HomeMy WebLinkAboutPermit EL09-0766 - ELECTRONIC SERVICES PROVIDERELECTRONIC SERVICES
PROVIDER
950 ANDOVER PK E
ELO9O766
CitAf Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 2623049105
Address: 950 ANDOVER PK E TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0766
Issue Date: 12/02/2009
Permit Expires On: 05/31/2010
Tenant:
Name: ELECTRONIC SERVICES PROVIDER
Address: 950 ANDOVER PK E , TUKWILA WA
Owner:
Name: NATIONWIDE LIFE INS Phone:
Address: REAL ESTATE INVESTMENT , ONE NATIONWIDE PLAZA
Contact Person:
Name: DWIGHT DAVIS Phone: 425 -744 -5699
Address: PO BOX 5156 , LYNNWOOD WA
Contractor:
Name: PACIFIC SECURITY ENGINEERING Phone: 425 742 -4889
Address: PO BOX 5156 , LYNNWOOD WA
Contractor License No: PACIFSE051B6 Expiration Date: 01/25/2011
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE SECURITY SYSTEM
Value of Electrical: NRES: $3,200.00
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
LIWL:
$150.00
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 p 't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t - • - •rmance of wor m authorized to sign and obtain this electrical permit.
Signature: / % � � .1V Date: /2,4/91'
Print Name:
'a- 04tor
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 -0766 Printed: 12 -02 -2009
o
City of Tukwila
Department of Community Development
6300 Southccnter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
Parcel No.: 2623049105
Address:
Suite No:
Tenant:
950 ANDOVER PK E TUKW
ELECTRONIC SERVICES PROVIDER
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0766
ISSUED
12/02/2009
12/02/2009
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:
1 .art s11
Date: /117/ elf
doc: Cond -Elec
EL09 -0766 Printed: 12 -02 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci tukwila. wa. us
Electrical Permit No. ELq -- 0'7 kj 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:
Tenant Name:
9.0 /1N4040 e p Z.',
.S�seocL /{'i1Li
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Floor:
❑ 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: Day Telephone:
Mailing Address:
E -Mail Address:
City
State
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 4 '6awsze
Mailing Address: •0 6A' 37a
Contact Person: `2llArride Z 1i'4'
E -Mail Address: Cat.✓/f. 6/ eD✓%jc # m/
£t* 9&%%, re
Contractor Registration Number: Asemue OSIdL
City State Zip
Day Telephone: 442 57ifiX Sal
Fax Number:
Expiration Date:
//7,40,9
OD
Valuation of Project (contractor's bid price): $ Sam--
Scope of Work (please provide detailed information): .Z4/.A74l.L Lola/ YOZPASC .S& tell .
Will service be altered? ❑ Yes jJ No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
,Z1 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel ❑ Tenant Improvement
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications \Forms - Applications On Line \I -2009 - Electrical Permit Application.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 $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
❑ 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.
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 OWNE LP R ELECTRI L CONTRACTOR:
Signature:
Print Name:
Mailing Address:
ZuResAr ZM"
.4o , 40, SJ5
Date: .1/2/0/
Day Telephone: T Z5 ?G4 SF/
City
Gam-- , sil s/g
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
11 Applications\Forms- Applications On L ne11 -2009 • Electrical Permit Applicaoon.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.: 2623049105 Permit Number: EL09 -0766
Address: 950 ANDOVER PK E TUKW Status: PENDING
Suite No: Applied Date: 12/02/2009
Applicant: ELECTRONIC SERVICES PROVIDER Issue Date:
Receipt No.: R09 -01924
Initials: WER
User ID: 1655
Payment Amount: $150.00
Payment Date: 12/02/2009 10:02 AM
Balance: $0.00
Payee: PACIFIC SECURITY ENGINEERING
TRANSACTION LIST:
Type Method Descri.ptio Amount
Payment Check 9667 150.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 150.00
Total: $150.00
P
YME
ECEIVE
doc: Receiot -06 Printed: 12 -02 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
fix1 -o74
RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pr ect:
01\k/ i5ea
' •
Type of Inspection:
Address: 75.—c)
� I
V
(
Date Called:
Special Instructions:
gCLAIT1
Date Wanted:
r�17
cp:,,,.
s
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
k.
(A/fri
",ermeic
Date:
/2/0/07
ri $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
S`
_.�..r..n ..i tee_ ..w _K[5:..�a •.v.:.r
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
601- 066
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: Es p
Type of Inspection:
00
Address: ci■sp t 6
Date Called:
Special Instructions:
Date Wanted:
1/03
•
Requester:
Phone No:
Approved per applicable codes. Ei Corrections required prior to approval. O{
COMMENTS:
I(1
1. " o1oo4N Ai
Date: / zio 3 /4,
LI $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee Ilust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
Untitled Page
o
•
Page 1 of 2
Electrical Contractor
A business licensed by Lai 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
PACIFIC SECURITY
ENGINEERING
4257424889
PO BOX 5156
LYNNWOOD
WA
980465156
SNOHOMISH
Partnership
UBI No.
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
601374068
ACTIVE
PACIFSE051 B6
ELECTRICAL
CONTRACTOR
1/26/1995
1/25/2011
LIMITED ENERGY
HVAC /RFRG LTD
ENERGY
ADMINISTRATOR INFORMATION
License DAVISSB066JB
Name DAVIS, S BRENT
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
DAVIS, DWIGHT
PARTNER
01/01/1980
Received
DAVIS, BRENT
PARTNER
01/01/1980
Date
Assignment of Savings Information
Savings
Assignment of
Effective
Release
Assignment
Impaired
Amount
Received
Savings Account
Date
Date
Type
Date
Date
https: // fortress .wa.gov /lni/bbip/Detail.aspx
12/02/2009