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
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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
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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
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Page 2 of 2
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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
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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