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HomeMy WebLinkAboutPermit EL08-1248 - US KLINEUS KLINE 16040 CH ' STENSEN RD STE 306 11084248 Parcel No.: Address: Suite No: CitPof 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 2523049039 16040 CHRISTENSEN RD TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL08 -1248 09/16/2008 03/15/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: US KLINE 16040 CHRISTESEN RD, STE 306 , TUKVVII,A WA BRCP RIVERVIEW PLAZA LLC 248 HOMER AVE , PALO ALTO CA GORDON STEWART PO BOX 815 , LAKE STEVENS WA CASTLE CABLE INC PO BOX 815 , LAKE STEVENS WA Contractor License No: CASTLCI000LT Phone: Phone: 425 334 -2750 Phone: 425 741 -3734 Expiration Date: 07/01/2010 DESCRIPTION OF WORK: INSTALL UP TO 80 CABLES TO 20 LOCATIONS Value of Electrical: $2,800.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature/ I hereby certify that I have read and, governing this work will be complie exaj wi kAc-7/-cdf $124.00 2005 Date: 01 fined this permit and know the same to be true and correct. All provisions of law and ordinances �, whether specified herein or not. The granting of this permit does not presume to give construction or the performance cef of wo k. I am auth ‘./ 0-77 Signature. Print Name: 'ty to violate or cancel the provisions of any other state or local laws regulating sign and obtain this electrical permit. Date: C7/160 to 1 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 EL08 -1248 Printed: 09-16 -2008 Parcel No.: 2523049039 Address: Suite No: Tenant: US KLINE • 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 TUICW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1248 ISSUED 09/16/2008 09/16/2008 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: GYj (19c4-r%7 �//eWelL— / Date: -,//dVz.9 doc: Cond -Elec EL08 -1248 Printed: 09 -16 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.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: ILO 0110 k1/* Itii/014 7? Tenant Name: (Ay V I Property Owners Name: LA I-0 170 *Peer /1le Mailing Address: 11/010 e ihvotr„, 4944 2'l 5 / 00 4'ct City King Co Assessor's Tax No.: y-1 - /Jim Suite Number: 347 Floor: New Tenant: Yes ❑ .. No State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: L "icy T i' 1' Mailing Address: 5° k- 8 / 5 E -Mail Address: a0-'j Day Telephoners 33.9 to crieve2,9 (4/4 WZs e City State nos tip c et the t Zip Fax Number: L,z :- 3y '0723 ELECTRICAL CONTRACTOR INFORMATI',ON Company Name: Mailing Address: a�� gUK q15— L' f `> i' 5 4//7 N2.7' Contact Person: 61%! -- l ,/ .. t41 41.4 ✓ 9 E -Mail Address: £ •Q15 C°a (P r 4.e Contractor Registration Number: CIS %' G X UOO City State Zip Day Telephone: L� ? S )7t/ 2 i Fax Number: 1j% X07. 2 Expiration Date: 67/0/ /c ) Valuation of Project (contractor's bid price): $ Z.9e 0 Scope of Work (please provide detailed information): w S ¢ /9 .g't en % �O ti -7-p Will service be altered? ❑ Yes lo Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement 12‹,ow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Pro . e Served b 11 Puget Sound Energy ❑ Seattle City Light H \Apphcaaons\Forms- Applications On Lineal -2007 • Electrical Permit Apphcanon doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ 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 CONTRA Signature: Print Name: � Ar Li- vvCv-r �L Date: i k (I25 /j %�GI V Day Telephone: 2 3 ��/ ar l (&J L' S jt1 O4 Lp ivv? f4 S r- 0 5- G k S 4-✓en< 7025 -x Mailing Address: l5 y Vi. Date Application Accepted: City State Zip Staff Initials: 1 lle Date Application Expires: 11 \Apphcanons\Forms- Apphcanons On Lrne'4.2007 - Electncal Permit Apphcanon.doc bh Page 2 of 2 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit fLag.izr's1 PERMIT NO. r- (206)431-3 7 Project: L (�� Type of Inspection: 2- 0 Address: Ci g� Date Called: Special Instructions: Date Wanted: ® .m. Requester: Phone No: f./ Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 9 (04v Inspector: J-1q 6cpiAieg. Date: / -1/01 ri $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: 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: / /wwtt'.ci.tukwila.wa.us RECEIPT Parcel No.: 2523049039 Permit Number: EL08 -1248 Address: 16040 CHRISTENSEN RD TUKW Status: APPROVED Suite No: Applied Date: 09/16/2008 Applicant: US KLINE Issue Date: Receipt No.: R08 -03267 Initials: JEM User ID: 1165 Payment Amount: $124.00 Payment Date: 09/16/2008 11:39 AM Balance: $0.00 Payee: CASTLE CABLE INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 8086 124.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 124.00 Total: $124.00 doc: Receipt -06 Printed: 09 -16 -2008 Untitled Page • SI 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 CASTLE CABLE INC 4257413734 PO BOX 815 LAKE STEVENS WA 98258 SNOHOMISH CORPORATION UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License STEWAGG001 LT Specialty 1 TELECOMMUNICATIONS Specialty 2 UNUSED 601464825 ACTIVE CASTLCI000LT ELECTRICAL CONTRACTOR 6/30/2000 7/1/2010 ADMINISTRATOR INFORMATION License STEWAGG001 LT Name STEWART, GORDON G Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date STEWART, GORDON G Cancel Date 01/01/1980 Bond Amount POWERS, SANDY VICE PRESIDENT 04/25/2001 6345701 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 AMERICAN STATES INS CO 6345701 06/20/2005 Until Cancelled $4,000.00 05/05/2005 1 OHIO CAS INS CO 3-189- 294 06/20/2000 Until Cancelled 06/20/2005 $4,000.00 Insurance Information Page 1 of 2 Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= CASTLCI000LT 09/16/2008