HomeMy WebLinkAboutPermit EL10-0619 - L & I INTERNATIONAL HOLDINGSL & I INTERNATIONAL
HOLDINGS
130 ANDOVER PK E
SUITE 101
EL1O-0619
City oikukwila
•
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.: 0223100040
Address: 130 ANDOVER PK E TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0619
Issue Date: 08/03/2010
Permit Expires On: 01/30/2011
Tenant:
Name: L & I INTERNATIONAL HOLDINGS
Address: 130 ANDOVER PK E - SUITE 101 , TUKWILA WA
Owner:
Name: PUGET SOUND BLOOD CENTER Phone:
Address: DIRECTOR OF ADMINISTRATION , 921 TERRY AVE
Contact Person:
Name: PETE GARON Phone: 206 - 571 -2870
Address: 549 S DAWSON ST , SEATTLE WA
Contractor:
Name: NETVERSANT ACQUISITION III LLC Phone: 713 - 403 -3800
Address: 777 POST OAK BLVD STE 400 , HOUSTON TX
Contractor License No: NETVEAI915DF Expiration Date: 03/06/2011
DESCRIPTION OF WORK:
INSTALL 75 NEW NETWORK CABLES
Value of Electrical: NRES: $6,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $195.70
National Electrical Code Edition: 2008
Date: 6 " 3— (
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 this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perfo man e of work. I am authorized to sign and obtain this electrical permit.
Signature: ( � J'' Date: 5
/ �a "o�
Print Name: �J`f'tr 7
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 0-0619 Printed: 08 -03 -2010
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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: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
Parcel No.: 0223100040
Address:
Suite No:
Tenant:
130 ANDOVER PK E TUKW
L & I INTERNATIONAL HOLDINGS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0619
ISSUED
08/03/2010
08/03/2010
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: Date: 5 -f�
Print Name: G r 67Q r" .✓
doc: Cond -Elec
EL10 -0619 Printed: 08 -03 -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. Eu 0 -- a w
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.: 0,7)3 10 -60440
Site Address: /30 ignolo ve.r Par /( Eas f- ,Svc to /o /
Tenant Name: Z 4/i o /.'o %1i,vys , -.4 New Tenant:
Property Owners Name:
Mailing Address:
Suite Number:
Floor:
❑ Yes EX] ..No
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
J
Name: ?eke Cy4f OA/
Mailing Address: 3-`/f 3 . -27Q w5 a.4-)
T
E -Mail Address: ,O_ q Ot1'o n Q Ale I/e es an f- . C o i"■.
Day Telephone: 701°6 -oZ f 7 0
Sea>"tA G✓�1 �Ff /o
City /QC) 0tat� w Zip
15
Fax Number: 1 (o%
ELECTRICAL CONTRACTOR INFORMATION
Company Name: lVGf' ✓erS ten, t 50 L v i-)(7,44.6
h e
Mailing Address: S/ ? S, D &c-'S o.uS ,q t
Contact Person: /V/ Ae ,E m er
E -Mail Address: /Yl e m e r y cQ fl e fv e r Si f C
Registration Numbe /r:N
e4.171A e wA- 9Tieg.
City State Zip
Day Telephone: 07e7 - 77 `/ - 7 / o a
Fax Number: o'ZO - 3L/c> -/7
Expiration Date: owl NO ! X) l 1
Valuation of Project (contractor's bid price): $ 006
Scope of Work (please provide detailed information): Z' /t S f-a 75- Ate- n/etwor /e Ca /31e3
Will service be altered? ❑ Yes 1 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
t�-d -fi Low Voltage ❑ Generator ❑ Fire Alarm M Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes N No
❑ Remodel ® Tenant Improvement
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applicattons\Forms- Application On Line\2010 Applications \7 -2010 - Electncal 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, fumace 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)
❑ Camivals $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: / er ? (7 a row
Mailing Address: -5 YY S. a 4. &S c'it 5 f.
Date: EVV90 /o
Day Telephone: 9 2 oG - 3-7/ -a S'70
e& tt Le
City
" je0
State Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
J
H:Wpplications \Forms - Applications On L,ne \2010 Apphcanons ■7 -2010 - Electncal Permit Apphcanon.doc
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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.: 0223100040 Permit Number: EL10 -0619
Address: 130 ANDOVER PK E TUKW Status: PENDING
Suite No: Applied Date: 08/03/2010
Applicant: L & I INTERNATIONAL HOLDINGS Issue Date:
Receipt No.: R10 -01472
Initials: WER
User ID: 1655
Payment Amount: $195.70
Payment Date: 08/03/2010 11:20 AM
Balance: $0.00
Payee: NETVERSANT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 60300316 195.70
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 195.70
Total: $195.70
PAYMENT
DECEIVED
doc: Receiot -06 Printed: 08 -03 -2010
INSPECTION RECORD
Retain a copy with perm
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION C 9-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project:
Ck-7- //117.140 ry)44
Type of Inspection:
700
Address:
) 7 0 '9�di ICY,-
pate Called:
Special Instructions:
Date Wanted:
/
a.m.
Requester:
'
Phone No:
Ap roved per applicable codes. Corrections required prior to approval.
t-
OMMENTS: ---�
/.1,5--/t;i1,4‘.5
(0l
Inspector/ / 1, 6/7449,0
D at e //(9
0 $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:
:Settlf ,S., .4•_c - r_sn. •...cr.ca.- ia�.a.t e_-6ne..rL.%:_w_- ...iz#.Re.. fir ^. ads.^: ann +P.�Sr_,.,�...emriQ:�- yi^�•,w.t ".- d�r^a<.i:tlta�
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD � aj�
Retain a copy with permi
PERMIT NO.
(206)431 -3670
Project:.„,..-
G C 44fl41MJ, TA /
Type of Inspec
l�l./
rx.c-gmt. p-A)te.-7-ieximaxi /A)
s :
Adw 9���vm.
Date Called:
Special In tructi ns:
Date Want �� /�
(a o...,1711..
Requester:
Phone No:
0/4- C/-)4/L-
❑ Approved per applicable codes.
ections required prior to approval.
COMMENTS:
7
rx.c-gmt. p-A)te.-7-ieximaxi /A)
z /4/, /�/-GL --4,-vr
!9f /r)GS /A) M --7).9- % i
/244 i ,.s
0/4- C/-)4/L-
.<#/e/a-f-s At)
Inspect
�GL /rb*/ Da � j0/,P
0 $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:
Contractors or Tradespeople Peer Friendly Page
•
Electrical Contractor
A business licensed by LEI 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
NETVERSANT ACQUISITION III LLC
7134033800
777 Post Oak Blvd Ste 400
Houston
TX
77056
Out Of State
Limited Liability Company
NETVERSANT SOLUTIONS III LLC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602889778
Active
NETVEAI915DF
Electrical Contractor
3/6/2009
3/6/2011
General
Unused
MASTER ELECTRICIAN INFORMATION
License BROOMN'970DU
Name BROOME, NORMAN
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ARGYROPOULOS, PARIS
Partner /Member
03/06/2009
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
International Fidelity
Insurance Co
0498566
02/25/2009
Until Cancelled
$4,000.00
03/06/2009
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
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/03/2010