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