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Home My WebLink AboutPermit EL16-0842 - HOME STREET BANK - CABLINGHOME STREET BANK SUITE 101 EL16-0842 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.Rov ELECTRICAL OTC PERMIT Parcel No: 0223100040 Permit Number: EL16-0842 Address: 130 ANDOVER PARK E 101 Issue Date: 9/14/2016 Permit Expires On: 3/13/2017 Project Name: HOME STREET BANK Owner: Name: PUGET SOUND BLOOD CENTER Address: 921 TERRY AVENUE DIRECTOR OF ADMINISTRATION, SEATTLE, WA, 98104 Contact Person: Name: JOSH TOKARSYCK Phone: (206) 359-2101 Address: PO BOX 1267, BOTHELL, WA, 98041 2015 Contractor: 2014 Name: INTEGRATED TECH GROUP INC, THE Phone: (206) 235-8580 Address: PO BOX 1267, BOTHELL, WA, 98041- 2014 8580 2015 License No: INTEG**9321-1 Expiration Date: 6/21/2017 Lender: 2015 Name: 2015 Address: 2015 DESCRIPTION OF WORK: INSTALLATION OF CAT5E CABLING Valuation of single family: $0.00 Fees Collected: $124.53 Valuation of mf/comm: $1,169.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: PUGEST SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-466: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 Permit Center Authorized Signature: Date: " ► ` V/ 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 permi and agre to the con 'tions attached to this permit. l�4Signature: Date: /y Print Name: 5\_ r S 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 CITY OF TUKWILA as Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htti)://www.TukwilaWA.gov SITE LOCATION Electrical Permit No. &LIto- Uph% Project No. Date Application Accepted: Date Application Expires: _ use 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** King Co Assessor's Tax No Site Address: 13D 1I.cJ. qe/ Name: C-ct 5•f- Suite Number: ID / Floor: I S"t` Tenant Name: D Me - s !ems 1par T- 1-?Gt.4 le New Tenant: ❑ .....Yes B..No PROPERTY OWNER Name: Address: City: State: Zip - CONTACT PERSON - person receiving all project communication Name: Address: City: State: Zip:c�y f P::e.,Z,, _ J 1 Fax: Email: � To lcc r sv c;k- )A,^ ELECTRICAL CONTRACTOR INFORMATION Company Name: / Ti, Address: Pb 12( 7 City: ' State: 01.Zip: , 0q 1 Phone: 2C)6 Fax: Contr Reg No. 1Exp Date: 121117 Tukwila Business License No.; -0q!)4!& 23 Valuation of Project (contractor's bid price): $ 1 o 16 i. U O Scope of Work (please provide detailed information): f r s+t:. Ito, +it,, e F CA-, SC.. (A&1 i ACq Will service be altered? ❑ Yes 19 o Type of Use: Tvne of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ProoeM Served by: ❑ Puget Sound Energy ❑ Seattle City Light HAApplicationsTorms-Applications On Line\2014 ApplicationsUcctrical Permit Application Revised 1-1-14.do" Revised: January 2014 bh Adding more than 50 amps? ❑ Remodel Telecommunication ❑ Yes No ❑ Tenant Improvement ❑ Temporary Service 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) $80.90 ❑ Service change with added/altered circuits.................$81.90 $86.25 number of added circuits ....................... $11.55 ea ❑ Circuits added/altered without service change ........... $54.60 (up to 5 circuits) $10.80 ea ❑ 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) PERMIT APPLICATION NOTES - 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 5% TECHNOLOGY FEE*** 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. Date: qL-0 ie: ��, " 5 `� '- P. 10 ( Mailing Address: Py 304 — aDw ()'ykrft (� I I City State Zip H:Wpplicatiom\Forms-Applications On Line\2014 ApplicationsTlectricat Permit Application Revised 1-1-14.doex Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $124.53 EL16-0842 Address: 130 ANDOVER PARK E 101 Apn: 0223100040 $124.53 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R9413 R000.322.900.04.00 0.00 $5.93 $124.53 Date Paid: Wednesday, September 14, 2016 Paid By: JOSH TOKARSYCK Pay Method: CREDIT CARD 0045OG Printed: Wednesday, September 14, 2016 11:39 1 of 1 97R WY57EM5 AM INSPECTION RECORD p Retain a copy with permit �0 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: & dec: fType o sp ction tv Address: 6 '77�o :/�" � / 410 f Date Called: Special Instructions % lj•V/ Date Wanted: a. p.m. Requester: Phone Na Approved per applicable codes. � Corrections required prior to approval. I I /... U` 1 . / PI n It /G J- /A/ I l pector: P REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INTEGRATED TECH GROUP IN' THE Horne Safety & Health INTEGRATED TECH GROUP INC, THE Espahol Contact. Claims & Insurance Owner or tradesperson PO Box 1267 BOTHELL, WA 98041-1267 Principals 206-235-8580 PUCKETT, SUZI L, PRESIDENT KING County SUTTON, MARK H, VICE PRESIDENT Brossard, Kay, AGENT HENDRICKSON, DANIEL M, AGENT (End: 12/28/2010) Doing business as INTEGRATED TECH GROUP INC, THE WA UBI No. Business type 602 647 888 Corporation Governing persons MARK H SUTTON STEPHANIE SUTTON; STEVE PUCKETT; SUZI LYNN PUCKETT; License Page 1 of 3 Search L&I A-7, Inc Workplace Rights Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ............................................................... Meets current requirements. License specialties LIMITED ENERGY License no. INTEG**932L1 Effective — expiration 06/21/2007— 06/21/2017 (?q' -v.$)-3 Help us improve https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602647888&LIC=INTEG* * 932L 1 &SAW= 9/14/2016