HomeMy WebLinkAboutPermit EL13-1280 - VERIZON WIRELESS SHACK - TENANT IMPROVEMENTVERIZON WIRELESS
SHACK
16400 SOUTHCENTER PKWY
EL1 3-1280
Parcel No:
Address:
1
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.eov
ELECTRICAL OTC PERMIT
2623049021 Permit Number:
16400 SOUTHCENTER PKWY 1
Project Name: VERIZON WIRELESS SHACK
Issue Date:
Permit Expires On:
EL13-1280
12/12/2013
6/10/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
LEGACY PARTNERS COMMERCIAL
PO BOX 130639 , CARLSBAD, WA,
92013
DARLA DOLL
7717 DETROIT AV SW , SEATTLE, WA,
98106
MACDONALD MILLER FAC SOL INC
PO BOX 47983 , SEATTLE, WA, 98106
MACDOMF972BF
Phone: (206) 768-4278
Phone: (206) 763-9400
Expiration Date: 1/6/2015
DESCRIPTION OF WORK:
DISCONNECT (2) EXISTING AND REPLACE WITH (2) NEW "LIKE FOR LIKE" HVAC UNITS - 60 AMP 208 VOLT SINGLE
PHASE CIRCUITS, (1) LOW VOLTAGE CONTROLLER AND (1) 120 VOLT CONVENIENCE RECEPTACLE
Valuation of single family: $0.00
Valuation of mf/comm: $1,600.00
Type of Work: TENANT IMP
Fees Collected: $118.60
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
Date:
2012
2012
2012
D--1)--13
• •
I hearby 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
development permit and agree to the conditions attached to this permit.
Signature:
Print Name:
/
Date: I (
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
47
•
CITY OF TUKWILA
Community Development Department
Permit Center •
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://w vw.TukwilaWA.gov
•
Electrical Permit No. E L\' - I).2 d
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:
Tenant Name:
King Co Assessor's Tax No.: 2623049021
16400 Southcenter Pkwy Tukwila, WA 98188
Southcenter Place - Verizon Wireless Shack
PROPERTY OWNER
Name: LEGACY PARTNERS COMMERICAL
Address: 16400 Southcenter Pkwy
City: TUKWILA State: WA Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: DARLA DOLL
Address: 7717 DETROIT AVE SW
City: SEATTLE State: WA Zip: 98106
Phone: (206) 768-4278 Fax: (206) 768-4279
Email: DARLA.DOLL@MACMILLER.COM
Suite Number: ROOF Floor: ROOF
New Tenant: ❑ Yes 21..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: MACDONALD MILLER
Address: 7717 DETROIT AVE SW
City: SEATTLE State: WA Zip: 98106
Phone: (206) 768-4278 Fax: (206) 768-4279
Contr Reg No.: MACDOMF972BF Exp Date: 01/06/2015
Tukwila Business License No.: BUS -0100868
Valuation of Project (contractor's bid price): $ 1,600
Scope of Work (please provide detailed information):
DISCONNECT (2) EXISTING AND REPLACE WITH (2) NEW "LIKE -FOR -LIKE" HVAC UNITS - 60 AMP 208 V/1 PH
CIRCUITS, (1) LOW VOLTAGE CONTROLLER AND (1) 120 VOLT CONVENIENCE RECEPTACLE.
Will service be altered? ❑ Yes EJ No Adding more than 50 amps? ❑ Yes No
Type of Use: COMMERICAL
Type of work:
❑ New 0 Addition ❑ Service Change ❑ Remodel m Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication ❑ Temporary Service
Property Served by:
m Puget Sound Energy 0 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
O New single family dwellings $152.85
(including an attached garage) '
O Garages, pools, spas and outbuildings $81.90 ea
O Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
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
❑ 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
O Temporary service (residential) $63.00
O Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
O 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:
Date:
12/13/2013
Print Name: DARLA DOLL Day Telephone: (206) 768-4278
Mailing Address: 7717 DETROIT AVE SW SEATTLE WA 98106
City
H:WpplicationsTorms-Applications On Line \2011 Apphcations'Electrical Permit Application Revised 8-9-I I.docx
Revised: August 2011
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT
QUANTITY PAID
PermitTRAK
$118.60
EL13-1280 Address: 16400 SOUTHCENTER PKWY 1 Apn: 2623049021
$118.60
ELECTRICAL
$118.60
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R352
R000.322.101.00.00
$118.60
$118.60
Date Paid: Thursday, December 12, 2013
Paid By: MACDONALD MILLER FAC SOL INC
Pay Method: CHECK 3813
Printed: Thursday, December 12, 2013 1:27 PM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
63— /280
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451 �
Project:
icitiza4Lieu-a-55
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Type of Inspection: /���`
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Address: /
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Date Called:
Special Instructions:
Date Wanted:
3u
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a.
Requester:
�%
1 eAl
Phone No:
y2-3
037
0Approved per applicable codes.
COMMENTS:
LJ Corrections required prior to approval.
4.
s
Inspector:
i7 FY✓�Ic`k
Date: 037z1/1
3 L 1 y
REINSPECTION FEE REQUIRED. Priorto next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
MACDONALD MILLER FAC SO INC
4.4
Washington State Department of
Labor & Industries
•
Page 1 of 3
MACDONALD MILLER FAC SOL INC
Owner or tradesperson
CT CORP SYSTEM
Principals
CT CORP SYSTEM
Doing business as
MACDONALD MILLER FAC SOL INC
WA UBI No.
602 254 260
PO BOX 47983
SEATTLE, WA98106
206-763-9400
KING, County
Business type
Corporation
Governing persons
FREDRICJSIGMUND
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
MACDOMF972BF
Effective — expiration
01/06/2003 — 01/06/2015
Active.
Meets current requirements.
Designated administrator ACTIVE
Adams, Edward J
License type License no.
Electrical Administrator ADAMSEJ916B2
Bond
LIBERTY MUTUAL INS CO $4,000.00
Bond account no.
023006952
Received by L&I Effective date
01/08/2003 12/11/2002
Insurance
No insurance accounts during the previous 6 year period.
Savings
No savings accounts during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602254260&LIC=MACDOMF972BF&SAW= 12/12/2013