HomeMy WebLinkAboutPermit EL09-0717 - DSVDSV INC
16040 CHRISTENSEN RD
SUITE 212
ELO9-071 7
City if 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.: 2523049039
Address: 16040 CHRISTENSEN RD TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0717
Issue Date: 11/16/2009
Permit Expires On: 05/15/2010
Tenant:
Name: DSV
Address: 16040 CHRISTENSEN RD, STE 212 , TUKWIAL WA
Owner:
Name: BRCP RIVERVIEW PLAZA LLC Phone:
Address: 248 HOMER AVE , PALO ALTO CA
Contact Person:
Name: ERIC CARLSON Phone: 425 460 -3050
Address: 3240 118 AV SE, #100 , BELLEVUE WA
Contractor:
Name: FIRSTLINE COMMUNICATIONS INC Phone: 425 688 -1634
Address: 3240 118 AV SE #100 , BELLEVUE WA
Contractor License No: FIRSTCI008PD Expiration Date: 10/04/2010
DESCRIPTION OF WORK:
LOW VOLTAGE VOICE AND DATA FOR PHONES AND PC'S
Value of Electrical: NRES: $1,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition: 2008
$110.00
Date: a LaP
I hereby certify that I have read and e> zmi.i d this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th, hether specified herein or not.
The granting of this p
construction or the
Signature:
Print Name:
t does not presume to
rmance of work. I
ve authority to viola cancel the provisions of any other state or local laws regulating
horized to sign tain this electrical permit.
GVUty /_ eeciLui
d
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 -0717 Printed: 11 -16 -2009
Parcel No.: 2523049039
Address:
Suite No:
Tenant: DSV
•
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
16040 CHRISTENSEN RD TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0717
ISSUED
11/16/2009
11/16/2009
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:
Cra/5 A. AieedAL,irt
doc: Cond -Elec
EL09 -0717 Printed: 11 -16 -2009
CITY OF TUKWILA
Community DevelopmwrDepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Petit No. 9/2 q-- V1. ti
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: /6r1/0 Ci#t/57
Tenant Name: Ps' V
King Co Assessor's Tax No.: .2g1--13V4 ' ¶C J
Suite Number: / "' 2 % Z- Floor:
New Tenant: ❑ 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: &'/ .G CgobtAbp, Day Telephone: 1/2-5-- tr 60 -- 3 c,),S
Mailing Address: 5Z tie,' / /OD %�"v'e �f0 �V/ X4/4
City _ State Zip
E -Mail Address: / re-- L e l-
e---/re 57- /2-Q_ , /vET Fax Number: 1125 — yt "3 /
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
F i/1--5T -t 4t' 4 `c- 477 1.1 S -
C t
//i0 E - M rle 4 C d /tU $l/ W- 6vA g�err-
SJtate Zip
Day Telephone:
i{
Fax Number: `7 / y d " ?jam
Expiration Date: /O 1fJZU /D
Contact Person: e /L1( t✓ C.-- 50-0
E -Mail Address: eei `LC '7YI.51 /I4e — ./t/Z -1-
or Contractor Registration Number: ���'T�� t�%d
City
Valuation of Project (contractor's bid price): $
/I 5 -00
t {) d�/ 0' i A i
/L— ffr 't-e5 G ►l5,
Scope of Worls(please provide detailed information):
Will service be altered? ❑ Yes dNo Adding more than 50 amps? ❑ Yes 12K-No
Type of Use` -
Type of work:
liTI,New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm Telecommunication ❑ Temporary Service
Pro ert Served b :
Puget Sound Energy
❑ Seattle City Light
•\ A nnl irelinnc1Fn.mc_4 nnliret inns (In '1 inn \I _70(10 - Fl..rinir.l Permit Annlirni inn Ane
Paop 1 of
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
(alann, 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 $1 1.00 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
VrLow 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.
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:
IDate Application Accepted:
Telephone:
Date: fib
)4ro --3056
4
City
State
Zip
Date Application Expires:
Staff Initials:
14A nnl iralinnc\Fnm.c_ A nnlir.i innr (ln I inr\1.1M0. Flrrlrirol Prnnil An..liroinn Ane
Pao - of
•
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.: 2523049039 Permit Number: EL09 -0717
Address: 16040 CHRISTENSEN RD TURIN Status: PENDING
Suite No: Applied Date: 11/16/2009
Applicant: DSV Issue Date:
Receipt No.: R09 -01815
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $110.00
Payment Date: 11/16/2009 12:48 PM
Balance: $0.00
FIRST LINE COMMUNICATIONS, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 26301 110.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 110.00
Total: $110.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 11 -16 -2009
2
INSPECTION RECORD 0.07" ��' Retain a copy with permit INSPECTION NO. P MIT NO.
CITY OF TUKWILA BUILDING DIVISION
t
V�-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: Ty5 V
Type of Inspection: 2."00
Address:
rid /0 110 Cl ■STN$
Date Called:
Special Instructions:
'G L % D41—Ar
L (!
Date Wanted:
I!/ tc-
P.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
D -�
r- 14AL,
‘6,4,46\
/5/07
ri $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date:
Receipt No.:
Date:
INSPEL ION NO.
INSPECTION RECORD
Retain a copy with permit
64'0117
PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION 9--
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: 1..) \/
Type of Inspection:
7 3
Address: 6) o110
(71J<,6?eCaUed:
Date Wanted:
0%
,/g.m�
P.m
Requester:
Phone No:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
- cc-(0441 co"
Kou(d4
Inspector: 5 f r
Date: lZ i/ JO i /o
E $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
•
•
Electrical Contractor
A business licensed by Lal 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 FIRSTLINE COMMUNICATIONS
INC
Phone 4256881634
Address 3240 118TH AVE SE #100
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
BELLEVUE
WA
98005
KING
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
601096381
ACTIVE
FI RSTCI008PD
ELECTRICAL
CONTRACTOR
10/4/2000
10/4/2010
TELECOMMUNICATIONS
UNUSED
ADMINISTRATOR INFORMATION
License WALTEM "001 NG
Name WALTER, MINDY
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
MAIO, TIM P
Cancel
Date
01/01/1980
Bond
Amount
CARLSON, ERICA
1
01/01/1980
SD2354
EVERGREEN CORP SVS INC
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
1
CBIC
SD2354
09/26/2000
Until
Cancelled
$4,000.00
11/08/2000
Insurance Information
Page 1 of 2
Insurance
Company Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
WESTERN
Until
https://fortress.wa.gov/lni/bbip/Detail.aspx
11/16/2009