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Home My WebLink AboutPermit EL10-0852 - CITY OF TUKWILA - POLICE DEPARTMENTCITY OF TUKWILA POLICE DEPARTMENT 6200 SOUTHCENTER BL EXPIRED 04 -23 -11 EL 10-0852 Parcel No.: Address: Tenant Name: Cityltf Tukwila 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 ELECTRICAL PERMIT 3597000282 6200 SOUTHCENTER BL TUKW CITY OF TUKWILA - POLICE DEPARTMENT Permit Number: EL10 -0852 Issue Date: 10/22/2010 Permit Expires On: 04/20/2011 Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188 Contact Person: Name: CALEB LYSTAD Address: 12512 BEVERLY PARK RD , LYNNWOOD WA 98087 Contractor: Name: CONNECTION EXPRESS Address: 16615 71 PL W , LYNNWOOD WA 98037 Contractor License No: CONNEE *930Q7 Phone: 253 208 -6594 Phone: 206 - 310 -6549 Expiration Date: 04/04/2012 DESCRIPTION OF WORK: LOW VOTLAGE TELECOMMUNICATION WORK, CAT6 CABLE UPGRADE Value of Electrical Work: NRES: $4,000.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA 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 Fees Collected: $157.50 National Electrical Code Edition: 2008 Date: 6tI22110 exa fined this permit and know the same to be true and correct. All provisions of law and ordinances wit , whether specified herein or not. The granting of this permit does not p construction or the performance o Signature: same ts�give_authority to violate or cancel the provisions of any other state or local laws regulating or 1 aut orized'to ign and obtain this electrical permit. �R \ Date: 100 SIM Print Name: er;)//1-e, Z7 54a, S 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 -9/09 ELI 0-0852 Printed: 10 -22 -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: htui://www.ci.tukwila.wa.us PERMIT CONDITIONS Parcel No.: 3597000282 Address: Suite No: Tenant: 6200 SOUTHCENTER BL TUKW CITY OF TUKWILA - POLICE DEPARTMENT Permit Number: Status: Applied Date: Issue Date: EL10 -0852 ISSUED 10/22/2010 10/22/2010 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: i° z //° doc: Cond -Elec ELI 0-0852 Printed: 10 -22 -2010 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.cLtukwila.wa.us Electrical Permit No. G 0 ' 01G2- 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 / I King Co Assessor's Tax No.: ,J��\ �' V 2 p�, Site Address: (� 200 .ti q p.a -- g (v c` . Suite Number: Floor: Tenant Name: C. ^T k o ii A. I O (.11Ga . ep New Tenant: ❑ Yes ❑ ..No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: C /-=-1 Mailing Address: /2-5 / Z 1 �U -a'l7 P0 rL E -Mail Address: CAA-e1.11 Rlo0,1 _ ein vv\ Day Telephone: 2-5-5- Z'1-'G SR City Fax Number: /AA State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Coln c e— +i o & EN /Jr�SS Mailing Address: l Z5I Z g Uz,1`It, Par-k__Rd• Lyinn✓ava !rt/A &J 61 1o. 7 0 City State Zip Contact Person: [�, /r 6 1�/� Day Telephone: 1-5' -2° �. -(„ 59 y E -Mail Address: �a, %,l' /y 5/4,1 05 5w/t'n,.I • e 0O Fax Number: Contractor Registration Number: CG /JNtZ:7 g3Oq7 Expiration Date: /'7 //Z Valuation of Project (contractor's bid price): $ � °62' Scope of Work (please provide detailed information): Lc1 (Jo /-4 - -i/ ,marl lezi le- CAT' 1. ay. ie, mloaro,L. Will service be altered? ❑ Yes 33/ No Adding more than 50 amps? ❑ Yes ONo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm Z Telecommunication ❑ Temporary Service Property Served bv: Puget Sound Energy ❑ Seattle City Light H:\Applications\Fomu- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh 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) ❑ Carnivals $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: Signatu �✓ % Print Name: (,4°C 4 N Mailing Address: '%ZS% Z g e ✓vrn (1/ fQ r1 IDate Application Accepted: 10 t �4 to Date: /O /z ' %i�C% Day Telephone: l ,yyl Ctt Date Application Expires: H:\Applications\Fonns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 1-4.1A,3 State Staff Initials: 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 SET RECEIPT RECEIPT NO: R10 -02148 Initials: JEM Payment Date: 10/22/2010 User ID: 1165 Total Payment: 387.60 Payee: CONNECTZONE.COM SET ID: 1022 SET NAME: CONNECTION EXPRESS SET TRANSACTIONS: Set Member EL10 -0852 EL10 -0853 TOTAL: Amount 157.50 230.10 157.50 TRANSACTION LIST: Type Method Description Amount Payment Check 4680 387.60 TOTAL: 387.60 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 387.60 TOTAL: 387 .60 i 6 INSPECTION RECORD 19A Retain a copy with permit INSPECTION NO. PERMIT NO. . CITY OF TUKWILA BUILDING DIVISION 300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 fu0-0Y52,- Permit Inspection Request Line (206) 431 -2451 Projects t/K -- j) (A/7 Type of Inspection: Address: Date Called: Special Instructions: Date Wanted: /0/2,5_ �rr;a ��m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: fq& p Al /r l 4/4 Inspector: Date: /0 74 0 n REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 03 -02 -2011 City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director CALEB LYSTAD 12512 BEVERLY PARK RD LYNNWOOD WA 98087 RE: Permit No. EL10 -0852 6200 SOUTHCENTER BL TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 04/23/2011. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 04/23/2011, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. EL10 -0852 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Peer Friendly Page 1 Electrical Contractor 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 CONNECTION EXPRESS 2063106549 16615 71St Pt W Lynnwood WA 98037 Snohomish Limited Liability Company Parent Company CONNECTZONE.COM LLC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602626276 Active CONNEE'930Q7 Electrical Contractor 4/4/2008 4/4/2012 Telecommunications ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status C0NNEE'006RLC0NNECTION EXPRESS Electrical Contractor Telecommunications 52SBAPL0720 12/13/2000 3/4/2009 Expired Electrical Administrator INFORMATION License 0BERHD'002RL Name OBERHOLTZER, DANN Status Active Business Owner Information Name Role Effective Date Expiration Date OBERHOLTZER, DANIEL Agent 11/27/2007 Amount OBERHOLTZER, DANIEL Partner /Member 11/27/2007 52SBAPL0720 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 DEVELOPERS SURETY & INDEM CO 449639C 04/04/2008 Until Cancelled $4,000.00 04/04/2008 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 4 HARTFORD CAS INS CO 52SBAPL0720 02/15/2010 02/15/2011 $2,000,000.00 01/25/2010 3 HARTFORD FIRE INS CO S2SBAPL0720 02/15/2009 02/15/2010 $2,000,000.00 05/15/2009 2 HARTFORD CAS INS CO 52SBAPL0720 02/15/2008 02/15/2009 $1,000,000.00 11/16/2007 1 HARTFORD CAS INS CO 52SBAPL0720 02/15/2007 02/15/2008 $170,000.0011/16 /2007 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 10/22/2010