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HomeMy WebLinkAboutPermit EL11-0091 - T-MOBILET- MOBILE 17401 SOUTHCENTER PY EL1 1-0091 Citylkf 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.: 2623049120 Address: 17401 SOUTHCENTER PY TUKW Tenant Name: T- MOBILE ELECTRICAL PERMIT Permit Number: EL11 -0091 Issue Date: 02/04/2011 Permit Expires On: 08/03/2011 Owner: Name: WINNERS 3 LLC Address: 117 E LOUISA ST #230 , SEATTLE WA 98102 Contact Person: Name: HEATHER WEIDMAN Phone: Address: 13650 WHITAKER WY , PORTLAND OR 97230 Contractor: Name: BERGELECTRIC CORP Address: 5650 W CENT11' ELA AV , LOS ANGELES CA 90045 Contractor License No: BERGEC *021K6 Phone: 310 337 -1377 Expiration Date: 05/26/2012 DESCRIPTION OF WORK: ELECTRICAL REMODEL; ALTER SERVICE, ADDING MORE THAN 50AMPS Value of Electrical Work: NRES: $28,450.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $591.30 National Electrical Code Edition: 2008 A&I,//4 I • " — I hereby certify that I have read and examined this pe , t and know the same to be true and correct. All provisions of w and ordinances governing this work will be complied with, whether specified herein or not. Date: 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: ulo ,( €x `(u cMe,uto 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 1-0091 Printed: 02 -04 -2011 . • PERMIT CONDITIONS Permit No. EL11 -0091 * *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 -0091 Printed: 02 -04 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tukwikt. we. 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** King Co Assessor's Tax No.: Site Address: \-1 -1m `r. iinre i4-Cr 'P)a 'j t c`1>I ttm 1? Suite Number: 1( \ Tenant Name: '%ti r O \e Property Owners Name: Mailing Address: Floor: New Tenant: 0 Yes I ..No City State Zip o we;contactwhen your parniif iis�ret ge essui Name: \-\t'OLANnef - Day Telephone: Mailing Address: 131 eFl> I,.1r c c - \„p-y 1 r4Ic nr\ izn() City ' State Zip E -Mail Address: h %t t CAYrC\ l e. be rrreI e,C-F ri C.. Fax Number: -191 °j Al 'GTH Alta ea T.; RCTRICAL' CON RACTOR IN i ORMATION Company Name: 1e r r e \e%■ ¥e L (bf p Mailing Address: IN naTh u-)h1 Q iSe Lac y 1 inn(' 012 97n 30 City ' state 1�r Contact Person: E -Mail Address: hem LJa 'td rnr ii • *l _ .ta • -,t I • 0to Zip Day Telephone: `=1"3171_ ?; -ICI Q6 Fax Number: ,'"/D 3' e.5-1R1 Contractor Registration Number: 11102124 t C 'E 02_1 o Expiration Date: 51210 11 Z. Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): - )3,h &?rr\ C .(1 \ c-c-m--rke k Will service be altered? IX Yes ❑ No Adding more than 50 amps? IN Yes ❑ No Type of Use: f`C�kQ\\ Type of work: ❑ New ❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement RI Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ ' Seattle City Light tLApplicaiots\Fonns- Applications On Line\20I0 Applications 7-2010 - Etectricll Permit Application.doc bb Page I of 2 RESIDENTIA 1. 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 CIUANGES ❑ Service change or alteration 581.90 (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) :.�j �8lyfiIT' EL Cf1; 'IONsl . ,, _ +:`tAKnha�.fu 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 13E 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: /U' Date: 2/a /1/ Print Name: 1,Lp a >1h<,r 136 d,n a n Mailing Address: 13l rtzT 1117 - V ii+Q..k OA i lay Day Telephone: 67Z-255-) A/? 1h- r4I cndlt City Date Application Accepted: Date Application Expires: H:1ApplieetioosTorms- Applications On Line12010 Applications\7-20I0 - Electrical Permit Appliiation.doc bh Page 2 of 2 2 97z State Zip OINNI7111 4,1 Staff Initials: • 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 RECEIPT Parcel No.: 2623049120 Permit Number: EL11 -0091 Address: 17401 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 02/04/2011 Applicant: T- MOBILE Issue Date: Receipt No.: R11 -00215 Initials: TLS User ID: 1670 Payment Amount: $591.30 Payment Date: 02/04/2011 09:33 AM Balance: $0.00 Payee: BERGELECTRIC CORP /OREGON SPECIAL ACCT TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1434 591.30 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 591.30 Total: $591.30 doc: Receiot -06 Printed: 02 -04 -2011 G