HomeMy WebLinkAboutPermit EL09-0604 - TEAMSTERS BUILDINGTEAMSTERS BUILDING
14675 INTERURBAN AV S
ELO9-0604
CitAf 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 -0604
Issue Date: 09/22/2009
Permit Expires On: 03/21/2010
Tenant:
Name: TEAMSTERS BUILDING
Address: 14675 INTERURBAN AV S , TUKWILA WA
Owner:
Name: TEAMSTERS BUILDING ASSOCIAT Phone:
Address: 14675 INTERURBAN AVE S #307 , TUKWILA WA
Contact Person:
Name: JANA BURBANK Phone: 206 - 575 -4700
Address: 1221 2ND AVE N , KENT WA
Contractor:
Name: HERMANSON COMPANY LLP Phone: 206 575 -9700
Address: 1221 2 AV N , KENT WA
Contractor License No: HERMACL995DK Expiration Date: 03/12/2011
DESCRIPTION OF WORK:
ADD 24 NEW THERMOSTATS, DDC CONTROLS ON 2ND FLOOR, DISCONNECT AND RECONNECT 2
MAKE UP AIR UNITS, 2 VFD'S
Value of Electrical: NRES: $10,000.00 Fees Collected: $252.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGYQ
Permit Center Authorized Signature:
Date: 61—.)-)- " Ci
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 am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
l) rock
Date: /Z Z/61 °f
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 -0604 Printed: 09 -22 -2009
Parcel No.: 3365901365
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
14675 INTERURBAN AV S TUKW
TEAMSTERS BUILDING
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0604
ISSUED
09/22/2009
09/22/2009
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: TO—GO `j 13 roc �c
Date: b Z ZiJ 7
doc: Cond -Elec
EL09 -0604 Printed: 09 -22 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwwci.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: Y6 75- idc.riArbm 4'G 5. I akod . UA Virg Suite Number:
33(pSCiO--
Tenant Name: e.e i1Si'trs Sid9-
Property Owners Name: Team s itcrs 8u /cl t ^ y 455.
Mailing Address: Same— 6-5 ex- bovc.
k3c�S
Floor:
New Tenant: ❑ Yes
City
State
Zip
Mailing Address:
E -Mail Address:
I2Z 1 Z,i Ate- N. I ci . LM 18037—
Company Name:
Mailing Address:
✓ (�� e {1(S' mans on • c OM
NGrN►a✓tiso Ca
JZZI Z■ncl 4t/,.
City
Fax Number:
N 1 )l- 1^//9 980 3 Z_
City
State Zip
'LOG - 575 — gesso
Contact Person: 54lMG 4-9 Go 0'fa-C- f' pa's 0 el ct.aot/C. Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
State
Zip
Valuation of Project (contractor's bid price): $ 10, 960 / C`'t(
Scope of Work (please provide detailed information): Got.e . fir" I t IL.Q_ mower reph32maht.
Aci a r e C QcalS o r 2rd -R O• o
r
7U.1(12..� c �- T-2. - CCSt�rtie, 2 :� -ems. rnat,) l2+-i
Will service be altered? ❑ Yes Er•lo Adding more than 50 amps3"' ❑ Yes I 1 o
Type of Use: 6-4 rail
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel / Tenant Improvement
tow Volta,e ❑ Generator ❑ Fire Alarm ❑ Telecommunicatio,I ❑ Temporary Service
Property Served by:
All Puget Sound Energ
❑ Seattle City Light
H:\Applications\Forms- Applications On Line \I -2009 - Electrical Permit Application.doc
bh
{fir, 6se
l Page I 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, fumace 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, fumace 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
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: q---0--e-c9 fj 13
Mailing Address: 12.71 ! 7i+ct A .mac A • 'cc/v.1
Date:
Vzz/
Day Telephone: ZvG - 6-75" - KZOa
(.J4 4i'3t
City
State
Zip
Date Application Accepted:
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.: 3365901365 Permit Number: EL09 -0604
Address: 14675 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 09/22/2009
Applicant: TEAMSTERS BUILDING Issue Date:
Receipt No.: R09 -01481
Initials: WER
User ID: 1655
Payment Amount: $252.00
Payment Date: 09/22/2009 11:26 AM
Balance: $0.00
Payee: HERMANSON COMPANY LLP
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 20708 252.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 252.00
Total: $252.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 09 -22 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ER0 )0 II
PMIT NO.
CITY OF TUKWILA BUILDING DIVISION R-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:�i S1
Type of Inspection: 2.1D0
\581.1)4. Address/105.. NT, I16.
Date Called:
Special Instructions:
Date Wanted:
io 04)
7)4
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. �2
COMMENTS:
CgP�R�G11or.�S htieD6
Inspector:
Date:
100(Q07
El $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:
1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION k2.-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Ecoy. 04 oil
Project: / 5 f�5 ;j NA-
Type of Inspection: Z/490
AddresIY4 -15- ' ()co.
Date Called:
SC 4 a Air Cc-lu.Elk
i.a. c - -ci. e at t LA. Lt J£ sti n £ aF
Special Instructions:
Date Wanted:
/0/0
ca:Aen.
Requester:
Phone No:
❑ Approved per applicable codes. ll Corrections required prior to approval.
COMMENTS:
1?)14
— 4ODi11a4AI/ 64FPok'f REDoi4 rot.
SC 4 a Air Cc-lu.Elk
i.a. c - -ci. e at t LA. Lt J£ sti n £ aF
btsJ Iecj
- fl Joy( 0) 04 P 15 a446t-r,
Inspector:
/361\OCA
Date: 410 07
❑ $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:
Untitled Page
•
•
Page 1 of 2
Electrical Contractor
A business licensed by Ll 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
HERMANSON COMPANY
LLP
2065759700
1221 2ND AVE N
KENT
WA
98032
KING
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
602004844
ACTIVE
HERMACL995DK
ELECTRICAL
CONTRACTOR
3/12/2001
3/12/2011
GENERAL
UNUSED
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
HERMAC*01303
HERMANSON
CORPORATION
ELECTRICAL
CONTRACTOR
HVAC /RFRG
LTD
ENERGY
UNUSED
9/23/1999
9/23/2001
ARCHIVED
HERMAC "066QQHERMANSON
CORPORATION
ELECTRICAL
CONTRACTOR
LIMITED
ENERGY
UNUSED
11/18/199411
/18/2000
ARCHIVED
ADMINISTRATOR INFORMATION
License HENKEJK995CC
Name HENKEL, JOHN K
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
HERMANSON, RICHARD L
PARTNER /MEMBER
01/01/1980
ALMON, KEVIN L
PARTNER /MEMBER
01/01/1980
MACDONALD, JAMES A
PARTNER /MEMBER
01/01/1980
https: // fortress .wa.gov /lni/bbip /Detail.aspx
09/22/2009