HomeMy WebLinkAboutPermit EL11-0035 - QWEST - ON EASEMENTQWEST
ON EASEMENT
14488 58 AV S
EL1 1 -0035
City tf 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.c i. to kwil a. wa. us
Parcel No.: 3365901165
Address: 14488 58 AV S TUKW
Tenant Name: QWEST - ON EASEMENT
ELECTRICAL PERMIT
Permit Number: ELl -0035
Issue Date: l ��
Permit Expires On:
Owner:
Name: YAMAGUCHI LAUREL D
Address: 14488 58TH AVE S , TUKWILA WA 98168
Contact Person:
Name: TIM EATON
Address: PO BOX 45260 , TACOMA WA 98448
Contractor:
Name: THOMPSON ELECT CONSTRS INC
Address: PO BOX 45260 , TACOMA WA 98445
Contractor License No: THOMPEC008CW
Phone: 253 405 -0120
Phone: 253 539 -0999
Expiration Date: 02/16/2012
DESCRIPTION OF WORK:
NEW 100 AMP 1 PHASE PEDESTAL SERVICE AND (3) 15 AMP CIRCUITS FOR OUTLETS IN
COMMUNICATION CABINET.
Value of Electrical Work: NRES: $3,200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $157.50
National Electrical Code Edition: 2008
Date: Q l I I ti lc
I hereby certify that I have read and e mi ed 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 give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature:
Print Name:
Date: Ot4(
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
EL11 -0035 Printed: 01 -18 -2011
PERMIT CONDITIONS
Permit No. EL11 -0035
* *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
EL11 -0035 Printed: 01 -18 -2011
iX
•
CITY OF TUKWILA
Community Development Department
Remit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htte:/lwww.ci.tukwila.wa.us
Electrical Permit No. OO
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 O/J AcarYiteArr 10 PAkaf -L # 33G. o) 6 5-
/c -i8l 5E(7--17419V-C:
Site Address: -5-80 2. 5 . / f -raj sr
Tenant Name:
King Co Assessor's Tax No.: 3 3 G 5'70/ / C S
Suite Number. Floor.
New Tenant: ❑ Yes
Property Owners Name: LA U2EL 77 VArrh4 ,=t.X h' fVJ
❑..No
Mailing Address:
city
State
Zip
CONTACT PERSON —Who do we contact when your permit is ready to be issued
Name: 1'tsi D (-) Day Telephone: 2.-52 - ty ate- D/ 24)
Mailing Address: ?, O. `ate 95 2-o c) % %9Coi tai 104. cl atl q8 D2
City State Zip
E-Mail Address: t i m f oni- 5W7 COn trr lnThr^s. CvM Fax Number. 2-53 -- 6-3q - of d I
;LECTRICAL CONTRACTOR INFORMATION
Company Name: ' rhitY4 /.D /V $ (.462 (2,d C A-L ChIJ5''Y2i)C 9Z)G?B %,17-10C.
Mailing Address: 7 O, 4-2--O Gd� g/2-o2 ,
city state zip
Contact Person: x`17) 11fD/►JP 2 D4/ Day Telephone: 2-g3 - -53 % — 01971 9
E-Mail Address: a t „, 1 SO l iyu d.fo ' A.-1L 1 S h Fax Number: 2.63-_-37- d / O
Contractor Registration Number. 77-1/0/41"C C0r3CCc) Expiration Date: 2-//6 // Z
Valuation of Project (contractor's bid price): $ 32ZO, op
Scope of Work (please provide detailed information): /J4 L) / 60/9/11P / ?(C-00_5,79 i! S't j y7 C/c
Will service be altered? ❑ Yes jEj No Adding more than 50 amps? ❑ Yes
Type of Use: Ctommteil.cy RC, - (21)191.12 Ar)P% 51-;‘,)7F-241)-
-1 -; 7 -1Zd \) ..430)P(nerili-
Type of work:
K.New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alan
operty Served by:
- igtpuget Sound Energy
❑ Seattle City Light
HAAppticMi zakrat ns-Apphc iiws On Link -2007- Electrical tirrmt Applicatioadoc
tth
rg,No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
•
•
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $15285
(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)
❑ Cur: tuts 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 Pian 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: -704 J�/1-)
Mailing Address:
Date: / / 2'//
Day Telephone: 2-53 - 6705-- a/ ?.C)
C
Date Application Accepted UV g ttt
Date Application Expires:
Staff Initials:
14:1AppliatiooMForms-Appliestione On Lin 2U10 A pp licetion.V.WIo -Electrical Permit Appliatioo.aae
bb
Page 2 of 2
-0Z-60
�rl
Cit?of Tukwila,
•
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206-431-3665
Web site: hup : /hvww, ci. Tukwila. wa. us
SET RECEIPT
Copy Reprinted on 01 -18 -2011 at 13:41:28 01/18/2011
RECEIPT NO: R11 -00099
Initials: JEM
Payment Date: 01/18/2011
User ID: 1165 Total Payment: 472.50
Payee: THOMPSON ELECTRICAL CONSTRUCTORS, INC.
