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Home My WebLink AboutPermit EL12-0736 - STATE FARM - AGENT SMITHSTATE FARM AGENT SMITH 525 STRANDER BL EL12-0736 City ofikukwila • 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.: 0223200061 Address: 525 STRANDER BL TUKW Project Name: STATE FARM, AGENT SMITH ELECTRICAL PERMIT Permit Number: EL12 -0736 Issue Date: 08/06/2012 Permit Expires On: 02/02/2013 Owner: Name: WOLVERINE PROPERTIES L L C Address: 415 BAKER BLVD , TUKVVILA WA 98188 Contact Person: Name: MARSHALL JONES Phone: 253 561 -1233 Address: 27726 131 CT SE , KENT WA, 98030 Contractor: Name: M JONES ELECTRIC Address: 27726 131 CT SE , KENT WA 98030 Contractor License No: MJONEJE90400 Phone: 253 - 561 -1233 Expiration Date: 09/20/2012 DESCRIPTION OF WORK: LIGHTING RETROFIT Value of Electrical: NRES: $234.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and ex governing this work will be complie . with, whether specified herein or not. Date: $63.00 2008 ed this permit and know the same to be true and correct. All provisions of law and ordinances The granting of this permit does not pr e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or th rform ce o wor authorized to sign and obtain this electrical permit. Signature: Date:3 cG) —G Z Print Name: f Y? I � d e 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 EL12 -0736 Printed: 08 -06 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0736 * *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 EL12 -0736 Printed: 08 -06 -2012 CITY OF TUKWI Community Developmen artment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 in � Electrical Pernitio. iL- [ L D19-1, Project No. Date Application Accepted: Date Application Expires: or of ce use on 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 5 Z. cam' sr Ft E (� gt_ Site Address: f csI{tkpr F`Vd- Tenant Name: 1�-, if -e-nV O. (l l i King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑..Nc PROPERTY OWNER Name: C G \P-11-J 1' 0 • IY11' -i�(1 Address: 503 <sva 1ndeAr ',k \I a. City: U.,0 1 \LX_ State: .0( Zip: I Tin CONTACT PERSON — person receiving all project communication Name: n-Nris j'Y'�1� _1 P ,. Address: -- 0 L,2)\ G1 .c.... City: , (_ _ . ^ State: u p Ziptilicrov Phone: cz s , s (p(^ I o3 iax. Email: CO • .r7cy\P°-, SJY\O4nV'Ai 1 • corn. ELECTRICAL CONTRACTOR INFORMATION Company Name: 3�Ale,S b Ie� � ; ' L! Address. .ja io 131 c- S ..c.,__ City: State: Qp Zip: /� Phone -Sol _ Ia3 3 Fax: Contr Reg No.: Exp Date: ,2o a �bN��cyAa o 1 Tukwila Business License No.: Bos _0Gt721971 6b Valuation of Project (contctor's bid price): $ a Scope of Work (please provide detailed information): j. (� (.� i j ) (T 'S� R .: ( Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Pro S rved : Puget Sound Energy ❑ Seattle City Light H:Vtpplicalions\Forn s- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 ❑ Tenant Improvement ❑ Temporary Service 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) $63.001 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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 sub ect 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 limital on. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writint 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 PERM BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Nipeshisc.c. Jdn1L --S Date: 13 -6 / 2-- IT. Day Telephone: Z53 5-6 1 L 7 -3 3 Mailing Address: 2 77 24, /3/ C / 5 Gtr /4- Q City State Zip t H:\Applications\Fmou- Applications On Line\2011 ApplicationsTlectrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 • 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 Parcel No.: 0223200061 Address: 525 STRANDER BL TUICW Suite No: Applicant: STATE FARM, AGENT SMITH RECEIPT Permit Number: EL12 -0736 Status: PENDING Applied Date: 08/06/2012 Issue Date: Receipt No.: R12 -02289 Initials: JEM User ID: 1165 Payment Amount: $63.00 Payment Date: 08/06/2012 12:48 PM Balance: $0.00 Payee: M JONES ELECTRIC, MARSHALL JONES TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 287929 ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 08 -06 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 .T (206) 431 -3670. Permit Inspection Request Line (206) 431 -2451 Project/ � r Type of Inspection: Address: c2, Jr _ D Date Called: Special Instructions: / dam' rz_ � /_ t) l6 � Date Wanted:. '' a.m. g •v 11 7:' - p n i Requester: ' Phone No Approved per applicable codes. El Corrections required prior to approval.,. COMMENTS: 1 f—tAitst, Inspector: Wdefi E REINSPECTION FEE REQUIRED. Prior to next ctio paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection;_ 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 M JONES ELECTRIC 2535611233 27726 131St Ct Se Kent WA 98030 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601698416 Active MJONEJE90400 Electrical Contractor 9/20/2010 9/20/2012 General Unused Electrical Administrator INFORMATION License JONESMH968P1 Name JONES, MARSHAL H Status Active Business Owner Information Name Role Effective Date Expiration Date JONES, MARSHALL H Owner 09/20/2010 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 2 American States Insurance Co 325178314 04/20/2012 Until Cancelled $4,000.0005/15/2012 1 American States Insurance Co 6734467 09/16/2010 05/15/2012 $4,000.00 09/20/2010 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 https: // fortress .wa.gov /lni/bbip/Print.aspx 08/06/2012