HomeMy WebLinkAboutPermit EL11-0396 - HOLADAY PARKSHOLADAY PARKS
4650 S 134 PL
EL1 1 -0396
Parcel No.:
Address:
Tenant Name:
Cityef Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Inspection Request Line: 206- 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
2616600030
4650 S 134 PL TURIN
HOLADAY PARKS
ELECTRICAL PERMIT
Permit Number: EL11 -0396
Issue Date: 05/04/2011
Permit Expires On: 10/31/2011
Owner:
Name: PARKS & O'CONNOR I LLC
Address: 4650 S 134TH PL , TUKWILA WA 98168
Contact Person:
Name: HOLMES ELECTRIC
Address: PO BOX 338 , KENT WA 98035
Contractor:
Name: HOLMES ELECTRIC CO
Address: PO BOX 179 , RENTON WA 98057
Contractor License No: HOLMEEC549BH
Phone: 253 - 234 -2842
Phone: (425)255 -8666
Expiration Date: 10/31/2012
DESCRIPTION OF WORK:
REPLACE OUTLETS AND FIXTURES DUE TO WATER DAMAGE
Value of Electrical Work: NRES: $3,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$136.50
National Electrical Code Edition: 2008
=� L
I hereby certify that I have read and examine this p: 'tan know the same to be true and co -ct. All provisions of law and ordinances
governing this work will be complied with, whether ecified herein or not.
Date:
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 electrical permit and agree to the conditions on the back
of this permit. ��
Signature: " o ` � " y- � 02./ Date: D - - D 4 - a0
Print Name: -Geer" J /'h
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 -9/09
E L11 -0396
Printed: 05 -04 -2011
PERMIT CONDITIONS
Permit No. EL11 -0396
* *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 -9/09
E L 11 -0396 Printed: 05 -04 -2011
CITY OF TUKIN o..A
Community Development Department
Permit Center
/6300 So.uthcenter Blvd., Suite 100
It7Tukwile, WA .98188
htte://www.ci.tukvvila.wa. us
ELECTRICAL PERMIT APPLICATION
pplications 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 Address: Li (r50 .r ‘S`446
PL,y
Tenant Name: VNE:l . N>u,J j\N't
Property Owners Name: EiA. , LL,
Mailing Address: 0
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: 0 Yes Ca?.No
?LU9dl:4
uy
• Sam
, a �.+ �" �� F r 'N �, ; t' '�V' � s as +9rrA', ;l, i PY w,�'r r µArt'. �1�, "' �' FAY'• , s;e_i ^.r �A ,�,- r �' ii y+ ld
g �; , tl A � } .1 ,1 .r7 �1, � °
°, g� a4 WN p " 19K,‘„,. g $. q, t, �y't �;�! "' JR, o y y b`jf� + i oa e,
.qS t;,,,{1A� r;' + •;9Y+ • y�, ' "` '• ""ai e I i > ,I a ig ',: «1 c pp + h ,4 ��h,ti �P � tr'M " f 4'
',, yftrj�4i��" Ya.,. a+ �r„ 1�1", i' �.. H��f.' �V!` �', �.$ ��M. �I, rCnr. 1�;'' P; �; gS,.° h'., 1�!.? a" ���' F.., r�h�i' ln£, �' �s'^ I„ u�.+ f! IF '��.peY.SB�i��IY"4.,� .>�.�f
� +.F4 r11n.�nr
Name: th' ' � ,r� Day Telephone: 3
• ,g c
Mailing Address: Po 44e. 3 _ � �l
City Swtt: Zip
E -Mail Address: (uc t �a�t L 1r4 & k1 . PAY\ Fax Number; OS-; 09C2Cc-
Zip
41,;11;;;,,v, ;ia ;193J;1414 k ' r1:r °{++t ,I Jr,,l4,i ✓J �S tii�11i
Company Name: P"4 es P'. ..'. (_ 7;e / C.
