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Home My WebLink AboutPermit EL10-0645 - QWESTQWEST 6101 S 180 ST EL1O-0645 Parcel No.: Address: Suite No: 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 3523049120 6101 S 180 ST TUKW ELECTRICAL PERMIT Permit Number: EL10 -0645 Issue Date: 08/10/2010 Permit Expires On: 02/06/2011 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: QWEST 6101 S 180 ST , TUKWILA WA SEGALE PROPERTIES LLC PO BOX 88028 , TUKWILA WA RANDY DREYER 11816 NE 116 ST , KIRKLAND WA JOHNSON ELECTRIC INC 11816 NE 116TH ST , KIRKLAND WA Contractor License No: JOHNSEI384RU Phone: Phone: 425 821 -8226 Phone: (425) 821 -8226 Expiration Date: 11/30/2010 DESCRIPTION OF WORK: PROVIDE (2) 120V EMERGENCY CIRCUITS Value of Electrical: NRES: $870.00 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 an governing this work will be complie exa • wit The granting of this permit does not pres construction or the r erfo of work. Signature: Print Name: Fees Collected: $92.40 National Electrical Code Edition: 2008 Date: ned this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. me to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. Date: /34,7(o. 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 -0645 Printed: 08 -10 -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: http: / /www.ci.tukwila.wa.us Parcel No.: 3523049120 Address: Suite No: Tenant: QWEST 6101 S 180 ST TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0645 ISSUED 08/10/2010 08/10/2010 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: Arty 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: Dittyci/L- Date: 6/1040 doc: Cond -Elec EL10 -0645 Printed: 08 -10 -2010 • FAy. • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Zvte . LI S I - 3(e7o Electricals Permit No.. Project:No.. (For•office-use only) Ztte• L{31-3G(75 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 Site Address: (0 t S • (90 ST% Tenant Name: King Co Assessor's Tax No.: C� 120 Suite Number: Floor: New Tenant: Property Owners Nam/e_: G2L4 T- Mailing Address: (et ( S • 1 &IC' 5r ❑ Yes [..No City State Zip CONTACT PERSON —Who do we contact when your permit is ready to be issued Name: tALib I) / /4 Mailing Address: �t (( ((4. sr • E -Mail Address: + oM d taw w Eac-1• CQ Day Telephone: 1%75 `12 Z1 `1 Z c Sao 3r City State Zip Fax Number: '{Z5' 8Z1 1(83 c ELECTRICAL CONTRACTOR INFORMATION Company Name: 4 6(41( 1__SbM L l -F t �1Jc- Mailing Address: ((B ((P / t(c .t• 'S Contact Person: .F44101 S tRIPA.m, ci4 Pdb ry City State G Zip Day Telephone: ¥Z$ StZ('8ZZt E -Mail Address: ra,L, LY C d Q .1; Rd slum elect: 4:44, Fax Number: Yt t ' Y1 7� Contractor Registration Number: Expiration Date: 7 Valuation of Project (contractor's bid price): $ d `b" �� / ( C Scope of Work (please provide detailed information): 71-�►+ [� `z) � � G it6eie Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ®. No Type of Use: Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: El Puget Sound Energy ❑ Seattle City Light ❑ Service Change ❑ Fire Alarm R\Applications\Fom s- Application On IinM4 -2007 - Electrical Permit Application.doc bh ❑ Remodel j.. Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE 410 ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 12 Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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. BUH.DING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: Date: Day Telephone: IDate Application Accepted: City Zip DI I Date Application Expires: x:uppIi uonns-Awii Onr ta2007 - eecuicalhermitApplicalion.da a �fi01'YSif�i[ffi4[E.r: Staff Initials: Page 2 of 2 • C 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 Parcel No.: 3523049120 Address: 6101 S 180 ST TUKW Suite No: Applicant: QWEST RECEIPT Permit Number: EL10 -0645 Status: PENDING Applied Date: 08/10/2010 Issue Date: Receipt No.: R10 -01543 Initials: JEM User ID: 1165 Payment Amount: $92.40 Payment Date: 08/10/2010 01:29 PM Balance: $0.00 Payee: JOHNSON ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 041350 92.40 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 92.40 Total: $92.40 PAYMENT RECEIVED doc: Receiot -06 Printed: 08 -10 -2010 INSPECTION RECORD Retain a copy with permit 6,10-061( INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: d � it_ Type of Inspection: Address: (0 (0 S- 40 $r • Date Called: Special Instructions: Date Wanted: y 2.0 a.m p.m. Requester: n Pia- Phone No: ! Z 1 VoPY Approved per applicable codes. Corrections required prior to approval. COMMENTS: (AIA, Inspector: Date: % (O 0 $60.00 REINSPEdTION 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 Per Friendly Page • Electrical Contractor A business licensed by LW 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 JOHNSON ELECTRIC INC 4258218226 11816 Ne 116Th St Kirkland WA 980347105 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600361519 Active JOHNSEI384RU Electrical Contractor 12/31/1962 11/30/2010 General Unused ADMINISTRATOR INFORMATION License JOHNSDB250MT Name JOHNSON, DANIEL B Status Active Business Owner Information Name Role Effective Date Expiration Date JOHNSON, DANIEL B JR Violation Amount 01/01/1980 8/12/2009 JOHNSON, DANIEL B SR ELECTRICAL CITATION 01/01/1980 $250.00 JOHNSON, JEFFREY J 8/12/2009 01/01/1980 ELECTRICAL CITATION JOHNSON JR, DANIEL B Agent 01/25/1980 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 2 HARTFORD INS GROUP RN5038112 11/20/1980 Until Cancelled $4,000.00 11/20/1980 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 EMABQ03047 8/12/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03046 8/12/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 08/10/2010