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Home My WebLink AboutPermit EL10-0274 - RAINIER UNISERV COUNCILRAINIER UNISERV COUNCIL 575 ANDOVER PK W EL1 0-0274 City.f 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.: 2623049144 Address: 575 ANDOVER PK W TUKW Suite No: ELECTRICAL PERMIT • Permit Number: EL10 -0274 Issue Date: 04/13/2010 Permit Expires On: 10/10/2010 Tenant: Name: RAINIER UNISERV COUNCIL Address: 575 ANDOVER PK W , TUKWILA WA Owner: Name: SOUTHCENTER CORPORATE SQUAR Phone: Address: 150 CALIFORNIA ST , SAN FRANCISCO CA Contact Person: Name: NEIL ST. PIERRE Phone: 206 953 -6404 Address: 18402 MILITARY RD S , SEA TAC WA Contractor: Name: PUGET SOUND PHONE GUYS INC Phone: 206 618 -9337 Address: PO BOX 159 , VASHON WA Contractor License No: PUGETSP936D3 Expiration Date: 03/23/2011 DESCRIPTION OF WORK: ISNTALL CATEGORY 5E PLENUM RATED CABLE FOR BOTH PHONE AND COMPUTER SERVICE TO 14 LOCATIONS Value of Electrical: NRES: $2,589.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $136.50 National Electrical Code Edition: 2008 u).-Jr?„,o, Date: 3- 4 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 performance of work. I am authorized to sign and obtain this electrical permit. Signature: 79 ✓I i�" -` - _ Date: ( � O Print Name: ti (L- J • 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 EL10 -0274 Printed: 04 -13 -2010 Parcel No.:. 2623049144 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 575 ANDOVER PK W TUKW RAINIER UNISERV COUNCIL PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0274 ISSUED 04/13/2010 04/13/2010 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 2,96-46B 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: i t 1 t tsrll_ {Z Date: L/ l �/ /l 0 doc: Cond -Elec EL10 -0274 Printed: 04 -13 -2010 CITY OF TUKWIL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.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 ** (� �% r King Co Assessor's Tax No.: 2c�2�u�1- Vj" I Site Address: $ 75 r ` 04 i 0 tU r-L U IA wr3r Suite Number: Z0�T Floor: Tenant Name: 112.1k t iN t 15— (I IN 15 CL J COL& NC 1 L New Tenant: M..... Yes ❑ .. No Property Owners Name: Mailing Address: State Name: /�1L�-(L c�i. (r 2 �- Mailing Address: (1- Y 0 Z (fr k'. dk J City Zip Day Telephone: 10 ( - 95 3 - Yo `( Lt)* City State Zip E -Mail Address: 6-8'P-.0 Pcl G 6. O IA K D Pti ° I bt - 44"Y5. Fax Number: Z a " 413 ri -?63 c� LECTRICAL CONT OR RACT •.- NFORMATII Company Name: Mailing Address: F Lk a 67 t 5-ou. ■(D 0 g 0>4 (S'1 14.'1\0' c L& Y 5/ I At C Ui S N Lk) A 9 1r0 70 City Contact Person: (rQ -.1 E t A.tc tg-.5 iv Day Telephone: E -Mail Address: St'fkx) to 5` 'PktG.e- r5ou.IN P ti es Ne -GAAY 5 Number: Contractor Registration Number: P'-( L iT S q 3 p 3 Expiration Date: State Zip 2_1)6,- (tS- -�i337 2S- 52- 6 -2e> 6r 3(23 /2oil Valuation of Project (contractor's bid price): $ 2-5 ? Scope of Work (please provide detailed information): / N 5T f}< <- CirrV G. O % y S e. P Lew 6) et, P- r Fb e*Bt.5 tt&, t TO [ L/ L D c —r-(Z N S - 1 tioI'I9— -1N0 ccre-t_ Will service be altered? ❑ Yes No Type of Use: 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 Pro.e Served b : 1� Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line \2010 Applications \I -2010 - Electrical Permit Application.doc bh Page 1 of 2 mgRESIDENTIAL 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, fumace 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 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: 77-./ Date: 'f/l 37 ( D Print Name: N (t. 4 , Day Telephone: 2- t' C 3 `� D 1-/ Mailing Address: / 8^ 4i a