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Home My WebLink AboutPermit EL09-0633 - KEY BANKKEY BANK 3434 S 152 ST ELO9-0633 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: / /www.ci.tukwila.wa.us Parcel No.: 0041000495 Address: 3434 S 152 ST TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0633 Issue Date: 10/05/2009 Permit Expires On: 04/03/2010 Tenant: Name: KEY BANK Address: 3434 S 152 ST , TUKWILA WA Owner: Name: KEY BANK OF WASHINGTON Phone: Address: C/0 FIRST AMER TAX VALUATN , PO BOX 560807 Contact Person: Name: JEFF SELLERS Phone: 425 - 508 -1451 Address: 3315 S 116 ST SUITE 149 , SEATTLE WA Contractor: Name: DIEBOLD INCORPORATED Phone: 206 510 -2558 Address: PO BOX 3077 C/0 9 -C -26 , NORTH CANTON OH Contractor License No: DIEBOI* 179J5 Expiration Date: 06/30/2010 DESCRIPTION OF WORK: LOW VOLTAGE ALARM & VIDEO Value of Electrical: NRES: $5,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $170.00 National Electrical Code Edition: 2005 Ai_ Date: (D ^ S 65 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 pe • • rmance of work. I am authorized to sign and obtain this electrical permit. Signature: _ .— Date: / C✓ - S� – f79 Print Name: W 04,1– Cfs ( 6-- 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 -0633 Printed: 10 -05 -2009 a 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.: 0041000495 Address: 3434 S 152 ST TUKW Suite No: Tenant: KEY BANK PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0633 ISSUED 10/05/2009 10/05/2009 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: J c Print Name: Date: / Ca — �- D doc: Cond -Elec EL09 -0633 Printed: 10 -05 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.citukwila.wa.us Electrical Permit No. t 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: 3 /� 3 y S. / s'-9-1-01 _ _ __ ___ Suite Number: Tenant Name: /X42/ g � )'-- Property Owners Name: % Mailing Address: King Co Assessor's Tax No.: OO'i [ 0 0 ^ 0 1-ki c New Tenant: Floor: ❑ Yes p'fvo City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 3 c 2 E/LS Mailing Address: 13 /r S. //Le' STP�! `{ I E -Mail Address: I� L L E2 f ® Die 1, p// , 6-0 Day Telephone: 14 Zr-J D g / 1-/S`/ 1,3A ?A.160 B City State Zip Fax Number: Zo 6 -2 4 I 3.6. ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: b)6-/3 oLL �Nl 3 ? /5 ,s / /!c 7 s'rz f47/ Contact Person: - E -Mail Address: c Cif .1 D t �- p' , CA VA Contractor Registration Number: St 417iE iJ,R 16 t city State Zip Day Telephone: q Z 1— 5'-0 / NS'/ Fax Number: d? tp (n Z '-/l 340 /4/ Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Lt.D U oz---r4-61- 4 L.-4a--144 4 'l b e.[7 t, o 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 ❑ Telecommunication ❑ Temporary Service ❑ Remodel ❑ Tenant Improvement Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplications\ Forms - Applications On Line \I - -2009 - Electrical Pennil Applicanon doc bh 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 $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) S60.00 ❑ 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: c. > T clot t yc Mailing Address: 3) 1 S s 1(671- (" t-e_. 1 t-( 9 Date: /(9 —S = °? Day Tele hone: 6 T! 0 - /g94' / SSA �E L df !O /4E3 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H Appl:cauons \Forms -Apph cations On - 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 Parcel No.: 0041000495 Address: 3434 S 152 ST TUKW Suite No: Applicant: KEY BANK RECEIPT Permit Number: EL09 -0633 Status: PENDING Applied Date: 10/05/2009 Issue Date: Receipt No.: R09 -01559 Payment Amount: $170.00 Initials: WER Payment Date: 10/05/2009 01:27 PM User ID: 1655 Balance: $0.00 Payee: DIEBOLD INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 092177 ACCOUNT ITEM LIST: Description 170.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 170.00 Total: $170.00 PAYMENT RECEIVED doc: Receipt -06 Printed: 10 -05 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Qlyd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Type of Inspection: ,2 100 Address Date Called: Special Instructions: Date Wanted: :k m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Date: I 0 /ii0 D 1 ❑ $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 0 • 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company DIEBOLD INCORPORATED 4255081451 PO BOX 3077 C/0 9 -C -26 NORTH CANTON OH 44720 OUT OF STATE Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 409004313 ACTIVE DIEBOI*1 79J5 ELECTRICAL CONTRACTOR 4/25/1983 6/30/2010 LIMITED ENERGY UNUSED ADMINISTRATOR INFORMATION License SELLEJW930DL Name SELLERS, JEFF W Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date O'DELL, WALSEN W Cancel Date 01/01/1980 Bond Amount GESWEIN, GREGORY T 3 01/01/1980 81446163 WARF, ALBEN W Until Cancelled 01/01/1980 BUCCI, DAVID 01/01/1980 AETNA C T CORPORATION SYSTEM AGENT 01/01/1980 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 FEDERAL INS CO 81446163 01 /01 /1997 Until Cancelled $4,000.00 AETNA https: // fortress .wa.gov /lni/bbip/Detail.aspx 10/05/2009