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Home My WebLink AboutPermit EL13-0018 - KEURIG PROJECT - LOW VOLTAGEKEURIG PROJECT 6840 FORT DEMI' WY EL13-0018 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 Project Name: KEURIG PROJECT ELECTRICAL PERMIT Permit Number: EL13-0018 Issue Date: 01/09/2013 Permit Expires On: 07/08/2013 Owner: Name: PEPPERWOOD HOLDINGS LLC Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040 Contact Person: Name: SHAD KAMERIC Phone: Address: 7929 SW BURNS WY STE F , WILSONVILLE OR, 97070 Contractor: Name: TECHNOCOM INC Phone: 503-682-4195 Address: 7929 SW BURNS WAY SUITE F , WILSONVILLE OR 97070 Contractor License No: TECHNI*962CE Expiration Date: 02/10/2014 DESCRIPTION OF WORK: SUITE 120 - VOICE AND DATA, LOW VOLTAGE Value of Electrical: NRES: $5,958.00 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: $195.70 2008 Date: Is—C1' 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: Date: Print Name: 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 EL13-0018 Printed: 01-09-2013 PERMIT CONDITIONS Permit No. EL 13-0018 **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 TO - 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 EL13-0018 Printed: 01-09-2013 CITY OF TUKWIIA Community DevelopmenWIEpartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Per Project No. Date' Application Accepted: Date Application Expires: (For officeuse 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 Address: King Co Assessor's Tax No.: 6 Lro Di uT U/41 Tenant Name: �i(C K L(T:. / PROPERTY OWNER'' . Name: -e AS , `2 KA ivl ef_ 1 C. Address: 7 L7 2 / 6 w 3u aN5 k)Jf ,f - Name: Phone: ()oh,_'' l /_ 0/jJ Fax: Email:• �Lm7 . i -k r1 £`� i (..6.)G, i�-Go,1;GY C jl. Address: City: State: Zip: CONTACT,PERSON - person receiving all°project_ communication. .. , ...., Name: -e AS , `2 KA ivl ef_ 1 C. Address: 7 L7 2 / 6 w 3u aN5 k)Jf ,f - City: City: t�t 1 1....50,0 IV) LL.e. State: dces. Zi1 t9 7 Phone: ()oh,_'' l /_ 0/jJ Fax: Email:• �Lm7 . i -k r1 £`� i (..6.)G, i�-Go,1;GY C jl. Suite Number: 120 New Tenant: Floor: 13' t Yes ❑.. No ELECTRICAL CONTRACTOR INFORIVIATION_ _: Company Name: C1jo C 041 1'3 C , Address: `7 1Z 9 rI.�KAI� ty -' _/ City:/hi/ JAJ(/� L cesState: \ Zip: l y / c'071 Phone: 206 77141, ,sax: Contr Reg No.: -7. % Efccj, 42 Exp Date: a2 Tukwila Business License No.; x.5.34. .— i 10.011 r Thip Valuation of Project (contractor's bid price): $ J / 5 Ov Scope of Work (please provide detailed information): /O1 t= e�) i ✓ t' t,ti Vo 4_7-7176 Will service be altered? ❑ Yes [�No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ /New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication ❑ Temporary Service Property Served by: 0 Puget Sound Energy 0 Seattle City Light H:\Applicauons\Forms-Applications On Lme\2011 Applications\Electrical Permit Application Revised 8-9-1 1 docx Revised: August 2011 s bh b 1 r- --i ✓ �� 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 $1 1.55 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: � 7 ./� A11 f (C- Date: C/ G 9 ! 3 Print Name: Mailing Address: --t-" Day Telephone: fri�i( (r.:1 f 370 i -ft 4)1 .0k7, (_49/7 H \Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised August 2011 bh city LA State Zip 370 70 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 Parcel No.: 2954900425 Address: 6840 FORT DENT WY TUKW Suite No: Applicant: KEURIG PROJECT RECEIPT Permit Number: EL13-0018 Status: PENDING Applied Date: 01/09/2013 Issue Date: Receipt No.: R13-00096 Initials: TLS User ID: 1670 Payment Amount: $195.70 Payment Date: 01/09/2013 08:28 AM Balance: $0.00 Payee: SEAD KAMERIC TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 195.70 Account Code Current Pmts ELECTRICAL PERMIT - NONR ,.p City of Tukwila 6200 Southcenter Blvd, Tukwila, WA 1 Finance Department 1300901-1 01/09/2013 BR1 T121 Wed Jan09,2013 09:20AM Trans#3-4 Name: TECHNOCOM INC TECHNOCOM I 3 $67.00 BUSLCN - Business Licenses Customer#: 00061346 Activity#: 00011644 4 $195.70 DCDGEN - DOD Permits Plus General Fund ID: SEAD KAMERIC 2 ITEM(S): TOTAL: $262.70 Cash PAID $300.00 CHANGE DUE: $37.30 www.tukwilawa.gov 206-433-1835 000.322.101.00.00 195.70 Total: $195.70 Printed: 01-09-2013 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY_OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project:Q� et '(' ,,� Type of Inspection:tAi .'vv Address: •, i s Date Called: Special Instructions: • Date Wanted:. //iv 7 �a�. ,.. ('" i Requester: ' Phone No: Approved per applicable codes. El Corrections required prior to. approval. COMMENTS: .7 n Date: WIN1/3 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD Retain a copy with permit. INSPECTION NO. PERMIT NO. CITY OF`TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 tar__ (206) 431-3670 Permit.Inspection Request Line (206) 431-2451 th3w Project:, (,osai� Type of Inspection: 70O Address: Jf ,�,j} Date Called: S (0. - - �V /A WOC Special Instructions:iU . Date Wanted:. 1 01�a.n,, : Requester: D{ 4 . r Phone No: t Approved per applicable codes. Corrections required prior to approval. oz - COMMENTS: • 1 11 t/ _ .. S (0. - - �V /A WOC /• Q'J t Al COoltait 4iki///� D{ 4 . r ivi )(41) rV\c.w�. `• r` -+ �^, !!rr(+^^,, � [" �_ &y' �y�-(fuer'' t 14 ST 6 A-611613 AI P PL ,.....--4 . Inspector:(71/0 J Date: 0/11f f f3 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Department.of Labor and industries PO Box 44450 Olympia, WA 98504,4450 TEgiNocom INC • -!g'; CC TECHNI*964B6 • • s.UBI:60t-3*85 • , • ; • —7 - TEMNoicols4.104c: 1529 SW .NSWAY, Sifif WILSONVILLE DR 97070 J - l.:RegiStered ag•provided by Law as: ..'s -7,*,C.o_nstrirctiori Contractor (CC0i1).gENEML Effective pate:A/12/2004 Expiration Date5/6/2014 . . . , . . . ' •-• f*, ; . • Department of Labor anti Industries PO Box 44460 Olympia; WA '98504,4460) TECHNOCOM INC 7929 SW BORN WAY STE WILSO gLE0R97070 , S' rATECHN9COM INC ECZeOHNI*962CE - 601C340,585 • : ,k1 A %lira .1. 1.,--ia:ensed.as-proviided by Law -as: • • iiVkipentalicontractor • QE06)LOtE) ENERGY 1344:' i+41111111.it E.....44ffeiltiivae-,Ifiate.•1244/5/2004 •-AExparation Dee:a/10/2014 111111111111111 1*11. 1 *KU 1111111111111' UMW VIM" NMI* 11111111111111V 1889 --0060