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HomeMy WebLinkAboutPermit EL09-0521 - QWEST - BUILDING DQWEST BUILDING D 4501 S 134 PL ELO9-052 1 City At Tukwila 1 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.: 2613200045 Address: 4501 S 134 PL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0521 Issue Date: 08/21/2009 Permit Expires On: 02/17/2010 Tenant: Name: QWEST, BLDG D Address: 4501 S 134 PL , TUKWILA WA Owner: Name: SMITH COURT LLC Phone: Address: PO BOX 146 , RENTON WA Contact Person: Name: RANDY DREYER Phone: 425 821 -8226 Address: 11816 NE 116 ST , KIRKLAND WA Contractor: Name: JOHNSON ELECTRIC INC Address: 11816 NE 116TH ST , KIRKLAND WA Contractor License No: JOHNSEI384RU Phone: (425) 821 -8226 Expiration Date: 11/30/2010 DESCRIPTION OF WORK: FURNISH AND INSTALL (4) DEDICATED 20 AMP CIRCUITS Value of Electrical: NRES: $3,900.00 Fees Collected: $150.00 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 x. wit ovk Date: Alit I Oft 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 do -s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the p - rform f work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: �o,( �fteyc2— Date: thf/07 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 -0521 Printed: 08 -21 -2009 Parcel No.: Address: Suite No: Tenant: 41 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 2613200045 4501 S 134 PL TUKW QWEST, BLDG D PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0521 ISSUED 08/21/2009 08/21/2009 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: I�eo r 2cr,�,2— Date: v /Z(7 doc: Cond -Elec EL09 -0521 Printed: 08 -21 -2009 Y � � FAQ. CITY OF TUKWII, Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www. ci. tkwila. wa. us Zv(e - L(31- 300 Electrical ermit No. Project No. (For office use only) Z �{3�-3L(o5 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: 14501 S . (3,-111'- 7L . 306. Tenant Name: (c•JEST' Property Owners Name: QW(S T� Mailing Address: 4501 S. (3t{', ft. (3c.D6 King Co Assessor's Tax No.: ? l 297,12 -'7011( Suite Number: Floor: New Tenant: ❑ Yes ®..No 9'81$° -Rot City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: (?a'( 'bize-yoa- Mailing Address: ((St (((9r S7• E -Mail Address: CCA -14J' a t V(7 {T“....Z 0 LT` Day Telephone: YzS-gZ gZZ4 k tRJ -c.) YBo3y Zip City State Fax Number: *5`$Z{ - cf83‘ ELECTRICAL CONTRACTOR INFORMATION Company Name: 0-0 14 0.50 %44 CLec l 'c - Mailing Address: l lg(L uE 1(6-v- sr- Contact Person: N-19 al/OL- E -Mail Address: (-4,114,../ d & L &C v.A._ Contractor Registration Number: je,HaS EZ3 gt{�k k(2Kiliti39 6)4 1863y City State Zip Day Telephone: I/ YZs' 8 z( -Q z2G Fax Number: 72S "[lz{- '1 Expiration Date: 1130%10 oa Valuation of Project (contractor's bid price): $ 3, / q 0 Atip ZuS7rl ( 01) T•eNticr Gt) 217,444 P Cf i?C.l-i.c t5 Scope of Work (please provide detailed information): Will service be altered? ❑ Yes Lit No Adding more than 50 amps? ❑ Yes © No Type of Use: L'O►'KwulIZLc•r4C- 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:Wppticanons\Fotms- Applications On lrne\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 $140.00 $75.00 ea $55.00 ea ❑ Low voltage systems (alarm, furnace thermostat) 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 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 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: Mailing Address: /1N& /J (Ad- Cr. Day Telephone: Date: 6//48(67 YZf -su szz�o Krc City State Zip Date Application Accepted: Date Application Expires: Staff Initials: Li HA ApplicanonsTonns- Applicanons On Iine\4 -2007 - Electrical Pemtit 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 Parcel No.: 2613200045 Address: 4501 S 134 PL TUKW Suite No: Applicant: QWEST, BLDG D RECEIPT Permit Number: EL09 -0521 Status: PENDING Applied Date: 08/21/2009 Issue Date: Receipt No.: R09 -01312 Initials: User ID: Payee: JEM 1165 Payment Amount: $150.00 Payment Date: 08/21/2009 12:06 PM Balance: $0.00 JOHNSON ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 731970 ACCOUNT ITEM LIST: Description 150.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 150.00 Total: $150.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 08 -21 -2009 INSPECTION RECORD bAl-05-2( Retain a copy with permit INSPECTION NO. RMIT NO. CITY OF TUKWILA BUILDING DIVISION e--1 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 ■« Project , 60),4.);) Type of Inspection: 2/00 Address: 450 r 5. 13 Date Called: �-, Special Instructions: Date Wanted: 03/27 4..f.ren Requester: Phone No: T Approved per applicable codes. Corrections required prior to approval. COMMENTS: Date: 0(3 21 (07 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee m st be �$ p paid at 6300 Southcenter Blvd., Suite 100. Call to schedule �reinspection. Inspector: r 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 JOHNSON ELECTRIC INC UBI No. 600361519 Phone 4258218226 Status ACTIVE Address 11816 NE 116TH ST License No. JOHNSEI384RU Suite /Apt. License Type ELECTRICAL CONTRACTOR City KIRKLAND Effective Date 12/31/1962 State WA Zip 980347105 County KING Business Type Corporation Parent Company Expiration Date 11/30/2010 Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED ADMINISTRATOR INFORMATION License JOHNSDB250MT Name JOHNSON, DANIEL B Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date JOHNSON, DANIEL B JR Cancel Date 01/01/1980 Bond Amount JOHNSON, DANIEL B SR 2 01/01/1980 RN5038112 JOHNSON, JEFFREY J Until 01/01/1980 JOHNSON JR, DANIEL B AGENT 01/25/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 HARTFORD INS RN5038112 11/20/1980 Until $4,000.0011 /20/1980 https: // fortress .wa.gov /lni/bbip /Dctail.aspx 08/21/2009