HomeMy WebLinkAboutPermit EL13-0427 - HOMESTREET BANK - LOW VOLTAGEHOMESTREET BANK
16040 CHRISTENSEN RD
EL1 3-0427
City A'I'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
Parcel No.: 2523049039
Address: 16040 CHRISTENSEN RD TUKW
Project Name: HOMESTREET BANK
ELECTRICAL PERMIT
Permit Number: EL13-0427
Issue Date: 05/07/2013
Permit Expires On: 11/03/2013
Owner:
Name: BRCP RIVERVIEW PLAZA LLC
Address: 248 HOMER AVE , PALO ALTO CA 94301
Contact Person:
Name: JOSH TOKARSYCK Phone: 206-359-2101
Address: PO BOX 1267 , BOTHELL WA, 98041
Contractor:
Name: INTEGRATED TECH GROUP INC, THE Phone: 206 510-0878
Address: 22906 2 AV SE , BOTHELL WA 98021
Contractor License No: INTEG**932L1 Expiration Date: 06/21/2013
DESCRIPTION OF WORK:
INSTALL CAT5C CABLING
Value of Electrical: NRES: $11,754.00
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:
$298.90
2008
Date: �` ( 3
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 rmit does tot presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the rforman of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date:
5-7-(3
Ud //
Print Name: S�` 1-6-)tarsy Lk2_
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
EL13-0427 Printed: 05-07-2013
PERMIT CONDITIONS
Permit No. EL13-0427
**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
EL13-0427 Printed: 05-07-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd , Suite 100
Tukwila, if:•l 98188
http://www.TukwilaWA.e,ov
Electrical Permit No. L-1 - 41.2-7
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: I b0 `'f 0 Ckr 5 CA StvA. /200.a
King Co Assessor's Tax No.:
Suite Number: 3 1 S Floor: 3 r e.Q
Tenant Name: tOi\AL 51-K12-4,—
PROPERTY OWNER
Name:�05kk "-O,kGrs
Address: po n ox l 206.7
Name:
Phone: o " •ZI co‘ Fax: ...t.
Email: p511 r'io1Gc,,syck,.... -filevrty,0000 Iw L i
Address:
Tukwila Business License No.:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:�05kk "-O,kGrs
Address: po n ox l 206.7
City: l Ai State: L.6 A Zip: Q j 1
F
Phone: o " •ZI co‘ Fax: ...t.
Email: p511 r'io1Gc,,syck,.... -filevrty,0000 Iw L i
New Tenant: 'f Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 74L fa#4 jru+0, d ,ratmo (09 i es e
Address: Q0 -6y. ( . I 7
City: 13,01,4.1/4k State: wpt Zip: ° V
Phone:
204,4,35. gMFax: _.
Contr Reg No.: I q76 6 *,32. 0.Exp Date: c _2.1. i 3
Tukwila Business License No.:
'v'
Valuation of Project (contractor's bid price): $ 1 I
Scope of Work (please provide detailed information):
Pers
Will service be altered?
❑ Yes No
Adding more than 50 amps? ❑ Yes No
Type of Use:
Tvpe of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
( Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
❑ Puget Sound Energy ❑ Seattle City Light
H.\Applications\Forms-Applications On Line \2011 Applications \Electrical Permit Application Revised 8-9-I I.docx
Revised- August 2011
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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 $8L90
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
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 justiciable 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 O.NER OR ELECTRICAL CONTRACTOR:
Signature:
Print Nam
Mailing Address:
otoSk 1;415164-
.C1
I'r51c.K-
3 oX t24c7
li:\Applications \Forms -Applications On Line\201 I Applications\Electrical Permit Application Revised 8-9-11.docx
Revised August 2011
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Date:
14'214-1 3
Day Telephone: 2oL - 3 S5 - 2 tot
3>a.lX
City
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
Parcel No.: 2523049039
Address: 16040 CHRISTENSEN RD TUKW
Suite No:
Applicant: HOMESTREET BANK
RECEIPT
Permit Number: EL13-0427
Status: APPROVED
Applied Date: 05/07/2013
Issue Date:
Receipt No.: R13-01536
Payment Amount: $298.90
Initials: WER Payment Date: 05/07/2013 09:35 AM
User ID: 1655 Balance: $0.00
Payee: JOSH TOKARSYCK
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 03039G
ACCOUNT ITEM LIST:
Description
298.90
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 298.90
Total: $298.90
Ant, Dein. in4_na
Printed 05-07-2013
r1 INSPECTION RECORD 61113W7
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: at % 11696,..
Type of Inspection: '
.4100
f
Address: lotto£t+ikr, 5riw5
ate Called:
Special Instructions:
•
Date Wanted:
QP
m:
Requester:
Phone No:
MApproved per applicable codes.
COMMENTS: /
Corrections required prior to approval. its
frikkiv
Inspector:
Date: 06/043 0 r3
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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
�3- 027
Project: �������
Type of Inspection:
foo)
Address:Ulf o q�C����
7�
Date Called:
Special Instructions:
..-
Date Wanted:.
�. .
P.m•
Requester:
Phone No:
.1)-
giApproved per applicable codes.
Corrections required prior to
approval.
COMMENTS:
9. .,,,.I
.1)-
✓ Ce 1A OkI
- Fo44 ti co.�'r47t-:
&ick.z.k43 %,iorlit Rts-c.k. rot( F11.14 -t_.
A
Inspector: _T. -
Date: tN 2 if 3
t /
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 titer Friendly Page
•
Electrical Contractor
A business licensed by L8i 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
INTEGRATED TECH GROUP INC, THE
2062358580
22906 2Nd Ave Se
Bothell
WA
980218702
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602647888
Active
INTEG"932L1
Electrical Contractor
6/21/2007
6/21/2013
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
INTEGTG94301
INTEGRATED
TECH GROUP
INC, THE
Electrical
Contractor
Telecommunications
SUTTON, MARK H
9/21/2006
9/21/2008
Out Of
Business
Electrical Administrator INFORMATION
License SUTTOM'935LD
Name SUTTON, MARK
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BROSSARD, KAY
Agent
12/28/2010
5/16/2011
PUCKETT, SUZI L
President
06/21/2007
$1,000.00
SUTTON, MARK H
Vice President
06/21/2007
ELECTRICAL CITATION
HENDRICKSON, DANIEL M
Agent
06/21/2007
12/28/2010
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
TRAVELERS CAS Et
SURETY CO
103490955
09/14/2006
Until Cancelled
$4,000.00
09/21/2006
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
ESHA000469
5/16/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
ELEIS00402
11/15/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns://fortress.wa.aov/lni/bbin/Print.asnx 05/07/2013