HomeMy WebLinkAboutPermit EL08-0636 - LEGACY PARTNERSLEGACY PARTNERS
16400 SOUTHCENTER PY
ELO8-636
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
Parcel No.: 2623049021
Address: 16400 SOUTHCENTER PY TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -636
Issue Date: 05/22/2008
Permit Expires On: 11/18/2008
Tenant:
Name: LEGACY PARTNERS
Address: 16400 SOUTHCENTER PY, SUITE 300 , TUKWILA WA
Owner:
Name: LEGACY PARTNERS I TUKWILA L Phone:
Address: 10655 NE 4TH ST #812 , BELLEVUE WA
Contact Person:
Name: ERIK GILBERTSON Phone: 425 - 788 -7710
Address: PO BOX 100 , DUVALL WA
Contractor:
Name: ZORKO ELECTRIC INC Phone: 425 - 788 -7710
Address: PO BOX 100 , DUVALL WA
Contractor License No: ZORKOEI1210K Expiration Date: 09/12/2008
DESCRIPTION OF WORK:
INSTALL NEW OR RELOCATED OUTLETS, SWITCHES AND LIGHTING.
Value of Electrical: $6,178.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I, a g_
Fees Collected:
National Electrical Code Edition:
Date:
$196.80
2005
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 o he perfo ance of work. I am authorized to sign and obtain this electrical permit.
4'�
Signature: ivL Date: S /zz
Print Name:
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 -636 Printed: 05 -22 -2008
Parcel No.: 2623049021
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
16400 SOUTHCENTER PY TUKW
LEGACY PARTNERS
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -636
ISSUED
05/22/2008
05/22/2008
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: e/ /— G /�'S`
Date:
doc: Cond -Elec
EL08 -636 Printed: 05 -22 -2008
C/TY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. O.P6-- (j/4(0
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
Site Address:
Tenant Name: L- "�"�-++fi� -s
Property Owners Name: 1 L&r ay �iti.?' 4
Mailing Address: 1�
State
King Co Assessor's Tax No.:
/CoyOQ re.4 Ade( etwe -~v7 Suite Number: 30c) Floor: 3
�� New Tenant: ❑ Yes .No
City
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: 474'1 K 6 / 4.g gr5cv
Day Telephone: 4/z5--- • 7 Fir 7 ? lc"
Mailing Address:
State
E -Mail Address:
City
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: G :K0
Mailing Address: PO ?o1. 100
Contact Person: Eghk" 6 / LSE
L ),1- __ GJ4- 9Jb 9
Day Telephone: 41 Z5-7-- 7 Fr " —7 7/0
Fax Number: 4' z. 7 8' -77 3 6.
Expiration Date: el a Z12A3 g
E -Mail Address: 4.K1 K 6- 20400c2 aleth ec - 4oeK
Contractor Registration Number: 7•dK K 0 Cr- 1240 K
State Zip
Valuation of Project (contractor's bid price): $ (.v / 7 l
Scope of Work (please provide detailed information): /ti�.G4 , d - /ve01 -7101
BST -Ate"S �i u►,74141C S A i p 0
Will service be altered? ❑ Yes [� No
Type of Use: Y `
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel *Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes ,No
Pr Served b :
Puget Sound Energy
❑ Seattle City Light
H:\Applications\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc
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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.
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 ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
Date:
Day Telephone:
IDate Application Accepted:
City
State
Zip
Date Application Expires:
Staff Initials:
H:\Applications \Fortis- Applications On Line \4 -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: / /www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 2623049021 Permit Number: EL08 -636
Address: 16400 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 05/22/2008
Applicant: LEGACY PARTNERS Issue Date:
Receipt No.: R08 -01782 Payment Amount: 6196.80
Initials: WER Payment Date: 05/22/2008 01:32 PM
User ID: 1655 Balance: 60.00
Payee: ZORKO ELECGTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6112 196.80
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 196.80
Total: $196.80
2762 05/22 9711 TOTAL 783.60
doc: Receiot -06
Printed: 05 -22 -2008
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Ecc$- (3(
Project: �
� ({�
jr'aVll,t�..-
Type of Inspection:
Z i 0c3 j 0.
Address: UPI u �
! (� t Wu-,,,.(„
Date Called:
/
Special Instructions:
'j00
Date Wanted:
(a.m.
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
(ECG ; "i Co
Inspector:
Date: VO /0\7
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION le-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Project:
L (G 4{ -1 PA � 5
Type of Inspection:
700-.j
Address:
I {L, go 0 <}7ii- -C TIc p'(.
Date Called:
_.
Special instructions:
Date Wanted:
tIot
fa.m.
Requester:
, �.-
Phone No:
aF
❑ Approved per applicable codes.
:Corrections required prior to approval.
COMMENTS:
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Inspector:
Date:
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Look Up a Contractor, ElectriE'"""'". or Plumber License Detail '` Page 1 of 2
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
ZORKOEI121OK
Licensee Name
ZORKO ELECTRIC INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601099999
Ind. Ins. Account Id
AGENT
Business Type
CORPORATION
Address 1
PO BOX 100
Address 2
City
DUVALL
County
KING
State
WA
Zip
98019
Phone
4257887710
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
9/12/1988
Expiration Date
9/12/2008
Suspend Date
Separation Date
Parent Company
Previous License
VANDES * 145NB
Next License
Associated License
VANDEK *975CS
Master Electrician Information
License
VANDEK *975CS
Name
VANDERWEIDE, KENT
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
VANDERWEIDE, KENT
01/01/1980
VANDERWEIDE, KENT
AGENT
01/01/1980
IBond Information
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