HomeMy WebLinkAboutPermit EL08-1410 - WILBUR ELLISWILBUR ELLIS
16300 CHRISTENSEN RD
SUITE 135
ELO8-1410
CRAM' 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.: 2523049078
Address: 16300 CHRISTENSEN RD TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -1410
Issue Date: 11/04/2008
Permit Expires On: 05/03/2009
Tenant:
Name: WILBUR ELLIS
Address: 16300 CHRISTENSEN RD SUITE 135 , TUKW LA WA
Owner:
Name: BRCP RIVERVIEW PLAZA LLC Phone:
Address: 248 HOMER AVE , PALO ALTO CA
Contact Person:
Name: STEVE RAHIER Phone: 206 - 755 -7206
Address: 12600 A INTERURBAN AV S , TUKWILA WA
Contractor:
Name: TELDATA SYSTEMS INC Phone: 206 - 682 -8721
Address: 3231 1ST AVE S , SEATTLE WA
Contractor License No: TELDASI995PB Expiration Date: 10/02/2009
DESCRIPTION OF WORK:
INSTALL 7 CCTV CAMERAS
Value of Electrical: $6,000.00
Fees Collected:
$180.40
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: , L 8
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 com • lied with, whether specified herein or not.
The granting of •!• ermit do - _ presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or Aid' rforman ork. I am authorized to sign and obtain this electrical permit.
Date:
i( (Oe
Signature:
Print Name: Se��e�
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 -1410 Printed: 11 -04 -2008
Parcel No.: 2523049078
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
16300 CHRISTENSEN RD TUKW
WILBUR ELLIS
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1410
ISSUED
11/04/2008
11/04/2008
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 construct' or the performance of work.
Signatur
Print Name:
Ste_utz,
Date: eq(06
doc: Cond -Elec
EL08 -1410 Printed: 11 -04 -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. L. LO 9- 11-1 ( 0
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: Wt.Ibvp
Property Owners Name: C. tle ek
Mailing Address: 16040 CL, are, . s ZOO
16300 Ctur-s- ev,s., P�
King Co Assessor's Tax No.: 2S1101-1-- f 1)Z r
Suite Number: 13S Floor: «'1 Zt
New Tenant: ❑ Yes yr..No
t‘ IA/ .C42_
City
WA
State
QSlB fS
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: 5-1-eve kJA. er
Mailing Address: 1Z6 00 A- 4e isi N6' Ave S
E -Mail Address: St aLL∎el" ®Ze19.0- '`Ul.(,kC, - co
Day Telephone: 20 6 Z 6 S '720C
?ukt., ct W . 48168
City State Zip
Fax Number: Zo6 6 32 O'i O i✓
ELECTRICAL CONTRACTOR INFORMATION
Company Name: TeAdo.k
Mailing Address: l Z.6 00 A ( _ �1'�'vl' �^ ,& e, S
Contact Person: S4Eve �tx leJ'
E -Mail Address: S Q"cLLe.1'415) 4t✓kSecta vvc -
Contractor Registration Number: 're-LEAST q 15 PR
City
Day Telephone: Z,06 68z 02Z(
Fax Number: z6 t68 , O'1O
Expiration Date: /O /Z/ 0 9
WA- 78'1‘14
State
Zip
Valuation of Project (contractor's bid price): $ if` otste
Scope of Work (please provide detailed information):
AslA
C CVv C 0. t co
Will service be altered? ❑ Yes )21' No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H.Wpplications\Eorms- Applications On Lineal -2007 - Electrical Pennit Application.doc
bh
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings 575.00 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 bascd on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile hone 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 TI -IE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING 0 R OR ELE �cAL CONTRACTOR:
Signature:
Print Name:
54:e.,uct_ L e�
Mailing Address: t Za /Ct-- T` "-U NU W—+ J
Day Telephone:
Tuk1uk
City
Date:
Sta- te
T g 168
Zip
IDate Application Accepted: Date Application Expires:
Staff Initials:
1
H ■pplications ■Forms- Applications On Line\4 -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
RECEIPT
Parcel No.: 2523049078 Permit Number: EL08 -1410
Address: 16300 CHRISTENSEN RD TUKW Status: PENDING
Suite No: Applied Date: 11/04/2008
Applicant: WILBUR ELLIS Issue Date:
Receipt No.: R08 -03684
Payment Amount: $180.40
Initials: WER Payment Date: 11/04/2008 01:41 PM
User ID: 1655 Balance: $0.00
Payee: TD SECURITY SYSTEMS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2480 180.40
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 180.40
Total: $180.40
doc: Receipt-06 Printed: 11 -04 -2008
INSPECTION NO.
INSPECTION RECORD (W''u- ' l N I
Retain a copy with permit I
PERMIT NO. \
CITY OF TUKWILA BUILDING DIVISION tiaN
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: IA , L n � � � �� �
Type of Inspection:
� /CO
Address �� �
DU ifi , S T C/J xN
Date Called:
Special Instructions:
C/-T�
{^O
Date Wanted:
cy l/2.2, Cfm
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
04. --- (44{,
Inspector: S
Date: Q1 r "J
2.2 -1Cq
ri $60.00 REINSISECTION FEE REQUIRED. Prior to inspection, fee midst be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
(Date:
INSPECTION RECORD �o ‘.-11
Retain a copy with permit -
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1g-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: ti ,
.." Et-4A)
Type of Inspection: 70,3
Address:
roo r14
5
Date Called:
!~
Special Instructions:
Date Wanted:
.51)17.--
a .n
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
0-4.
1 \OJyu 1�
Inspector:
V t"1 (2"W
Date:
n $60.00 REIN PECTION FEE R WIRED. Prior to inspection, fee n st be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
Page 1 of 1
Electrical Contractor
A business licensed by L£ti 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 TELDATA SYSTEMS INC UBI No. 600592963
Phone 2066828721 Status ACTIVE
Address 3231 1ST AVE S License No. TELDASI995PB
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City SEATTLE Effective Date 10/2/2001
State WA Expiration Date 10/2/2009
Zip 98134 Suspend Date
County KING Previous License TELDAS *000QT
Business Type CORPORATION Next License
Parent Company
Associated License DAVISD *956L4
Specialty 1 LIMITED ENERGY
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License DAVISD *956L4
Name DAVISON, DENNIS
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
DAVISON, DENNIS L
AGENT
10/02/2001
Bond
Amount
DAVISON, DENNIS L
PRESIDENT
10/02/2001
YL1241260
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
YL1241260
11/30/2000
Cancelled elled
$4,000.00
12/01/2000
https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= TELDASI995PB
11/04/2008