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HomeMy WebLinkAboutPermit EL11-0644 - CMI NORTH ANNEXCMI NORTH ANNEX 18000 ANDOVER PK W EL1 1 -0644 City oikukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 3523049018 Address: 18000 ANDOVER PK W TUKW Project Name: CMI NORTH ANNEX ELECTRICAL PERMIT Permit Number: EL11 -0644 Issue Date: 07/15/2011 Permit Expires On: 01/11/2012 Owner: Name: SEGALE PROPERTIES LLC Address: PO BOX 88028 , TUKWILA WA Contact Person: Name: SUAD JAZVIN Address: 15443 NE 95TH ST , REDMOND WA Contractor: Name: TEKNON CORPORATION Address: 15443 NE 95 ST , REDMOND WA Contractor License No: TEKNOC *995KM Phone: (425)256 -0832 Phone: 425 - 895 -8535 Expiration Date: 05/22/2013 DESCRIPTION OF WORK: INSTALL DATA AND CABLE TV ON LEVELS 1 AND 2. Value of Electrical: NRES: $76,000.00 Fees Collected: $1,281.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: National Electrical Code Edition: 2008 �sLi ti L(/ Date: 67/6/x/ 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 the performance of work. I am authorized to sign and obtain this electrical permit. Signature: � ;�' �/t-1 Date: 7 r/ // Print Name: s-v/ /6,6 JA a i XJ 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 -4/10 EL1 1-0644 Printed: 07 -15 -2011 • • PERMIT CONDITIONS Permit No. ELI 1 -0644 * *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 -4/10 EL 11 -0644 Printed: 07 -15 -2011 CITY OF TUKWIL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.TukwilaWA.00v Electrical Permit No. 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 Address: t18600 Avvkit,i (L,r- Pc c*. EST Tenant Name: C M 1 NO(Ll k J J Property Owners Name: SE-G1\ 1. Mailing Address: 5811 Sect cJ2 gx.e-1c, d rte' -e C. / King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: 1 / P-. ❑ Yes rNo City State �8t$d7 Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: IA A- f0 L$Pt -`V ck vv Mailing Address:\ CLKI o , $ f»", ST: : E -Mail Address: r\-Or IG eTL 1,CaJbl►� rCOt Day Telephone: *'2'S 2SCo DI 32' City State Zip Fax Number: s Ci1S1 OS 3 S' ELECTRICAL CONTRACTOR INFORMATION Company Name: V ON) U'. Mailing Address: 1S4 4 3 Oe. _G� }1�� Contact Person: �\ ►V E -Mail Address: AteA, C. COjl t P\ "CAD AIN Contractor Registration Number: \ C3 09_°k e1 --'4O City t ^ State ) Zip Day Telephone: _q,c. 26(0 `� 0 Fax Number: � 05-73 Expiration Date: Valuation of Project (contractor's bid price): $ 14, ,zo-c, Scope of Work (please provide detailed information): —1—v‘ S i c-,‘11 G. C.A.t, C_ V* v\ v t S 1 c -Ac k_ �. Will service be altered? ❑ Yes ) No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ : emodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm r Telecommunication ❑ Temporary Service Adding more than 50 amps? ❑ Yes No Propert y Served by: Puget Sound Energy ❑ Seattle City Light H:\ Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 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 in 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 $10.50 ea :P.EIRMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT T HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature. Date: — 1$—)SDNI Print Name: Qum i N OM-; C--_ Mailing Address: 1s.141-{ 3 1Jej c -44 ST Day Telephone: P3ZOAA Ong City LA-A- 0C7S1Y- State Zip Date Application Accepted: 0 -7/i< /// Date Application Expires: 01(6/(2_ Staff Initials: A LJ H:\Applications \Fortes- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 • • �Jy�`N�,L4 w City of Tukwila �l Department of Community Development 6300 Southcenter Boulevard, Suite #100 v Tukwila, Washington 98188 /2 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 3523049018 Address: 18000 ANDOVER PK W TUICW Suite No: Applicant: CMI NORTH ANNEX RECEIPT Permit Number: EL1 1-0644 Status: PENDING Applied Date: 07/15/2011 Issue Date: Receipt No.: RI 1 -01483 Payment Amount: $1,281.00 Initials: LAW Payment Date: 07/15/2011 02:19 PM User ID: 1632 Balance: $0.00 Payee: TEKNON CORPORATION TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 615191 ACCOUNT ITEM LIST: Description 1,281.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 1,281.00 Total: $1,281.00 doc: Receiot -06 Printed: 07 -15 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: Cri I A torsi _ Type of Inspection: 2../ Type J Address: woo— Date Called: Special Instructions: Date Wanted:. 7 Q a.m . Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. OMMENTS: 04K- - Inspector: d;i664.itsc (Date: 07/2'36 I ' REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION •C° 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: fill, L. 1 ofk.n4 Type of Inspection: 5 Address: J l'Wo AAI W Date Called: Special Instructions: Date Wanted:. g m. Requester: . Phone No: Approved per applicable codes. D Corrections required prior to approval. . .COMMENTS: • C�rLANi Co Vec kakikt* IA) tilt Inspector: ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh: • • • 5 Contractors or Tradespeople Prater 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 TEKNON CORPORATION 4258958535 15443 Ne 95Th St Redmond WA 98052 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600525922 Active TEKNOC*995KM Electrical Contractor 5/14/2001 5/22/2013 Telecommunications ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status TEKNOC`062J8TEKNON CORPORATION Electrical Contractor Limited Energy Unused 4/28/1994 9/24/2012 Active Electrical Administrator INFORMATION License HARISS`993KJ Name HARIS, SUKO Status Active Business Owner Information Name Role Effective Date Expiration Date CT CORP Agent 05/11/2001 Amount SMITH, ROGER B President 05/11/2001 4TC04538N677PHX11 SPENCER, GORDON J Secretary 05/11/2001 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 1 WASHINGTON INTL INS CO 58004736 03/15/2001 Until Cancelled $4,000.00 05/11/2001 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 Charter Oak Fire Ins Co 4TC04538N677PHX11 05/01/2011 05/01/2012 $1,000,000.00 05/02/2011 11 PHOENIX INSURANCE COMPANY DTC04538N677PHX10 05/01/2010 05/01/2011 51,000,000.00 04 /27/2010 10 TRAVELERS PROPERTY CAS INS CO DTEC04538N677TIL09 05/01/2009 05/01/2010 51,000,000.00 04 /30/2009 9 TWIN CITY FIRE INS COMPANY 59UUNU09300 10/13/2008 05/01/2009 $1,000,000.00 10/13/2008 8 ONEBEACON AMERICA INS CO 7100231420000 05/01/2008 05/01/2009 10/13/2008 51,000,000.00 05/02/2008 https://fortress.wa.gov/lni/bbip/Print. aspx 07/15 /2011