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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 • 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 • • 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