Loading...
HomeMy WebLinkAboutPermit EL11-0024 - DAWNDAWN 18300 CASCADE AV EL1 1 -0024 Cityef 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 Parcel No.: 7888900175 Address: 18300 CASCADE AV TUKW Tenant Name: DAWN ELECTRICAL PERMIT Permit Number: EL11 -0024 Issue Date: 01/13/2011 Permit Expires On: 07/12/2011 Owner: Name: RIVERPOINT TWO LLC Address: 1100 OLIVE WAY #1005 , SEATTLE WA 98101 Contact Person: Name: JEFF CROSE Phone: 206 - 550 -7121 Address: 11232 120 AV NE - SUITE S -111 , KIRKLAND WA 98033 Contractor: Name: TELESYSTEMS WEST INC Phone: 425 - 968 -4000 Address: 12828 NORTHUP WY, SUITE 110 , BELLEVUE WA 98005 Contractor License No: TELESWI005LH Expiration Date: 06/08/2012 DESCRIPTION OF WORK: INSTALLING CAT3 FOR VOICE & CAT5 FOR DATA. A TOTAL OF 42 LOCATIONS. Value of Electrical Work: NRES: $9,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $247.30 National Electrical Code Edition: 2008 Date: I"I��l' 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 o work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this pe Signature: Print Name: J c Cvo5 Date: 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 1-0024 Printed: 01 -13 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0024 * *ELECTRICAL ** 1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter 296 -46B WAC. 4: 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. 5: 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. 6: 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. doc: EL -9/09 E L 11 -0024 Printed: 01 -13 -2011 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. G. L L` — 60)- 9 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 7 /f King Co Assessor's Tax No.: 8-fr g--/ — ©I 7 S Site Address: /F✓ Q Q Cas C t c�-e 14■ S . Suite Number: oZ FL o2 Floor: 17 -Qw.N Tenant Name: / Property Owners Name: O K,�A- ( pao pe � /e5 S -/ 3a Mailing Address: lt3o0 case r4vt S. New Tenant: Yes ❑ .. No City &'i4 State 9P(g? Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Cro Mailing Address: 11Z 3 l 2o4L ik1/4-k- Nt 5-/(t E -Mail Address: �. j C r o 5 t vac 1, , 5 -Gve 5 / .6O ELECTRICAL CONTRACTOR INFORMATION Day Telephone: 20 C ' S $ G - 7 / 2/ K /r /<lAna/ w4 9epod� City State Zip Fax Number: vu--- em, 6000 Company Name: (Q e-S\ S4e.1M,S -S4 t v.c Mailing Address: // 2 32 / 2O3 h rk-ve ( 5 - (// Contact Person: At .c C{' E -Mail Address: . CDSe... e) 4d f..S— yS4eYKA,S - we.,4 • G° IAA Contractor Registration Number: 7--g L-ES w (f7 1(Q Mb- ,4`,410. Le.? , (A di 9 Pe)7? City �1 State Zip Day Telephone: 155' - 9h' - Voa 6 Fax Number: V2.s - -CD000 Expiration Date: / - 7- 2013 Valuation of Project (contractor's bid price): $ 000 Scope of Work (please provide detailed information): /N5 /4 /// 14t7 6/97/ 3 fc-G l f O ( G CPT--T-S ,o'- L),9 -r-4 . L oc 4 Z Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm jgr Telecommunication Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H: \ApplicationsTorms-Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Tenant Improvement ❑ Temporary Service .1u7. 