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
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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
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State Zip
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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 / _.\
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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