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HomeMy WebLinkAboutPermit EL10-0335 - QWEST COMMUNICATIONSQWEST COMMUNICATIONS 6101 S 180 ST EL 10-0335 Parcel No.: Address: Suite No: CityOf 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 3523049120 6101 S 180 ST TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -0335 05/05/2010 11/01/2010 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: QWEST COMMUNICATIONS 6101 S 180 ST , TUKWTLA WA LA PIANTA LLC PO BOX 88028 , TUKWILA WA JEFF JOHNSON 11816 NE 116 ST , KIRKLAND WA Contractor: Name: JOHNSON ELECTRIC INC Address: 11816 NE 116TH ST , IURKLAND WA Contractor License No: JOHNSEI384RU Phone: Phone: 425 - 821 -8226 Phone: (425) 821 -8226 Expiration Date: 11/30/2010 DESCRIPTION OF WORK: PROVIDE (4) 20A 120V CIRCUITS, AND (2) 20A 208V CIRCUITS Value of Electrical: NRES: $2,500.00 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 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 er prmance ofyvork. ark authorized to sign and obtain this electrical permit. Signature: 5;;?,— /o■.6i / Print Name: Date: 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 0-0335 Printed: 05 -05 -2010 Parcel No.: 3523049120 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 6101 S 180 ST TUKW QWEST COMMUNICATIONS PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0335 ISSUED 05/05/2010 05/05/2010 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 art 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 arty other work or local laws regulating construction or the performance of work. Signature: Print Name: o /-64.. / Date: S s �U doc: Cond -Elec ELI 0-0335 Printed: 05 -05 -2010 r FAw. CITY OF TUKWII Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Zc'fe • x(31 •3le?o Electrical Permit: No. E-1-1 0 Q SS Project.No. (For office use only) Zc• ‘43 - 3G(e5 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 ( �+ Q _ King Co Assessor's Tax No.: )5.) �O1-1 - 't 1) 0 Site Address: 6 1 0 1 J• (00 S `r' Suite Number: Tenant Name: 6 -We/ST (atiMwLLIiitcf4Taatf New Tenant: Property Owners Name: 6..W hi r co wtme .f'.%zziri vaWw% Mailing Address: Cato( s. l 3b 3T. 4 -T'kkw L L* Floor. ❑ Yes K .. No City State . Zip CONTACT PERSON - Who do we contact when your-permit is ready to be issued " Name: JdF Joikt5 -( Mailing Address: it UG,7- 5r. E -Mail Address: Day Telephone: frs "c Z1 1ZZZ KLRgRa) WA- Stplr City CC pp State Zip Fax Number: • fZ Z1-`183‘ 'U ELECTRICAL CONTRACTOR INFORMATION Company Name: O E� &t ct f '1(JC Mailing Address: 11 %4 ikIE U(i Contact Person: Jar J644 E -Mail Address: Contractor Registration Number: zIM(IJSei 3v' Z'& KtRMIP City Day Telephone: Fax Number: Expiration Date: 414- 1 .6D 3cr gat' i -s• gz. LZ uz5-$ZL -% tlt3c51Zot 1 Valuation of Project (contractor's bid price): $ ` e0. Scope of Work (please provide detailed information): I bVtD C C4 Z A (ZoV CtL4 CS (Z) a A, Zo8v Cl C {t 1S. Will service be altered? ❑ Yes ® No Adding more than 50 amps? ❑ Yes • Q No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Q Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: © Puget Sound Energy ❑ Seattle CityLight H :4ApplicatioasWonns- Applications On Line40 -2007 - Electrical Permit Application.doc bh 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: • LISt . (14:6- fr. . Date: s[ sfib Day Telephone: 41157'8Z1'0 ZZ� Idp.K A44 WA- City State Zip IDate Application Accepted: Date Application Expires: Staff Initials: i HA Applications On Line44 -2007 - Electrical Permit Applieuion.doc bit 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 Parcel No.: 3523049120 Address: 6101 S 180 ST TUKW Suite No: Applicant: QWEST COMMUNICATIONS RECEIPT Permit Number: EL10 -0335 Status: PENDING Applied Date: 05/05/2010 Issue Date: Receipt No.: R10 -00771 Initials: WER User ID: 1655 Payment Amount: $136.50 Payment Date: 05/05/2010 09:52 AM Balance: $0.00 Payee: JOHNSON ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 041093 136.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 PAYMENT RECEIVED doc: Receipt -06 Printed: 05 -05 -2010 l8 INSPECTION NO. INSPECTION RECORD Retain a copy with permit ala- 033,E CITY OF TUKWILA BUILDING DIVISION PERMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: r'�Ec n Type of Inspection: 0 Address: (otoi 5.170yr• Date Called: Special Instructions: r36 Date Wanted: 0(p 41-n ...„,m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: *iv Inspector: Date: ®s /(0 ❑ $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: Contractors or Tradespeople P 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 Johnson Electric Inc UBI No. 600361519 Phone 4258218226 Status Active Address 11816 Ne 116Th St License No. JOHNSEI384RU Suite /Apt. License Type Electrical Contractor City Kirkland Effective Date 12/31/1962 State Wa Expiration Date 11/30/2010 Zip 980347105 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ADMINISTRATOR INFORMATION License JOHNSDB250MT Name Johnson, Daniel B Status Active Business Owner Information Name Role Effective Date Expiration Date Johnson, Daniel B Jr BNbsp; 01/01/1980 8/12/2009 Johnson, Daniel B Sr. IiNbsp; 01/01/1980 $250.00 Johnson, Jeffrey J &Nbsp; 01/01/1980 ELECTRICAL CITATION Johnson Jr, Daniel B Agent 01/25/1980 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 HARTFORD INS GROUP RN5038112 11/20/1980 Until Cancelled $4,000.00 11/20/1980 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 Information Summons and Complaints are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EMABQ03047 8/12/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03046 8/12/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 05/05/2010