SET ID: 0118B SET NAME: THOMPSON ELECTRICAL
SET TRANSACTIONS:
Set Member
EL11 -0034
EL11 -0035
EL11 -0036
TOTAL:
Amount
157.50
157.50
157.50
157.50
TRANSACTION LIST:
Type Method Description Amount
Payment Check 21073 472.50
TOTAL: 472.50
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 472.50
TOTAL: 472.50
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT 0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: a e5f-
Type of Inspection:
471,90 oii
Address.
1114
Date Called:
Special Ins ructions:
Date Wanted:
'
q1:64.n
Requester:
Phone No:
• Approved per applicable codes. /0 Corrections required prior to approval.
OMMENTS:
0
4//1
• ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100: Call to schedule reinspection.
• -•4 454. .. �••a•
f
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
(206)431 -3670
Projjeect: q
rr' (
Type of I pection:
700
Address:
/ y yg$ .5-291: 4r S.
Date Called:
Special Instructions:
Date WantQd�/_ / /
c J a.m.
"
Requester:
Phone No:
pproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
(o k . , 4r 50-7/0/(.7- L.A-y„,)
Inspector:
Date:
$60.00 R7= INSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
J
Contractors or Tradespeople Per 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 elso 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
THOMPSON ELECT CONSTRS INC
2535390999
Po Box 45260
Tacoma
WA
98448
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602011056
Active
THOMPECOO8CW
Electrical Contractor
2/16/2000
2/16/2012
General
Unused
Electrical Administrator INFORMATION
License THOMPKV122NF
Name THOMPSON, KEVIN V
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
THOMPSON, LORI K
01/01/1980
THOMPSON, DIANA L
01/01/1980
THOMPSON, LORI K
Agent
01/01/1980
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
1
WESTERN SURETY CO
68953093
02/01/2000
Until Cancelled
$4,000.00
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
ENORW00246
1/16/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 01/18/2011
TYPICAL QWEST
ELECTRICAL INSTALLATION
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CITY OF TUKWILA PERMIT ONLY
PLACEMENT DETAIL P nN�
25N/PH
1
PL QWEST HANDHOLE
(264TA)
SEE PRT 13
FOR SITE DETAIL
5' X10'
Q EST EASEMENT
S 147TH STSTA00+ 15 SW
STA00+ 1 1
STA00 +07-
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ASPH PATCH
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PLACING DETAILS AND INFORMATION ONLY: DO NOT ORDER MATERIEL OR
0
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STA05 +49
ASPH PATCH
POST INFORMATION FROM THIS SHEET.
STA05 +79
OWEST CABINET
(CP 802 S 147TH)
STA00+ 16
ASPH PATCH
- -- W , --
SX'
20' R/W
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f
�� DETAIL
30' R/W
)55' i
CONC /ASPH
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PL 215'(211' IN R/W)
3-4' PVC SCH40
TRENCH 211'
OPEN CUT 206' ASPH
& 5' X 15' ♦ • NC SIDEWK.
PL UG CAB 240 IN
2 PVC TO P
CIWEST
it RICA (
Fi 300'') 1 PVC
VIA NEW IN
TO NEW HH
Job: 92W2GTZ
WC NAME:
WC CLLI: STTLWACH
Address ID: W26241
Owest Design Eng Mae Tse
Telephone: 253 372 —5449
Issue: 1
Issue Date:
Plat Ref.:
CONFIDENTIAL Disclose and Distribute
Solely To ()west Employees Having
o Need to Know.
Reason for Reissue:
Sheet: 012 of 14