Mailing Address:- 0 . 4t tie 33 Si
Contact Person: kite:e'//y 11��( %L ,
E -Mail Address kil:;x.l�•4(ut'lL�/%{
Contractor Registration Number: /'toe. rn e
ply
�'tla 'r�? eyrr N
City Sulu Zip
Day Telephone :3
Fax Number:.l9`5- .. (c-g.`5 9
Expiration Date: 10 --31 -(2010
Valuation of Project (contractor's bid price): $ , *WO
�`{-�
Scope of Work (please provide detailed information) i,1 ( tr( 5 ' �‘04, 0fq %.11,01`y-• Tl
Will service be altered? ❑ Yes pi No
Type of Use:
Type of work:,
❑ New ❑ Addition 0 Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served bv:
Adding more than 50 amps? ❑ Yes
J' Puget Sound Energy
❑ Seattle City Light
PIAApplicoiion sWomu•gppliQutions On Lino 11.2009 - Llcclrical Pormii Appilcption.doc
w• •
ca /71
❑ Remodel 0 Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Paso I of 2
S14-10H 006ZbEZESZ St :EZ ZZDZ /E0/50
RESYDENT1
NEW RES ENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
10 Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL. AND SERVICE CHANCES
in Service change or alteration $78.00
(no udded/alrered circuits)
Q Service change with addcd/altered circuits $78.00
number of added circuits $11.00 ca
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits addcd/altered without service change $52.00
(6 or more circuits) $7.30 ca
❑ Meter /mast repair 365.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
I4 iV.TI_FAMILY AND COMMERCI AL
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 ea
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.
11-IEREBY 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.
BUY DING fWNEROR ELECTR CAL C NTRACTAl 2:
Signature A-L G•
iL
�
Print Name: .....?)44‘,1,./ 47-
Mailing Address:
Date: ■-,1 1 J
Day Telephone: D-34
Date Application Accepted:
•
Date Application Expires:
city
State
Zip
Staff Initials:
H: Appliauo.:Worms- Applications Ou Lino11.20U11 - alcciriaol Pco,Sil Application.Gpc
£0/£0 39Vd
Page 2 of 2
S3141OH 006Zb£Z£SZ ST :£Z ttOZ /£0 /S0
• •
City of Tukwila
i 2 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.tukwi la. wa. us
Parcel No.: 2616600030
Address: 4650 S 134 PL TUKW
Suite No:
Applicant: HOLADAY PARKS
RECEIPT
Permit Number: EL11 -0396
Status: PENDING
Applied Date: 05/04/2011
Issue Date:
Receipt No.: R11 -00894
Initials:
User ID:
Payee:
TLS
1670
Payment Amount: $136.50
Payment Date: 05/04/2011 01:55 PM
Balance: $0.00
HOLMES ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 514045
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receipt -06 Printed: 05 -04 -2011
`r0"10 • :. - Ye:- 3- Ki., ---: ,^r ;o•mc:. , • r.n, • :.,:?;•T,..--.- .mot •Te..war r :9.• ' .,
INSPECTION RECORD
Retain a copy with permit
2
INSPECTION NO.
MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
14)1 P11"5
Project:
Type of Inspection: pew
Address: ift00 .5 • /3y 6- �i
Special Instrucfions:
Date Called:
Date Wanted:
7/0r
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval..
COMMENTS:
Inspector:
Date: 01 J 05_ if
n REINSPECTION !'EE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. `
I
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ERMIT N '3.
CITY OF TUKWILA BUILDING DIVISION 12-•
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project:
pws
Type of Inspection:
700
5
Address: /`
Date Called:
Special Instructions:
i
Date Wanted:
ra.rty,
m.
Requester:
Phone No:
Isi Approved per applicable codes. EI Corrections required prior to approval.
COMMENTS:
V.h/
. GJA-14. eps/t-gs
go%1G1-1 1/4 otiket
Inspector:
Date:
f)s- t
1-7 REINSPECTION i=EE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule.reinspection.
Contractors or Tradespeople Per 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
HOLMES ELECTRIC CO
2534794000
Po Box 338
Kent
WA
98035
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
177003752
Active
HOLMEEC549BH
Electrical Contractor
1/8/1946
10/31/2012
General
Unused
Master Electrician INFORMATION
License HILLME'973KR
Name HILLMAN, ED
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOLMES, JERAY A
Agent
01/01/1980
Bond Amount
HOLMES, MICHAEL J
President
01/01/1980
52BSBFB9243
RICHARDS, MICHAEL W
Secretary
01/01/1980
RICHARDS, EUGENE M
01/01/1980
10/15/2010
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
3
HARTFORD FIRE INS
52BSBFB9243
12/08/2008
Until Cancelled
$4,000.0012/09/2008
2
AMERICAN CASUALTY
9239830
12/08/1984
Until Cancelled
02/09/2009
$4,000.0009/14/2008
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
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EREEB00495
10/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 05/04/2011