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Home My WebLink AboutPermit EL09-0100 - SOUND TRANSITSOUND TRANSIT 15426 35 AV S EL09-0 100 Parcel No.: Address: Suite No: Tenant: Name: SOUND TRANSIT Address: 15426 35 AV S , TUKWILA WA Owner: Name: Address: 15426 35 AV S TUKW Contact Person: Name: JON MOGENSEN Address: PO BOX 6209 , KENT WQA Contractor: Name: SIGNAL ELECTRIC INC Address: PO BOX 6209 , KENT WA Contractor License No: SIGNAEI325K8 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied The granting c construction o Signature: doc: EL -4/07 CitAuf 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.ci.tukwila.wa.us DESCRIPTION OF WORK: MODIFY TEMP SERVICE FOR SOUND TRANSIT JOB TRAILERS. DISCONNECT SCL FOR SERVICE INSTALL 1 EACH 100 - 3 POLE BREAKER AND RECONNECT SERVICE ELECTRICAL PERMIT Permit Number: EL09 -0100 Issue Date: 02/05/2009 Permit Expires On: 08/04/2009 Phone: Phone: 253 872 -7177 Phone: 253 872 -7177 Expiration Date: 07/31/2009 Value of Electrical: NRES: $1,200.00 Fees Collected: $75.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Date: 192—k i 01 a ned this/permit and know the same to be true and correct. All provisions of law and ordinances it , whether specified herein or not. s permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating performance of work. I am authorized to sign and obtain this electrical permit. Date: Z/r /cAi Print Name: ° rJ M(�Fry SCE 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. EL09 -0100 Printed: 02 -05 -2009 Parcel No.: Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 15426 35 AV S TUKW SOUND TRANSIT • 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.ci.tukwila.wa.us PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0100 ISSUED 02/05/2009 02/05/2009 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. I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local laws regulating construction or the performance of work. Signature: Print Name: doc: Cond -Elec L Al(64NsEd Date: 7 b/c, EL09 -0100 Printed: 02 -05 -2009 Tenant Name: Property Served by: ❑ Puget Sound Energy Seattle City Light CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Name: — SON M o 6 Mailing Address: P o • i3o. 62.o Mailing Address: P. o . ?a 1' (c'Loeii H:\ Applications\rorms- Applications On Line \1 -2009 - Electrical Permit Application.doc bh (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 ** King Co Assessor's Tax No.: Site Address: 1 5 6 3S Ave 'r • T A■ (1. wd 'l8' S h Suite Number: Floor: New Tenant: ❑ Yes uf .. No SdV'fO YR.Ags i Property Owners Name: 5'oY'...to Ttt,oAK :'T Mailing Address: a:,, e��,,; ; .� ' � e . C0N TACT PE1SO —..Who do we cont act when = your permi ° i ` sready to be issued E -Mail Address: t%O @ St4zntAt E1- Etre:e. .lane Company Name: S t ea k/ e C : Contact Person: Ze u M o &- 6:rem S EA) E -Mail Address: M e @ % V tII L Elecra .: e . Cs •h Contractor Registration Number: S 1 ,JA 3L1 K �1 City City Day Telephone: 26 f, 5 - Sz t 5 •V E) City State WA State Fax Number: 253 ' 3'lf" 4 Zip ga6N Zip LECTRICAL-CONtR CTOR:INFO TIO V 16 State Zip Day Telephone: 2 53- 'el '72 -'7 t "7 '1 Fax Number: 253 3 IC ° S S 1. Expiration Date: 7 - 1- 0 cl Valuation of Project (contractor's bid price): $ /2 0 0 . 0 0 Scope of Work (please provide detailed information): Al (14 '4 hty kfvCC Y St.vNP - T20AlST. 7'13 - te - .4 I t.e25 . ifeNNI' c! .} $ Fat 54 Kv• eL a N iIo 11 1 en. 10(1 j /wit bye -ken. An,/ (Lc trN./4 S1rV`. Cr Will service be altered? 3g1 Yes ❑ No Adding more than 50 amps? Fr Yes ❑ No Type of Use: 5E4 / tCE Fte - 503 met s..e/iS Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Tenant Improvement Temporary Service Page 1 of 2 • BUILDING 0 Signature: Print Name: RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altcred circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) ER OR ELECTRICAL CONTRACTOR: Tc MVr Mailing Address: I . goat 6 2. 4 el H: Applications\Fmms-Applications On Line \I -2009 - Electrical Permit Application.doc bh MULTI - FAMILY is TD COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ca 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. KIT City Date: 2- aq 4 1 Day Telephone: 2.53- 872.1177 State Zip I Date Application Accepted: Date Application Expires: Staff Initials: 1 Page 2 of 2 Parcel No.: Address: 15426 35 AV S TUKW Suite No: Applicant: SOUND TRANSIT Receipt No.: R09 -00201 Initials: JEM User ID: 1165 Payee: SIGNAL ELECTRIC, INC. ACCOUNT ITEM LIST: Description doc: Receiot -06 ELECTRICAL PERMIT - NONR 1 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.ci.tukwila.wa.us TRANSACTION LIST: Type Method Descriptio Amount Payment Check 070477 75.00 RECEIPT Account Code Current Pmts 000.322.101.00.0 75.00 Total: $75.00 Permit Number: EL09 - 0100 Status: PENDING Applied Date: 02/05/2009 Issue Date: Payment Amount: $75.00 Payment Date: 02/05/2009 09:57 AM Balance: $0.00 PAYMENT RECEIVED Printed: 02 -05 -2009 Project: L 0 , 6!' st r + Type of Inspection: �, i Address: Date Called: Special Instructions: Date Wanted: 07 o a.m. p Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -367 I YI Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: $60.00 REIN ' ECTION FEE RE UIRED. Prior to inspection, fee mu t be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: ..�. « Date: Project: / �l M D f '� ."Jl _ fr( R�'� "rsl� Type of Inspection: 700y Address: Date Called: Special Instructions: 2 :611).41- Date Wanted: l Requester: (( Phone No: INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: D.1• tiaKG12,E �ENp . St4Ji c C rok �o(j - nZM Inspector: &Ai ert Date: 02 ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, ee ust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: INSPECTION RECORD Retain a copy with permit Date: in i.o7 PEIT NO. • Name Role Effective Date Expiration Date GUTHMILLER, BERNELL J Cancel Date 01/01/1980 Bond Amount VOSBERG, JERRY 5 01/01/1980 LPM8047545 GUTHMILLER, BERNELL J AGENT 01/01/1980 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 5 FIDELITY Et DEPOSIT LPM8047545 01/01/1997 Until $4,000.00 Untitled Page Electrical Contractor Name Phone Address Suite /Apt. • A business licensed by LEtI 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 SIGNAL ELECTRIC INC 2538727177 PO BOX 6209 City KENT State WA Zip 980646209 County KING Business Type Corporation Parent Company MASTER ELECTRICIAN INFORMATION License FRASEKH986R7 Name FRASER, KELVIN H Status ACTIVE Business Owner Information Bond Information https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= SIGNAEI325K8 1 Page 1 of 5 UBI No. 173005578 Status ACTIVE License No. SIGNAEI325K8 License Type ELECTRICAL CONTRACTOR Effective Date 5/28/1968 Expiration Date 7/31/2009 Suspend Date Previous License Next License Associated License FRASEKH986R7 Specialty 1 GENERAL Specialty 2 UNUSED 02/05/2009