HomeMy WebLinkAboutPermit EL13-0355 - MONEYTREE - LOW VOLTAGEMONEYTRELE
6720 FORT DENT WY
EL1 3-0355
Parcel No.:
Address:
City oPI'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
2954900455
6720 FORT DENT WY TUKW
Project Name: MONEYTREE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL13-0355
04/16/2013
10/13/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
JOHN C RADOVICH LLC
2835 82ND AVE SE #300 , MERCER ISLAND WA 98040
RANDY HOLMAN Phone: 206-774-7188
1037 THOMAS AV SW , RENTON WA, 98057
NETVERSANT SOLUTIONS III LLC Phone: 206-774-7100
Address: 9750 W SAM HOUSTON PY , SUITE N-100 , HOUSTON WA 77094
Contractor License No: NETVESI870DE Expiration Date: 03/05/2015
DESCRIPTION OF WORK:
PROVIDE AND INSTALL APPROXIMATLEY 8 CABLES, TERMINATE, TEST LABEL
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:
National Electrical Code Edition:
$115.50
2008
Date: —4'(t0 13
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
construction or the perf
Signature:
Print Name:
es not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
f work. I am authorized,to sign and obtain this electrical permit.
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
EL13-0355 Printed: 04-16-2013
•
PERMIT CONDITIONS
Permit No. EL 13-0355
**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
EL13-0355 Printed: 04-16-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. =� �� 0 3S
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
Site Address: (mt 1.4
Tenant Name: MCit-3�
King Co Assessor's Tax No.:
QNB
Suite Number: Floor: d
PROPERTY OWNER
Name:
Address: `Ob-k--C.-k-VO\1`1 ON S Tbk.3 E (,J
Name:
V-1/4,0ts-) E
T2EE
Tukwila
Tukwila Business License No.:p,, ,S, c c 201
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address: `Ob-k--C.-k-VO\1`1 ON S Tbk.3 E (,J
State: Zip a
City: P_V`,�N
Phone �1
b-)� j.. \%&Fax:.�(o'���'g1�0
Email: RMCkM P tJ A•c'Cv ERS+Rtst , (fit-'
New Tenant: ❑ Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
1�E.--,cz... 0,..\ ---
Address: mm. -A- ��177`M S41A,ClA.%
City: 7),— ��10tJ State: �aZip:0\s�7
Phone:%.SJ—�_-._ M.44;''Fax: ..,-;.-4 —Fs \4S
Contr Reg No.:E�Es Acms)p Date: S - i S --
Tukwila
Tukwila Business License No.:p,, ,S, c c 201
Valuation of Project (contractor's bid price): $ A St7G • 0 0
Scope of Work (please provide detailed information):
`rb\ off- °`V `W k` �'Q •
Will service be altered'? ® Yes ❑ No Adding more than 50 amps? ❑ Yes No
Type of Use: Q)0‘)-\ t' F X2.C,ti L
Type of work:
❑ New ❑ Addition 0 Service Change 0 Remodel 0 Tenant Improvement
'R" Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-I I.docr
Revised- August 2011
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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 CHANCES
❑ 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 R OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: W.\1'R���`�-�
Mailing Address: j 5 � A�\» S O
II: \Applications\Form-Applications On Line \2011 Applications \Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
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Date:
Day Telephone: U) — —4�� ' \ lS
N -to w L3 wc- ci FsbS
City State Zip
Page 2 of 2
r
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.: 2954900455
Address: 6720 FORT DENT WY TUKW
Suite No:
Applicant: MONEYTREE
RECEIPT
Permit Number: EL13-0355
Status: PENDING
Applied Date: 04/16/2013
Issue Date:
Receipt No.: R13-01337
Payment Amount: $115.50
Initials: WER Payment Date: 04/16/2013 02:43 PM
User ID: 1655 Balance: $0.00
Payee: IEVA BRIEZE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 174733
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
Printari• nd_1R_9n13
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO, 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:. _r10:,1/4) fe
Type of Inspection
2-4DU
Address: 671,
Date Called:
Special Instructions: :
Date Wanted:.
qh4.m`.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval. //
COMMENTS:
r ii
Inspector; ..�"% _ , Date:
` 01 -. tHb
r� vf
0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
6u5o3s<
i
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 b (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: 1.1O AA�.
Type of Inspection:
7eo1v)1
k�`1ar
Date Called:Address:
r
Special Instructions:
til
Date Wanted:.
11 a
/i myl
(y.
Requester:
Phone No:
?Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
r
-- �,c-r0Aiti (foloc
& 1I4- Hq ;
Date: i g
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee'must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Piper Friendly Page
•
Electrical Contractor
A business licensed by LEI 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
NETVERSANT SOLUTIONS 111 LLC
2067747100
9750 W Sam Houston Pkwy N #100
Houston
TX
77064
Out Of State
Business Type Limited Liability Company
Parent Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602889778
Active
NETVESI870DE
Electrical Contractor
3/5/2013
3/5/2015
Limited Energy
Unused
Electrical Administrator INFORMATION
License RIEMAJM871DA
Name RIEMAN, JASON M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BOOTH, DALE
Partner/Member
03/05/2013
DAVIS, MARK
Partner/Member
03/05/2013
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
1
International Fidelity
Ins Co
0498566
03/05/2013
Until Cancelled
$4,000.00
03/05/2013
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 No records found for the previous 6 year period
httns://fortress.wa.aov/lni/bbin/Print.asnx 04/16/2013