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Permit EL10-0471 - TEAMSTERS BUILDING
TEAMSTERS BUILDING 14675 INTERURBAN AV S EL1O-0471 City okukwila Departfnent 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.: 3365901365 Address: 14675 INTERURBAN AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0471 Issue Date: 06/22/2010 Permit Expires On: 12/19/2010 Tenant: Name: TEAMSTERS BUILDING Address: 14675 INTERURBAN AV S - SUITE 335 , TUKWILA WA Owner: Name: TEAMSTERS BUILDING ASSOCIAT Phone: Address: 14675 INTERURBAN AVE S #307 , TUKWILA WA Contact Person: Name: BRENT MCGOWEN Phone: 206 -730 -9426 Address: 1221 4 AV , SEATTLE WA Contractor: Name: SERVICEMARK LLC Phone: 206 - 373 -7171 Address: 1221 4TH AV , SEATTLE WA Contractor License No: SERVIL *984TA Expiration Date: 03/07/2012 DESCRIPTION OF WORK: INSTALL (1) NEW SWITCH AND (5) RECEPTACLES IN WALL Value of Electrical: NRES: $1,800.00 Fees Collected: $115.50 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: U/ y01-,)-`` V 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 grantin construct Signatu Print Name: of this per % does not presume to give alit/ ority to violate or cancel the provisions of any other state or local laws regulating the pe> rmance of work. I - m • uthorize % to sign and obtain this electrical permit. 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 0-0471 Printed: 06 -22 -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. E LI O- 0401 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 3 ( 5 ( r 3 . 3. Site Address: King Co Assessor's Tax No.: 602_, 1-7 4- 2-c,0 14415 u .B -3 Ave S. Tenant Name: --r- 4l'Tt'1 S ? E7 1 Property Owners Name: A S AG o tie-- Mailing Address: Suite Number: 335 Floor: 3 New Tenant: ❑ Yes a:No City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: 1 XL€141- M C in o w qv--- Day Telephone: C -1 3 0— 9 4-2-C Mailing Address: 12.i.. t 'ill` 5(2-0,--11- I o 1 tt City State Zip E -Mail Address: b re. n T M D SW" U t Le, 6.4A4. ICTSC.d —Fax Number: "2.0C — (0 2 S/ 9 el ELECTRICAL CONTRACTOR INFORMATION Company Name: 5 6AA cATLM /gRj .. Ll-C . Mailing Address: I'M. ' 412'' A uL Contact Person: (',Y2-EA-PT o tgt.J E -Mail Address: bren A- a, P) ScrtJt w/.%kZX TS. Co,'" Contractor Registration Number: 5 G2U 1 G914 9 S41-4 wd. qQ o 1 City State Zip Day Telephone: 20 6 ZS - S i 1 /_- Fax Number: 2_0G - G t 8 9f- Expiration Date: 3 ' % ^ 2-°1 2— Valuation of Project (contractor's bid price): $ f f o° Scope of Work (please provide detailed information): �1 N e� S W i Tb ct© in) (ie t) C..c,)q 1 k Will service be altered? ❑ Yes Zir-No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes e' No ❑ Remodel Er Tenant Improvement Property Served by: ,a Puget Sound Energy ❑ Seattle City Light H:\Applications\Porns- Applications On Line\2010 Applicalions\1 -2010 - Electrical Permit Application.doc bh Page 1 of 2 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) ❑ Camivals $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: vp(LEnJT 'G1 wm,.J Mailing Address: ttti 14 "e_ Day Telephone: Date: 2-2-• 3-O l O 2oG - .'LS - S I I'L wo Date Application Accepted: City State Zip Date Application Expires: Staff Initials: H:1Applications\Fornx- Applications On Lane\2010 Applications \1 -2010 - Electrical Pent Application.doc bh Page 2 of 2 • • J��fLA wq City of Tukwila Department of Corntrzunity Development 0 Phone: 206-431-3670 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 r /? 190x/// Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 3365901365 Permit Number: EL10 -0471 Address: 14675 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 06/22/2010 Applicant: TEAMSTERS BUILDING Issue Date: Receipt No.: R10 -01120 Initials: User ID: Payee: WER 1655 Payment Amount: $115.50 Payment Date: 06/22/2010 01:44 PM Balance: $0.00 GINA BENAVIDES TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 020070 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 PAYMENT RECEIVED doc: Receiot -06 Printed: 06 -22 -2010 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., . #100, Tukwila, WA 98188 INSPECTION RECORD. Retain a copy with permit PERMIT NO. (206)431 -3670 Projec • 045 ICk5 ;(1 Type of Inspection: 2/00 Address: PIO c kir AL ' Date Called: Special Instructions: Date Wanted: �� a: n. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Date: IIppt WI. ❑ $60.00 REINSPECTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: :at ,fr uc INSPEC79ON NO. INSPECTION RECORD Retain a copy with permit 60- Din/ PERMIT NO. CITY OF TUKWILA BUILDING DIVISION It 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project` ,5160 Type of Inspection: Address: f < '1 S fN/ All ' Date Called: Special instructions: Special Date Wanted: a r p.m. Requester: Phone No: tiCI Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: - 4.dp - 4)4 eallhc. Date: 0 5 w El $60.00 REINSP CTION FEE RE UIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: a w i x e t�s..� sac ^h,,r• f . �A:� ss�r _ . �.. rtR Contractors or Tradespeople Pf ter Friendly Page • Electrical Contractor A business licensed by Lai 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 Servicemark Llc 2063737171 1221 Fourth Ave Seattle Wa 981013005 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602174200 Active SERVIL'984TA Electrical Contractor 2/1/2002 3/7/2012 General Unused MASTER ELECTRICIAN INFORMATION License MCGOWDB958K7 Name Mcgowan, D Brent Status Active Business Owner Information Name Role Effective Date Expiration Date Parker, Johnnie Ray Partner /Member 02/04/2010 Bond Amount Mundle, Daniel Thomas Partner /Member 10/25/2004 6605058 Unico Investment Company Partner /Member 10/25/2004 Dellinger, John Partner /Member 02/05/2002 10/25/2004 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 3 INS CO OF AMERICA 6605058 02/01/2009 Until Cancelled $4,000.00 01/09/2009 2 DEVELOPERS SURETY & INDEM CO 576682C 02/01/2006 Until Cancelled 03/15/2009 $4,000.0003/07/2006 1 FIRST NATIONAL INSURANCE CO 6142186 02/01 /2002 Until Cancelled 09/30/2004 $4,000.0002/05/2002 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 https: // fortress .wa.gov /lni /bbip /Print.aspx 06/22/2010