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
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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
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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
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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
®:
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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.
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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