $5,500.00
RES: $0.00
Type of Fire Protection: NONE
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
doc: EL -4/07
City•f 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
Permit Number: EL09 -0007
Issue Date: 01/07/2009
Permit Expires On: 07/06/2009
Phone:
Phone: 206 - 388 -7872
Phone:
Expiration Date: 05/11/2009
Fees Collected: $186.40
National Electrical Code Edition: 2005
Date: 1 - `V q
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 performan_ off•' . I am authorized to sign and obtain this electrical permit.
Date:/ - 7-09
Signature:
Print Name: e'e'A,a Zee 7'�■/
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.
EL09 -0007 Printed: 01 -07 -2009
Parcel No.: 5379200290
Address:
Suite No:
Tenant: AT &T
1: ** *ELECTRICAL * **
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.
Signatur
Print Name: /✓'('�
doe: 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
16415 SOUTHCENTER PY TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
Date: /
EL09 -0007
ISSUED
01/07/2009
01/07/2009
EL09 -0007 Printed: 01 -07 -2009
SITE LOCATION
Tenant Name: f7 •
Property Owners Name: , --
Mailing Address: ,_579 ,q /OW&
Mailing Address:
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httc://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 Print **
Site Address: / � 9 /5 -- _ .19: (4 At' /�� " 4, ' , 4 9:(IfiBSuite Number:
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: g iedt° Day Telephone: 2o - 385 - 7872
City Stat Zip
Fax Number: yZS 1 7' 63/S
E -Mail Address: J/L?4 4 .T.- ZO0l/y! /i✓C. God
ELECTRICAL CONTRACTOR INFORMATION
Company Name: .7 .T /V W l 03,tm/A /e
Mailing Address: 57, f1.1- 9ro< .. — J`F'
Contact Person: //M' /o o// - '
E -Mail Address: /P /V T.TCO /s?"NC,
Contractor Registration Number: -TG 73`�/i.T
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H \Applications \Forms - Applications On Line \4 -2007 - Electrical Permit Application.doc
bh
Electrical Permit No. E. Log - noo7
Project No.
(For office use only)
King Co Assessor's Tax No.:
City
wQ- ?if 05 7
State Zip
Day Telephone: 706 -,f13 8- 8760
Fax Number: /25' /$ 7 '63%5"
Expiration Date:.1 /(
City
•
6203 - 257 537410 --
New Tenant:
❑ Yes j;g1..No
State
Floor:
�" ob
Valuation of Project (contractor's bid price): $ Yf�•
Scope of Work (please provide detailed information): _ 1/1/s7 /`pc•/ //O/7 0/e `' Lie
Zip
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes 1St No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
LI Low Voltage ❑ Generator ❑ Fire Alarm
❑ Remodel Tenant Improvement
4 g 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 CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
El 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)
❑ l 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:
Signat
Print Name: Z ' 4. 19 / itfa%''
Mailing Address: J 6'7ZC.0 Ave S j7Z 4 .¢ -
H\Applications \Forms- Apphcanons On Line \4-2007 - Electncal Permit Application.doc
bh
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 1 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: / — 7 ® 7
Day Telephone: Z 72 -
/� �•"� f v,� 986e Z
City State Zip
I Date Application Accepted:
Date Application Expires:
Staff Initials:
i
Page 2 of 2
Payee: J & J COMMUNICATIONS
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
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5129 186.40
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
RECEIPT
Parcel No.: 5379200290 Permit Number: EL09 -0007
Address: 16415 SOUTHCENTER PT TUKW Status: PENDING
Suite No: Applied Date: 01/07/2009
Applicant: AT &T Issue Date:
Receipt No.: R09 -00023 Payment Amount: $186.40
Initials: WER Payment Date: 01/07/2009 12:10 PM
User ID: 1655 Balance: $0.00
Account Code Current Pmts
000.322.101.00.0 186.40
Total: $186.40
1217 01/07 9707 TOTAL 186.40
doc: Receiot -06 Printed: 01 -07 -2009
Project: � �� �
Type of Inspection:
/ p4
Address: / I S ALP 6
l0
Date Called:
- `
Special Instructions:
Date Wanted:
/ / /
®2/ 04
Ctjzie
p.m.
Requester:
i
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
•
Ern ono
P MIT NO. •
(206)431 -3670
X Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
I Al
OK
Inspector: 4 / 6 6 ti
Date: 021 0410
ri $60.00 REINS'ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Insurance
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
2
AMERICAN
STATES
INS CO
01CH461541203/16/200803/16/2009
05/11/2007
Until
Cancelled
$1,000,000.0003
/18/2008
1
AMERICAN
STATES
INS CO
01CH461841
03/16/200703/16
/2008
$2,000,000.0005
/11/2007
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
AMERICAN
STATES INS
CO
6490345
05/11/2007
Until
Cancelled
$4,000.00
05/11/2007
Name
Role
Effective Date
Expiration Date
FERNANDEZ, JERRY V
AGENT
05/11/2007
FERNANDEZ, JENNILEEA
AGENT
05/11/2007
Untitled Page
Electrical Contractor
A business licensed by LEtI 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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County KING
Business Type
J Et J COMMUNICATIONS
4252546925
539 SHUTTUCK AVE S
RENTON
WA
98057
LIMITED LIABILITY
COMPANY
Parent J Et J NW COMMUNICATIONS
Company LLC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous
License
Next License
Associated
License
Specialty 1
Specialty 2
602725236
ACTIVE
JJCOMJC934KJ
ELECTRICAL
CONTRACTOR
5/11/2007
5/11/2009
TELECOMMUNICATIONS
UNUSED
Business Owner Information
Bond Information
Insurance Information
o
I
https: / /fortress.wa. gov /lni/bbip/Detail.aspx ?License= JJCOMJC934KJ
Page 1 of 1
01/07/2009