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Permit EL09-0374 - DHS - CIS
DEPARTMENT OF HOMELAND SECURITY 12500 TUKWILA INTERNATIONAL BL ELO9-0374 Citylif 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.tukwilu.wa.us ELECTRICAL PERMIT Parcel No.: 7340600602 Permit Number: EL09 -0374 Address: 12500 TUKWILA INTERNATIONAL BL TUKW Issue Date: 06/18/2009 Suite No: Permit Expires On: 12/15/2009 Tenant: Name: DHS - CIS Address: 12500 TUKWILA INTERNATIONAL BL , TUKWILA WA Owner: Name: INTERNATIONAL GATEWAY EAST LLC Phone: Address: 12201 TUKWILA INTL BLVD 4TH FLR , SEATTLE WA Contact Person: Name: KEITH CARLSON Phone: 206 354 -5055 Address: PO BOX 80467 , SEATTLE WA Contractor: Name: VECA ELECTRIC CO INC Address: 5614 7 AV S , SEATTLE WA Contractor License No: VECAECI542MU Phone: 206 860 -0231 Expiration Date: 10/31/2009 DESCRIPTION OF WORK: INSTALL LIGHTS, POWER, AND FIRE ALARM FOR TENANT BUILDOUT. (JOB NO. 97007) Value of Electrical: NRES: $46,500.00 Fees Collected: $858.80 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: 0(41/1(71 I hereby certify that I have read and a carr ned 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 or the pe ce of work. I am authorized to sign and obtain this electrical permit. Signature: Date: � 639 Print Name: 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. EL09 -0374 Printed: 06 -18 -2009 Parcel No.: 7340600602 Address: Suite No: Tenant: DHS - CIS • 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 12500 TUKWILA INTERNATIONAL BL TUKW Permit Number: Status: Applied Date: Issue Date: EL09 -0374 ISSUED 06/18/2009 06/18/2009 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 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. Signature: Print Name: Date: doc: Cond -Elec EL09 -0374 Printed: 06 -18 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://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 ** King Co Assessor's Tax No.: Site Address: 12.500 1-1.))44); 10i T" (n0C/16A4 St r31Vd Tenant Name: "1»)r C.'=S Property Owners Name: SSta,bOtM £.CrcOCC - iO(\ Mailing Address: 121.6 1 la. - r . r A t t l v e 4 p n a i vol •1 Wi I A. 4811/8 City State Zip Suite Number: New Tenant: Floor: ❑ Yes ®..No Name: 161.1 ` L CAr155r Mailing Address: 'Po Qbbx et) 4.(11 E -Mail Address: Wit.. j it., tat l&St■ Ve_C.OI . toff. Day Telephone: ZO(/ -351-1- SosS s>U wA 418108 City State Zip Fax Number: Company Name: V LA TC,tC.41r1C Mailing Address: PO Li( by i/l Contact Person: J*Ttt ,1 "DU ry b ' E -Mail Address: Y1avvol. [.'�l iivv! t{'10 uGux. or*. Contractor Registration Number: VELA F_ ""5L12• VIA V Sti de4 (_e us 19148 City State Zip Day Telephone: 210(,0 $55r 3'i942 Fax Number: 'W(0 • 32.9 - '3(tbs Expiration Date: 10111 b Valuation of Project (contractor's bid price): $ La 1566 Scope of Work (please provide detailed information): ' ii \ !I'M 1` s tot( a a�CU M -Cbr `1-t1 ar 4 ov�e't � b 14 615-4 Will service be altered? ❑ Yes Eg No Adding more than 50 amps? ❑ Yes © No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel © Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H: \Applications \Forms - Applications On Line \4 -2007 - Electrical Permit Application.doc bh 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) $140.00 $75.00 ea $55.00 ea 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) 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 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: n,_ Print Name: s I) r\( 1)1/4) won't Mailing Address: k"0 x 804 Lo - IDate Application Accepted: ou I tet to Date: 1?)\ OCI Day Telephone: 7 LD - .35 ,3 - `0 i 6ecti4 1p City by A- cigl 08 State Zip Staff Initials. ). 