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Home My WebLink AboutPermit EL10-0482 - STATE FARM INSURANCESTATE FARM 7100 FORT DENT WY EL10 -0482 City oftukwila 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 -0482 11-.9-14.10 Issue Date: Permit Expires On: Tenant: Name: STATE FARM Address: 7100 FORT DENT WEY , TUKWILA WA Owner: Name: RADOVICH PROPERTIES LLC Phone: Address: 2835 82ND AVE SE STE 300 , MERCER ISLAND WA Contact Person: Name: TONY PARTIDA Phone: 909 - 590 -3751 Address: 2854 FICUS ST , POMONA CA Contractor: Name: HENKELS & MCCOY INC Phone: 215 - 283 -7600 Address: 985 JOLLT RD , BLUE BELL PA Contractor License No: HENKEMI984PM Expiration Date: 10/14/2010 DESCRIPTION OF WORK: ADDING (18) DATA DROPS AND (9) VOICE DROPS. INSTALL (1) 48 PATCH PANEL AND (1) 10 VOICE BLOCK. TERMINATE STATIONS AND TR ROOM Value of Electrical: NRES: $4,947.99 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $178.50 National Electrical Code Edition: 2008 Date: lJ� ` 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 granting o constructio Signatur ermit does not pres me to give authority to violate or cancel the provisions of any other state or local laws regulating rformance o _r r ; m authorized to sign and obtain this electrical permit. Print Name: No* 0eJ\ Date: CiL- ID 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 -0482 Printed: 06 -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: http://www.ci.tukwila.wa.us Parcel No.: 2954900440 Address: 7100 FORT DENT WY TUKW Suite No: Tenant: STATE FARM PERMIT CONDITIONS Permit Number: EL10 -0482 Status: PENDING Applied Date: 06/24/2010 Issue Date: 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: )1-nm* AAonen Date: 6-dq-10 doc: Cond -Elec ELI 0-0482 Printed: 06 -24 -2010 CITY OF TUKWILla Community Developmen Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://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 ** King Co Assessor's Tax No.: �Q s't 0 ' 0 =i 4 b Suite Number: o°Z Floor: a New Tenant: ❑ Yes J.. No Site Address: 7 V O Mg---k. Tenant Name: V1€ Property Owners Name: �,R Mailing Address: —1 \ O -dQ_- —\ ��_A �� ,��— I VOJ q City State Zip Name:nl ��-^'� ,C Mailing Address: �V 5 4 E -Mail Address: -\-SQ10 At.. \r\co.-,pis enp(N. ELECTRICAL' CONTRACTOR INFORMATION Company Name: \yP� (��5 -�-�� Mailing Address: � 3 AC. Contact Person: E -Mail Address: .\ 'claS) \v o\t-eAS .CAM Contractor Registration Number: '(�� k Day Telephone: CM q ' `7 Fax Number: d Q " s `t 4G 0 City State 1 CC\c\a City (\ Day Telephone: ,1�r`T�� Fax Number: RC S <c8 " ('1SO Expiration Date: ( 0 - State Zip Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): `C \ V?) (-)0A13_ 0/cOM, S°4(� ` VJ' - � Q \` ` 7.►,_ %a• �i 1 ` 4-- l 1(J Will service be altered? ❑ Yes IX No Type of Use: Adding more than 50 amps? ❑ Yes No Type of work: ❑ New ..._ - ❑ _Addition „ ❑ _Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: f- 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 ❑ Remodel ❑ Tenant Improvement I;Xl Telecommunication ❑ Temporary Service 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) ❑ 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 OWN�� LECTRICAL CONT ' CTOR: Signature: Print Name: ;a ` ! \:� ` 0.4 Ali Mailing Address: • o_ Date Application Accepted: Date: (c2 a -1' ` 10 Day Telephone: 4&5 '7(00 • * t4 City State Zip Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc bh 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 RECEIPT Parcel No.: 2954900440 Permit Number: EL10 -0482 Address: 7100 FORT DENT WY TUKW Status: PENDING Suite No: Applied Date: 06/24/2010 Applicant: STATE FARM Issue Date: Receipt No.: R10 -01144 Payment Amount: $178.50 Initials: WER Payment Date: 06/24/2010 11:49 AM User ID: 1655 Balance: $0.00 Payee: EDWIN HAVENS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 9246 178.