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HomeMy WebLinkAboutPermit EL12-0195 - NORTHWEST ASTHMANORTHWEST ASTHMA 16300 CHRISTENSEN RD EL12 -0195 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.: 2523049078 Address: 16300 CHRISTENSEN RD TUKW Project Name: NORTHWEST ASTHMA ELECTRICAL PERMIT Permit Number: EL12 -0195 Issue Date: 02/28/2012 Permit Expires On: 08/26/2012 Owner: Name: BRCP RIVERVIEW PLAZA LLC Address: 248 HOMER AVE , PALO ALTO CA Contact Person: Name: SHANE JOHNSON Phone: 253 - 852 -7777 Address: 25130 74 AV S , KENT WA Contractor: Name: TRI TEC COMMUNICATIONS INC Address: 25130 74 AV S , KENT WA Contractor License No: TRITECI0000H Phone: 253 - 852 -7777 Expiration Date: 09/08/2012 DESCRIPTION OF WORK: LOW VOLTAGE VOICE AND DATA CABLING Value of Electrical: NRES: $1,500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $115.50 National Electrical Code Edition: 2008 J1, - Ja, Date: 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: Print Name: r 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. Date: -0-/FA/_ doc: EL -4/10 EL12 -0195 Printed: 02 -28 -2012 • PERMIT CONDITIONS Permit No. EL12 -0195 * *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 EL12 -0195 Printed: 02 -28 -2012 CITY OF TUKA Community Development Department Permit_Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov • Electrical Permit No. E C Cj S 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.: X Site Address: 16300 christensen road Suite Number: 350 Floor: 3 Tenant Name: Northwest Asthma PROPERTY OWNER Name: Shane Johnson Name: brcp investments / unico prperties City: kent State: wa Zip: 98032 Address: 16300 christensen rd Email: operations @tri- tec.com City: tukwilla State: wa Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Shane Johnson Address: 25130 74th ave s City: kent State: wa Zip: 98032 Phone: (253) 852 -7777 Fax: (253) 852 -5660 Email: operations @tri- tec.com New Tenant: ❑ Yes m..No ELECTRICAL CONTRACTOR INFORMATION Company Name: tri -tec communications Address: 25130 74th ave s City: kent State: wa Zip: 98032 Phone: (253) 852 -7777 Fax: (253) 852 -5660 Contr Reg No.: triteci000oh Exp Date: 03/21/2012 Tukwila Business License No.: x Valuation of Project (contractor's bid price): $ 1,500 Scope of Work (please provide detailed information): low voltage voice and data cabling Will service be altered? ❑ Yes Z No Adding more than 50 amps? ❑ Yes © No Type of Use: voice and data Type of work: ❑ New ❑ Addition ❑ Service Change m Low Voltage ❑ Generator ❑ Fire Alarm Pro ie S-rved b - Puget Sound Energy ❑ Seattle City Light HAApplicaiions\For s- Applications On Line \2011 Applications\Elecnical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh ❑ Remodel ❑ Telecommunication C ❑ Tenant Improvement ❑ Temporary Service \\,S' IS 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 OW iii R E Signa Print Name: Shane Johnso L CONTRACTOR: Mailing Address: 25130 74th ave Date: 02/27/2012 Day Telephone: (253) 852 -7777 kent wa 98032 City H:Wpplications\Forms- Applications On Line \2011 Applcations\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh State Zip Page 2 of 2 • • C 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.: 2523049078 Address: 16300 CHRISTENSEN RD TUKW Suite No: Applicant: NORTHWEST ASTHMA RECEIPT Permit Number: EL12 -0195 Status: PENDING Applied Date: 02/28/2012 Issue Date: Receipt No.: R12 -00853 Initials: User ID: WER 1655 Payment Amount: $115.50 Payment Date: 02/28/2012 03:40 PM Balance: $0.00 Payee: SHANE GALLAGHER TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 028534 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 02 -28 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 p'1 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: d- %� ; Type of Inspection: Address: / k7 300.41..51 / j Date Called: Special Instructions: Date Wanted:. 1_ i Of a. m. • Requester: Phone No: Approved per applicable codes. 11 Corrections required prior to approval. OMMENTS: Inspector: t Date: 0? rift REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prjlter Friendly Page • Electrical Contractor A business licensed by LW 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 TRI TEC COMMUNICATIONS INC 2538527777 25130 74Th Ave S Kent WA 98032 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601228420 Active TRITECI000OH Electrical Contractor 9/8/2000 9/8/2012 Telecommunications Electrical Administrator INFORMATION License WHITEB *003OH Name WHITE, BRIAN Status Active Business Owner Information Name Role Effective Date Expiration Date GRIEBEN, SCOTT . Cancel Date 01/01/1980 Amount WHITE, BRIAN E Agent 01/01/1980 TT09405949 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 DEVELOPERS SURETY Et INDEM CO 853429C 09/06/2000 Until Cancelled $4,000.00 03/28/2001 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 TRAVELERS CAS Et SURETY CO TT09405949 03/21/2011 03/21/2013 $1,000,000.00 02/22/2012 10 TRAVELERS INDEMNITY CO OF AME TT09405949 03/21/2010 03/21/2011 $170,000.0003/18 /2010 9 Security National Insurance Co CAP2502457 03/21/2009 03/21/2010 $170,000.00 02/20/2009 8 SECURITY NATIONAL INS CO CAP2502457 03/21/2008 03/21/2009 $170,000.00 02/28/2008 7 SECURITY NATIONAL INS CO CAP1502457 03/21/2007 03/21/2008 $170,000.00 03/28 /2007 6 AMERICAN STATES INS CO 01CG73639810 03/21/2006 03/21/2007 $170,000.0003/08 /2006 5 HARTFORD FIRE INS CO 52UUNUQ9212 03/21/2005 03/21/2006 $170,000.0003/01 /2005 https://fortress.wa.gov/lni/bbip/Print.aspx 02/28/2012