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Permit EL10-0461 - QWEST COMMUNICATIONS - EASEMENT
QWEST COMMUNICATIONS 15222 42 AV S EL1 0-0461 City GO/Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspectio n Request Line: 206 - 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 2223049048 Address: 15222 42 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0461 Issue Date: 06/18/2010 Permit Expires On: 12/15/2010 Tenant: Name: QWEST COMMUNICATIONS EASEMENT Address: 15222 42 AV S , TUKWILA WA Owner: Name: WOLFF TAMELA J Phone: Address: 15222 42ND AVE S , TUKWILA WA Contact Person: Name: Address: Contractor: Name: THOMPSON ELECT CONSTRS INC Address: PO BOX 45260 , TACOMA WA Contractor License No: THOMPECOO8CW Phone: Phone: 253 539 -0999 Expiration Date: 02/16/2012 DESCRIPTION OF WORK: 100 AMP PEDESTAL SERVICE, 1 PHASE 120/240 VOLT, (3) 15 AMP/ 120 VOLT CIRCUITS FOR COMM CABINET OUTLETS Value of Electrical: NRES: $3,200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied amin ith, Fees Collected: $157.50 National Electrical Code Edition: 2008 Date: COVIAto d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pres - 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: Print Name: /4/1 ) Date: 6v� / ? / /C.) 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 0-0461 Printed: 06 -18 -2010 • wq City of Tukwila � sy IS 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.: 2223049048 Address: Suite No: Tenant: 15222 42 AV S TUKW QWEST COMMUNICATIONS EASEMENT Permit Number: Status: Applied Date: Issue Date: EL10 -0461 ISSUED 06/18/2010 06/18/2010 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 ELI 0-0461 Printed: 06 -18 -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 No. Project No. (For off 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 Prints* SITE LOCATION Site Address: 1 S ZZ-2- LI 2.-"i° AVE A.'. Tenant Name: King Co Assessor's Tax No.: 2-2-2- 36 y qO Lf a- Suite Number: Floor: New Tenant: ❑ Yes ❑..No Property Owners Name: . GO 1 Mailing Address: Zip City State CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: ,S' 1,/,e 774 /GC.rE Day Telephone: 2Oc -- 2-7l — 6-7 03 Mailing Address: Fi TZ S . ir7i S/1 C / &S S S-7-7 S TTZ.£ City r,clfl:S'h ci 24 State Zip E -Mail Address: Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: 1 t)MP. Si) ", ) E G62-iniC•9{. 09/0.4 r'_'Th1 3 C • Mailing Address: P. 0, ! ©o 5 2-C, e-, Contact Person: ) n91 Lt )11_1000 E -Mail Address: Dnl 719 -nr)ry s'ft City Contractor Registration Number: -77/017/P42,OD2YCGcf L.r)A State Zip Day Telephone: 2S3 - 47G/ - 632.1 Fax Number: 2-5-3 — 539 0) 0 Expiration Date: 2 //r h Z Valuation of Project (contractor's bid price): $ 39_0f). 00 Scope of Work (please provide detailed information): 1on Y}m2 piS7 SE- 121/106 10 / 2v /2.-cf 3 - /•Sr-irnP 1 / 2- mcr C7/G2_,Ca /•7S Gbr2 Cnymal, C J.J errrt�TS' Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: .. New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light r►: H:wpplicataa.tFonn . nppbmbaI. On Line \2010 Applicau®. \I -2010 - Electrical Permit Applicaticn.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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 559.85 (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: Print Name: -2-T iv) �i=7 Via) ?49-63-. Mailing Address: 7)() R Pin/ IDate Application Accepted: Date: 6h 7A0 Day Telephone: 7--E7-3- 63 % -0919 cn,> a)A- 98edy9 City State Zip Date Application Expires: HAApplicatla sToimrApphcationa On Line 12010 Apphc tion -2010 - Electrical Pemut Apphcahon.doc bh Page 2 of 2 Staff Initials: --... • • SET RECEIPT Copy Reprinted on 06 -18 -2010 at 12:48:20 06/18/2010 RECEIPT NO: R10 -01096 Initials: JEM User ID: 1165 Payee: THOMPSON ELECTRICAL CONSTRUCTORS, INC. Payment Date: 06/18/2010 Total Payment: 472.50 SET ID: 0618 SET NAME: THOMPSON ELECTRICAL SET TRANSACTIONS: Set Member Amount EL10 -0460 EL10 -0461 EL10 -0462 TOTAL: 157.50 157.50 157.50 157.50 PAYMENT RFOFIVED TRANSACTION LIST: Type Method Description Amount Payment Check 19222 472.50 TOTAL: 472.50 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 472.50 TOTAL: 472.50 INSPECTION NO. INSPECTION RECORD Retain a copy with permit ruo-rJi(0f CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMi LT_ NO. (206)431 -3670 Project: rtX 1 Akeer Type of Inspection: Address: 15-222, y2 Alt Date Called: /^ Special Instructions: Date Wanted: 7/zo a.rr, m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: . tfi:chc.e Inspector: � Date: 7/2_0/o ri $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 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 V40 Project: a , � /1 /()) �� Type of Inspection: 700t Address: / Svl7. - I Z J, Date Called: Special Instructions: Date Wanted: 7 qi"-M".n:. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: (14K JAIDERWoulJP 6oAJwcf5 15441) Ow/JD/Ai/1 61(3-KoDC, Inspector:/ Date:Q� )q rQ ri $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: a�,7: r O) £.01 . •r»15 '2 44a bar1.l.l -S _& o-J 0 C r • 71;c0 1 pr ^Qifcjozl NH -70 Civ0'1 ? -ate &i cE S .t/A d ba"i 1KI.0_L 'Z 1' bb$ t , 11 .r O1 h L. •;i 0 dO 1 co-d-9 ucyz &col SW C 610E vG0( a Q c X O NHIu h t jt. -L _Ljno0.00 (rQLLei- oixisr► '7W7i2Li iJ !.1-d !.Sgrnb --?-(co1d/\1 '7D5 I9 NIt► -tL 00 z:#. - 2 -»s 0L 1i�Qcro� „�� Z ' AG).--z /OZ► X1001 • • Contractors or Tradespeople Per 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 Thompson Elect Constrs Inc 2535390999 Po Box 45260 Tacoma Wa 98448 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602011056 Active THOMPECOO8CW Electrical Contractor 2/16/2000 2/16/2012 General Unused ADMINISTRATOR INFORMATION License THOMPKV122NF Name Thompson, Kevin V Status Active Business Owner Information Name Role Effective Date Expiration Date Thompson, Lori K &Nbsp; 01/01/1980 Thompson, Diana L &Nbsp; 01/01/1980 Thompson, Lori K Agent 01/01/1980 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 1 WESTERN SURETY CO 68953093 02/01/2000 Until Cancelled $4,000.00 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 Warrant Information Warrants are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ENORW00246 1/16/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 06/18/2010