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HomeMy WebLinkAboutPermit EL10-0136 - L & L INTERNATIONAL HOLDINGS,L & L INTERNATIONAL HOLDINGS 130 ANDOVER PK E EL1O-0136 Cityilif Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 0223100040 Address: 130 ANDOVER PK E TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0136 Issue Date: 02/25/2010 Permit Expires On: 08/24/2010 Tenant: Name: L & L INTERNATIONAL HOLDINGS, INC Address: 130 ANDOVER PK E , TUKWILA WA Owner: Name: PUGET SOUND BLOOD CENTER Phone: Address: DIRECTOR OF ADMINISTRATION , 921 TERRY AVE Contact Person: Name: BRIAN SHIELDS Phone: 206 793 -5095 Address: 549 S DAWSON , SEATTLE WA Contractor: Name: NETVERSANT ACQUISITION III LLC Phone: 713- 403 -3800 Address: 777 POST OAK BLVD STE 400 , HOUSTON TX Contractor License No: NETVEAI915DF Expiration Date: 03/06/2011 DESCRIPTION OF WORK: PROVIDE AND INSTALL 34 CAT 5E CABLES TO 13 OUTLETS *REVISION #1 - TO ADD A 240 VOLT 30 AMP CIRCUIT FOR NEW SERVER CABINET TO THE SCOPE OF WORK Value of Electrical: NRES: $3,700.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: 2008 $157.50 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 erformance of work. I am authorized to sign and obtain this electrical permit. Signature: / Date: 3— .--(d Print Name: I" 4,1,1-2__ 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 ELI 0-0136 Printed: 03 -02 -2010 City* Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Inspection Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 0223100040 Address: 130 ANDOVER PK E TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0136 Issue Date: 02/25/2010 Permit Expires On: 08/24/2010 Tenant: Name: L & L INTERNATIONAL HOLDINGS, INC Address: 130 ANDOVER PK E , TUKWILA WA Owner: Name: PUGET SOUND BLOOD CENTER Phone: Address: DIRECTOR OF ADMINISTRATION , 921 TERRY AVE Contact Person: Name: BRIAN SHIELDS Address: 549 S DAWSON , SEATTLE WA Contractor: Name: NETVERSANT ACQUISITION III LLC Address: 777 POST OAK BLVD STE 400 , HOUSTON TX Contractor License No: NETVEAI915DF Phone: 206 793 -5095 Phone: 713- 403 -3800 Expiration Date: 03/06/2011 DESCRIPTION OF WORK: PROVIDE AND INSTALL 34 CAT 5E CABLES TO 13 OUTLETS Value of Electrical: NRES: $3,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied a • th Fees Collected: $136.50 National Electrical Code Edition: 2008 Date: o2-114 1 V V ed this permit and know the same to be true and correct. All provisions of law and ordinances 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 performance of work. I am authorized to sign and obtain this electrical permit. Signature: Date: —DS --(0 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 EL10 -0136 Printed: 02 -25 -2010 • • 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.: 0223100040 Address: Suite No: Tenant: 130 ANDOVER PK E TUKW L & L INTERNATIONAL HOLDINGS, INC Permit Number: Status: Applied Date: Issue Date: EL10 -0136 ISSUED 02/25/2010 02/25/2010 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: doc: Cond -Elec EL10 -0136 Printed: 02 -25 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Electrical Permit N Project No. For o ice 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 �" King Co Assessor's Tax No.: Site Address: /3o Av o rrec_ //P1 k 61 5e ia, DX1 Suite Number: /0 / Floor: Tenant Name: Tn�2�VlaTiahq 1 Hold [ilq (NC New Tenant: ❑ Yes K.No Property Owners Name: PGOL Mailing Address: 541:7 1AI-A II City Cft State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: /31441A Sl:4d S Day Telephone: e,,e;K' t3(' OaT710 Mailing Address: Zip E -Mail Address: b54r-efdS 6)kle.- El/P1'SGt1A / City State Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: 1 V e+ve SO(ctT -tb'IS Mailing Address: 9/ ( 1I5 . DUII.) ,S6fr Contact Person: T F E -Mail Address: p Z 0 ne-t v&-Sq hF. C6eln Contractor Registration Number: N ET V Eq , I 9(51)F City G Ja t 98708 State Zip Day Telephone: 13.56q 5 Fax Number:.206 -- "9-7`- -/ 1 Expiration Date: 3-6 11 Valuation of Project (contractor's bid price): $ 3f000 Scope of Work (please provide detailed information): �tre) vide aAd /n514 Il ( Ccf 5 r C4k(e 71 6 /3 oct:f ie (5 Will service be altered? ❑ Yes Adding more than 50 amps? ❑ Yes xi, No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change Low Voltage ❑ Generator ❑ Fire Alarm Pr a Served b : Puget Sound Energy ❑ Seattle City Light H:\Applications\Porms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Remodel ❑ Tenant Improvement ja,Telecommunication ❑ Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added /altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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: !