3 0 1 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 OWNE Signature ONTRACTOR: Print Name: / J ir Mailing Address: /1232 1 ZD 4-1-1 4VC N 5 -r7/ Date: / -/3- Zo // Day Telephone: 2a6 -.55D - 2—) K" kf City �-v — 92o3) State Zip Date Application Accepted: Date Application Expires: Staff Initials: HAApphcationsTotms- Applications On Line12010 Applications17 -2010 - Electrical Peril Application.doc bh Page 2 of 2 • • wq 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.: 7888900175 Address: 18300 CASCADE AV TUKW Suite No: Applicant: DAWN RECEIPT Permit Number: EL11 -0024 Status: PENDING Applied Date: 01/13/2011 Issue Date: Receipt No.: R11 -00069 Initials: User ID: Payee: WER 1655 Payment Amount: $247.30 Payment Date: 01/13/2011 11:07 AM Balance: $0.00 JEFF CROSE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 092766 ACCOUNT ITEM LIST: Description 247.30 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 247.30 Total: $247.30 doc: Receipt-06 Printed: 01 -13 -2011 INSPECTION RECORD al Retain a copy with permit y ¢d� 1 —OD INSPECTION NO. PERMIT NQ. CITY OF TUKWILA BUILDING DIVISION IP" 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: /l/ Type of Inspection: Address: Ja cCcAb N300 Date Called: PS Special Instructions: 01/`e*. . Date Wanted: %, ® ('"% Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. '"`1 OMMENTS: Inspector: 6eilie4kiet\ Date: 02/Dy 11 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain 'a copy with permit thliOD2At PERMIT NO. . CITY OF TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd:, #100, Tukwila. WA 98188 (206) 431-367,0. l:- Permit Inspection Request Line (206) 431 -2451 Project: D Type of Inspection: 709, Address /1360 a ts to k Date Called: Special Instructions: Date Wanted: 1 /2q a.m. Requester: Phone No: iliCOMMENTS: Approved per applicable codes. Corrections required prior to approval. VE(1/10Q5 tam/10'10A nI% 66-11.44c1 epit6-14, &okicip Inspector: Date: 01/2/7 ib I REINSPECTION FEE REQUIRED: Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call-to schedule reinspection. K frrist,.} ••.-rte l 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: . Type of Inspection: Address: 1 i3 300 CAS eAar- AU Date Called: .. Special Instructions: Date Wanted: / - -dZl - J / ,} a.m. A7 P.m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. C� COMMENTS: t ' X71» AN4..f A 0", ..) .11,k/woe-A /7,f 9v3 /J,4 LI . -A kk 7;;;Ar z St ree ree A u (Box .7,QUC7aA r ri.$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 Pr ter Friendly Page 1 Electrical Contractor A business licensed by LEtI 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 TELESYSTEMS WEST INC 4259684000 Suite 111 11232 120TH AVE NE Kirkland WA 98033 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601917246 Active TELESWI005LH Electrical Contractor 6/8/2000 6/8/2012 Telecommunications Electrical Administrator INFORMATION License CROSEJ *002LH Name CROSE, JEFF A Status Active Business Owner Information Name Role Effective Date Expiration Date ARSENIAN, TROY G Cancel Date 01/01/1980 Amount SZPAK, TERRY J 12 01/01/1980 01CG04251200 LIVAS, MARK Agent 01/01/1980 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 COLONIAL AM CAS Et SURETY OF MD LPM4054311 06/02/2001 Until Cancelled $4,000.00 06/02/2001 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 12 AMERICAN STATES INS CO 01CG04251200 06/11/2010 06/11/2011 $1,000,000.00 06/03/2010 10 AMERICAN STATES INS CO 01CG04251290 06/11/2009 06/11/2010 $1,000,000.00 11/09/2009 9 AMERICAN STATES INS CO 01CG04251280 06/11/2008 06/11/2009 $170,000.00 05/16/2008 8 AMERICAN STATES INS CO 01CG04251270 06/11/2007 06/11/2008 $1,000,000.00 04/27/2007 7 AMERICAN STATES INS CO 01CG0425126 06/11/2006 06/11/2007 $170,000.00 06/14/2006 6 AMERICAN STATES INS CO 01CG0425125 06/11/2005 06/11/2006 $170,000.00 06/17/2005 5 AMERICAN STATES INS CO 01CG0425124 06/11/2004 06/11/2005 $170,000.00 05/27/2004 Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type https://fortress.wa.gov/lni/bbip/Print.aspx 01/13/2011