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Home My WebLink AboutPermit EL08-0310 - WASHINGTON STATE NURSES ASSOCIATIONWA STATE NURSES ASSOCIATION 575 ANDOVER PK W ELO8-310 Citylif 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.: 2623049144 Address: 575 ANDOVER PK W TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -310 Issue Date: 03/25/2008 Permit Expires On: 09/21/2008 Tenant: Name: WA STATE NURSES ASSOCIATION Address: 575 ANDOVER PK W , TUKWILA WA Owner: Name: SOUTHCENTER CORPORATE SQUAR Phone: Address: 150 CALIFORNIA ST , SAN FRANCISCO CA Contact Person: Name: ROBERT GARZA Phone: 206 - 650 -4536 Address: 1305 S MADISON ST , TACOMA WA Contractor: Name: CONNECTIONS NORTHWEST Phone: 253 -761 -0854 Address: 1305 S MADISON ST , TACOMA WA Contractor License No: CONNEN *006LH Expiration Date: 06/08/2008 DESCRIPTION OF WORK: INSTALL VOICE & DATA CABLE Value of Electrical: $3,000.00 Fees Collected: $124.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 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 permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the %�f /�� performance of work. I am authorized to sign and obtain this electrical permit. Signature: `�,� q `� � Date: ° r - o (� Print Name: J b., r7 ,q A r2 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 -310 Printed: 03 -25 -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.: 2623049144 Address: Suite No: Tenant: 575 ANDOVER PK W TUKW WA STATE NURSES ASSOCIATION Permit Number: Status: Applied Date: Issue Date: EL08 -310 ISSUED 03/25/2008 03/25/2008 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: t7 "? Date: -3-.) S O&S Print Name: R J 6 -e, 7 1—! G A rz A doc: Cond -Elec EL08 -310 Printed: 03 -25 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www. ci. tkwila. wa. us Electrical Permit No. J L - -10 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 King Co Assessor's Tax No.: —2 (a )- .101-1'-911-1)1 Site Address: 575 ANDoyF Pur'k WEST Suite Number: /p / Floor: Tenant Name: \AM SL.j r 1uN 54(4i E NurSES ASSio ieiVoiv New Tenant: Yes ❑..No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: ll t7 hPr 'r /-1 G A ► 2 i1 Mailing Address: / 30 5 Su /'A A/J Ls oN S T E -Mail Address: R H GArzR 5 7 6 RoL • cox-, Day Telephone: a O 5 o 41336 TAC oM k /4 y 890 s- City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: C v/v/vFrT%okS /tlorTNWE5T 1305 . o t ,10 3o,v 57 d berg N G pr zfl R N G1(1'2-195'7 R-o [.. e vn/, 7/9e o AA r4 W A 618'7'05 City State Zip Day Telephone: J O 4/S3 6 Fax Number: Contractor Registration Number: C c�/V N b c)6.4_/./ Expiration Date: 6 U 8 ao o g Valuation of Project (contractor's bid price): $ 3 O 00. u u Scope of Work (please provide detailed information): it.57-14/1 yo 7 CI. 4 DirtA C I ,E 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 H:Wppltcations\Fonns- Applications On Line A-2007 - Electrical Permit 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 S10.00 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 S80.00 (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 1 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: Rd 6 et -t N G4r7-19 Mailing Address: / 3o5 SO AAA 4;.SV A! 41 Day Telephone: -TA C City Date: 3 .r 0 l6so4is-.3( \Ai 98'S'o s- State Zip Date Application Accepted: Date Application Expires: Staff Initials: H. Applications' nns- Applications On line4-2007 - Electrical 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:/lwww.ci.tukwila.wa.us RECEIPT Parcel No.: 2623049144 Permit Number: EL08 -310 Address: 575 ANDOVER PK W TUKW Status: PENDING Suite No: Applied Date: 03/25/2008 Applicant: WA STATE NURSES ASSOCIATION Issue Date: Receipt No.: R08 -00893 Initials: WER User ID: 1655 Payment Amount: $124.00 Payment Date: 03/25/2008 01:38 PM Balance: $0.00 Payee: CONNECTIONS NORTHWEST TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6988 124.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 124.00 Total: $124.00 doc: Receiot -06 Printed: 03 -25 -2008 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION C- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 14-145-- 32o Pro' fi /liefi S. ASS IIJ Type of Inspection: �/ ddr ss: S YS- 4„,./eit 4 A/ Date Called: Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. OMMENTS: Inspector „wiz iii #64'G, Date: $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 'z 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3670 Project: WA S »4/,2 S�r1�(. Type of Inspection: �� 074- V V f ! g" t c_V L! —2}e(27( 09,4"f r�s: A Az Date Called: �Q/Z J�UtST IAi Special Instructions: Date Wanted: a.rm. Requester: Phone No: proved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: p/19. 074- V V f ! g" t c_V L! —2}e(27( 09,4"f OIL - c JL In) 6 --a, ��F�I cfs� �: �Q/Z J�UtST IAi Inspect ::) 6/T-EXA,Foa Dateq/ /' /f 0 $58.00 REINSPECTION FEE REQUIRED. Prior o inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: 44 I INSPECTION NO. INSPECTION RECORD Retain a copy with permit 60$ -310 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: WA 5 nialot5 A-5. Type of Inspection: 7003 Address: 57 5- tik_ PK- IA). Date Called: Special Instructions: Date Wanted: 16 ( .m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: . cceiL(461 'Jam+ accoPmJcrt nlowi Inspector: bc--Aiskis Date: 09/f o\Ig 0 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electric, inn or Plumber License Detail Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I 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. License Information License CONNEN *006LH Licensee Name CONNECTIONS NORTHWEST Licensee Type ELECTRICAL CONTRACTOR UBI 601261564 Ind. Ins. Account Id Business Type INDIVIDUAL Address 1 1305 S MADISON ST Address 2 City TACOMA County PIERCE State WA Zip 98405 Phone 2537610854 Status ACTIVE Specialty 1 TELECOMMUNICATIONS Specialty 2 UNUSED Effective Date 6/8/2000 Expiration Date 6/8/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License GARZARHOO1LH Electrical Administrator Information License GARZARHOOI LH Name GARZA, ROBERT H Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date GARZA, ROBERT H OWNER 01 /01 /1980 • Bond Information Bond l Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= CONNEN *006LH 03/25/2008