HomeMy WebLinkAboutPermit EL10-0853 - CITY OF TUKWILA - 6300 BUILDINGCITY OF TUKWILA
6300 SOUTHCENTER BL
EXPIRED
04 -23 -11
EL 10-0853
Parcel No.:
Address:
Tenant Name:
CityIC' 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
0003200005
6300 SOUTHCENTER BL TUKW
CITY OF TUKWILA
ELECTRICAL PERMIT
Permit Number: EL10 -0853
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 VOLTAGE COMMUNICATIONS CABLING, CAT6 CABLE UPGRADE.
Value of Electrical Work: NRES: $8,000.00
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$230.10
National Electrical Code Edition: 2008
Date:
0
I hereby certify that I have read and eamiked this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th, hether specified herein or not.
The granting of this permit does not presume_to_ -'ve authority to violate or cancel the provisions of any other state or local laws regulating
constructio^ o -e o ce of'• I am auth• ed to sign and obtain this electrical permit.
Signature — O��>♦
Print Name:
Z1/7
Date: 101Z2�1v
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
EL10 -0853 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: htqx//www.ci.tukwila.wa.us
Parcel No.: 0003200005
Address:
Suite No:
Tenant:
6300 SOUTHCENTER BL TUKW
CITY OF TUKWILA
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0853
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 pr -sume to give authority to violate or cancel the provision of any other work or local
laws regulating construction the perfo ance of work.
Date: 1 D Z 2//0
doc: Cond -Elec
ELI 0-0853 Printed: 10 -22 -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 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.: (300 #,-23)-0 —
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
Site Address: 30O / J3 (j c .
Tenant Name: aI - OTI l a bAnl
Property Owners Name:
Mailing Address:
City
• State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: C(r
Mailing Address: 12 S 17— PJ et-/-`a• ?La. jZ p
Day Telephone: - 5- 5 -Zpc� 0591-1
l_y1110t- (AM io 17
E -Mail Address: Codth I ' 540, P1 M)∎•• ;1. C '0
City State Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 47Y1J 1 P.efi , z_ �� -
Mailing Address: .1 2-51 /.5J z geti-
/ 1jy
Contact Person: /F�/. /1 5 ±p,Gl
E -Mail Address: (//a /7-.4 1 y 6 +04=1 e)C3.1 /Mall • �w►�
Contractor Registration Number: CL /)NC q 3o Q. 7
1/Hhwov 1
City
Day Telephone: 2ri 3�Z65i -( .5q1/
Fax Number:
Expiration Date: 1/1// 2
State Zip
Valuation of Project (contractor's bid price): $ 2, °O ° • 706
Scope of Work (please provide detailed information): Ic'.-v 1 (I 4/ -6 z /?°))-i r/rji /c e ea 6 / 1'in ...l CAM
Atio ie,U �rAh�e -
Will service be altered? ❑ Yes /13- No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
jEt Low Voltage ❑ Generator ❑ Fire Alarm -®1 Telecommunication
Pro . e Served b •
►� Puget Sound Energy
❑ Seattle City Light
H:\Applicat ions \Fonm - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
❑ Tenant Improvement
❑ Temporary Service
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, 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
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 ELECTRIC .'i CONTRACTOR:
Signatur
Print Name: (v, 6 Lt(S I q 0
Mailing Address: / S/ Z_ 13c°.tiL4A4 �piZ(r2i cD.
Date Application Accepted:
Date: A/ // (?
Day Telephone: 2S3. 20 5-'�6q -
City
wg q /0- y
State Zip
to
ZZ
Date Application Expires:
Staff Initials:
H:Wpplications\Fonns- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 2 of 2
Ci, 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
INSPECTION RECORD
Retain a copy with permit
INSPE TION NO.
6/0 6Y-C,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Projec j
64( .1./KlAilL Ai
Type of Inspection:
700,
Address: A ®V
6 �' c . B ii-
Date Called:
1
Special Instructions:
Date Wanted:
(m)
p.m.
Requester:
Phone No:
Approved per applicable codes., LJ Corrections required prior to approval.
COMMENTS:
' rotlffc
iettitikf 111
ealf(i4
Inspector: h
Date: s
/o 75 /()
n REINSPECTION FEE REQUIRED. Prior to next inspection. fe 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 -0853
6300 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 -0853
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206- 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople liter Friendly Page
•
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
Parent Company
CONNECTION EXPRESS
2063106549
1661571StPLW
Lynnwood
WA
98037
Snohomish
Limited Liability 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
r Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
CONNEE'006RLCONNECTION
EXPRESS
Electrical
Contractor
Telecommunications
52SBAPL0720
12/13/2000
3/4/2009
Expired
Electrical Administrator INFORMATION
License OBERHD *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
Et 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
$2,000,000.0001
/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
$170,000.00
11/16/2007
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