HomeMy WebLinkAboutPermit EL11-0720 - MET LIFEMET LIFE
16300 CHRISTENSEN RD
SUITE 203
EL1 1 -0720
City ofkukwila
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.: 2523049078
Address: 16300 CHRISTENSEN RD TUKW
Project Name: MET LIFE
ELECTRICAL PERMIT
Permit Number: EL11 -0720
Issue Date: 08/03/2011
Permit Expires On: 01/30/2012
Owner:
Name: BRCP RIVERVIEW PLAZA LLC
Address: 248 HOMER AVE , PALO ALTO CA
Contact Person:
Name: SHAUN DORMAN
Address: 13301 26 AV SE , BELLEVUE WA
Contractor:
Name: PRIME ELECTRIC INC
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor License No: PRIMEEI134BT
Phone: 425 864 -5755
Phone: 425 747 -5200
Expiration Date: 01/30/2013
DESCRIPTION OF WORK:
INSTALL VOICE AND DATA CABLING AND DEVICES
Value of Electrical: NRES: $3,000.00
RES: $0.00
Fees Collected:
Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: / \l VIVV7
I hereby certify that I have read an
this work will be compli
The granting of this permit does not p
$136.50
2008
Date: 01409,1
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t erformance p ,ork. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: 8 -3 r I
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
EL11 -0720 Printed: 08 -03 -2011
41 •
PERMIT CONDITIONS
Permit No. EL11 -0720
* *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
EL1 1-0720 Printed: 08 -03 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.pov
Electrical Permit No.
Project No.
�L.11-
(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
Site Address: 16300 Christ&nson Road
Tenant Name: Met Life
Property Owners Name: Met Life
Mailing Address: 2240 W. Park Place Blvd Suite C
King Co Assessor's Tax No.:
220`.11-- 1,01
Suite Number: 210 Floor: 2
New Tenant: m Yes ❑..No
Stone Mtn.
GA
30087
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Shaun Dorman
Mailing Address: 13301 26th Ave SE
Day Telephone: (425) 864 -5755
Bellevue WA 98005
E -Mail Address: dspencer @primeelectric.com
City State
Fax Number: (425) 747 -5255
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
Prime Electric, INC
13301 SE 26th ST Bellevue, WA 98005
Bellevue WA 98005
Dave Spencer
E -Mail Address:
dspencer @primeelectric.com
Contractor Registration Number: I v"t%N C r
City State
Day Telephone: (425) 4604643
Fax Number: (425) 747 -5255
Expiration Date: O� II L 7 2,
Z�2
Zip
Valuation of Project (contractor's bid price): $ 3,000
Scope of Work (please provide detailed information): Install voice and data cabling and devices
Will service be altered? ❑ Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
VI Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H. \Applications\Forms- Applications On Line \2010 Applications17 -2010 - Electrical Permit Applicatioadoc
bh
Page 1 of 2
Adding more than 50 amps? ❑ Yes I No
❑ 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
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 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 OWN
OR ELECTRICAL CONTRACTOR:
Signature: �IP� �j?� „ Date: 8
zs-
Mailing Address:
Print Name:
Day Telephone:
IDate Application Accepted:
City
Date Application Expires:
H.\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Applicanon.doc
bh
Page 2 of 2
State
Zip
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.TukwilaWA.eov
Parcel No.: 2523049078
Address: 16300 CHRISTENSEN RD TUKW
Suite No:
Applicant: MET LIFE
RECEIPT
Permit Number: EL11 -0720
Status: PENDING
Applied Date: 08/03/2011
Issue Date:
Receipt No.: R11 -01672
Payment Amount: $136.50
Initials: JEM Payment Date: 08/03/2011 03:14 PM
User ID: 1165 Balance: $0.00
Payee: MICHAEL S BROBERG (BY PHONE)
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 01540D
ACCOUNT ITEM LIST:
Description
136.50
. Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receiot -06 Printed: 08 -03 -2011
INSP'I:CTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 112. (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: rk1
/AP(
Type of Inspection:
Address:
/4500
8
15 MS56v
Date Called:
Special Instructions:
It �I i 0 •
di
j W
Date Wanted:.
Vi z
`
Requester:
Phone No:
Approved per applicable codes. 1 Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
a VII
REINSPECTION JEE REQUIRED! Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1
INSPECTION NO.
INSPECTION hECORD
Retain a copy with permit
khii-X07d
PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION R
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
7ie' .0 /fa°
Type of Ins
ction:
003
Address/::/ A
.4.100 !-f/i/ /,57*nr/c' d.4
Date Called:
Special Instructions:
. I /
Date Wanted:
��
! //
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
n`-- &IL/ Nj
Inspector:
1
/ ;i tw/v jate: 6 -5 l/
n REINSPfi CTION FEE REQUIRED. Prior to next inspection. fee must be
paid at f6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. •
Contractors or Tradespeople Pr er 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
PRIME ELECTRIC INC
4257475200
13301 Se 26Th St
Bellevue
WA
98005
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601004783
Active
PRIMEEI134BT
Electrical Contractor
1/30/1987
1/30/2013
General
Unused
Master Electrician INFORMATION
License WOODEDT970K8
Name WOODEY, DAVE T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
TYRELL, WAYNE
Agent
01/01/1980
05/26/2011
TYRRELL, WAYNE F
Member
01/01/1980
05/26/2011
TYRELL, NANCY
Member
01/01/1980
05/26/2011
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
4
Berkley Regional Ins
Co
0128653
01/30/2011
Until Cancelled
WAC 296 -46B- 901(15)
ELECTRICAL CITATION
$4,000.00
01/30/2011
3
INS CO OF THE WEST
1200697
01/30/1992
Until Cancelled
01/30/2011
$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
EHOUD00390
1/6/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHAGR00280
1/14/2009
WAC 296 -46B- 901(15)
ELECTRICAL CITATION
Satisfied
$250.00
EHAGR00281
1/14/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/03/2011