HomeMy WebLinkAboutPermit EL09-0822 - SCHRYVER MEDICAL SALESSCHRYVER MEDICAL SALES
12668 INTERURBAN AV S
ELO9-0822
Cityltf 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.: 2716000030
Address: 12668 INTERURBAN AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0822
Issue Date: 12/30/2009
Permit Expires On: 06/28/2010
Tenant:
Name: SCHRYVER MEDICAL SALES
Address: 12668 INTERURBAN AV S , TUKWILA WA
Owner:
Name: RREEF AMERICA REIT II CORP/ Phone:
Address: PO BOX 4900 #207 , SCOTTSDALE AZ
Contact Person:
Name: DUANE RIDDING Phone: 425 778 -1064
Address: 104 148 PL SW , LYNNWOOD WA
Contractor:
Name: D RIDDING ELECTRIC
Address: 104 149 PL SW , LYNNWOOD WA
Contractor License No: DRIDDE *061B7
Phone: 425 778 -1064
Expiration Date: 01/27/2010
DESCRIPTION OF WORK:
TI: NEW RECEPTACLES, RELOCATE LIGHTS, ETC.
Value of Electrical: NRES: $6,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied \with, whether specified herein or not.
Fees Collected: $186.40
National Electrical Code Edition: 2008
Date:
ed this permit and know the same to be true and correct. All provisions of law and ordinances
The granting of - rmit • • : f of pre e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction . • e • o re • f I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
tt 4 a4)7,06
Date: a-;° -a
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 -0822 Printed: 12 -30 -2009
Parcel No.: 2716000030
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
12668 INTERURBAN AV S TUKW
SCHRYVER MEDICAL SALES
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0822
ISSUED
12/30/2009
12/30/2009
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 r. • •'t does not presume to give authority to violate or cancel the provision of arty other work or local
laws regulatin on or the performance of work.
Signatur
Print Name:
d.g/t by po/a/('
Date: /L-k) • �
`1
doc: Cond -Elec
EL09 -0822 Printed: 12 -30 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci, tkwila. wa. us
•
Electrical Permit No. l 9,1--
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
King Co Assessor's Tax No.: /1 ■ (J W - (3,7-A)
Site Address:__ _ 12668 Interurban Ave S Gateway Center Bldg 3
Tenant Name:_ _Schryver Medical Sales
Property Owners Name: Rreef Management
'Suite Suite Number: Floor:
New Tenant: m
Yes
❑ ..No
Mailing Address:
Zip
City
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Duane Ridding
Day Telephone: (425) 778 -1064
Mailing Address: 104 148th PL SW _ Lynnwood WA 98087
Zip
E -Mail Address: driddingelectric @venzon: net
City
State
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
D RIDDING ELECTRIC
Mailing Address: 104 148th PL SW Lynnwood WA 98087
City State Zip
Contact Person: Duane Ridding _ Day Telephone: (425) 778 -1064
E -Mail Address: dnddingeiectnc @venzon.net Fax Number:
Contractor Registration Number: DRIDDE "061 B7
Expiration Date: 01/27/2010
Valuation of Project (contractor's bid price): $ 6),,J00 , 00
Scope of Work (please provide detailed information): Tenant Improvement. New receptacles,relocate lights etc.
Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes ® No
Type of Use: Commercial
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ® Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
® Puget Sound Energy
❑ Seattle City Light
H:' kpphcanons'Forms- Applications On 1:m61,2009 = Electnesl Peimit Appltcation: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, 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, furnace thermostat)
MULTI= FAMI.LY_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)
❑ $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 1 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 OWN_,.JL ECT !,IL CO ,' • CTOR:
I/ F/
g
Si nature: Date: 12/30/2009
Print Name: - Duane Ridding
Mailing Address: 104 148th PL SW
IDate Application Accepted:
Day Telephone: (425) 778 -1064
Lynnwood
WA 98087
City
State
H \Apphcanons \Fortns=Apphcations OnirneA1 =2009 - Electrical Permit Applicairon doi
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.: 2716000030 Permit Number: EL09 -0822
Address: 12668 INTERURBAN AV S TUKW Status: APPROVED
Suite No: Applied Date: 12/30/2009
Applicant: SCHRYVER MEDICAL SALES Issue Date:
Receipt No.: R09 -02068
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $186.40
Payment Date: 12/30/2009 12:40 PM
Balance: $0.00
DUANE I RIDDING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6612 186.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 186.40
Total: $186.40
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 12 -30 -2009
INSPECTION NO.