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 178.50 Total: $178.50 PAYMENT RFCFIVEP doc: Receipt -06 Printed: 06 -24 -2010 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION `RECORD Retain a copy with permit 6,10-DLITL PERMIT NO. 1 (206)431 -367 Project: <I "' e Fitt& Type of Inspection: ice: Address: 7io l DLiVI Date Called: Special Instructions: Date Wanted: 6/3o a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 0 Inspector: /' l Date: 000/i0 r, a $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter.Jlvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 7 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. etio - 01172- CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: 5tt � Type of Inspection: 2 Boa Address: ' /too. FT. T: ii Date Called: �-, Special Instructions: 1,1 " Date Wanted: / . . Requester: ` 1 Phone No: E1Approved per applicable codes. ® Corrections required prior to approval. COMMENTS: (i RoJ t4p t t4t.g\ PAerc,4 QA&.' Inspector: t Date: ch Zi it 0 LI $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 NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Yg. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: .50116 Date: Type of Inspection: �1 ov Address: 7,00 r7--. (4,-. Date Called: Special Instructions: Date Wanted: �� a:m. . Requester: Phone No: Approved per applicable codes. Vi.Corrections required prior to approval. COMMENTS: 4124042 Mc Pl1?odR r.oAJeksterroJ on/ Q'Zy Inspector: : DcAlls Date: l51 004/1 0 1 ri $60.00 REI SPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: .,.e..r. _ : _. .— ..�•tidi`sci.en ",�:YI.iF.,.i+a� _ "'KiSAa�t.eS��,tGAi2�.�"'li - •" 'r' • 'c - d`�d�'� =_ — _ _ ...ae.en .sx.. Contractors or Tradespeople Prater Friendly Page Electrical Contractor A business licensed by La1 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 Henkels a Mccoy Inc 2152837600 985 Jolly Rd. ACCOUNTING DEPT. Blue Bell Pa 19422 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 409011417 Active HENKEMI984PM Electrical Contractor 10/14/2002 10/14/2010 Telecommunications Unused ADMINISTRATOR INFORMATION License ANDERCA918NC Name Anderson, Carl A Status Active Business Owner Information Name Role Effective Date Expiration Date Corporation Service, Company Agent 10/14/2002 Amount Henkels, T Roderick President 10/14/2002 GL0386657004 Crawford, Christine A Secretary 10/14/2002 Severi, Robert M Treasurer 10/14/2002 ZURICH AMERICAN INSURANCE COMP Delark, Robert J Vice President 10/14/2002 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 TRAVELERS CAS a SURETY CO 103869570 10/01/2002 Until Cancelled $4,000.00 10/14/2002 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 8 ZURICH AMERICAN INS CO GL0386657004 10/01/2009 10/01/2010 $2,000,000.00 09 /29/2009 7 ZURICH AMERICAN INSURANCE COMP GL0386657003 10/01/2008 10/01/2009 $2,000,000.00 10/01/2008 6 ZURICH AMERICAN INS CO GL0386657002 10/01/2007 10/01/2008 $170,000.00 10/01/2007 5 ZURICH AMERICAN INS CO GL0386657001 10/01/2006 10/01/2007 $2,000,000.00 09/27/2006 4 ZURICH AMERICAN INS CO GL0386657000 10/01/2005 10/01/2006 $2,000,000.00 09/06/2005 https://fortress.wa.gov/lni/bbip/Print.aspx 06/24/2010