/lN ir iv Print Name: Z 6L f -may lac[ ✓1 �{ Mailing Address: /O 3 Dv-t t/'f SE Day Telephone: City Date: '-(6 2 — 3 —SO'S IDate Application Accepted: b2 I 110 Date Application Expires: H:Wpplications\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc bh Page 2 of 2 LAJ q801-o F State Zip Staff Initials: ri Parcel No.: Address: Suite No: Applicant: 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 0223100040 130 ANDOVER PK E TUKW L & L INTERNATIONAL HOLDINGS, INC Permit Number: Status: Applied Date: Issue Date: EL10 -0136 ISSUED 02/25/2010 02/25/2010 Receipt No.: Initials: User ID: Payee: R10 -00361 WER 1655 Payment Amount: $21.00 Payment Date: 03/02/2010 11:50 AM Balance: $0.00 PAT KUNZ TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 04591B 21.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $21.00 21.00 PAYMENT RECEI\/ED doc: Receiot -06 Printed: 03 -02 -2010 • 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.tulcwila.wa.us RECEIPT Parcel No.: 0223100040 Permit Number: EL10 -0136 Address: 130 ANDOVER PK E TUKW Status: PENDING Suite No: Applied Date: 02/25/2010 Applicant: L & L INTERNATIONAL HOLDINGS, INC Issue Date: Receipt No.: R10 -00329 Payment Amount: $136.50 Initials: JEM Payment Date: 02/25/2010 12:43 PM User ID: 1165 Balance: $0.00 Payee: PAT KUNZ TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 04520B ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 PAYMENT RECEIVED doc: Receiot -06 Printed: 02 -25 -2010 6J� INSPECTION RECORD ttiooi3, Retain a copy with permit INSPECTION NO. PERMIT NO. 1 / CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7 Projegt: , ,��• _ 15 Y Type of Inspection: Address: r_40 22/ 7 Date Called: Special Instructions: Date Wanted: oZ .`: Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: V /LE ) ,4 Date: 03 ri $60.00 REINSPrECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 INSPECTION RECORD 6(0-9 Retain a copy with permit PERMIT NO. Proje�t:rL WT. + 4Dr ,ji /ress: ,(71vi •1� Type of Inspection: 7 y Add,,[[r Date Called: Special Instructions: Date Wanted: 3/02— a.m. (- Requester: — Phone No: 0Approved per applicable codes. Corrections required prior to approval. COMMENTS: t1. C60411 CflfG -\ ak)(0.k CP1PaTe 31/49 Icy 0 $60.00 REI SPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 INSPECTION RECORD WO -000 Retain a copy with permit PERMIT NO. Prgject; ` f 4� ' Type of Inspection: oo \ Address: X30 A4Doi Date Called: R Special Instructions: Date Wanted: (itlin• Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ?k o Inspector: ...1°-./L Date: O zf(o El $60.00 REINS ECTION FEE R QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: • 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 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. Date: 3 — — [ 0 Plan Check/Permit Number: eL 10 0136 ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # Er Revision # / after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: L ,L p ,- vt& t on a ( b-Cd (G(rh q S Project Address: /30 Avtrl o,r Contact Person: 00v-^PVt Phone Number: 1-1,72-5 S 5 — P75- �1 y Summary of Revision: l'toic1 , 1O V — 3O amp c- C (Ai 7 SPv v-f V Cct6 t t f 1 RECEIVED VQ TUKWIL .0 PERMIT CENTEP Sheet Number(s): "Cloud" or highlight all areas of revision including date of revision Received at the City of Tukwila Permit Center by: EQ/Entered in Permits Plus on 0 \applications \forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Contractors or Tradespeople Peter Friendly Page • Page 1 of 1 Electrical Contractor A business licensed by lid 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company Netversant Acquisition Iii Llc 7134033800 777 Post Oak Blvd Ste 400 Houston Tx 77056 Out Of State Limited Liability Company Netversant Solutions Iii Llc UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602889778 Active NETVEAI915DF Electrical Contractor 3/6/2009 3/6/2011 General Unused MASTER ELECTRICIAN INFORMATION License BROOMN *970DU Name Broome, Norman Status Active Business Owner Information Name Role Effective Date Expiration Date Argyropoulos, Paris Partner /Member 03/06/2009 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 International Fidelity Insurance Co 0498566 02/25/2009 Until Cancelled $4,000.00 03/06/2009 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Summons and Complaints are not filed with the department for this Information contractor type https://fortress.wa.gov/lni/bbip/Print.aspx 02/25/2010