HomeMy WebLinkAboutPermit EL08-0320 - MED DATAMED DATA
12101 TUKWILA
INTERNATIONAL
EXPIRED 09 -24-08
L
Parcel No.:
Address:
Suite No:
City#f 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
ELECTRICAL PERMIT
0923049031
12101 TUKWILA INTERNATIONAL BL TUKW
Permit Number:
Issue Date:
Permit Expires On:
EL08 -320
03/27/2008
09/23/2008
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
MED DATA
12101 TUKWILAfNTERNATIONAL BL , TUKWILA WA
INTERNATIONAL GATEWAY WEST
12201 TUKWILA INTERNATIONAL BLVD , SEATTLE WA
BRETT NORRIS
900 N 34 ST SUITE 108 , SEATTLE WA
TITAN ELECTRIC INC
900 N 34 ST, SUITE 108 , SEATTLE WA
Contractor License No: TITANEI963OB
Phone:
Phone: 206 - 383 -1285
Phone: 206 - 633 -2811
Expiration Date: 09/02/2008
DESCRIPTION OF WORK:
REWORK POWER TO (8) CUBICLES
Value of Electrical:
Type of Fire Protection:
$800.00
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
,,JAknA-tAi
$82.00
2005
Date: 3'. `0 I7
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 o
construction
Signature:
Print Name:
ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
rformance of world I am authorized to sign and obtain this electrical permit.
Date: 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 -320
Printed: 03 -27 -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.: 0923049031 Permit Number: EL08 -320
Address: 12101 TUKWILA INTERNATIONAL BL TUKW Status: ISSUED
Suite No: Applied Date: 03/27/2008
Tenant: MED DATA Issue Date: 03/27/2008
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: Vi.tr•ia
Print Name: G /)0 / i,-
Date: 3—?-7 rd o
doc: Cond -Elec
E L08 -320
Printed: 03 -27 -2008
CITY OF TUKWILP
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
•
Electrical Permit No. L-) B- 3)
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
(Na. So3 I
Site Address:
Tenant Name:
Property Owners Name:
Mailing Address:
1zt 0 k W►L
Ntell)e,16,
�- r King Co Ass ssor's Tax No.:
T.42 ii (JP 300 Floor: 3rd
i �o,n a uite Number:
New Tenant: ❑ Yes
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
E -Mail Address:
Other
q0o MI 3 {I —I 5�� io%
�G'f%N1 - �'F�fN►C IGr•T�i u . Y� ek
Day Telephone: 20
l28
WA- 98103
City State / Zip
Fax Number: (204') 314- - 2124
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
ctoo . -44.% 5t4i -e toY
Bit t1/4)o(4\&
bve.44 n Q.4-14--4,,,► iv n 1.4'
tA✓l4- 9'8103
Contractor Registration Number:4 %Q.h E 1 9(03 0
City
State Zip
Day Telephone: Zo6 - 583 -(Z85
Fax Number: ..2-0 (e - %t -24 2
Expiration Date: 10 /ol
Valuation of Project (contractor's bid price): $ 0 00.00 I^ r
Scope of Work (please provide detailed information): ye,. k eo,,�e Cam-' ✓� �-"" S
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition El Service Change
El Low Voltage El Generator El Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H \Apphcauons \Forms -App Imaurr ;On :.. -:Ja' • r Iced;,
hh
ApnLc.::.en doc
Adding more than 50 amps? ❑ Yes arNo
Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Pee I 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 ca
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 -
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 I 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 AUTIIORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
0o Al 3Y
Day Telephone:
City
Date:
c?06 -3 33
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
' AnphcaoonsWorms- Apphcatams On 1 ine`.4 -2(107. Electric& Penn t Apphcation.doc
hF.
Page 2of2
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.: 0923049031 Permit Number: EL08 -320
Address: 12101 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 03/27/2008
Applicant: MED DATA Issue Date:
Receipt No.: R08 -00930
Initials: WER
User ID: 1655
Payment Amount: $82.00
Payment Date: 03/27/2008 08:41 AM
Balance: $0.00
Payee: TITAN ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 006016 82.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 82.00
Total: $82.00
.
doc: Receipt -06 Printed: 03 -27 -2008
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Project: �� //
filch - A/ ° ;; �/r
Type of Inspection: 7_ / J v
Addresses
/2110/ i11. ,fi16f .
-r .^
fi' 1 /'v
Date Called:
3/
/
I ^• I
,
Special Instructions:
J
,`
Date Wanted:
�,;�
r
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. 17Yorrections required prior to approval.
COMMENTS:
s j! /
3/
/
I ^• I
,
L.-- ..1/77./
J
,`
r
..> / ��F
rn y , d
J
r ()<
Insp r: , —, 4
�. q � ' t-J /.-1
Date:
❑ $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:
1
07 -29 -2008
BRETT NORRIS
900 N 34 ST SUITE 108
SEATTLE WA 98103
Cny of f 7'ulcwila
Jim Haggerton, Mayor
Department of Community Development
RE: Permit No. EL08 -320
12101 TUKWILA INTERNATIONAL BL TUKW
Dear Permit Holder:
Jack Pace, Director
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or fmal inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests.
must be in writinff and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 09/24/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
er Marshall
Permit Technician
xc: Permit File No. EL08 -320
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Look Up a Contractor, Electrican 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
TITANEI963OB
Licensee Name
TITAN ELECTRIC INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
602250925
Ind. Ins. Account Id
4568600
Business Type
CORPORATION
Address 1
900 N 34TH STE 108
Address 2
City
SEATTLE
County
KING
State
WA
Zip
98103
Phone
2066332811
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
9/2/2004
Expiration Date
9/2/2008
Suspend Date
Separation Date
Parent Company
Previous License
TITANE *986Q5
Next License
Associated License
FUNG *LH967M9
Master Electrician Information
License
FUNG *LH967M9
Name
FUNG, LAWRENCE H
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
FUNG, LAWRENCE H
AGENT
09/02/2004
BURKE, PATRICK D
PRESIDENT
09/02/2004
FUNG, LAWRENCE H
SECRETARY
09/02/2004
CROOK, TRAVIS J
VICE PRESIDENT
09/02/2004
•
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