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HomeMy WebLinkAboutPermit EL10-0385 - STATE FARM INSURANCESTATE FARM 7100 FORT DENT WY SUITE 260 EL1O-0385 City oikukwila 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.: 2954900440 Address: 7100 FORT DENT WY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0385 Issue Date: 05/24/2010 Permit Expires On: 11/20/2010 Tenant: Name: STATE FARM Address: 7100 FORT DENT WY SUITE 260 , TUKWILA WA Owner: Name: RADOVICH PROPERTIES LLC Phone: Address: 2835 82ND AVE SE STE 300 , MERCER ISLAND WA Contact Person: Name: ROB VAUGHN Phone: 425 - 290 -9600 Address: 1730 GIBSON RD , EVERETT WA Contractor: Name: FIRE PROTECTION INC Address: P 0 BOX 12642 , MILL CREEK WA Contractor License No: FIREPI *021ML Phone: Expiration Date: 07/13/2010 DESCRIPTION OF WORK: ADD RELOCATE DEVICES PER PLAN ON THE EXISTING FIRE ALARM Value of Electrical: NRES: $1,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $96.60 National Electrical Code Edition: 2008 Date: 8- —. —4"{ 0 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: Date: S /Zy( Irk Print Name: BL r LZ I fZL& 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 0-0385 Printed: 05 -24 -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: htv//www.ci.tukwila.wa.us Parcel No.: 2954900440 Address: Suite No: Tenant: 7100 FORT DENT WY TUKW STATE FARM PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0385 ISSUED 05/24/2010 05/24/2010 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: ITG✓I /U /LLB v Date: 2 U doc: Cond -Elec EL10 -0385 Printed: 05 -24 -2010 - CITY OF TUKWIL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. Q-10— 03e c 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 King Co Assessor's Tax No.: Z `1 5-9 `i © D'CL5 Suite Number Z-60 Floor: 2'`` New Tenant: ❑ Yes I .:No Site Address OO ' Fj R paw 1_4=N-4 Tenant Name: Elko_ K. Property Owners Name: Q -f PG Mailing Address: 1-$ 3s- q vu.9.- Ave' S 1/1 L S LAC_ 3sa City state `kr8 0 Zip CONTACT PERSON Who do we contact when your•permit is ready to be issued Name: Zt, 3 (Z.4- V AV- Day Telephone: Mailing Address: l 'Z ?. 2) & t Q Spn 2 E -Mail Address: 2-o 6 F P r A-rr Lam, _ ✓L2 e T t.,vor ”? 2,0 �I City State Zip Fax Number: LA-1-'S- - 3 5-1 — Company Name: rl (jL P,'2.O'TEZ--7—/ on _cf;;,LC__ Mailing Address: 1-)3 D ('t , j, j OA RID len tie-71.e 71— L- 9 Z 2-0k( Contact Person: City State Zip g�(T V G ttn Day Telephone: c-('2- S- 290 - ?b E -Mail Address: 12e-) (3 la r P SEA-77 Le-, cp A•- Fax Number: '-reg-S— 3 5 3 - ■-I s' qC, Contractor Registration Number: F 1 9-LsP 3- 0 2 1 M Expiration Date: 1— 1 3— 1 0 6O Valuation of Project (contractor's bid price): $ t � b 00 . Scope of Work (please provide detailed information): 1- / 9-E- w C.A- -r ai �V 1 c. �S P c K. pC ,4n )(AST/ �1 L P1 Rz ALA-g U■0%._ cl- 't-�LT Will service be altered? ❑ Yes EiNo Type of Use: r Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes " o ❑ Service Change Fire Alarm H:1ApplicationsWForms- Applications On Line\4 -2007 - Electrical Permit Application.doc bb ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 oft RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $140.00 $75.00 ea $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: Date: 5 5 /D t2-0Q RT V'PU6tt". Print Name: Day Telephone: '{'LS - 2-`I b "--7 (o 00 Mailing Address: IDate Application Accepted: «3b (9(050A PP %iCIZ -e 11— City bviar state sztokf Zip Date Application Expires: Staff Initials: H: Applications\Forms- Applications On L nc 4 -2007 - Electrical Permit Application.doc bh Page 2 of 2 1 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.: 2954900440 Address: 7100 FORT DENT WY TUKW Suite No: Applicant: STATE FARM RECEIPT Permit Number: EL10 -0385 Status: PENDING Applied Date: 05/24/2010 Issue Date: Receipt No.: R10 -00914 Initials: WER User ID: 1655 Payment Amount: $96.60 Payment Date: 05/24/2010 02:49 PM Balance: $0.00 Payee: FIRE PROTECTION INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 27071 96.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 96.60 Total: $96.60 PAYMENT RECEIVED doc: Receiot -06 Printed: 05 -24 -2010 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 euO-o3K PERMIT NO. (206)431 -3670 Project: / .iwit. rorQ � Type of Inspection: �` c w Address: ?OD f r • �/ / \fr Date Called: -� Special Inctions: Date Wanted: / �� ;m m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: ,d Date: 67/0 ri $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 6tw -o3K INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: c. 11— Type of Inspection: /DO tiNAddress: 6. gir Date Called: Special Instructions: F-,4 I Date Wanted: 710/ p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: (Actmiet) Inspector: Date: �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: 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 6,10- onc Project: 5r�� iftfii T Type of Inspection: � � 3 A Address: Date Called: ! Special Instructions: D Date Wanted: / /on.m. L ape Requester:. t t Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 1444.0 4.0 dr/ d(/ AitY ri $60.00 REINSP1CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: 06 02 /0 Receipt No.: Date: