HomeMy WebLinkAboutPermit EL08-0762 - AMERICAN FAMILY INSURANCEAMERICAN FAMILY
INSURANCE
406 BAKER BL
ELO8-762
Cityllf 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.: 0223100037
Address: 406 BAKER BL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -762
Issue Date: 06/16/2008
Permit Expires On: 12/13/2008
Tenant:
Name: AMERICAN FAMILY INSURANCE
Address: 406 BAKER BL , TUKWILA WA
Owner:
Name: VILLAGE PARTNERS SOUTHCENTE Phone:
Address: 1420 5TH AVE #2200 , SEATTLE WA
Contact Person:
Name: RODNEY FIRTH Phone: 425 - 338 -7971
Address: 16212 BOTHELL- EVERETT HY #129 , MILL CREEK WA
Contractor:
Name: SUN WEST COMMUNICATIONS Phone: 425 - 338 -7971
Address: 16212 BOTHELL -EVERE I T HWY #129 , MILL CREEK WA
Contractor License No: SUNWEWC955QQ Expiration Date: 11/18/2009
DESCRIPTION OF WORK:
VOICE AND DATA CABLING
Value of Electrical: $2,300.00
Fees Collected:
$124.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: IQ' L
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 ance f ork,4 m authorized to sign and obtain this electrical permit.
Signature: Date:
Print Name: 41 (144:1
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 -762 Printed: 06 -16 -2008
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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.: 0223100037
Address:
Suite No:
Tenant:
406 BAKER BL TUICW
AMERICAN FAMILY INSURANCE
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -762
ISSUED
06/16/2008
06/16/2008
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 m 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:
Print Name: a' y
doc: Cond -Elec
EL08 -762
Printed: 06 -16 -2008
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hilp://www.ci.tukwila.wa.us
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Electrical Permit No. t 1,0 702-
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 **
SIB LOCATION
Site Address:
L t u,
King Co Assessor's Tax No.: 04)-a/.-1 10 — Oo 37
Suite Number: "r30 Floor: 1
Tenant Name: -AVS -. &C_N- -t VP-Y"^ =aLL -1.�s`4nA --,CZ New Tenant: ffi Yes ❑..No
Property Owners Name:
Mailing Address:
State
City
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: ' C,y 1 t iz i A Day Telephone: u Z S- 3 3 S-19-7 1
Mailing Address: 1 Is i2 13LST %mil= C-`. t i, }�v.M d iZaI MILL- OW W A ' i'Z
City State Zip
E -Mail Address: 1-Ci r+1 i 1 , FtZ"T't-1Q. s W C W ocui), c_c.AA Fax Number: qt g ' 3 - 0 S22
ELECTRICAL CONTRACTOR INFORMATION
U �•
Company Name:
Mailing Address:
Contact Person:
LA.-JO-5 7 C-40 -rte b- J i..S (.p 7
1o21Z 167 14■3 Evo d2e V Ki -Pi 4129 TV OE tti C Q.6' lnA Q11 O lQ-
City State Zip
Day Telephone: (-425 - 3 "3� t''i I
Fax Number: L175' 3 5 '7 0 S. "Z
Expiration Date: 1) 1 1 1 O" I
12 ( A -1
E -Mail Address: ?�Prr a1. r ARi SL 11,1"..)CZ LID C �' ^
Contractor Registration Number: JU' W E-LOC 9 S £ Q
c
Valuation of Project (contractor's bid price): $ Z- 1 3O
Scope of Work (please provide detailed information): \J Chi C e yr 7fi i R (r-
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm a Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes E No
Property Served by:
_ . Puget Sound Energy
❑ Seattle City Light
HA Applications On I.nc\4- 2[1117 - Flcclncal Permit Application doc
hh
Page 1 of 2
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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) S55.00 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 TIIIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL C ! TRACT
Signature: - - •'� ��� Date: (s, — 13` O
Print Name: Day Telephone: 4k-S- 33'3-.797
Mailing Address: 1 1Z 8Z v�-- —\J i61 44. )ZG l I:IJL. Ge6 L. 012
City
State Zip
IDate Application Accepted:
Date Application Expires: Staff Initials:
1
H.Wpplications\Forms- Applications On Lm64 -2007 - Electrical Permit Apphcannn 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.: 0223100037 Permit Number: EL08 -762
Address: 406 BAKER BL TUKW Status: PENDING
Suite No: Applied Date: 06/16/2008
Applicant: AMERICAN FAMILY INSURANCE Issue Date:
Receipt No.: R08 -02121
Initials: WER
User ID: 1655
Payment Amount: $124.00
Payment Date: 06/16/2008 09:28 AM
Balance: $0.00
Payee: SUN WEST COMMUNICATIONS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 5543 124.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 124.00
Total: $124.00
3676 06/16 0711 TOTAL 124.00
rinr. Rar.Fint -OR
Printarl• OR- 1R -700R
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- 6
Pr ect:
Type of Inspeio
v
Addr . s:
Date Called:
Special instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
ved per applicable codes. Corrections required prior to approval.
COMMENTS:
F /449
I �`, ;�� ;4' Date- /, /o
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:
.. s . • r_ a, • ..r.,43 .C:v.• _ w.• col
1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERA,IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Fig - 7--1
ti
Project:
tC�+I . I�� .
Type of Inspection:
70D5
Address: PthicDate
Called:
Special Ins ructions:
LW/
let/ h 4-1—A
Date Wanted:
7
Ckiny
m.
Requester:
Phone No:
0 Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
I�G
cal
Inspector:
'Date: D64 D
1
❑ $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, Electric 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
UB1
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
FIRTHRT972K 1
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
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Page 1 of 2
https: // fortress. wa. gov /1ni/bbip /printer.aspx ?License = SUNWEWC955QQ 06/16/2008