HomeMy WebLinkAboutPermit EL09-0399 - LEVEL II INCLEVEL II INC
545 AND t VER PK W
SUITE 110
ELO9-0399
Cityef Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: //wiiw.ci.tukwila.wa.us
Parcel No.: 2623049144
Address: 545 ANDOVER PK W TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0399
Issue Date: 06/30/2009
Permit Expires On: 12/27/2009
Tenant:
Name: LEVEL II INC
Address: 545 ANDOVER PK W, STE 110 , TUKWILA WA
Owner:
Name: SOUTHCENTER CORPORATE SQUAR Phone:
Address: 150 CALIFORNIA ST , SAN FRANCISCO CA
Contact Person:
Name: DOUG MCGLOTHERN Phone: 206 664 -9238
Address: 2001 48 AV CT E , FIFE WA
Contractor:
Name: TELECOM LABS INC
Address: 3513 93RD AVE , OLYMPIA WA
Contractor License No: TELECLI004R1
Phone: 206 - 575 -9100
Expiration Date: 03/21/2011
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE CABLE FOR TELEPHONE AND COMPUTER
Value of Electrical: NRES: $4,500.00 Fees Collected: $170.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: O(o f 'hb 1
I hereby certify that I have read and �xan4ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied t , 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 o e performance ce of w I . authorized to sign and obtain this electrica: permit.
Signature: / / " / Date: 6- ?0-01
Print Name: 6UCl !M la teo-v,
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 -0399 Printed: 06 -30 -2009
Parcel No.: 2623049144
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: hup://www.ci.tukwila.wa.us
545 ANDOVER PK W TUKW
LEVEL II INC
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0399
ISSUED
06/30/2009
06/30/2009
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 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:
/71 4,(tz(
Doo? P4c64)7`!� Cr/s1
Date: 6-
doc: Cond -Elec
EL09 -0399 Printed: 06 -30 -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 No.
6Lo°1- oA1'91
Project No.
(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
Site Address: 545 Andover Park West
Tenant Name: Level I I Inc
King Co Assessor's Tax No.: 2-ii2 I `
Suite Nt.mber: 110 Floor: 1
New Tenant: m 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: Doug McGlothern
Mailing Address:
2001 48th Ave Ct E
E -Mail Address: dougm @continuant.com
Day Telephone:
Fife
City
Fax Number:
(206) 664 -9238
WA 98424
State Zip
(800) 652 -9960
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Telecom Labs
Mailing Address: 2001 48th Ave Ct E
Contact Person:
Doug McGlothern
Fife
WA 98424
E -Mail Address: dougm @continuant.com
Contractor Registration Number: TELECL1004 R1
City
Day Telephone:
Fax Number:
State
(206) 664 -9238
(800) 652 -9960
Zip
Expiration Date: 03/21/2011
Valuation of Project (contractor's bid price): $ 4,500
Scope of Work (please provide detailed information): Install low voltage cable for telephone and computer.
Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
• Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
® Puget Sound Energy
❑ Seattle City Light
H:\Applications\ Forms - Applications On Line \1 -2009 - Electrical Pertnit Application.doc
bh
❑ Remodel
• Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL 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 565.00
❑ 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
❑ Manufacturedimobile 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.
1 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:
Print Name: — )dUCfj MCC O >� I'
Mailing Address: 2001 48th Ave Ct E
Date: 06/29/2009
Day Telephone: (206) 664 -9238
Fife
WA 98424
Date Application Accepted: /l1( ii I c
City
State Zip
Date Application Expires:
Staff Initials:
H \ Applications \Forms - 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.: 2623049144 Permit Number: EL09 -0399
Address: 545 ANDOVER PK W TUKW Status: PENDING
Suite No: Applied Date: 06/30/2009
Applicant: LEVEL II INC Issue Date:
Receipt No.: R09 -01001
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $170.00
Payment Date: 06/30/2009 09:42 AM
Balance: $0.00
CONTINUANT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 21701 170.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 170.00
Total: $170.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 06 -30 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Ew -03/7
PE IT NO.
CITY OF TUKWILA BUILDING DIVISION V"'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: Level_ w
Type of Inspection:
�Qo _ ;5.
Address: 4 `nn
Date Called:
Special Instructions:
Date Wanted:
Q
a.rt
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
avA/6, coueti
Iq)
D.g. rif,ted
Inspector: j ,�
Date: v yd210
D $60.00 REINSPECTION FEE RE . UIRED. Prior to inspection, fee mist be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
Page 1 of 2
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 TELECOM LABS INC UBI No. 601706139
Phone 2065759100 Status ACTIVE
Address 3513 93RD AVE License No. TELECLI004R1
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City OLYMPIA Effective Date 3/21/2001
State WA Expiration Date 3/21 /2011
Zip 98512 Suspend Date
County THURSTON Specialty 1 TELECOMMUNICATIONS
Business Type Corporation Specialty 2 UNUSED
Parent Company
ADMINISTRATOR INFORMATION
License MCGLOD *922BU
Name MCGLOTHERN, DOUG
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
GRAHAM, DOUG
Cancel
Date
01/01/1980
Bond
Amount
SHELBY, BRUCE
1
01/01/1980
LPM4053180
GRAHAM, DOUG
AGENT
01/01/1980
Date
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
COLONIAL
AM CAS Et
SUR CO
LPM4053180
06/20/2000
Until
Cancelled
Date
Date
$4,000.00
03/22/2001
Insurance Information
https: // fortress .wa.gov /lni/bbip /Detail.aspx
06/30/2009
Company
Policy
Effective
Expiration
Cancel
Impaired
Received
Insurance
Name
Number
Date
Date
Date
Date
Amount
Date
https: // fortress .wa.gov /lni/bbip /Detail.aspx
06/30/2009