INSPECTION RECORD al"-C122-1
Retain a copy with permit G
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project
�[.Lk'
Type of Inspection:
2'00
Address.
pla Intr. ti4 ,
Date Called:
Special Instructions:
Date Wanted:
�l
o 3
(a.m�.
F. i-
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
OMMENTS:
6.11\
Date:
3/to
❑ $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPE 1 ION NO.
INSPECTION RECORD
Retain a copy with permit
&%- 012Z
MIO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Projects ki
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Type of Inspection: 2490
Address:
Date Called:
Special Instructions:
.(
Date Wanted: n
v
(f- m.
m.
Requester:
5 is a .0C !/Gor f
Phone No:
jJlC 6i(
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
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.(
Kcr\„,,,
5 is a .0C !/Gor f
FoQ tn1S ,(t cm) t( 1-41-66-, D4
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Inspector: EIN k ,
$60.00 REIN FEE
Date: b2 �2 �0
EQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
3 INSPECTION RECORD Retain a copy with permit 6to' O
INSPECTION NO. PE MIT.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Prolject� :A��+
Type of Inspection:
Addres :
Date Called:
Special Instructions:
Date Wanted:
D
6(
a.m.
p:n:
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Cell-Miti
K■41-f
0 $60.00 REIN PECTION FEE ' EQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
ERMIT NO.
12'
(206)431 -3670
ProjeS
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Type of Inspection:
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Addres�zas,
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Date Called:
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Special Instructions:
Date Wanted:
o/
(.77m.
Requester:
Phone No:
IDApproved per applicable codes. ® Corrections required prior to approval.
COMMENTS:
6rCl ktfcti)n q(wtf t4) georvioyi
o R OOtiS
— 1'etIG4o1-.1 Cv n,J 6o)' - &f --=v
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Date:
02101/(
D $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 NO.
INSPECTION RECORD
Retain a copy with permit
6.2t NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Pr �10 tiff
Tape of Inspection:7coi/7003
Addres'' ' -
Date Called:
Special Instructions:
Date Wanted: a.m.
p.m.
Requester:
Phone No:
nApproved per applicable codes. Ei Corrections required prior to approval. /
COMMENTS:
7001
'SLR
7aJ
- (A1444, coutic
Date: Ui , l 9
$60.00 REIfSPECTION FEE REQUIRED. Prior to ins p ection ee mu
st be
paid at 630 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
Page 1 of 1
Electrical Contractor
A business licensed by LEtl 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
D RIDDING ELECTRIC
4257781064
104 148TH PL SW
LYNNWOOD
WA
98087
SNOHOMISH
Individual
UBI No. 601519578
Status ACTIVE
License No. DRIDDE *061 B7
License Type ELECTRICAL CONTRACTOR
Effective Date 1/27/1994
Expiration Date 1/27/2010
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License RIDDIDI972M4
Name RIDDING, DUANE IAN
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
RIDDING, DUANE IAN
OWNER
01/01/1980
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
3
CBIC
SB2783
01/27/1998
Until Cancelled
$4,000.0004/10/2003
2
STAR INS
CO
SA111834901/27/1995
ncelled
Cancelled
$4,000.00
1
CBIC
636749
01/27/1994
Until Cancelled
05/12/1995
$4,000.00
https://fortress.wa.gov/lni/bbip/Detail.aspx
12/30/2009