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Permit EL14-1099 - VERIZON WIRELESS - VERIZON TELECOM FACILITY
VERIZON WIRELESS 14240 INTERURBAN AVE S EL14-1099 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.gov ELECTRICAL OTC PERMIT Parcel No: 3365901881 Permit Number: EL14-1099 Address: 14240 INTERURBAN AVE S Issue Date: 11/12/2014 Permit Expires On: 5/11/2015 Project Name: VERIZON WIRELESS Owner: Name: BELLTOWN INVESTMENT PARTNER Address: 2505 2ND AVE #520 , SEATTLE, WA, 98121 Contact Person: Name: STEVE BURRIS Phone: (253) 722-6513 Address: 14240 INTERURBAN AVE S , TUKWILA, WA, 98188 Contractor: Name: BURRIS ELECTRIC LLC Phone: (253) 722-6513 Address: 14917 82ND AVE NW , GIG HARBOR, WA, 98329 License No: BURRIEL923DL Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: NEW VERIZON TELECOM FACILITY Valuation of single family: $0.00 Valuation of mf/comm: $10,000.00 Type of Work: TENANT IMP Fees Collected: $285.39 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2014 2012 Permit Center Authorized Signature: Date: it I ( Z 11 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 a:j a t. e conditions attached to this permit. Signature: Print Name: Date: //'/2-/y 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: 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. PERMIT INSPECTIONS REQUIRED Permit Inspection Line: (206) 438-9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. ELH Project No. Date Application Accepted: 1 L. tl Z 1111 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: King Co Assessor's Tax No.: 1/ 2- cie, .7:-/ 4 zpv._ 5 Tenant Name: (J�, 2.cy (Ali 4-'--%f._Ss PROPERTY OWNER Name: .1 '' izx.o .A ..-e_5 T -'. a- A. Address: Z Soj/1 4 S7L-, AA,. City: ,44/ 144 Zip:9Fj2 ) CONTACT PERSON - person receiving all project communication Ct Name: J'tv_v--c_ nJ14-' 5 Address: 9pc, / .,1,, . / F a' e_4 p, ,VA' City: 619 42- Je State: AA4- zip:7.3.3 j- Phone:ez 5-3 70Z 6,67 3 Fax: Email: V 124.15 CI, c4htc&%,/1,1,. CO' Suite Number:o Floor: New Tenant: L ( Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: vOJ2. / 5 E /%t/��7u ,�,r Address: '�i/Q folr,,.// i_,(C p, /v,,-' U City: &(7 I[� I_ State:,4 Zip% 3 5 �l o Phone: 2 S.•-. •72 zcs, - Fax: Contr Reg No.: uR-a./EL z3 1L 7Lxp Date: A5— Tukwila Business License No.; pa RI (4j."1 Valuation of Project (contractor's bid price): $ /0 UPe)/ 45.6 Scope of Work (please provide detailed information): 4'1 Will service be altered? ❑ Yes rEr No Adding more than 50 amps? ❑ Yes �No Type of Use: /e f� cc, vvl /,2 L, /l / Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel [Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: [Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14. docx, Revised: January 2014 bh 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 $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) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 ea **EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5O/ TECHNOLOGY FEE*** 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: Print Name: Sph)2-64 / '2- / S Day Telephone: 2 5 a 72 z Ce 57 3 Mailing Address: City Date: //— / Z - / State Zip H.\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $285' 39 EL14-1099 Address: 14240 INTERURBAN AVE 5 Apn: 3365901881 $285.39 ELECTRICAL PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $271.80 $271.80 TECHNOLOGY FEE $13.59 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3535 R000.322.900.04.00 0.00 $13.59 $285.39 Date Paid: Wednesday, November 12, 2014 Paid By: BURRIS ELECTRIC LLC Pay Method: CREDIT CARD 111135 Printed: Wednesday, November 12, 2014 12:13 1 of 1 PM SYSTEMS INSPECTION RECORD Retain a copy with permit INSP CTION NO. PERMIT NO. ' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Insp ction Request Line (206) 438-9350 Project: 1 eikliOd I Type of Inspection: 'Address: / la 10 a f tig6 Date Called: Special Instructions: Date Wanted: Requester: Phone No: Approved per applicable codes. 1:Corrections required prior to approval. COMMENTS: (4yrA-u,61) 046111 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector Date: INSPECTION RECORD 11 Retain a copy with permit 4 Ott INSPECTION NO. P RMIT NO. CITY OF TUKWILA,BUILDING DIVISION 6300 Southcenter Blvd., *100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project; cf-f-k2_,)J Type of inspection: d Address: Pivio tAirtik5 Date Called: Special Instructions: Date Wanted: thga 15:K. Requester: Phone No: LI Approved per applicable es. Corrections required prior to approval. COMMENTS: / 13 1 A Lom(crio4.5 tift.bE H I U sl- - (A/640U !jot : 0-6acii-‘c,- b4C-1- KeE?J‘a_c--1> Al-- lay v lb fu4-p - le -I> Fkoti rtitsr 6.00P, at_ecrEAA.L._ Rooi ?krift__141)P-i " • \hi t'N/Affik\ Inspector: Date: El REINSPECTION FEE REQUIRED.. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD., j,% Retain a copy with permit Ct t' - (O7? INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: tiettZ0df Address: /'i740 /N %i:} 3 Special Instructions: Type of Inspection: Date Called: Date Wanted: Requester: Phone No: © Approved per applicable codes. ®Corrections required prior to approval.. COMMENTS: — 6w{prWT Aouro Ale v IV is - RA .) 6. (-c . A.01 Vt - X 3 ;Xi 1\ Tb (,(oU^_(L2,04)Jb r,,l �t ft.rb( 57 rf i1' - Abb1 il3 ki i',-.)N1N? f ATn ikl.- /4Cw i Al- Y,ct S,..11 t L \ ,kr'It) ,Go i (A&Aicr Inspector: Ins C / r'!57. 1/41 k, al +�1 1 ' REINSPECTI0N FEE REQUIRED, Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection. Date: r /ol_ 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. II- tor CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: V -t7.oA/tt es Type of Inspection: V61Wf9,41)4J) Date Called: Address: iti 0 /VIVO Special Instructions: Date Wanted: t f ! a.m. Requester: ��� Phone No: 2 3 772 ! Tf Approved per applicable codes. Corrections required prior to approval. COMMENTS: LLiL S Inspector: fr1 Date: Isrt4E'I REINSPECTION FEE REQUIRED. Prior to next inspection fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. BURRIS ELECTRIC LLC Page 1 of 4 414 Washington State Deparintent of Labor & Industries BURRIS ELECTRIC LLC Owner or tradesperson BURRIS, STEPHEN Principals BURRIS, STEPHEN, PARTNER/MEMBER BURRIS, STEPHEN, AGENT Doing business as BURRIS ELECTRIC LLC WA UBI No. 602 768 466 14917 82ND AVE NW GIG HARBOR, WA98329 253-722-6513 PIERCE County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. BURRIEL923DL Effective — expiration 03/13/2008— 03/16/2016 Designated administrator BURRIS, STEPHEN License type Electrical Administrator Bond TRAVELERS CAS & SURETY CO Bond account no. 105507067 Received by L&I 11/08/2010 Active. Meets current requirements. Active. Meets current requirements. License no. BURRIS*931 PZ $4,000.00 Effective date 11/07/2010 Expiration date Until Canceled Bond history https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602768466&LIC=BURRIEL923DL&SAW= 11/12/2014