HomeMy WebLinkAboutPermit EL09-0415 - TEAMSTERSTEAMSTERS
14675 INTERURBAN AV S
EXPIRED
01-09-10
ELO9-04 15
Cityif 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.: 3365901365
Address: 14675 INTERURBAN AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0415
Issue Date: 07/13/2009
Permit Expires On: 01/09/2010
Tenant:
Name: TEAMSTERS
Address: 14675 INTERURBAN AV S , TUKWILA WA
Owner:
Name: TEAMSTERS BUILDING ASSOCIAT Phone:
Address: 14675 INTERURBAN AVE S #307 , TUKWILA WA
Contact Person:
Name: BRYAN SAVICK Phone: 206 529 -7820
Address: 450 SHATTUCK AV S, STE 100 , RENTON WA
Contractor:
Name: CONVERGINT TECHNOLOGIES LLC Phone: 425 272 -2250
Address: 450 SHATTUCK AV S, STE 100 , RENTON WA
Contractor License No: COVETL984BQ Expiration Date: 01/18/2010
DESCRIPTION OF WORK:
ADDITION OF (1) HORN /STOBE
Value of Electrical: NRES: $1,742.00 Fees Collected: $110.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Date: o- t'!7 @ o
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not prestune to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
t3 r7
Date:
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 -0415
Printed: 07 -13 -2009
Parcel No.: 3365901365
Address:
Suite No:
Tenant:
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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
14675 INTERURBAN AV S TUKW
TEAMSTERS
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0415
ISSUED
07/13/2009
07/13/2009
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 arty other work or local
laws regulating construction or the performance of work.
Signature: Date: 1/, 34'
Print Name:
doc: Cond -Elec
EL09 -0415 Printed: 07 -13 -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 **
SITE LOCATION
Site Address: /y% 4 -<r"' tot-
Tenant Name: Te< M5}-c r 5
Property Owners Name: Itt
Mailing Address: /L4 .p ` 1 ,� «„te e
Asie
King Co Assessor's Tax No.:
o
Suite Number:! 7 Floor:
New Tenant: ❑ Yes
/u A
City
CONTACT PERSON = Who do we Contact when your permit is :ready to-lke:isfuet
Name: a rs, S, c
Mailing Address: L 50 5 i< f /{,/c
Orrr . Sa" c k- , CU✓✓i
E -Mail Address:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
State
Zip
Day Telephone:
, .(/ for,
City
Fax Number:
20c, S2 9 72'z a
w�r
State
5)d-'05-5
Zip
L /ZtS ?xi/ oyY y
c/1 tit (R ,n TPcfi,-7 /0)'
oS /,0
r f 5Z $ G,, Ail, et. Ave S
Contact Person:
E -Mail Address: �• /7,,7 . f,v, Cam, •.} : i
Contractor Registration Number: COnv41` 19 "y 3Q
/- ''-
City
Day Telephone:
�-� 9 yvS S`
State Zip
te6 SZ,) 7y�
Fax Number:12 15i 09Yi
Expiration Date:
/// / /eviv
Valuation of Project (contractor's bid price): $ 174( Z vv
Scope of Work (please provide detailed information): Add ��--
Will service be altered? ❑ Yes j_ No Adding more than 50 amps? ❑ Yes IR No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro . e Served b •
1./ Puget Sound Energy
❑ Seattle City Light
H\Applications\Fomu- Applications On Line \I -2009 - Electrical Permit Application.doc
bh
Page 1 of 2
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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 . ... ... ............................. $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 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: c5,
Mailing Address: 41 y 5Z k4 /'1-id( ,4iie 1 5 -4-° ta)
Date:
Day Telephone:
,z.., -/o-t
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
li:',Apph canons\Fortns- Apph canons On Une'.1 -2009 - Electrical Permit Application.doc
bh
Page 2 of 2
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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.: 3365901365 Permit Number: EL09 -0415
Address: 14675 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 07/13/2009
Applicant: TEAMSTERS Issue Date:
Receipt No.: R09 -01075
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $110.00
Payment Date: 07/13/2009 10:28 AM
Balance: $0.00
CONVERGINT TECHNOLOGIES, LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6490 110.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 110.00
Total: $110.00
PAYMENT
RECEIVED
doc: Receiot -06
Printed: 07 -13 -2009
City of Tu 1la
Jim Haggerton, Mayor
Department of Community Development
BRYAN SAVICK
450 SHATTUCK AV S, STE 100
RENTON WA 98055
RE: Permit No. EL09 -0415
14675 INTERURBAN AV S TUKW
Dear Permit Holder:
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 01/09/2010.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 01/09/2010, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL09 -0415
6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
Untitled Page
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Page 1 of 2
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
CONVERGINT TECHNOLOGIES
LLC
4252722250
450 SHATTUCK AVE S STE 100
RENTON
WA
98055
KING
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602133088
ACTIVE
CONVETL984BQ
ELECTRICAL
CONTRACTOR
1/18/2002
1/18/2010
LIMITED ENERGY
HVAC /RFRG LTD
ENERGY
MASTER ELECTRICIAN INFORMATION
License QUICKRJ967KQ
Name QUICKSALL, RILEY J
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
ROGERS, JEFFREY J
AGENT
01/18/2002
LERNIHAN, GREGORY M
PRESIDENT
01 /18/2002
WINKEL, WALTER W
SECRETARY
01/18/2002
ROGERS, JEFFREY J
VICE PRESIDENT
01/18/2002
Bond Information
Bond I Bond 1
https://fortress.wa.gov/lni/bbip/Detail.aspx
07/13/2009