Loading...
HomeMy WebLinkAboutPermit EL12-0871 - INTERLINEIN'I'ERLIlNE 1167 ANDOVER PK W EL12-0871 City ofiltukwila 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.: 3523049097 Address: 1167 ANDOVER PK W TUKW Project Name: INTERLINE ELECTRICAL PERMIT Permit Number: EL12 -0871 Issue Date: 09/17/2012 Permit Expires On: 03/16/2013 Owner: Name: WALTON CWWA SOUTHCENTER 4 L Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134 Contact Person: Name: RAY SALZER Address: 5113 PACIFIC HWY E #13 , FIFE WA, 98424 Contractor: Name: IDEAL SERVICES INC Address: 5113 PACIFIC HY E #13 , TACOMA WA 98242 Contractor License No: IDEALSI011J2 Phone: 253 - 475 -8884 Phone: 253 475 -8884 Expiration Date: 04/22/2013 DESCRIPTION OF WORK: NEW WHSE LIGHTING Value of Electrical: NRES: $12,500.00 RES: $0.00 Fees Collected: $316.10 Type of Fire Protection: UNKOWN 1 National Electrical Code Edition: 2008 Electrical service provided by: PUGET SO J ENERGY Permit Center Authorized Signature: ■ .1 / Date: I hereby certify that I have read and examined this p t and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether f •ecified herein or not. The granting of this p construction or the p Signature: Print Name: t does no ance of to violate or cancel the provisions of any other state or loc ign and obtain this electrical permit. A, /4 //, Date: 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 -0871 Printed: 09 -17 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0871 * *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 -0871 Printed: 09 -17 -2012 CITY OF TUKWI Community Developmen. separtment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: / /www. Tukwila W A.gov 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 ** n-QQ i�,, -�� ,` King Co Assessor's Tax No.: Site Address: (�� At c (We 7 pF.-u�� i tk.). -Q.1 T Suite Number: Floor: New Tenant: n Yes Tenant Name: Xt..l'`i'e t Une Address 6113 pp aI c Li j c i 3 City: State:. Zip:9 / _ l Phone: Lc-3 _t[ %r'ill 8, Fax. i 000 4„ Email: Pe -r-m; @_ ;d em, kc rvi -it° 1 n ,corm Valuation of Project (contractor's bid price): $ �2V Scope of Work (please provide detailed information): Company Name: eerc r ,tom Address: 6 t ti t3 City: Fit 1 l�: State: ZiPciyq j Phone: 2;3 _y 7C4S1 t J Fax: Contr Reg No.: TzterkL5; q 0 ((.J rxp Date: Tukwila Business License No.; to H-79. /((J I, 014ST L(71- -11)5 Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes KNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel - Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication 0 Service Property Served by: [ ' Puget Sound Energy ❑ Seattle City Light H:\Applications\Porms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 Name: Address: City: State: Zip: Address 6113 pp aI c Li j c i 3 City: State:. Zip:9 / _ l Phone: Lc-3 _t[ %r'ill 8, Fax. i 000 4„ Email: Pe -r-m; @_ ;d em, kc rvi -it° 1 n ,corm Valuation of Project (contractor's bid price): $ �2V Scope of Work (please provide detailed information): Company Name: eerc r ,tom Address: 6 t ti t3 City: Fit 1 l�: State: ZiPciyq j Phone: 2;3 _y 7C4S1 t J Fax: Contr Reg No.: TzterkL5; q 0 ((.J rxp Date: Tukwila Business License No.; to H-79. /((J I, 014ST L(71- -11)5 Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes KNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel - Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication 0 Service Property Served by: [ ' Puget Sound Energy ❑ Seattle City Light H:\Applications\Porms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 stn fitck. 11111 M - =..� ..� �. .. .. r- .-. M1�.e., u . _ ..: .+... CJ .rte _.. r � v._.r- •___s- �-- ...��� .. .N�.= +".- .- .s..�_- ..F -.-. A -�-t. ---•. 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) pERMIT APPLICATION -NO: MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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. 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 OWN ^ IOR ELECTRICAL CONTRACTOR: Signature: 0/Ae Print Name: Mailing Address: 51 13 PA-c-l6kI. 1& 14(3 H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: ql Day Telephone: 2S3 � 9 J - Dg q City State /Zip Page 2 of 2 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.: 3523049097 Address: 1167 ANDOVER PK W TUKW Suite No: Applicant: INTERLINE RECEIPT Permit Number: EL12 -0871 Status: PENDING Applied Date: 09/17/2012 Issue Date: Receipt No.: R12 -02623 Initials: User ID: Payee: TLS 1670 Payment Amount: $316.10 Payment Date: 09/17/2012 01:02 PM Balance: $0.00 MIKE MILLS IDEAL SERVICES INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 327204 ACCOUNT ITEM LIST: Description 316.10 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 316.10 Total: $316.10 doc: Receiot -06 Printed: 09 -17 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: if* jr Type of Inspection: 2,00 Address: 1 Hi 0v Date Called: v—. Special Instructio s: Date Wanted: 0 m m. Requester: (((( Phone No: \ j Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: jam` /f Date: 10/15.-/ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pri r Friendly Page Electrical Contractor A business licensed by LEO 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 IDEAL SERVICES INC 2534758884 5113 Pacific Hwy E #13 Tacoma WA 98424 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601905187 Active IDEALSI011 J2 Electrical Contractor 4/22/1999 4/22/2013 General Unused Master Electrician INFORMATION License SALZERD979M2 Name SALZER, RAY D Status Active Business Owner Information Name Role Effective Date Expiration Date MENDOZA, CURRAN Agent 01/01/1980 Bond Amount SALZER, RAY President 01/01/1980 32s220869 SALZER, CATHY A Secretary 06/01/2007 ELECTRICAL CITATION SALZER, CATHY Treasurer 01/01/1980 American States Insurance Co LAMBERT, MARCIA President 01/01/1980 12/30/2002 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 4 American States Insurance Co 32s220869 04/20/2012 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0005/07/2012 $250.00 3 American States Insurance Co 6751440 02/15/2011 Until Cancelled 05/07/2012 $4,000.0003/04/2011 2 AM STATES INS 6473071 02/07/2007 Until Cancelled 04/27/2011 $4,000.0002/07/2007 1 CBIC SC0623 04/20/1999 Until Cancelled 02/03/2007 $4,000.0004/20/1999 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 EBRIC01044 9/6/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBRIC01041 9/6/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBRIC01043 9/6/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 09/17/2012