HomeMy WebLinkAboutPermit EL08-0394 - REMEDY STAFFINGREMEDY STAFFING
16040 CHRISTENSE RD
ELO8-3 94
Cityei' 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.: 2523049039
Address: 16040 CHRISTENSEN RD TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -394
Issue Date: 04/10/2008
Permit Expires On: 10/07/2008
Tenant:
Name: REMEDY STAFFING
Address: 16040 CHRISTENSEN RD , TUKWILA WA
Owner:
Name: BRCP RIVERVIEW PLAZA LLC Phone:
Address: 248 HOMER AVE , PALO ALTO CA
Contact Person:
Name: BRENT BOLOMEY Phone: 206 335 -444
Address: PO BOX 80564 , SEATTLE WA
Contractor:
Name: RAIN CITY ELECTRIC INC
Address: PO BOX 80564 , SEATTLE WA
Contractor License No: RAINCCE965L4
Phone: 206 335 -4444
Expiration Date: 06/24/2008
DESCRIPTION OF WORK:
RELOCATE EXISTING LIGHTS AND INSTALL OUTLETS AND SWITCHES AT NEW OFFICES.
Value of Electrical: $5,271.00
Fees Collected:
$180.40
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: p 61 1 DI0 D
I hereby certify that I have read and xan deed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie wit1F, 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 erform ce of work. I am authorized to sign and obtain this electrical permit. 1
Signature: e/ I Date: 7'1 f 070r
Print Name: I $ f 1'13-P1110'
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 -394 Printed: 04 -10 -2008
Parcel No.: 2523049039
Address:
Suite No:
Tenant:
• •
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
16040 CHRISTENSEN RD TUKW
REMEDY STAFFING
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -394
ISSUED
04/10/2008
04/10/2008
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:
Print Name:
Date: / l 0/700
doc: Cond -Elec
EL08 -394 Printed: 04 -10 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://wvvw.ci.tukwiia.wa.us
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.: Z 0 3 1
Site Address: I (0 0+0 C4 4.1 Ste-MS 12-9 Suite Number: / h) Floor:
Tenant Name:
1Z-tit I S T? r 1 fliC1
Property Owners Name: 13i2L P via /A/1E4A) .PLA)-*4- L -LCD„_
Mailing Address: 2-4- tb -L. tom/ I.. P4-1., t7 A- LTV
New Tenant: Yes ❑..No
City
state
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: QPP.iL FtLAPPI
Mailing Address: 27- (02. (,f 4-1 /F 1.1) 2C-
E -Mail Address:
Day Telephone: 142s (o 7-o - % 40c,
My )t— . 120 41-3
State Zip
Fax Number:
City
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
ILct W ' -1/" F�t� 2-i C-
r ►�/ C
P.O. /3o[ ce9 DS (o
Contact Person: V .o
Contractor Registration Number: 1241 N £- C(7-
Valuation of Project (contractor's bid price): $ 1 ( (9)
E -Mail Address:
Scope of Work (please provide detailed information):
City
Day Telephone:
Fax Number:
Expiration Date:
State
Zip
'2000 '3'3 kf
20 (c 'S ` _ c j c(q )3
i912- c//7-42�
//i5( Ali r ti Ci24 N+u)J
k,
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Pro . ert : erved b :
Puget Sound Energy
❑ Seattle City Light
HAApplications \Forms - Applications On Line\4.2007 - Electrical Permit Application doc
bh
Adding more than 50 amps? ❑ Yes [X No
❑ Remodel
❑ Telecommunication
Tenant Improvement
Temporary Service
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
❑ 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
AO. (;`C rac25
Date Application Accepted: 0'4 It 01 u1
cf
Date: 11 //0/1/006
Day Telephone: 2 o o 0 - 3 s-- L% q q
(.- 9 8 f ob
City State Zip
Date Application Expires:
H ApplicanonsTorms- Applacaiions On Line\4.2667 - Electrical Permit Application doc
bh
Staff Initials: !- 1
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
Wcb site: http: / /www.ci.lukwila.wa.us
RECEIPT
Parcel No.: 2523049039 Permit Number: EL08 -394
Address: 16040 CHRISTENSEN RD TUKW Status: APPROVED
Suite No: Applied Date: 04/10/2008
Applicant: REMEDY STAFFING Issue Date:
Receipt No.: R08 -01131
Initials: JEM
User ID: 1165
Payment Amount: $180.40
Payment Date: 04/10/2008 12:32 PM
Balance: $0.00
Payee: RAIN CITY ELECTRIC INC
TRANSACTION LIST:
Type Method Eescriptio Amount
Payment Check 2511 180.40
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 180.40
Total: $180.40
doc: Receiot -06 Printed: 04 -10 -2008
3
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 1 -3670
(,Lot- 318/
Project:
Type of Inspection:
Address:
/40'/O COIST
Sixth .
Date Called:
-
Special Instructions:
Date Wanted: N Z Q
a.m.
Requester: r�
q
Phone No:
1-,e
Approved per applicable codes. ID Corrections required prior to approval. r
COMMENTS:
Inspector:
(1,-1 6Nelivc,
Date:
Y/ 300
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:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
fj' -- 347r
PERMIT NO.
(206)431 -3670
Project:
Type of Inspection:
3
Address: I� 1 p�"
HaOgo C44 (51-C-4504 h.
Date Called:
Special Instructions:
Date Wanted:
kt
/ 7
a.m.
P.m.
Requester:
Phone No:
12gApproved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
codefe.
Inspector: f gedAi6,41
Date:
07/0 I'
$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:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6Le8- 37if
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 -3670
Project: /i L �1
L
N
�i f
Type of Inspection: �oo)
Address:
/4010 GaS
1
st7,1 ZR
Date Called:
Special Instructions:
Date Wanted:
Lf(,1
a.
m.
Requester:
Phone No:
Approved per app'icable codes. Corrections required prior to approval.
COMMENTS:
0,14 tAimitis
Inspector: 41,cr4
AlEit
Date: OI f ( 01)i
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:
Look Up a Contractor, Electriccor 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
RAINCCE965L4
Licensee Name
RAIN CITY ELECTRIC INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
632381609
Ind. Ins. Account Id
PRESIDENT
Business Type
CORPORATION
Address 1
PO BOX 80564
Address 2
City
SEATTLE
County
KING
State
WA
Zip
981080564
Phone
2063354444
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
6/24/2004
Expiration Date
6/24/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
BOLOMB *9620G
Master Electrician Information
License
BOLOMB *9620G
Name
BOLOMEY, BRENT A
Status
ACTIVE
Business Owner lnformat'on
Name
Role
Effective Date
Expiration Date
BOLOMEY, BRENT A
AGENT
06/24/2004
BOLOMEY, BRENT A
PRESIDENT
06/24/2004
Bond Information
1
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= RAINCCE965L4 04/10/2008