HomeMy WebLinkAboutPermit EL08-1487 - DOMESTIC ABUSE WOMENS NETWORK (DAWN)DAWN
18200 CASCADE AV
ELO8-1 487
Cit341if Tukwila 11)
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 Mo.: 7888900170
Address:: 18200 CASCADE AV TUICW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -1487
Issue Date: 12/02/2008
Permit Expires On: 05/31/2009
Tenant:
Name: DOMESTIC ABUSE WOMENS NETWORK
Address: 18200 CASCADE AV , TUKWILA WA
Owner:
Name: RIVERPOINT TWO LLC Phone:
Address: 1100 OLIVE WAY #340 , SEATTLE WA
Contact, Person:
Name: JEFF CROSE Phone: 206 -550 -7121
Address: 11232 120 AVE NE #111 , KIRKLAND WA
Contractor:
Name: TELESYSTEMS WEST INC Phone: 425- 968 -4000
Address: 12828 NORTHUP WY, SUITE 110 , BELLEVUE WA
Contractor License No: TELESWI005LH Expiration Date: 06/08/2010
DESCRYPTION OF WORK:
INSTALL 62 CAT5 DATA CABLE RUNS, TERMINATION TO CAT5 MOD INSERTS AND TO CAT5
PATCH PANEL
Value o1 Electrical: $6,500.00
Fees Collected:
$196.80
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
L)An°k Date: 1 ) .)-0 t/
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 t
construction
Signature:
Print Name:
s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
rk. I am authorized to sign and obtain this electrical permit.
1-)-- /0,i
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 abanctoned for a period of 180 days from the last inspection.
doc: EL -4107 EL08 -1487 Printed: 12 -02 -2008
•
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
PERMIT CONDITIONS
Parcel No.: 7888900170
Address;:
Suite Nu:
Tenant:
18200 CASCADE AV TUKW
DOMESTIC ABUSE WOMENS NETWORK
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1487
ISSUED
12/02/2008
12/02/2008
1: ** *ELECTRICAL * **
2: A cony of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
3: App1;oved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
4: All ellectrical work shall be m 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 +:hange in the scope of work described by the electrical work permit shall require additional work permits. Where
approvi;d 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 rei Iulating construction or the • erformance of work.
Signature:
Print Name: i/‘6YJ
Date: r k Ail
doc: Cored -Elec
EL08 -1487 Printed: 12 -02 -2008
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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.
ELOS- 1487
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 **
[TE LOCATION
`I c King Co Assessor's Tax No.: -7 to �I 0 U 1 .7 0
1
Site Address: Csc � � Ve J t Suite Number: t 0 Floor: j �r
Tenant Name: 1 W 5fi\C ABosC 'I/O o EN'S A/Q.,ti..IDR f New Tenant: 10 Yes .. No
Property Owners Name:
Mailing Address:
City
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Nime: ff C RoS� AVE Mailing Address: /12332 /?-off' I IVG NL '11
E -Mail Address: ,"J"CF.Fe -'Q /e$ ySfewtS'G/Q 1 ��✓t't
Day Telephone: p2 C)(o - 5S-0 -71 )
tAJA 18o33
City State Zip
Fax Number: 412 5 -9&98, ' (ocro
CLECTRICAL CONTRACTOR INFORMATION
Company Name: Ipa. I eS f+e i, S V✓ Q', j"
?_32- l,1o'? /life NE 010
Mailing Address:
!�r K Lh-v40 % 9io ?3
Contact Person: f r - e 1245 e.
