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HomeMy WebLinkAboutPermit EL10-0562 - TEAMSTERS BUILDINGTEAMSTERS BUILDING 14675 INTERURBAN AV S EL1 0-0562 City okukwila 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.: 3365901365 Address: 14675 INTERURBAN AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0562 Issue Date: 07/16/2010 Permit Expires On: 01/12/2011 Tenant: Name: TEAMSTERS BUILDING Address: 14675 INTERURBAN AV S , TUKWILA WA Owner: Name: TEAMSTERS BUILDING ASSOCIAT Phone: Address: 14675 INTERURBAN AVE S #307 , TUKWILA WA Contact Person: Name: DEREK OLLOM Phone: 425 - 766 -5461 Address: 450 SHATTUCK AV S , RENTON WA Contractor: Name: CONVERGINT TECHNOLOGIES LLC Phone: 425 272 -2250 Address: 450 SHATTUCK AV S, STE 100 , RENTON WA Contractor License No: COVETL984BQ Expiration Date: 01/18/2012 DESCRIPTION OF WORK: ADD (1) HORN /STROBE FOR FIRE ALARM Value of Electrical: NRES: $600.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $79.80 National Electrical Code Edition: 2008 Date: (49 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 of 's permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction . performance of work I am authorized to sign and obtain this electrical permit. Signature: Ue Date: 67 • /G - Zo/ 6 Print Name: C ' & 0fri ' OZ. L 0 — 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 0-0562 Printed: 07 -16 -2010 • City of Tukwila Departtnent 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.: 3365901365 Address: Suite No: Tenant: 14675 INTERURBAN AV S TUKW TEAMSTERS BUILDING PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0562 ISSUED 07/16/2010 07/16/2010 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 c truction or the performance of work. Signature: Print Name: Date: O7 -/6 'l6 doc: Cond -Elec EL10 -0562 Printed: 07 -16 -2010 CITY OF TUKWILA* Community Developmen epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us For . o ce.y se; ony 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 Address: /q6 75- 1 V7- e a") King Co Assessor's Tax No.: 3 3 (.p 3-90- 3 Floor: Tenant Name: ��PVV' S Tit 2 S Suite Number: New Tenant: ❑ Yes J.. No Property Owners Name: Mailing Address: State City ;CT =PERSON - Who do we contact when your;'permit is ready to be issued Name: Z -k1 f'VI • GC cov✓1 Mailing Address: * sv Su W'Tt'tX. k 1' O€ Zip Day Telephone: q ZS - 5 41 b / 1,34 9c 7s 7 City State Zip E -Mail Address: riXteek. Oct 41P thAJUreiZAavT • Co, -.-. Fax Number: qZs. 251 - 07C( g ELECTRICAL CONTRACTOR INFORMATION.: Company Name: e.-0rv\./02C1.7-✓v i- f Ec -I 1007.06 $' Mailing Address: 4(5'0 S/4"4 7t-+, c k `Q U,E S • etic-roiNi City State Day Telephone: 54-4 E -Mail Address: SPA- Fax Number: Contractor Registration Number: Expiration Date: Contact Person: T J E 4 2 6 k ` 1 4 • a CO J--- LOk 4 yes 7 Zip Valuation of Project (contractor's bid price): $ (-19 O U Sccope of Work (please provide detailed information): ik-iSN 1 1- 4 e2r� /ST+2� Will service be altered? ❑ Yes (X No Adding more than 50 amps? ❑ Yes ES No Type of Use: Type of work: ❑ New ❑,,..Addition,_ . , : ❑,,.ServiceChange ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:'Applicaoons\Porms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings $152.85 $81.90 ea $59.85 ea ❑ Low voltage systems (alarm, furnace thermostat) 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 OW ■ • OR ELECTRICAL CONTRACTOR: 4 jp 11/WC62 Signature: Print Name: • CU_ Mailing Address: ' cKp SNA7tuc. i4v — S. Date: 6 - /6.20 / 0 Day Telephone: c2 S" 74 6 ^ SV4 9e-E'0-7-r)r.) L 4E0 c 7 City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\ pplications \Forms - Applications On Line \2010 Applications \I -2010 - Electrical Permit Applicauon.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: htt: / /www.ci.tukwila.wa.us RECEIPT Parcel No.: 3365901365 Permit Number: EL10 -0562 Address: 14675 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 07/16/2010 Applicant: TEAMSTERS BUILDING Issue Date: Receipt No.: R10 -01325 Payment Amount: $79.80 Initials: WER Payment Date: 07/16/2010 01:43 PM User ID: 1655 Balance: $0.00 Payee: CONVERGINT TECHNOLOGIES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6982 79.80 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 79.80 Total: $79.80 PAYMENT RECEIVED doc: Receipt -06 Printed: 07 -16 -2010 INSPECTION RECORD Retain a copy with permit Clef 1►I- INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 12- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 0-056 Project: 2 _ Ij ` _' ` f ,� 5 61.ti4i • Type of Inspection: 2100 Address: / Date Called: Special Instructions: FI/s Date Wanted: 1j v f 3 a.r p.m. Requester: fic Phone No: 351 yreo Approved per applicable codes. Corrections required prior to approval. COMMENTS: ae-- (\Jolt/ Inspector: Date: ❑ $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: ?�4�`.� :i- ksa.3 �r.- 4y. �' �-a., ,'?fir --: �'Sr -.«" '.'3- 't':.— '``•` -* Sa wt'..�i?":�wi•�a — .fit.. ..d <)r.: r......t .n.:.� INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 .PERMIT NO. (206)431 -3670 Project 616t5 &L-bA Type of Inspection: iv � Address: /yOVAIT Ogg Date Called: Special Instructions: Cam/ Date Wanted: /0� (/ m. Requester: Phone No: 0 Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: KfccAo.kk fot. v/O3 Inspector: Date: 0/02110 /c) 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: Contractors or Tradespeople Fri. Friendly Page • Electrical Contractor A business licensed by LE&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 CONVERGINT TECHNOLOGIES LLC 4252722250 450 Shattuck Ave S Ste 100 Renton WA 98057 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602133088 Active CONVETL984BQ Electrical Contractor 1/18/2002 1/18/2012 Limited Energy Hvac /Rfrg Ltd Energy MASTER ELECTRICIAN INFORMATION License QUICKRJ967KQ Name QUICKSALL, RILEY J Status Active Business Owner Information Name Role Effective Date Expiration Date ROGERS, JEFFREY J Agent 01/18/2002 Bond Amount LERNIHAN, GREGORY M President 01/18/2002 82055897 WINKEL, WALTER W Secretary 01/18/2002 ROGERS, JEFFREY J Vice President 01/18/2002 TRAVELERS CAS & SURETY CO 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 2 FEDERAL INS CO 82055897 05/08/2006 Until Cancelled $4,000.00 06/14/2006 1 TRAVELERS CAS & SURETY CO 103757564 01/02/2002 Until Cancelled 05/08/2006 $4,000.00 03/13/2002 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 Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount E46358 9/2/2004 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 07/16/2010