HomeMy WebLinkAboutPermit EL09-0280 - SOUND MENTAL HEALTHSOUND MENTAL HE LTH
6100 SOUTHC1ENTE
BL
Cityllf 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
Parcel No.: 3597000221
Address: 6100 SOUTHCENTER BL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0280
Issue Date: 04/30/2009
Permit Expires On: 10/27/2009
Tenant:
Name: SOUND MENTAL HEALTH
Address: 3100 SOUTHCENTER BL , TUKWILA WA
Owner:
Name: 10ENTERPLEX
Address: 6100 SOUTHCENTER BL STE 150 , TUKWILA WA
Contact Person:
Name: GREG KENDALL
Address: 4425 164 ST SW , LYNNWOOD WA
Contractor:
Name: ]INTERFACE TECHNOLOGIES NW INC
Address: 4425 164 ST SW , LYNNWOOD WA
Contractor License No: INTERTN991 J6
Phone: 206 246 -9986
Phone: 206 - 819 -3314
Phone: 425 - 774 -1377
Expiration Date: 04/26/2011
DESCRIPTION OF WORK:
INSTALLATION OF COMMUNICATIONS CABLING
Value of Electrical: NRES: $18,493.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorised Signature:
Fees Collected:
$399.60
National Electrical Code Edition: 2005
Date: 14-10-07
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 performance of work. I a . auyhorized to sig n and obtain this electrical permit.
Signature:
Print Name:
This permit sh
or abandoned
Date: I - dCK
null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
eriod of 180 days from the last inspection.
doc: EL -4/07
EL09 -0280
Printed: 04 -30 -2009
Parcel No.: 3597000221
Address:
Suite No:
Tenant:
• •
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
6100 SOUTHCENTER BL TUKW
SOUND MENTAL HEALTH
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0280
ISSUED
04/30/2009
04/30/2009
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 arty 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.
Signature:
7
Print Name: _ i°'_ (�..Qt/l f/ ci I
•
Date: I - '
doc: Cond -Elec
EL09 -0280 Printed: 04 -30 -2009
CITY OF TUKWILA
Community Development Department
F'ermit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No.
Project No.
LOgt- DaSO
(For office 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.:
Site Address: !y► Da So LL. et.l''II-L4- 1�j "111t''
Tenant Name: So tut d Nl-�v is
700 — 0;4)-1
Suite Number: 1 d OV Floor: 1
New Tenant: ❑ Yes ❑ ..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address: 2-12- 1 ,H
4 . .1.
Day Telephone: apt" • OM. . 3-j 14
00,4 gsof7
E -Mail Address: kik nt°4 11414" 1 " ",{ h t i'1 NW • to t1C�
City '' State
Fax Number: -426. 111.1 1(}
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 1
Mailing Address: 4441 2 • /L)�`' SV .S k'
Contact Person: 124.--4.44-(.. ✓'� Y.A- 1
E -Mail Address: i f.A A4-(. i Vl ',e, f e tirt ViW • cowl
Contractor Registration Number: 1 N T l - ELT NI C11 i.-S (f
C
'11/45-1 VIC
1-y14 n. w n o CA
City
V.VA 61,0 0a i
Stale Zip
Day Telephone: •L 2 y 114 • 131'1
Fax Number: -i2 . 'I1 1 . •l a 1 p
Expiration Date:
Valuation of Project (contractor's bid price): $ 1 ' LA ` `/
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served y:
❑ Puget Sound Energy
❑ Seattle City Light
[]'No Adding more than 50 amps? ❑ Yes Er No
❑ Service Change
❑ Fire Alarm
H:'Apphcations \Forms -Apr !cations On Lme \I -2009 - Electrical Perms Applicanon.doc
bh
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to :5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ 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 AI'PLICATION 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.
1 HEREBY C'ERT1FY 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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: �1
Print Name: _% V,)1 A .6 1,1.41
Mailing Address: Li LJ 2' • t-(
1
Date: -4.2 61 • X 1
Day Telephone: 426 • ii 4 • t '11
0ci
City
State
Zip
Date Application .Accepted:
Date Application Expires:
Staff Initials:
11 \Apphcanons\Porms- Applications On Line \I -2009 - Electrical Permit Application doc
bh
Page 2 of 2
•
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.: 3597000221 Permit Number: EL09 -0280
Address: 6100 SOUTHCENTER BL TUKW Status: PENDING
Suite No: Applied Date: 04/30/2009
Applicant: SOUND MENTAL HEALTH Issue Date:
Receipt No.: R09 -00664
Initials: WEB:
User ID: 1655
Payment Amount: $399.60
Payment Date: 04/30/2009 12:09 PM
Balance: $0.00
Payee: INTERFACE TECHNOLOGIES NW INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 15271 399.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 399.60
Total: $399.60
PAYMENT
R
doc: Receipt -06
Printed: 04 -30 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(to -d2''D
P MIT NO.
CITY OF TUKWILA BUILDING DIVISION 1-4-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: J41) �,(
!
,TYp�
of Inspection:
2./00
i�
Address:
‘IUO 5.C.. &L .
Date Called:
Special Instructions:
Date Wanted:
/
J�9
.m.
p.m
Requester:
Phone No:
%Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector: Li 664Aitic
Date: e 1 /07
El $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee m st be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
• •
Electrical Contractor
A business licensed by L£tl 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
Business Type
Parent
Company
INTERFACE TECHNOLOGIES
NW INC
4257741377
4425 164TH ST SW
LYNNWOOD
WA
98087
SNOHOMISH
Corporation
UBI No. 602103938
Status ACTIVE
License No. INTERTN991J6
License Type ELECTRICAL
CONTRACTOR
Effective Date 4/26/2001
Expiration
Date
Suspend Date
Specialty 1 TELECOMMUNICATIONS
Specialty 2 UNUSED
4/26/2011
ADMINISTRATOR INFORMATION
License SCHMIKG979R3
Name SCHMIDT, KEVIN G
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
NEAL, WILLIAM
AGENT
04/26/2001
Bond
Amount
SCHMIDT, KEVIN
PRESIDENT
04/26/2001
WIEDMER, LISA
TREASURER
04/01/2005
ANTHONY, ANDREW
VICE PRESIDENT
04/01/2005
COOK, DON
SECRETARY
04/26/2001
11/07/2005
POND, TROY
TREASURER
04/26/2001
11/07/2005
BATTISTA, VICKI
VICE PRESIDENT
04/26/2001
11/07/2005
Bond Information
Bond
Bond
Co
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
FEDERATED
Page 1 of 2
https: // fortress .wa.gov /lni/bbip/Detail.aspx 04/30/2009