INSPECTION RECORD a copy with permit 61011,0011 INSPECTION NO. PRMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 z- (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: Address: f 7 to t Se__ Ff. . Date Called: Special Instructions: Date Wanted: ��p �rjj a.rn p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. { COMMENTS: t r Inspector: 8646\ r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100: Call to schedule reinspection. It :✓sue +. n'..w ►-•.. •Pee -m ...n. x - - INSPECTION NO. INSPECTION RECORD Retain a copy with permit ERMIT N CITY OF TUKWILA BUILDING DIVISION 44, 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 11061 Type of Inspection: ' Address: 01 5.e. pi. Date Called: Special Instructions: ` Date Wanted: / C_.::t" P.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: •-• PA446, Soto‘h46 eoPilleft +D '- evil) u� uu,►rnrnJcj 8 Inspector: .17 Date: 01/16/11 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be . paid at 6300 Southcenter Blvd.. Suite 100: Call to schedule reinspection. - Prey: hex• ' .2'Nd%se . xr -+ r tic +r....,•.s•. set. .- -.sec c. ton. 0,1.-TPCITOcp, INSPECTION RECORD • Retain a copy with permit 61140f INSPECTION NO. PERMIT N0: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 • (206) 431 -3670 Project: 1 r 'j 6 t Type of Inspection: � 6� Address: If 1 ®: � — Date Called: Special In truction � Date Wanted: Requester: Phone No: Approved per applicable codes. • 0 corrections required prior to approval.. 5 COMMENTS: 1kic bit ti4. t�iH�ll?r l ex4116 ilauctcy roc tgr, Inspector: Date: n REINSPECTI0 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 G 71 INSPECTION NO. PERMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 =3670 Permit Inspection Request Line (206) 431-2451 Project: .7' Type of Inspection: 3 Address: Date Called: Special Instr�udtions: Date Wanted: a.m Requester: Phone No: Approved per applicable codes. • Corrections required prior to approval. COMMENTS: r1 r j • Inspector: Date: #2411 bi REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. z. •^" - e•-•w- , . r.." rxl--' ^+.i . - aa-xF- -,.e - ".eyw- -"ra INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N • CITY OF TUKWILA.BUILDING DIVISION -' 6300 Southcenter Blvd #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 18. �/ .,d08.11...0 Type of Inspection: APO Address: f t Date Called: Special Instructions: Date Wanted: ai /® a.n e` Requester: fP jl Phone No: . • ❑ Approved per-applicable codes. Corrections required prior to approval. COMMENTS: 1,441/0 id) l Inspector: n REINSPECTION FEE REQUIREb. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. I INSPECTION RECORD Retain a copy with permit INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431 -2451 Project:4; /16 ctoit Type of Inspection: 00/ Address: l y Date Called i. Special Inst�ns: Date Wanted: / a. 14 ° Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: 41/41W S Lk() epANirr5 Inspector: 'Date: n REINSPECT! N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • Arr.&••••r.. - — v.. aw -r. •.....- r.....•..p v-� 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 BERGELECTRIC CORP 3103371377 5650 W Centinela Ave Los Angeles CA 900450029 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601875985 Active BERGEC'021K6 Electrical Contractor 5/26/1998 5/26/2012 General Unused Electrical Administrator INFORMATION License ANDERTR023JD Name ANDERSON, THOMAS R Status Active Business Owner Information Name Role Effective Date Expiration Date DRINKWARD, ROBERT W Cancel Date 01/01/1980 Bond Amount C T CORPORATION SYSTEM Agent 01/01/1980 8219 -65 -66 BRISCOE, DONALD L President 01/01/1980 BRISCOE, JOHN R Secretary 01/01/1980 HARTFORD FIRE INS BILLIG, EDWARD M JR Vice President 01/01/1980 05/01/2010 ANDERSON, THOMAS R Vice President 01/01/1980 WINGERNING, WILLIAM M Vice President 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 3 FEDERAL INS CO 8219 -65 -66 05/01/2010 Until Cancelled $4,000.00 05/06/2010 2 HARTFORD FIRE INS 72sun43137173 05/18/1998 Until Cancelled 05/01/2010 $4,000.0005/06/2010 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 https: // fortress .wa.gov /lniThbip /Print.aspx 02/04/2011