HomeMy WebLinkAboutPermit EL09-0772 - DSV INCDSV, INC
16040 CHRISTENSEN RD
SUITE 212
ELO9-0772
Parcel No.:
Address:
Suite No:
Citylk 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.tukwrla.wa.us
2523049039
16040 CHRISTENSEN RD TUKW
ELECTRICAL PERMIT
Permit Number: EL09 -0772
Issue Date: 12/04/2009
Permit Expires On: 06/02/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
DSV, INC.
16040 CHRISTENSEN RD, STE 212 , TUKWILA WA
BRCP RIVERVIEW PLAZA LLC
248 HOMER AVE , PALO ALTO CA
STEVE MCDIVITT
PO BOX 789 , MONROE WA
Contractor:
Name: TEAM MECHANICAL
Address: PO BOX 789 , MONROE WA
Contractor License No: TEAMMI *004C9
Phone:
Phone: 206 396 -8648
Phone: 360 805 -1835
Expiration Date: 02/28/2010
DESCRIPTION OF WORK:
RELOCATE (3) SENSORS
Value of Electrical: NRES: $300.00
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
$64.00
Date: 12-.1 V 1 D
I hereby certify that I have read and -xa ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie . wit whether specified herein or not.
The granting of this permit does not pr- e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I arRn authorized to sign and obtain this electrical permit.
Signature:
Print Name:
ST EL' 6 /t-A
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 -0772
Printed: 12 -04 -2009
Parcel No.: 2523049039
Address:
Suite No:
Tenant: DSV, INC.
•
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.tuk-wila.wa.us
16040 CHRISTENSEN RD TUICW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0772
ISSUED
12/04/2009
12/04/2009
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: s T E_k 1M V l \k( l O
Date:
doc: Cond -Elec
EL09 -0772 Printed: 12 -04 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://vvww.ci.tukwila.wa.us
Electrical Permit No.
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:
King Co Assessor's Tax No.: 2_ 5 2 _ 3 o 3 ? _
bo `i 0 C( -H2( E,L) IL f3UDC l Suite Number: 217- Floor: 2f'D 6
Tenant Name:
Property Owners Name: k) lam" <-0
2. PIr a > BLS
New Tenant:
• Yes ❑ ..No
Mailing Address:
Zip
City
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
M c-- I Ner-c—
Mailing Address: l 0 . & ox 7 B
Day Telephone: 2-OG' % s $ sE
E -Mail Address: 'T r / 4 /'t L(RLl`3\C- kL A L . CoMt
City
Fax Number: 3 GO S °S 6 o S
State Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person: 5T- -(kL /%4 c-. t N l~
E -Mail Address:
Contractor Registration Number: 'i 1'v\\.& Q0-1
City
State Zip
Day Telephone: 2`' 356 86 18
Fax Number: 3�d I�� �S
oZ.2 ho
Expiration Date:
Valuation of Project (contractor's bid price): $
3o o..
Scope of Work (please provide detailed information):
s Scut 5
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
cz Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
11 \Apphcanons\Forms- Applications On Line \I-2009 - Electncal Perm t Apphcation.Aoc
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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) $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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
S7- rtiv� -� kv \l
Mailing Address:
P 13ce( 2 ce
Day Telephone:
cp
City
Date:
/2. L
G'Y
State
Date Application Accepted:
V171 oti La`s
Date Application Expires:
Staff Initials:
HAApplications\Forms- Applications On Line \I -2009 - Electrical Permit Application doc
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Zip
A/2'
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.: 2523049039 Permit Number: EL09 -0772
Address: 16040 CHRISTENSEN RD TUKW Status: PENDING
Suite No: Applied Date: 12/04/2009
Applicant: DSV, INC. Issue Date:
Receipt No.: R09 -01944
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $64.00
Payment Date: 12/04/2009 03:41 PM
Balance: $0.00
STEVEN D MCDIVITT, TEAM MECHANICAL INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 006059
ACCOUNT ITEM LIST:
Description
64.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 64.00
Total: $64.00
PAYMENT
RECEIVE[:
doc: Receipt -06 Printed: 12 -04 -2009
INSPECTION NO.
INSPECTION RECORD f
Retain a copy with permit GL07- 07�
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION Iz
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: DJ V
Type of Inspection:
Address:
10010
It
S" j t�h m/
Date Called:
Special Instructions:
5*
Date Wanted:
/2
07
a.m
m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. '
COMMENTS:
Inspector:
&Wei\
Date: ' 7101 v
❑ $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
1
1
Page 1 of 2
Electrical Contractor
A business licensed by LW 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 TEAM MECHANICAL INC UBI No. 601783505
Phone 3608051835 Status ACTIVE
Address PO BOX 789 License No. TEAMMI *004C9
Suite /Apt.
City MONROE
State WA
Zip 98272
County SNOHOMISH
Business Type Corporation
Parent Company
License Type ELECTRICAL CONTRACTOR
Effective Date 2/29/2000
Expiration Date 2/28/2010
Suspend Date
Specialty 1 HVAC /RFRG LTD ENERGY
Specialty 2 UNUSED
ADMINISTRATOR INFORMATION
License SAETHJD944L8
Name SAETHER, JEFFREY D
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
SAETHER, JEFFREY D
Cancel
Date
01/01/1980
Bond
Amount
MCDIVITT, STEVEN D
1
01/01/1980
YLI239676
SAETHER, JEFFERY D
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
OLD
REPUBLIC
SURETY CO
YLI239676
02/29/2000
Until
Cancelled
$4,000.00
https://fortress.wa.gov/lni/bbip/Detail.aspx
12/04/2009