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HomeMy WebLinkAboutPermit EL13-0905 - MONEYTREE - TENANT IMPROVEMENTMONEYTREE 6720 FORT DENT WY EL1 3-0905 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 Project Name: MONEYTREE ELECTRICAL PERMIT Permit Number: EL13-0905 Issue Date: 09/19/2013 Permit Expires On: 03/18/2014 Owner: Name: JOHN C RADOVICH LLC Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040 Contact Person: Name: RANDY HOLMAN Address: 1037 THOMAS AV SW , RENTON WA, 98057 Phone: 206-774-7188 Contractor: Name: NETVERSANT SOLUTIONS III LLC Phone: 206-774-7100 Address: 9750 W SAM HOUSTON PY , SUITE N-100 , HOUSTON TX 77094 Contractor License No: NETVESI870DE Expiration Date: 03/05/2015 DESCRIPTION OF WORK: PROVIDE AND INSTALL APPROXIMATELY 80 CABLES. TERMINATE, TEST AND LABEL. Value of Electrical: NRES: $12,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $307.20 Washington Cities Electrical Code: 2011 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 do-, '•resume to give authority to violate or cancel the provisions of any other state or local laws regulating k. I am author' -d-to sign and obtain this electrical permit. construction or the performa Signature: Print Name: 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 -7/13 EL13-0905 Printed: 09-19-2013 1 PERMIT CONDITIONS Permit No. EL13-0905 **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 -7/13 EL13-0905 Printed: 09-19-2013 CITY OF TUKWILA Community Development Department Perini! Center 6300 Soulltcenler /3/rd., Suite 100 Tukwila, W4 98188 http://www.TukwilaW A.gov Electrical Permit No. -LI Project No. Date Application Accepted: Date Application Expires: For (Vice use only ELECTRICAL PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not he accepted through the mail or by fax. **Please Print** SITE LOCATION Site Address: 6720 Fort Dent Way King Co Assessor's 'Tax No.: Suite Number: Floor: 2 Tenant Name: Moneytree PROPERTY OWNER Name: Randy Holman Address: 1037 Thomas Ave SW Name: Moneytree Phone: (206) 774-7100 Fax: (206) 340-1980 City: Renton state: WA Address: 6720 Fort Dent Way Phone: (206) 774-7188 Fax: (206) 774-8188 City: Tukwila state: WA zip: 98188 CONTACT PERSON — person receiving all project communication Name: Randy Holman Address: 1037 Thomas Ave SW Address: 1037 Thomas Ave SW Phone: (206) 774-7100 Fax: (206) 340-1980 City: Renton state: WA zip: 98057 Phone: (206) 774-7188 Fax: (206) 774-8188 Email: New Tenant: El Ycs ELECTRICAL CONTRACTOR INFORMATION Company Name: Netversant Solutions Ill, LLC Address: 1037 Thomas Ave SW City: Renton State: WA Zip: 98057 Phone: (206) 774-7100 Fax: (206) 340-1980 Contr Reg No.: NETVES1870DE Exp Date: 03/05/2015 Tukwila Business License No.: BUS -0101296 Valuation of Project (contractor's hid price): $ 12,000 Scope of Work (please provide detailed information): Provide and install approximately 80 cables. Terminate, test and label Will service be altered? ❑ Yes JJ No Adding more than 50 amps? ❑ Yes m No Type of Use: Commercial 'type ol'work: O New 0 Addition 0 Service Change 0 Remodel 0 'Tenant Improvement ® low Voltage ❑ Generator 0 Fire Alarm 0 'Telecommunication 0 -Temporary Service Property Served by: /� ® Puget Sound Energy 0 Seattle City I.ight 30-1-2 V I I \Applications\lorns-Applications (hi Line\2013 Applications\r:learkal Permit Apphwt ion Resised 7-I-13.du,a Revised July 2013 hh Page 1 of 2 RESIDENTIAL NEV RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) O Garages. pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm. furnace thermostat) $59.85 ea RESIDENTIAL REMODEI, AND SERVICE CHANCES O 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 O 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 $68.25 111 I..ow 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) $65.00 O Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) O Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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. 1 I IFREIIY CERTIFY THAT 1 I IAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO 13E TRUE UNDER PENALTY OF PERJURY BY '111E LAWS OF THE STATE OF WASHINGTON. AND I AM AUTIIORIZED TO APPLY FOR TI -IIS PERMIT. BUILDING OWNS ECI'RICAL CON'T'RACTOR: Signature: Date: 09/19/2013 l'rint Nam : 1 a Brieze Day Telephone: (206) 774-7145 Mailing Address: 1037 Thomas Ave SW Renton WA 98057 City 11:\Applications\Forms-Application On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised July 2013 hit State Zip Page 2of2 City of Tukwila • • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.uov Parcel No.: 2954900455 Address: 6720 FORT DENT WY TUKW Suite No: Applicant: MONEYTREE RECEIPT Permit Number: EL13-0905 Status: PENDING Applied Date: 09/19/2013 Issue Date: Receipt No.: R13-02675 Initials: User ID: WER 1655 Payment Amount: $307.20 Payment Date: 09/19/2013 09:53 AM Balance: $0.00 Payee: LAURIE SUNDESTEN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 835201 ACCOUNT ITEM LIST: Description 307.20 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 307.20 Total: $307.20 rinr• Raraint-(1R Printed: 09-19-2013 INSPECTION RECORD Retain a copy with permit �� v INSPECTION NO. P RMIT 0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd.; #100, Tukwila. WA 98188 (206) 431-367.0 Permit Inspection Request Line (206) 431-2451 Project: c� ' Type of Inspection: �DO DO. N Address: T. 7 / _.\ �-*� 4� Date Called: Special Instructions: Date Wanted: 0 0 .m p.m Requester: Phone No: Approved per applicable codes. Corrections requires prior to approval. COMMENTS: 0 K' - awiAriGI 6h/E 4,4 'A -. Inspector: Date: !o 07/i n REINSPECTI01# EE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pri• Friendly Page • Electrical Contractor A business licensed by L&I 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 NETVERSANT SOLUTIONS 111 LLC 2067747100 9750 W Sam Houston Pkwy N #100 Houston TX 77064 Out Of State Limited Liability 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 Bond Bond Company Name International Fidelity Ins Co Page 1 of 1 Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 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 https://fortress.wa.gov/lni/bbip/Print.aspx 09/19/2013