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HomeMy WebLinkAboutPermit EL10-0495 - QWEST COMMUNICATIONS - ROW WORKQWEST COMMUNICATIONS ROW WORK 1461142 AV S EL1 0-0495 City oTukwila 4s, 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: / /wtivw.ci.tukwila.wa.us Parcel No.: 0040000944 Address: 14611 42 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0495 Issue Date: 06/29/2010 Permit Expires On: 12/26/2010 Tenant: Name: QWEST COMMUNICATIONS - ROW WORK Address: 14611 42 AV S , TUKWILA WA Owner: Name: GURDIC MIDHAT +SAHA Phone: Address: 4003 S 168TH ST , SEATTLE WA Contact Person: Name: TIM EATON Phone: 253 405 -0120 Address: PO BOX 45260 , TACOMA WA Contractor: Name: THOMPSON ELECT CONSTRS INC Phone: 253 539 -0999 Address: PO BOX 45260 , TACOMA WA Contractor License No: THOMPECOO8CW Expiration Date: 02/16/2012 DESCRIPTION OF WORK: 100 AMP, 120/240 VOLT, SINGLE PHASE SERVICE WITH (3) 15 AMP, 120 VOLT CIRCUITS FOR QWEST COMMUNICATION EQUIPMENT Value of Electrical: NRES: $3,200.00 RES: $0.00 Type of Fire Protection: N/A Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: RA C Fees Collected: $157.50 National Electrical Code Edition: 2008 Date: c((2 11 1-D I hereby certify that I have read an ined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complier wit whether specified herein or not. The grantin of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constru on or t p or man e of work m authorized to sign and obtain this electrical permit. Signature: V " Date: ( ! 251 l / C0 Print Name: 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 -0495 Printed: 06 -29 -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: hq,://www.ci.tukwila.wa.us PERMIT CONDITIONS Parcel No.: 0040000944 Address: Suite No: Tenant: 14611 42 AV S TUKW QWEST COMMUNICATIONS - ROW WORK Permit Number: Status: Applied Date: Issue Date: EL10 -0495 ISSUED 06/29/2010 06/29/2010 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: W V" Date: 04 ( f( m Print Name: Tl 03, doc: Cond -Elec EL10 -0495 Printed: 06 -29 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. LLQ —9141c 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.: 004'0000 9 14.5 Site Address: PciA um EAST its' of 4063 S. i'(t,'N ST Tenant Name: biage==trgOt CZ WEST Commo,fiCA1 e#1 S Property Owners Name: N Go ToM Mailing Address: 4ero3 S. i4,1 1ST Suite Number: Floor: New Tenant: ❑ Yes ❑..No —6)1441i City WA State 981!0$ Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: Zip E -Mail Address: City State Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: TwompSo,i EI.EC-rRaCA a.Jc ro2S1 b c, Mailing Address: 4Vir P.0. F. DY. 'FS2.60 Contact Person: 7■ M E ATo E -Mail Address: -GM C 1U MP sway.' got veto's, c'1 Contractor Registration Number: 114 c M P E C- 003 CAA/ YACc7,444 L ')8444- city State Zip Day Telephone: (2-53) 1(05-0 %2.0 Fax Number: ( 53) 531 -0(0 Expiration Date: ©2 - /2-G / 2-0 ?.- �o Valuation of Project (contractor's bid price): $ 32.00 — Scope of Work (please provide detailed information): too AMP) tic) I240VW' S1144(.E MIASE SERVICE Ptr (3) ‘S �nP 120 ioLT Gtiuk.)rf5 FoR- au.) c5'r Civ.i.Mtlw' cA-no eaW-P r_tev T , Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ® New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light H \AnnlicnhnnaWnrmq- Annhramnne On line. \2010 Annitcntinna \I -2010- Rlea•.tncnl Pnrnit Annlirntinn rinr. ❑ Remodel ❑ Tenant Improvement ❑ 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 8 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 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: C '° ■ `(S2ho Date Application Accepted: Day Telephone: ZAoC454.4A -- city Date: CC /23 120 I a (25'3) ?‘ 1 —(321 Oi A %444- state Zip Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On lane\2010 Applications \1.2010 - Electrical Permit Application.doc bh Page2of2 • 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.tuicwila.wa.us RECEIPT Parcel No.: 0040000944 Permit Number: EL10 -0495 Address: 14611 42 AV S TUKW Status: PENDING Suite No: Applied Date: 06/29/2010 Applicant: QWEST COMMUNICATIONS - ROW WORK Issue Date: Receipt No.: R10 -01186 Payment Amount: $157.50 Initials: JEM Payment Date: 06/29/2010 01:35 PM User ID: 1165 Balance: $0.00 Payee: THOMPSON ELECTRICAL CONSTRUCTORS, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 19701 157.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 PAYMENT RECEIVED doc: Receiot -06 Printed: 06 -29 -2010 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 6-10-0‘151 PERMIT NO. F- (20 )431-3670 Project: (Our, Type of Inspection :`" yAtOd Address: H��! y 1 Z� -5. Date Called: Special Instructions: Date Wanted: /it" p,m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 070/(0 ri $60.00 REINSPECTION FEE R QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit 6/0- oN951 PERMIT NO. t2- (206)431 -3670 Project: �[_ �l/�Cvh- Type of Inspection: 7 ©oI Address: /Lupo qi 4- /.' Date Called: Special Instructions: Date Wanted: lD` ( a:m m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. OMMENTS; e 191 VAIDfl<tt40 drii) Cp4un-5 (J4JAtrIc 6! R dr-d4k- Date: 07/01/10 ri $60.00 REINS CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Receipt No.: Date: Contractors or Tradespeople Pi ler 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 aNbsp; 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 06/29/2010