Z M L t fl y kO 53 5391- Ff' / Tr-5- IDate Application Accepted: City State Zip Date Application Expires: 10 H:\Applications\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc bh Page 2 of 2 Staff Initials: ^/-- (,..) • 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 Parcel No.: 2623049144 Address: 575 ANDOVER PK W TUKW Suite No: Applicant: RAINIER UNISERV COUNCIL RECEIPT Permit Number: EL10 -0274 Status: APPROVED Applied Date: 04/13/2010 Issue Date: Receipt No.:. R10 -00623 Payment Amount: $136.50 Initials: WER Payment Date: 04/13/2010 02:14 PM User ID: 1655 Balance: $0.00 Payee: NEIL ST PIERRE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 000726 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: 04 -13 -2010 INSPECTION RECORD 3 Retain a copy with permit boo -02? INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION f- 6300 Southcenter Blvd., #100, Tukyvila, WA 98188 (206)431 -3670 Projecl(J , i - J I ,t(,,./ rl Type of Inspection: f Address. ,,,..,s— �ry�vY lov Date Called: Special Instructions: Date Wanted: 5 ! Q Cfflo p.m. Requester: Phone No: WApproved per applicable codes. EJ Corrections required prior to approval. / COMMENTS: CAPAciloAl? ripri>1 Inspector: ie CN Date: 057410 El $60.00 REIN PECTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: , INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION kg' 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 60 .OZ71/ �b Pro I 1 t A r+ 5 / uGte of Inspection: L .7-too (NAT 1&0J4i4 Address:57 - Af4NY ,emu W Date Called: Special Instructions: Date Wanted: 5-67 . Requester: a....� Phone No: ❑ Approved per applicable codes. ixCorrections required prior to approval. COMMENTS: - I P itAi i' 60/0 Ta gE <EC„} uh26 62 o A D L J t c ' 1 ' 0 Be A T R c k f f - P W+ i J rwcI4-IAiE && &J J 5c-I6-v- ark (NAT 1&0J4i4 - L►OJCJP UJtak FF Jit4JP #'X Inspector: ! 4— tV 0 $60.00 REINSPECTION FEE REQ IRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 05/07/i 0 Receipt No.: Date: '1 INSPELION NO. INSPECTION RECORD Retain a copy with permit tuo -o 7`( PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 PrI:I�` MseJJ»J0L q� fAi pe of Inspection: 7D3 Ad s5- k� Date Called: Special Instructions: Date Wanted: S /01 Cazy p.m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: (41 Le : AkoAl tp G;l PAI‘Jo Inspector: %l &Ws 840q/10 ri $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: Receipt No.: Date: Contractors or Tradespeople Pr ter Friendly Page • 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company Puget Sound Phone Guys Inc 2066189337 Po Box 159 Vashon Wa 98070 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602453369 Active PUGETSP936D3 Electrical Contractor 3/23/2007 3/23/2011 Telecommunications Unused ADMINISTRATOR INFORMATION License HENDRT'936D6 Name Hendrickson, Terry Status Active Business Owner Information Name Role Effective Date Expiration Date Moreland, Douglas H Agent 03/23/2007 Bond Amount St Pierre, Neil J President 03/23/2007 A270002111 Hendrickson, Terry L Secretary 03/23/2007 Hendrickson, Terry L Treasurer 03/23/2007 DEVELOPERS SURETY & INDEM CO Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 PLATTE RIVER INS CO A270002111 03/22/2010 Until Cancelled $4,000.0004/13/2010 1 DEVELOPERS SURETY & INDEM CO 746102C 03/22/2007 Until Cancelled 04/08/2010 $4,000.0003/23/2007 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date CNA INS CO LTD 2084480515 10/04/2006 Until Cancelled $1,000,000.00 03/23/2007 Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type https://fortress.wa.gov/lni/bbip/Print.aspx 04/13/2010