HomeMy WebLinkAboutPermit EL12-0631 - DESIMONE TRUSTDFSIMONE TRUST
10655 TUKWILA
INTERNATIONAL BL
EL1 2-0631
City oft'ukwila •
Departfnent 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.: 0423049169 Permit Number: EL12 -0631
Address: 10655 TUKWILA INTERNATIONAL BL TUKW Issue Date: 07/06/2012
Permit Expires On: 01/02/2013
Project Name: DESIMONE TRUST
Owner:
Name: DESIMONE TRUST 10655PHS
Address: C/O BNY MELLON NA , 1201 3RD AVE STE 5010 98101
Contact Person:
Name: LIZ STULTZ
Address: 1201 THIRD AV, STE 5010 , SEATTLE WA, 98101
Phone: 206 664 -8840
Contractor:
Name: N/A - NO WORK/SAFETY INSPECTION ONLY Phone:
Address:
Contractor License No: Expiration Date:
DESCRIPTION OF WORK:
SAFETY INSPECTION
Value of Electrical:
NRES: $50.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $63.00
National Electrical Code Edition: 2008
Date: 01 l 0K I I2-
I hereby certify that I have read and amiLd 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 e perfor ance of wor I am autho1• ed to sign and obtain this electrical permit.
Signature: + 10, Date:
Print Name:
\coL-H-c_ *Lob rso\-,,
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 -0631 Printed: 07 -06 -2012
•
PERMIT CONDITIONS
Permit No. EL 12 -0631
* *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 -0631 Printed: 07 -06 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
1
Electrical Permit No. vt (L'W
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
' ' L 1, King Co Assessor's Tax No.: •042.3c4c1 101
Site Address: l O c=.55- T1 . J (I Cl 11 , . L ,11 Wlal "Pjt lect, Suite Number: Vga. Floor: Pik
'I:eranl-Name: 5V t4Q Tf 4-- New Tenant: ❑ Yes ..No
CAD tbN'P Yl4c e,v NA. C- o- 4Vt1.522.( -e-,
PROPERTY OWNER
Name:
1--ii- 1--ii— 5.6.03I2_. ,
Name: De.swintiAt. "r -
-
Address: I bbl ! 4(U \
ts.,\1F✓ 5,04_, 5b\ O
City: 5a1�
State: W iv Zip.9(6v01
CONTACT PERSON - person receiving all project
communication
Name:
1--ii- 1--ii— 5.6.03I2_. ,
•` N\610111
Address: I %D I I■I(7t kyL. , SIA.Ort solo
City: cL J State: wisc_ Zip:981D1
Phone: VI-ND� may, Fax:
a06•
-g$y ,a
Email: 1 IZ • . \ t .fi2 b
al lOn •CD1(1'l
ELECTRICAL CONTRACTOR INFORMATION
Company Name: `,_,t_
�
�{ � L , 1_ , _
1, pv� VY
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes t, No Adding more than 50 amps? ❑ Yes
Type of Use: SCiL_ u.P.,A
Tvpe of work: .a Lek„ C-IvalL
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:\ApplicationsWorms- Applications On Line\2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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❑ Tenant Improvement
❑ Temporary Service
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
v
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It ( 3, °°
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: I
Print Name: E1tLSibd
DL.5 M Tr +S
Ct)kate: 1 6 S
Mailing Address: 0-13 -t \ 11n>.(rOb At-VIZ e.. 3)10
H:Wpplications \Forms- Applications On Line\201 I Applications\Electrical Permit Application Revised 8.9 -1 I.docx
Revised: August 2011
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Day Telephone: 2-O —( * 4j91 L( D
Sedge
City
state Zip
Page 2 of 2
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�J�j.`H�A w4� �Z City of Tukwila
� Department of Community Development
n ��
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.TukwilaWA.uov
RECEIPT
Parcel No.: 0423049169 Permit Number: EL12 -0631
Address: 10655 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 07/06/2012
Applicant: DESIMONE TRUST Issue Date:
Receipt No.: R12 -02057
Initials:
User ID:
JEM
1165
Payment Amount: $63.00
Payment Date: 07/06/2012 12:26 PM
Balance: $0.00
Payee: BNY MELLON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 11484171 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 07 -06 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
F� 4.3/
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. W4 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
Sl S IJ4ONr 7 vS7
Type of Inspection:.
4 Ie3 is
.1'
Address:://
J,,,,m r M- frK,*vArs. A-L
Date Called:
it .9b 9
,
Spedial Instructions:
Date Wanted:..
°% �i� - ✓ -.
P.m.
Requester:
Phone No: R d2
•
0 Approved per applicable codes.
Worrections required prior to approval. Z
COMMENTS:
A4 C. Gtr f
,e' AC.' XN,1104----d.rme-
Pis
Ti ?t/
-S is/-fA e 7' c s 'rr C TBeS�
Inspecto(
1:7?t, Argiv;try
Date: --
n REINSI?ECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.