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HomeMy WebLinkAboutPermit EL08-0322 - AMERICAN FAMILY INSURANCEAMERICAN FAMILY INSURANCE 13038 INTERURBAN AVE S ELO8-322 Parcel No.: Address: Suite No: Citylf 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 0003000110 13038 INTERURBAN AV S TUKW ELECTRICAL PERMIT Permit Number: EL08 -322 Issue Date: 03/27/2008 Permit Expires On: 09/23/2008 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: AMERICAN FAMILY INSURANCE 13038 INTERURBAN AV S , TUKWILA WA INTERURBAN 13038 LLC Phone: 4616 25TH AVE NE PMB 746 , SEATTLE WA RODNEY FIRTH Phone: 425 - 328 -0171 16212 BOTHELL- EVEREPT HWY #129 , MILL CREEK WA SUN WERST COMMUNICATIONS Phone: 425 - 338 -7971 Address: 16212 BOTHELL- EVEREIT HWY #129 , MILL CREEK WA Contractor License No: S1.JNWEWC95500 Expiration Date: 11/18/2009 DESCRIPTION OF WORK: VOICE & DATA CABLING Value of Electrical: Type of Fire Protection: $1,200.00 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $104.00 National Electrical Code Edition: 2005 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 perfo +n - : f work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: g -i 1 Date: 2 7- 67-1' 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 -322 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.: 0003000110 Address: Suite No: Tenant: 13038 INTERURBAN AV S TUKW AMERICAN FAMILY INSURANCE Permit Number: Status: Applied Date: Issue Date: EL08 -322 ISSUED 03/27/2008 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: Date: ?— ; 0,p Print Name: doc: Cond -Elec EL08 -322 Printed: 03 -27 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa. us =' Ii ati'No. E%t8 Z PrdorrotNo. . (For dice use oily) 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: King Co Assessor's Tax No.: 000 SO O -Olt() Suite Number: 1 2 0 Tenant Name: fN) \ fflrsira .• — S GC' Property Owners Name: L -r t J L.gCj 1 303 5 fL-(.- L Mailing Address: 44' 1 CD 2.51- ) E ? I-13 19 to So All LA City New Tenant: Floor: 1 Yes ❑ -.No JA State 98105 Zip CONTACT PERSON —Who do we contact wbten your permit is ready to be issued Name: 1,00 Mailing Address: 1 L Z 1 2 307 3 u- C z3-5. City State Fax Number: d1 - 357 Day Telephone: ZJ - a C.vA E -Mail Address: .ODa.A -1 t F-i2T f" SWl- W 1Q - f Zip OS 22 ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Sv a✓ L.;c ST Cow. ...A-S Cyr iGsj S j --L o� L . 11021 L 7 - )2(3 hz C2abX City Contact Person: Day Telephone: E -Mail Address: Fax Number: Contractor Registration Number: Expiration Date: W*k State PaO Zip QU Valuation of Project (contractor's bid price): $ 1,Z V d Scope of Work (please provide detailed information): CO. C. b eAg Will service be altered? ❑ Yes 9No Adding more than 50 amps? ❑ Yes 'c No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ®, Telecommunication Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light 11 \Appltcanons\Fotms- Applications On Line \4-2007 - Electrical Permit Application doc bh ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 1 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 ❑ 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 PEST 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 THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELEC CAL CONTRACTOR: Signature: Date: Print Name: 2C�1 -- 1 Y5�71J Mailing Address: '(Z -1 Z 6074/g11--- X A%i' r'`1 -0/Z Day Telephone: 44 ZS-- 3 2 S- 0) 7 ) I'r'a L c� 2 IC j,J TZ City State Zip IDate Application Accepted: Date Application Expires: Staff Initials: H \Apphcanons\Fomu- Applications On Lme\4 -2007 - Electrical Permit Application dnc 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.: 0003000110 Permit Number: EL08 -322 Address: 13038 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 03/27/2008 Applicant: AMERICAN FAMILY INSURANCE Issue Date: Receipt No.: R08 -00933 Payment Amount: $104.00 Initials: WER Payment Date: 03/27/2008 10:36 AM User ID: 1655 Balance: $0.00 Payee: SUN WEST COMMUNICATIONS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5162 104.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 104.00 Total: $104.00 doc: Receipt -06 Printed: 03 -27 -2008 INSPECTION RECORD Retain a copy with permit 72(._ CL° -322- INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 PERMIT NO. Project: MG4tc lFMI0 /A . Type of Inspection: 2/ob Address: / 3037 Airtoi.Oft. 4 S. Date Called: e---- Special Instructions: Date Wanted: 3/3/ I Requester: P Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: frINA Inspector :f td\W Date: 0 3 il 3 otz El $58.00 ins $58.00 REINSPECTION FEE REQUIRED. Prior p ectio fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: Date: Look Up a Contractor, Electri n 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 SUNWEWC955QQ Licensee Name SUN WEST COMMUNICATIONS INC Licensee Type ELECTRICAL CONTRACTOR UBI 602507289 Ind. Ins. Account Id 99057101 Business Type CORPORATION Address 1 16212 BOTHELL - EVERETT HWY #129 Address 2 City MILL CREEK County SNOHOMISH State WA Zip 98012 Phone 4253387971 Status ACTIVE Specialty 1 LIMITED ENERGY Specialty 2 UNUSED Effective Date 11/18/2005 Expiration Date 11/18/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License FIRTHRT972K1 Master Electrician Information License FIRTHRT972K 1 Name FIRTH, RODNEY T Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date FIRTH, RODNEY T AGENT 11/18/2005 FIRTH, RODNEY T PRESIDENT 11/18/2005 FIRTH, KATHLEEN M SECRETARY 11/18/2005 FIRTH, KATHLEEN M TREASURER 11/18/2005 • Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= SUNWEWC955QQ 03/27/2008