HomeMy WebLinkAboutPermit EL10-0511 - WESTOWERWESTOWER
405 EVANS BLACK RD
EL1O-051 1
Parcel No.:
Address:
Suite No:
City ofTukwila
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
0223100036
405 EVANS BLACK DR TUKW
ELECTRICAL PERMIT
Permit Number: EL10 -0511
Issue Date: 07 /01/2010
Permit Expires On: 12/28/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
WESTOWER
405 EVANS BLACK DR , TUKWILA WA
BANK OF AMERICA
WA1- 501 -15 -08 , PO BOX 34029 /LEEDE
Contact Person:
Name: ART GULLEDGE
Address: 3126 100 AV E , EDGEWOOD WA
Contractor:
Name: VICTORY COMMUNICATIONS
Address: 3126 100 AV E , EDGEWOOD WA
Contractor License No: VICTOC *972KT
Phone:
Phone: 253 209 -1568
Phone: 253 435 -8724
Expiration Date: 06/01/2011
DESCRIPTION OF WORK:
VOICE AND DATA CABLING TO (21) LOCATIONS IN OFFICE AREA
Value of Electrical: NRES: $3,253.12
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
The granting of this permit does not pr
construction or the performance of wo
Signature:
Print Name:
Fees Collected: $157.50
National Electrical Code Edition: 2008
Date: 01 t it°
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit.
Date: 7-1--/e9
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 -0511 Printed: 07 -01 -2010
•
�J,��► wq�, City of Tukwila
d" y 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.:
Address:
Suite No:
Tenant:
0223100036
405 EVANS BLACK DR TUKW
WESTOWER
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0511
ISSUED
07/01/2010
07 /01/2010
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
EL10 -0511 Printed: 07 -01 -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 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.: �� � 074,
Site Address: Vaa 5 , vac .1c> 1. 4 </f ,l> r, Suite Number:
Tenant Name: IAA', f v LP, < v C0,1440 ✓Yi eon: v w * New Tenant:
Property Owners Name: /la" /' o le /9
!k C,l,[�►
Floor:
..2 Yes .. No
Mailing Address:
Zip
Name: 141' t 6vlle.-et.
Mailing Address: -3/2 ` / °12/4. �!/e .
E -Mail Address: Ar71 '!/i < K✓1.1-4 p r j.c t 71
City
State
Day Telephone: -2 -5". 2 O ?
6";,44.- ...too el
Ctty State
Fax Number: 2-') / T -
fee, 7-/
Zip
�D� o
Company Name: /1/ L vP-1/
Mailing Address: ) /.? 6 /o O �j [/� e�fC -t- °ri — 7/
v� /+ � (City
State Zip
Contact Person: 6 / ( �L' Day Telephone:
E -Mail Address: 2172 Fax Number:
Contractor Registration Number: Vi CTS% C )' 1? T Expiration Date: 6 ` l ' /?410//
/
Valuation of Project (contractor's bid price): $ ') /�
Scope of Work (please provide detailed information): L/OI & e t �a.J.s -. Ca d/; j o
tDCaI /orrt / e /1
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
„12KLow Voltage ❑ Generator ❑ Fire Alarm Zelecommunication ❑ Temporary Service
Property Served by:
,Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
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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)
❑ 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 THANE 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:
/141
Signature:
Print Name: /9 0/7Z !9 / /de l '
Mailing Address: 1 / %d 1'r-
Date Application Accepted:
01101110
Ceg4Cg 14g-'04)1
City
Date: % ^/
Day Telephone: ,?S1 '
7P)7/
State
Zip
Date Application Expires:
H:\Applications\Forms- Applications On Line \2010 Applications \I -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
Staff Initials: c—_,-N__
•
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.: 0223100036 Permit Number: EL10 -0511
Address: 405 EVANS BLACK DR TUKW Status: PENDING
Suite No: Applied Date: 07/01/2010
Applicant: WESTOWER Issue Date:
Receipt No.: R10 -01217
Initials:
User ID:
JEM
1165
Payment Amount: $157.50
Payment Date: 07/01/2010 11:41 AM
Balance: $0.00
Payee: ART L GULLEDGE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 014608
ACCOUNT ITEM LIST:
Description
157.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 157.50
Total: $157.50
PAYMENT
RECEIVED
doc: Receipt -06 Printed: 07 -01 -2010
INSRECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION>RECORD
Retain a copy with permit
0,10-091
PERMIT NO. \I
(206)431 -670
Project: lid
jv/
61O
Type of Inspection:
Address(1445
1105-
ate Called:
Special Instructions:
ate Wanted:
,C
cm:
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
7/9°'
tisiA
OK
aluni(.I C1l/6e\
2oO
.(J41.
Inspector:
Date:
67/ /i()
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:
i
1NSPECTION RECORD
6to-o511
CITY a copy with permit
INSPECTION NO. PERMIT NO.
TY OF TUKWILA BUILDING DIVISION
6300
Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367
Project:, T�
D
Type of Inspection:
.rDO�
(
Address:
Date Called:
Specia Instructions:
40A.
Date Wanted:
7/0 7
m
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
0160 E Abolixylet) cn43u4
Rf4o cl of Ca4DJIT
Date: 07/01/,
❑ $60.00 REINSPECTION FEE REQJIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
x"515 -. '- - �hn*:e41`5i'iru..�Wku.-w�.,,.. m.aS'•[.�,.r.- .:`�:�4fi
Contractors or Tradespeople Peer Friendly Page
Electrical Contractor
I
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
Victory Communications
2534358724
3126 100Th Ave E
Puyallup
Wa
98371
Pierce
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602154509
Active
VICTOC'972KT
Electrical Contractor
5/30/2003
6/1/2011
Telecommunications
Unused
ADMINISTRATOR INFORMATION
License GULLEA'979KW
Name Gulledge, Art
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Gulledge, Art
&Nbsp;
05/30/2003
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
OLD REPUBLIC INS CO
YLI245682
05/22/2003
Until Cancelled
$4,000.00
05/30/2003
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
OHIO CAS INS
BH053093324
05/22/2010
05/22/2011
$1,000,000.0004
/14/2010
7
OOHIO CAS INS
BHO 53093324
05/22/2009
05/22/2010
$1,000,000.0004
/15/2009
6
OOHIO CAS INS
BHO 53093324
05/22/2008
05/22/2009
$170,000.0004/14
/2008
5
OOHIO CAS INS
BH053093324
05/22/2007
05/22/2008
$1,000,000.00
04/23/2007
4
OOHIO CAS INS
8H053093324
05/22/2006
05/22/2007
$300,000.00
06/13/2006
3
OOHIO CAS INS
BHO 5234670
05/22/2005
05/22/2006
$170,000.00
06/01/2005
2
OOHIO CAS INS
BH05234670
05/22/2004
05/22/2005
$300,000.0010/12
/2004
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
07/01/2010