1 Date Application Expires: H:1Applications\Fonns- Applications On Line14 -2007 - Electrical Permit Application.doc bh Page 2 of 2 0 City of Tukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http://www.ci.tukwila.wa.us RECEIPT Parcel No.: 7340600602 Permit Number: EL09 -0374 Address: 12500 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 06/18/2009 Applicant: DHS - Issue Date: Receipt No.: R09 -00914 Initials: User ID: Payee: JEM 1165 Payment Amount: $858.80 Payment Date: 06/18/2009 09:03 AM Balance: $0.00 VECA ELECTRIC CO INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1289 858.80 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 858.80 Total: $858.80 PAYMENT RECEIVED doc: Receiot -06 Printed: 06 -18 -2009 INSPECTION RECORD Retain a copy with permit INSPECTION NO. P RM1Tj CITY OF TUKWILA BUILDING DIVISION �(f'! 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206431- 670 Project: t 5- C s 5 Type of Inspection:7 , too Address: 125_00 T- t- . � Date Called: Special Instructions: G15- 3 f� T \ Date Wanted: V� D m. p• Requester: Phone No: j)i Approved per applicable codes. Corrections required prior to approval. CO MENTS: c,60 e f %RA 1\) Date: _ �(J o3 0 inspection, fee m Inspector $60.00 REI P N FEE EQUIRED. Pri ri or S ECTIO Q D. for to p st be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION RECORD LO D y Retain a copy with permit INSPE ION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Du5- Ct5 Type of Inspection: 7005 Address: [l5O0 'T1.t . Date Called: /` Special Instructions: Date Wanted: // 7 2 0to � a.m. p.m Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: YA - (A) NI CM/ Inspector: "bik Date: 04,5 /01 ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: • _. n- . •-- INSPECTION NUMBER INSPECTION RECORD Rain a copy with permit 1)6i _o& .E)o9 oh t. v4 t= It/1 PERMIT NUMBERS CITY OF TUKWILA FIRE DEPARTMENT 444 Andover Park East, Tukwila Vila. 98188 206- 575 -4407 Project: 1-k +n^ l: LA 4-40 5 t4 L v 6' s 11-1 Type of Inspection: Address: l z s or) g Suite #: Contact Person: Special Instructions: Phone No.: Approved per applicable codes. Corrections required prior to approval. COMMENTS: -V rA ri t77Z L:-r �j K... 1iO4.0(92 r)011 , L tuL cZ' w.t${ Loci O": �K- Y2v, N 4 0 I Needs Shift Inspection: Sprinklers: Are Alarm: Hood & Duct' Monitor: Pre -Fire: Permits: Occupancy Type: 1 Inspector. 4_ tA I ri 1 I Date: 7 i , J. 0 / I Hrs.: / E $00. 00 REZNSPECtION FEE REQUIRED. You win receive an invoice from the City of Tukwila Finance Department. Call to schedule a reinspection. vvonifinspection R d form.Doc 1/13 /06 T.P.D. Form F.P. 113 Untitled Page 0 Page 1 of 3 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. Business and Licensing Information Name VECA ELECTRIC CO INC UBI No. 601190731 Phone 2064365200 Status ACTIVE Address 5614 7TH AVE S License No. VECAECI542MU Suite /Apt. PO BOX 80467 License Type ELECTRICAL CONTRACTOR City SEATTLE Effective Date 7/31/1946 State WA Expiration Date 10/31/2009 Zip 98108 Suspend Date County KING Specialty 1 GENERAL Business Type Corporation Specialty 2 UNUSED Parent Company MASTER ELECTRICIAN INFORMATION License CONTIK *965D6 Name CONTI, KEITH Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date FAIRBANKS, THOMAS Cancel Date 01/01/1980 Bond Amount ALLEN, RON AGENT 01/01/1980 929407110 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 7 WESTERN SURETY CO 929407110 01/06/2007 Until Cancelled $4,000.00 01/06/2007 6 TRAVELERS CAS a SURETY CO 081S10352049701/06/2001 Until Cancelled 01/06/2007 $4,000.00 01/05/2001 5 UNITED PACIFIC U2800434 01/06/1998 Until Cancelled 01/06/2001 $4,000.00 01/05/2001 https: // fortress .wa.gov /lni/bbip /Detai1.aspx 06/18/2009