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Permit EL11-0038 - LIEBERT
LIEBERT 3415 S 116 ST EL1 1 -0038 City' 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.: 1023049043 Address: 3415 S 116 ST TUKW Tenant Name: LIEBERT ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0038 01/19/2011 07/18/2011 Owner: Name: RREEF AMERICAN REIT II Address: PO BOX 4900 #207 , SCOTTSDALE AZ 85261 Contact Person: Name: ROBERT TATE Address: E 55 LINCOLN RD, STE 101 , SPOKANE WA 99208 Contractor: Name: B & C TELEPHONE INC Address: 55 E LINCOLN STE 101 , SPOKANE WA 99208 Contractor License No: BCTELI *001L1 Phone: 206 763 -9991 Phone: 509 467 -2110 Expiration Date: 06/21/2012 DESCRIPTION OF WORK: LOW VOLTAGE VOICE AND DATA CABLING Value of Electrical Work: NRES: $3,500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie xami with, Fees Collected: $157.50 National Electrical Code Edition: 2008 Date: Ol t4 L 1 ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pr- - • e 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: awleb A kZre, 6I[, Date: 1 1 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 -0038 Printed: 01 -19 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -0038 * *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 -0038 Printed: 01 -19 -2011 CITY OF TUKWILA Community DevelopmarN Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hffp://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 Address: - 3y k5 S , ‘16.1"-b ST Tenant Name: Liebe-et King Co Assessor's Tax No.: 10/-1701-k Suite Number: ‘o3 Floor: New Tenant: a Yes No Property Owners Name: Mailing Address: Name: Robert Tate MailingAddress:E 55 Lincoln Road Suite 101 E -Mail Address: rob.tate@blackbox-nw.com Company Name: B & C Telephone Inc City State Day Telephone: 206-763-9991 Spokane WA City State Fax Number: 206- 767 -6880 Zip 99208 Zip Mailing Address: 55 E Lincoln RD Ste 101 Contact Person: Rob Tate E -Mail Address: rob.tate@blackbox-nw.com Contractor Registration Number: BCTELI *001L1 Spokane WA City State Day Telephone: 206-763-9991 Fax Number: 206 - 767 -6880 Expiration Date: 6/21 / 2 012 99208 Zip Valuation of Project (contractor's bid price): $ 3500.00 Scope of Work (please provide detailed information): Low Voltage voice and data cabling Will service be altered? ❑ Yes IX No Adding more than 50 amps? ❑ Yes ®. No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change • Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light H: ApplicationsWonns- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc bit Page 1 of 2 ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ 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 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: Signature: Print N Date: t 471=-_1. 2.0-6 -763 -9991 Mailing Address: 55 E Lincoln Road Ste 101 Spokane City WA State 99208 Zip IDate Application Accepted: ©I I I 6A I Date Application Expires: Staff Initials: A7-- 1 H:\Applications\Forms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc bh Page 2 of 2 • • 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.: 1023049043 Address: 3415 S 116 ST TUKW Suite No: Applicant: LIEBERT RECEIPT Permit Number: EL11 -0038 Status: PENDING Applied Date: 01/19/2011 Issue Date: Receipt No.: R11 -00102 Initials: User ID: Payee: JEM 1165 Payment Amount: $157.50 Payment Date: 01/19/2011 10:05 AM Balance: $0.00 BLACKBOX NETWORK SVCS, JAMES A BRASSFIELD TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 651260 ACCOUNT ITEM LIST: Description 157.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 doc: Receiot -06 Printed: 01 -19 -2011 • r. • d i• INSPECTION RECORD Retain a copy with permit 611403Y INSPECTION NO. PERMIT NO. . CITY.OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Vg: (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ///e/30/ Type of Inspection: Address: .31// 5, 4 ;r Date Called: Special Instructions: 4MA-1r-4 Date Wanted: /� j/ a.m. p.m: Requester: Phone No: pri Approved per applicable codes... 0 Corrections required prior to approval. COMMENTS: Inspector: Date: ©���,� 11 ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • 2 :r• INSPECTION NO. INSPECTION RECORD Retain a copy with permit t2 / /-3g PERMIT NQ. CITY OF TUKWILA BUILDING DIVISION o 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: A / elSo -e Type of Inspection: / a..3 �. Address: raz . ? pc' .s .a. - -.(7:" Date Called: a /.// Special Instructions: Date Wanted: 42 V // a.m. p.m. Requester: Phone No: 'Approved per applicable codes. Corrections required prior to approval. COMMENTS: el< P0144 - .�. ,L���-r' . AC' f /«C6" orsRnrru042 —" - )04 ❑ $60.00 RtINSPECTION 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 • 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 B & C TELEPHONE INC 5094672110 55 E Lincoln Ste 101 Spokane WA 99208 Spokane Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600598327 Active BCTELI *001 L1 Electrical Contractor 6/21/2000 6/21/2012 Telecommunications Electrical Administrator INFORMATION License KAUFMP'000L1 Name KAUFMAN, PATRICK Status Active Business Owner Information Name Role Effective Date Expiration Date BROUILLET, WILLIAM L Cancel Date 01/01/1980 Bond Amount BROUILLET, WILLIAM L Agent 01/01/1980 105238816 SULLIVAN, CARLA Vice President 07/13/2004 BUNZE, NADENE D /31 /2010 01/01/1980 07/13/2004 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 3 TRAVELERS CAS & SURETY CO 105238816 05/15/2009 Until Cancelled $4,000.0004/21/2009 /31 /2010 2 COLONIAL AM CAS & SURETY OF MARYLAND LPM4066220 05/15/2004 06/28/2009 $4,000.0005/13/2004 /31/2009 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 10 TRAVELERS CAS & SURETY CO hc2jglsa158d42751003/31 /2010 03/31/2011 $1,000,000.0003 /31 /2010 9 ST PAUL FIRE & MARINE INS CO TE09104557 03/31/2009 03/31/2010 $1,000,000.0003 /31/2009 8 ST PAUL FIRE & MARINE INS CO TE08500431 03/31/2008 03/31/2009 $1,000,000.0004 /18/2008 7 ST PAUL FIRE & MARINE INS CO TE08500431 03/31/2007 03/31/2008 $1,000,000.0011 /07/2007 6 TRAVELERS PROPERTY CAS INS CO TE08500431 03/31/2007 03/31/2007 $1,000,000.0011 /07/2007 5 TRAVELERS CAS & SURETY CO TE08401406 03/23/2007 03/31/2007 $1,000,000.0003 /23/2007 https: // fortress .wa.gov /lni /bbip /Print.aspx 01/19/2011