HomeMy WebLinkAboutPermit EL12-0184 - AT&T WIRELESSAT &T WIRELESS
10700 WEST MARGINAL
wys
EL12 -0184
City o0i'ukwila
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
ELECTRICAL PERMIT
Parcel No.: 0423049186
Address: 10700 WEST MARGINAL WY S TUKW
Project Name: AT &T WIRELESS
Permit Number: EL12 -0184
Issue Date: 02/24/2012
Permit Expires On: 08/22/2012
Owner:
Name: MAJOR FACILITIES OFFICE
Address: U S POSTAL SERVICES , 225 N HUMPHREYS BLVD
Contact Person:
Name: CHRIS CLINE
Address: PO BOX 1439 , CASTLE ROCK WA
Contractor:
Name: TIMBERLINE ELECTRIC INC
Address: PO BOX 1439 , CASTLE ROCK WA
Contractor License No: TIMBEEI964KM
Phone: 360 957 -7172
Phone: 360 274 -6401
Expiration Date: 06/24/2012
DESCRIPTION OF WORK:
ADD ONE CIRCUIT FOR 20 AMP BREAKER
Value of Electrical: NRES: $390.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
xa
wit
Date:
$71.40
2008
0414112-
ned this permit and know the same to be true and correct. All provisions of law and ordinances
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 perfo ce of work. I am authorized to sign and obtain this electrical permit.
Signature: / Date: Z 1(7_
Print Name:
fit. n
)
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
EL12 -0184 Printed: 02 -24 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0184
* *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 m 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
EL12 -0184 Printed: 02 -24 -2012
CITY OF TUKA1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
•
Electrical Permit No. flA -
Project No.
Date Application Accepted:
Date Application Expires:
(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
King Co Assessor's Tax No.: lt41 'D t -lilt?'
Site Address: 10600 West Marginal Way South Suite Number: Floor:
Tenant Name: AT &T Wireless New Tenant: ❑ Yes 0..No
PROPERTY OWNER
Name: Chris Cline
Address: Po Box 1439
Name: AT &T Wireless
Phone: (360) 957 -7172 Fax: (360) 274 -6401
Email: chris @roshconstruction.us
Address: Po Box 66786
City: St. Louis
State: MO
Zip: 63166
CONTACT PERSON — person receiving all project
communication
Name: Chris Cline
Address: Po Box 1439
City: Castle Rock State: WA Zip: 98611
Phone: (360) 957 -7172 Fax: (360) 274 -6401
Email: chris @roshconstruction.us
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Timberline Electric INC
Address: Po Box 1439
City: Castle Rock State: WA Zip: 98611
Phone: (360) 274 -6401 Fax: (360) 274 -6401
Contr Reg No.: timbeei964km Exp Date: 06/12/2012
Tukwila Business License No.: otAci j! -p,4, s-'
Valuation of Project (contractor's bid price): $ 390
Scope of Work (please provide detailed information):
Added one circuit for a 20 amp breaker
Will service be altered? ❑ Yes FA No Adding more than 50 amps? ❑ Yes J No
Type of Use: Added new circuit for rectifier add for cell tower
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm m Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy • Seattle City Light
H:\ApplicationsWorms- Applications On Line1201 I Applications \Electrical Permit Application Revised 8 -94 l.docx
Revised: August 201 I
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Page 1 of 2
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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 $8 L90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
VI 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: � Date: 02/17/2012
Print Name: Chris Cline Day Telephone: (360) 274 -6401
Mailing Address: Po Box 1439 Castle Rock WA 98611
City
H: \Applications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -I I.docx
Revised: August 2011
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State Zip
Page 2 of 2
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
RECEIPT
Parcel No.: 0423049186 Permit Number: EL12 -0184
Address: 10700 WEST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 02/24/2012
Applicant: AT &T WIRELESS Issue Date:
Receipt No.: R12 -00793
Payment Amount: $71.40
Initials: JEM Payment Date: 02/24/2012 12:10 PM
User ID: 1165 Balance: $0.00
Payee: TIMERLINE ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1350 71.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 71.40
Total: $71.40
doc: Receiot -06 Printed: 02 -24 -2012
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
612—D01
PERMIT NO.
CITY OFTUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 v. (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: f r
Type of Inspection:
Pao
Address:
Date Called:
\�
Special Instructions:
A 14,
Tlie
Date Wanted:.
f77
rn-
olm.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
2."tfi�i
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople P ter Friendly Page
1
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 TIMBERLINE ELECTRIC INC UBI No. 602378344
Phone 3602746401 Status Active
Address Po Box 1439 License No. TIMBEEI964KM
Suite /Apt. License Type Electrical Contractor
City Castle Rock Effective Date 5/14/2004
State WA Expiration Date 6/24/2012
Zip 98611 Suspend Date
County Cowlitz Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Electrical Administrator INFORMATION
License CLINEC *964DE
Name CLINE, CHRIS
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CLINE, CHRISTOPHER
Agent
05/14/2004
Bond Amount
CLINE, CHRISTOPHER P
President
05/14/2004
PHSB009000682
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
Ullico Casualty
Company
PHSB009000682
12/16/2011
Until Cancelled
$4,000.00
12/19/2011
3
Great American Ins.
fs1379134
10/01/2009
Until Cancelled
11/16/2011
$4,000.0011
/02/2009
2
GREAT AMERICAN
INS. CO.
FS2719392
07/24/2008
Until Cancelled
08/14/2009
$4,000.0007/25/2008
1
ACCREDITED SURETY
&CAS CO
10016707
05/11 /2004
Until Cancelled
06/05/2008
$4,000.0005/14/2004
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
EWINP00237
12/27/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 02/24/2012