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Permit EL08-1329 - HAAKENSON GROUP
HAAKENSON GROUP 130 ANDOVER PK E ELO8-1329 CitAlf 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.: 0223100040 Address: 130 ANDOVER PK E TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -1329 Issue Date: 10/07/2008 Permit Expires On: 04/05/2009 Tenant: Name: HAAKENSON GROUP Address: 130 ANDOVER PK E , TUKWILA WA Owner: Name: PUGET SOUND BLOOD CENTER Phone: Address: DIRECTOR OF ADMINISTRATION , 921 TERRY AVE Contact Person: Name: SEAD KAMERIC Phone: 206 - 779 -0115 Address: 6844 S 220 ST , KENT WA Contractor: Name: TECHNOCOM INC Phone: 503 -682 -4195 Address: 7929 SW BURN WAY SUITE F , WILSONVILLE OR Contractor License No: TECHNI *962CE Expiration Date: 02/05/2010 DESCRIPTION OF WORK: VOICE AND DATA CABLING, INSTALLING TWO CEILING SPEAKERS Value of Electrical: $17,585.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2005 $377.20 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 0 — % `V B 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 permi does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the{�perforance rk. I am authorized to sign and obtain this electrical permit. Signature: Print Name: xte C Date: /e —d7 -Qc 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 -1329 Printed: 10 -07 -2008 Parcel No.: 0223100040 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 130 ANDOVER PK E TUKW HAAKENSON GROUP PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1329 ISSUED 10/07 /2008 10/07/2008 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: (/a 7 /a c97 —©6- Date: rek/-/E-giC doc: Cond -Elec EL08 -1329 Printed: 10 -07 -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. C g— \ 32' 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: King Co Assessor's Tax No.: 030 3 i0 ' 00 Lip /3o Aklpo 11e'R Suite Number: 3o/ Floor: 3 4L KE,)SaA i2O /NC Property Owners Name: New Tenant: Yes ❑..No Mailing Address: 13 0 AAA) ovela City 16'444 , (1-4 41.g /St 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: Mailing Address: c}aJacoM /A/c bg-yq 5 22.0-r4 37 KOiv 1 a-ft- alga 32_ City State Zip Contact Person: ✓ � 4— )4 E 1 C Day Telephone: 2o6 - 7 7 et-011s E -Mail Address: g! Fax Number: 2.6-3 - 395- - / 7 2 C Contractor Registration Number: �e CH ' Y' r 42- C6 Expiration Date: Valuation of Project (contractor's bid price): $ / 7. 5-875 Scope of Work (please provide detailed information): l/(C) I ec /JD PAT k CA-F L I .plc //067A-41 7160 cEH C, S 1 Eckf� 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 ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light 11 Upphcations\Forms- Applications On lane14 -2007 - Electrical Pent Application.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 - 1 Date Application Accepted: 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] 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: Mailing Address: .,t/0'1F%l /C 5 22cfr, Date: Day Telephone: 2 06 — 771- a/ �3 City /4-07 -if.6 State Zip Staff Initials: Date Application Expires: H Upplicauons\Forms- Applicuione On 1.inel4 -2007 - Electncal Permit Application 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 Parcel No.: 0223100040 Address: 130 ANDOVER PK E TUKW Suite No: Applicant: HAAKENSON GROUP RECEIPT Permit Number: EL08 -1329 Status: PENDING Applied Date: 10/07/2008 Issue Date: Receipt No.: R08 -03458 Initials: WER User ID: 1655 Payment Amount: $377.20 Payment Date: 10/07/2008 10:06 AM Balance: $0.00 Payee: TECHNOCOM TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4501 377.20 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 377.20 Total: $377.20 doc: Receiot -06 Printed: 10 -07 -2008 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431 -3670 Project: e�� (.314 ,�, Type of Inspection: loo Address: lice ANIDo4 t • Date Called: Special Instructions: 1... 1 Date Wanted: 01 1Z - p.m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: 0-14. / r\iPet Inspector: t til/ El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 0(112 0/ Receipt No.: 'Date: INSPECTION RECORD Retain a copy with permit ao'- /3Z INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION r- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: i 5onl (1k -otAl Type of Inspection: 00 Address: D /t*� J 13 n '� �t Date Called: -- Special Instructions: Date Wanted: 01/07 :m m. Requester: Phone No: LIApproved per applicable codes. Corrections required prior to approval. COMMENTS: •iEScwE9kh-e co'k aJuai q.M. Inspector: 1 4 of /n9 o1 J ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Receipt No.: Date: INSPECTION RECORD Retain a copy with permit 6/A-13Z7 PERMIT NO. (706)431 -3670 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISIO N 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Project: a jso)614zote Type of Inspection: 700 3/700! Address: j o A400%, f Date Called: Specua Instructions: Date Wanted: ititz_ . • Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: K. alcak czA/c-K Inspector: Date: I1 2/0V ri $60.00 REINSPECTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page • • 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 TECHNOCOM INC UBI No. 5036824195 Status 7929 SW BURN WAY STE F WILSONVILLE OR 97070 OUT OF STATE CORPORATION License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 601340585 ACTIVE TECHNI*962CE ELECTRICAL CONTRACTOR 2/5/2004 2/5/2010 ESPCOI *033RR ESPTE * *952S8 SANDNJ`000NK LIMITED ENERGY UNUSED ADMINISTRATOR INFORMATION License SANDNJ *000NK Name SANDNER, JEFF Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date CORPORATION SERVICE COMPANY AGENT 02/05/2004 MCCLOSKEY, PATRICK A PRESIDENT 02/05/2004 DOHERTY, KEVIN SECRETARY 02/05/2004 OWENS, JAN TREASURER 02/05/2004 DOHERTY, KEVIN VICE PRESIDENT 02/05/2004 Bond Information I https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= TECHNI* 962CE I 1 10/07/2008