E -Mail Address: f& /kfys 475 ` 1"/05 #-(044
Contractor Registration Number:
City State /L Zip
Day Telephone: -S' tI p - 9000
Fax Number: (./ " 9G2'GoLO
Expiration Date: /-7-2009
n
Valuation of Project (contractor's bid price): $ lS� y� � D
Scope of Work (please provide detailed information): 62- C-At 'DMA- Coe, Row S/
��rt
"J-41:6.A) fv CA-r- 5 mod A1N ' f o c-t- f t c ? 4
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
L pe of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
Low Voltage ❑ Generator ❑ Fire Alarm El Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H t. tppl¢attons\Forms- Apphcanons On Line k4-2007 - Electrical Permit Application dot
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
[j 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
EYJERIVIIT APPLICATION NOTES -
Wine 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 l HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BF. TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BI i1IDING OWNER 0 ELECTRICAL CONTRACTOR:
Signature: .
Print Name:
Mailing Address: 1/2.37_ 0.-0 A4-et Ave NE 111
Date Application Accepted:
Day Telephone:
City
Date: -1)E� o �. , 2-4--"c5
w/4
Statc
9033
Zip
Date Application Expires: Staff Initials:
H \. tpplrcahons \Forms- Apphcanons On Lmet4 -2007 - Electrical Permit Apphcannn «Inc
bh
Page 2 of 2
(!i) OR A, h
1908
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 Pio.: 7888900170 Permit Number: EL08 -1487
Addres :;: 18200 CASCADE AV TUKW Status: PENDING
Suite Nc.: Applied Date: 12/02/2008
Applicant: DOMESTIC ABUSE WOMENS NETWORK Issue Date:
Receipt No.: R08 -03852 Payment Amount: $196.80
Initials: WER Payment Date: 12/02/2008 10:14 AM
User ID: 1655 Balance: $0.00
Payee: TELESYSTEMS WEST
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 39589 196.80
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 196.80
Total: $196.80
0095 12/02 9707 TOTAL 196.80
doc: Recaiot -06 Printed: 12 -02 -2008
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION IL
11,0V -IT
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Project .d )
Type of Inspection:
Date Called:
7e100/1703
Address:
I� CSC0(A/
Special Instructions:
1.11
Date Wanted:
(Z /
a:m
Requester:
Phone No:
U(I Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
OK- c Kook 14 tA
OK. (1.441,L,
Inspector: .11;)
Date:' 2
❑ $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:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Projert_
Jtit-5 ` r C., A6OSE
f
Type of Inspection: ^
rb
Y/
Address
IYAL°C7 CPr5
Date Called:
Special Instructions:
`1r/
Date Wanted:
'7 f
IL(1g
a.m
P.m.
Requester:
Phone No:
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
AA LAL-49
Inspector:
Date: 2.-/q/68
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:
.tom. • ..r .. -.a .. r •• .�-4 .1 • • « w. • .. •
r
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Ct,&'— I
PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pr ' ct:
CVIG 15f i\ler.
Type of Inspection:
.70o
A dt ress:
1 5r2.-00 OW AWE ITU
Date Called:
Special Instructions:
VRequester:
ll
Date Wanted:
2/02-
a:m.
•
Phone No:
JApproved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
OK. (Ablyt4J cout-7\
❑ $60.00 REINSPECTION FEE REQUIREb. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
ye-
Untitled Page
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Electrical Contractor
A business licensed by Lift 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
TELESYSTEMS WEST INC
4259684000
12828 NORTHUP WAY STE
110
BELLEVUE
WA
980051932
KING
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601917246
ACTIVE
TELESWI005LH
ELECTRICAL
CONTRACTOR
6/8/2000
6/8/2010
CROSEJ *002LH
TELECOMMUNICATIONS
UNUSED
ADMINISTRATOR INFORMATION
License CROSEJ *002LH
Name CROSE, JEFF A
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
ARSENIAN, TROY G
Cancel
Date
01/01/1980
Bond
Amount
SZPAK, TERRY J
2
01/01/1980
LPM4054311
LIVAS, MARK
AGENT
01/01/1980
Bond Information
Page 1 of 2
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
2
COLONIAL
AM CAS D
SURETY
OF MD
LPM4054311
06/02/2001
Until
Cancelled
$4,000.00
06/02/2001
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= TELESW1005LH
12/02/2008