Loading...
HomeMy WebLinkAboutPermit EL11-0671 - LEGACY PARTNERSLEGACY PARTNERS 16400 SOUTHCENTER PY EL1 1 -0671 City oPfukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 2623049021 Address: 16400 SOUTHCENTER PY TUKW Project Name: LEGACY PARTNERS ELECTRICAL PERMIT Permit Number: EL11 -0671 Issue Date: 07/22/2011 Permit Expires On: 01/18/2012 Owner: Name: LEGACY PARTNERS COMMERCIAL Address: 4000 E 3RD AVE #600 , FOSTER CITY CA Contact Person: Name: VANESSA GREENE Phone: 425 - 481 -5001 Address: 21706 66 AV W , MOUNTLAIE TERRACE WA Contractor: Name: LIGHT DOCTOR LLC Address: 21706 66 AVE W , MOUNTLAKE TERRACE WA Contractor License No: LIGHTDL954L8 Phone: 425 - 481 -5001 Expiration Date: 06/28/2013 DESCRIPTION OF WORK: Value of Electrical: NRES: $30,762.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: Date: $625.70 2008 I hereby 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 f this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: [% Lf EC HE Date: 22 • n 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 -4/10 EL11 -0671 Printed: 07 -22 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0671 * *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 -4/10 EL11 -0671 Printed: 07 -22 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us FA:140 Electrical Permit No. • 1..._11 ( ~] Project No. (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 King Co Assessor's Tax No.: Site Address: t U.L'4b x"1011,1 (f_t.t.k..4 Suite Number: Tenant Name: Le 0. c 3 & A_c. - S 1C 1.k..A.�Q(rSL New Tenant: ❑ Yes EL.No q Property Owners Name: Y. iM Ll t.c,..L -t..•1 • 4ZS )'i 2 • ''.O Mailing Address: 1\A(X) 4JAs-1trite-4, : C.A. . C [x k..' L Ti.LC.,u t k L '% 1 5 S" City State Floor: Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: N1L.xl.0 Sc�(`f� nee-Like- L C\AAA- bCCAt Mailing Address: City State Zip Fax Number: C r Z`3 ' L 5(1 Li(J \k Day Telephone: 2t (FCI Loa E -Mail Address: \iyet/ Ile -(tc1Y . (On ELECTRICAL CONTRACTOR INFORMATION Company Name: UL») Jr ccicer Mailing Address: r2�, LAL Contact Person: VtLA,L.Cc -e n.. al 9- E -Mail Address: \ fyiyee.A. la dY 4tY • (fW Contractor Registration Number: II Cicvx.l 01.Ci�aAt115 fYil✓l c T - - c4. I L aftb4b City State Zip Day Telephone:: 4zs • LN1 • stot s Fax Number: 2- • 21-S • 1144C IS Expiration Date: Valuation of Project (contractor's bid price): $ LQ Scope of Work (please provide detailed information): L1Cvl Urt t (C..� -t c) o �- ,A,,i1 cA---11ACk Will service be altered? ❑ Yes 14 No Adding more than 50 amps? ❑ Yes © No Type of Use: "�- Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel irg. Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: -' Puget Sound Energy ❑ Seattle City Light H: Applications\Fonns- Applications On Line \1 -2009 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $145.60 $78.00 ea $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered 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) MULTI- FAMILY AND 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 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: Print Name: Ci_c.ti -Jd-- reell'L Day Telephone: al, 1`61.1) LALPZ. Mailing Address: 2,9 t.0L IV. nelayIi-16A CQ. "(Q,l.tftfl2, clam O04� City Date: 1/t D 1 1 I State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:Wpplications \Forms - Applications On line \I -2009 - Electrical Permit Application.doc bh Page 2 of 2 • • r--.4 w 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.TukwilaWA.gov RECEIPT Parcel No.: 2623049021 Permit Number: EL11 -0671 Address: 16400 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 07/22/2011 Applicant: LEGACY PARTNERS Issue Date: Receipt No.: R11 -01546 Initials: WER User ID: 1655 Payment Amount: $625.70 Payment Date: 07/22/2011 08:53 AM Balance: $0.00 Payee: LIGHT DOCTOR LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 16089 625.70 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 625.70 Total: $625.70 doc: Receiot -06 Printed: 07 -22 -2011 INSPECTION NO. INSPECTION RECORD `� Iv �' Retain a copy with permit «V+D PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 it. (206) 431 -3 Permit Inspection Request Line (206) 431 -2451 Project: PAI/400 'Type of Inspection: �� Address: /����,� ' Pil• Date Called: Special Instructions: :::::::ci Z2 Phone No: Approved per applicable codes. (Corrections required prior to approval. OMMENTS: 1 nrimativar 9" Inspector: `Date: 0i 2#z / 1 ❑ REINSPECTION FEE REQUIRED'. Prior to next inspection. fee must be • . paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioit. • I N'S:P E p I O N .R'E :.O!R i :f' Retarn�a'eeypy ►th permit INSPECPION NO. ; PERMIT NO. CITY OF TUKWILA BUILDING - DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 rL(206) 431 =3670 Permit Inspection Request Line (206) 431 -2451 Project: .14--4 At* is J©Air-1n►os r TyTe o3 Inspection: 0.2/019 Addre s: lbYa) .-ritem e AlA Date Called: . Special Instructions: • ate Want m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Sep6C7fr/ !A!..?,,,,.f �! .. . l Inspector: 4te: I I REIN CTION FEE REQUIRED. Prior to next inspection. fee must be paid t 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. r- Contractors or Tradespeople Prr 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 LIGHT DOCTOR LLC 4254815001 21706 - 66Th Ave W Mountlake Terrac WA 98043 Snohomish Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602503496 Active LIGHTDL954L8 Electrical Contractor 6/28/2005 6/28/2013 General Unused Electrical Administrator INFORMATION License SEGURFJ899CP Name SEGURA, FRANCISCO JR Status Active Business Owner Information Name Role Effective Date Expiration Date NIELSEN, KURT R Partner /Member 06/28/2005 Bond Amount NIELSEN, DONALD P Partner /Member 06/28/2005 2063005 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 FEDERATED MUTUAL INS CO 2063005 05/23/2009 Until Cancelled 19.28.161 RCW ELECTRICAL CITATION $4,000.00 07/02/2009 1 TRAVELERS CASUALITY AND SURETY 104451378 05/23/2005 Until Cancelled 10/01/2009 ENESM00230 $4,000.0006/28/2005 19.28.161 RCW 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 ENESM00231 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00229 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00228 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00230 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00227 2/28/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EOKAD00262 9/27/2005 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02971 5/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EJORP02972 5/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 07/22/2011