HomeMy WebLinkAboutPermit EL11-0769 - B B & TBB &T
6840 FORT DENT WY
EL1 1 -0769
City okukwila 1
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.Tukwila WA.gov
Parcel No.: 2954900425
Address: 6840 FORT DENT WY TUKW
Project Name: B B & T
ELECTRICAL PERMIT
Permit Number: EL11 -0769
Issue Date: 08/17/2011
Permit Expires On: 02/13/2012
Owner:
Name: PEPPERWOOD HOLDINGS LLC
Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA
Contact Person:
Name: AARON RUSSELL
Address: 10675 WILLOWS RD , REDMOND WA
Contractor:
Name: SERVICE COMMUNICATIONS INC
Address: 10675 WILLOWSRD NE SUITE 100 , REDMOND WA
Contractor License No: SERVICI016KJ
Phone: 425 278 -0355
Phone: 425 - 644 -7641
Expiration Date: 06/12/2013
DESCRIPTION OF WORK:
INSTALL 16 DUAL CAT5E DROPS, TRIMMING, AND TESTING
Value of Electrical: NRES: $3,900.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
$157.50
2008
Date:
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 pres e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the • -rfo ; ance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
1 1-7 ,e4 - /ct2
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 -4/10
EL11 -0769 Printed: 08 -17 -2011
• PERMIT CONDITIONS 0
Permit No. EL11 -0769
* *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
E L 11 -0769 Printed: 08 -17 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hltio://www.TukwilaWA. qov
•
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 LOCATION
Site Address: 6840 FORT DENT WAY
Tenant Name: BB &T
Property Owners Name: BB &T
Mailing Address: 6840 FORT DENT WAY
King Co Assessor's Tax No.:
Suite Number:
1-1C)-6, IZS�
Floor: 1
New Tenant: ❑ Yes 12I ..No
TUKWILA
WA 98188
Zip
City
State
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Aaron Russell
Day Telephone: (425) 278 -0355
Mailing Address: 10675 WILLOWS RD REDMOND WA 98052
Zip
E -Mail Address: arussell @servicecommunications.com
City State
Fax Number: (425) 216 -0006
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SERVICE COMMUNICATIONS INC
Mailing Address: 10675 WILLOWS RD
Contact Person: Aaron Russell
E -Mail Address: arussell @servicecommunications.com
Contractor Registration Number: SERVICI016KJ
REDMOND WA 98052
City State Zip
Day Telephone: (425) 278 -0355
Fax Number: (425) 216 -0006
Expiration Date: 06/12/2013
Valuation of Project (contractor's bid price): $ 3,900
Scope of Work (please provide detailed information): INSTALLING 16 DUAL CAT5E DROPS, TRIMMING AND TESTING
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
m Low Voltage ❑ Generator ❑ Fire Alarm m Telecommunication ❑ Temporary Service
Property Served bv:
Puget Sound Energy
❑ Seattle City Light
H:\ApplicationsTorms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application doc
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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
❑ 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 OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
4 ■ gsk'6//
Mailing Address: 10675 WILLOWS RD
Date Application Accepted:
Date: l7 - �/ - ( ` r
Day Telephone: W. 5 -vZ 1g-035 -1.--
REDMOND 98052
City State Zip
Date Application Expires:
HAApplications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
Staff Initials: �Iy5' 1
C6
•
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.gov
Parcel No.: 2954900425
Address: 6840 FORT DENT WY TUKW
Suite No:
Applicant: B B & T
RECEIPT
Permit Number: EL11 -0769
Status: PENDING
Applied Date: 08/17/2011
Issue Date:
Receipt No.: R11 -01784
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $157.50
Payment Date: 08/17/2011 12:08 PM
Balance: $0.00
SERVICE COMMUNICATIONS, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 121442 157.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 157.50
Total: $157.50
doc: Receipt -06 Printed: 08 -17 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(4t -01b
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 p (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: g8 ,
Type of Inspection:
Address: i 6 L1o'
bedr
Date Called:
Special Instructions:
Date Wanted:. !
Requester:
Phone No:
IAApproved per applicable codes. D Corrections required prior to approval:
COMMENTS:
1
Inspector:
1Date:
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee.must.be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioh. •...
Contractors or Tradespeople Pfter 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
SERVICE COMMUNICATIONS INC
4256447641
10675 Willows Rd Ne Ste 100
Redmond
WA
98052
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601193211
Active
SERVICI016KJ
Electrical Contractor
5/11/1999
6/12/2013
Limited Energy
Unused
Electrical Administrator INFORMATION
License JAWORSA902P0
Name JAWORSKI, STEPHAN ANDRE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
C T CORPORATION SYSTEM
Agent
01/01/1980
9/10/2010
HASSARD, DONALD P
President
01/01/1980
$250.00
DIPPIE, MARJORIE
Secretary
05/22/2001
HASSARD, DANIEL
Treasurer
05/22/2001
HASSARD, ANDREW J
Vice President
01/01/1980
ASBURY, AMY E
Treasurer
01/01/1980
05/22/2001
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
2
TRAVELERS CAS Et
SURETY CO
104214740
01/22/2004
Until Cancelled
54,000.00
03/26/2004
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
ELEIS00389
9/10/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 08/17/2011