HomeMy WebLinkAboutPermit EL07-015 - CITY OF TUKWILACITY OF TUKWILA
6830 FORT DENT WY
ELO7-015
Parcel No.:
Address:
Suite No:
Tenant:
Name: CITY OF TUKWILA
Address: 6830 FORT DENT WY , TUKWILA WA
Owner:
Name:
Address:
Contact Person:
Name: JIM BAGNE
Address: 909 KIRKLAND AV , KIRKLAND WA
Contractor:
Name: ASHFORD ELECTRIC & CONST CO
Address: 909 KIRKLAND AV , KIRLAND WA
Contractor License No: ASHFOEC 147QC
DESCRIPTION OF WORK:
AT EXISTING TUKWILA SEWER PUMP STATION:
ADD CIRCUIT FOR SUMP PUMP
ADD SIGNAL CIRCUIT FOR FLOWMETER
Value of Electrical: $2,500.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PSE
Cit3f 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
ELECTRICAL PERMIT
Permit Number: EL07 -015
Issue Date: 04/06/2007
Permit Expires On: 10/03/2007
Phone:
Phone: 425 889 -1486
Phone: 425 889 -1486
Expiration Date: 11/03/2008
$124.00
Date: 6 tO(eW T
Permit Center Authorized Signature:
I hereby certify that I have read and kxaknined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied th, whether specified herein or not.
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
constructio perfo of work. I am authorized to sign and obtain this mechanical permit. c
Signatur . n �Gf_ Date: / �"‘ 7
Print Name: -t / kfrf GU/¢ UI
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 -4/07
EL07 -015 Printed: 04 -06 -2007
Parcel No.:
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
doc: Cond - Elec
CITY OF TUKWILA
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: ELO7 -015
Status: ISSUED
Applied Date: 04/06/2007
Issue Date: 04/06/2007
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.
Date:
V -‘ -07
EL07 -015 Printed: 04 -06 -2007
Tenant Name:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn: / /www. ci. tkwila. wa. us
E -Mail Address: / h� ,/ ex) c.. 3-A 4,d e/ c Cr-� c. ec
Company Name: Ariii-r-too-b,
Mailing Address:: 9� ? kr am w0
Contact Person: r,/ / hit T.4 6 wF
Aue
Will service be altered? Yes No al
Type of Use: C, / y y a > .S- rcZtil
Type of work:
El New p7 Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On lineal -2007 - Electrical Permit Application.doc
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Electrical Permit No. ✓l� 0 / 4" v g
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:A SiN 1 -r �✓CN� w� Suite Number: Floor: N/R
New Tenant: ❑ Yes ❑ .. No
< �•�x)J
City
Property Owners Name: (. , r y D F — MK GUI (-A
Mailing Address: 6.300 d c v 7 r_rJJrr12 2W b - � v,rz /QC' ! J c.4 1 . c/ /Pe
City State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: ; 1 24-Z L2E - 14 ,, -47 k L t G7'e le_ Day Telephone: .2 - v 8 9 - l Y5 to
Mailing Address: 90 7 K,2,! AE Au7 /4'i fi 1 [•••9-Nd tag _ '0 3 3
City
Fax Number: V25-f1.? P 5 o YS
State Zip
ELECTRICAL CONTRACTOR INFORMATION
Wes_ 170 3 3
State Zip
Day Telephone: t ic) S - /Y'
E -Mail Address: J i',r t 6 et. SA -Lre/e /i�ct -� c . l a U4. Fax Number: Y, - f t 5 7 o Y S
Contractor Registration Number:/r t6 o 'C.. / Vf 7 0Q C
Expiration Date:
Valuation of Project (contractor's bid price): $ o? Se:›O �tiC
Scope of Work (please provide detailed inform ion): AT fit s r / k- w i' L -s �u>e� "" /114 P -7� 7"
4 66 C ( 1,7 /u P 14..
Adding more than 50 amps? ❑ Yes KNo
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 oft
two
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Ifl.1 � _
Print Nam . / hit 'RA- 6x1 4
Mailing Address: IP ! M2K1. Jn
I Date Application Accepted:
f1-1L ,tor
H:WpplicaaonsiForms- Applications On lineal -2007 - Electrical Permit Application.doc
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$140.00
$75.00 ea
$55.00 ea
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
Date: (o " 7
Day Telephone: Y•2$' " -', V8 to
ffiL14_L.4N iW,R- -
7e0 7d
City State Zip
Date Application Expires:
Staff Initials: i —,,.--
Page 2 of 2
Parcel No.:
Address:
Suite No:
Applicant: CITY OF TUKWILA
Receipt No.: R07 -00527
Initials: JEM Payment Date: 04/06/2007 03:48 PM
User ID: 1165 Balance: $0.00
Payee: ASHFORD ELECTRIC & CONSTRUCTION CO.
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3916 124.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
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
RECEIPT
Account Code Current Pmts
000.322.101.00.0 124.00
Total: $124.00
Permit Number: EL07 - 015
Status: PENDING
Applied Date: 04/06/2007
Issue Date:
Payment Amount: $124.00
doc: Receiot -06 Printed: 04 -06 -2007
Project:
CITY of 7...xt....),LA
Type of Inspection:
Address:
ei° 49'3° PPP."'
p
Date Called:
Special Instructions:
"
Date Wanted:
/0 ' .7 9 - 07
a.m.
Requester:
9 999
Phone No:
1 4,2,3- 1 /03 t 'l
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
206 )43 1-
OMMENTS:
J inspec
Approved per applicable codes. Corrections required prior to approval.
Date:
El $58.06 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
'Receipt No.:
t Z/7 A/2)7"
'Date:
A es :
. v 04, ; FM I't l
Special Instructions:
Date Called:
Requester:
Phone No:
0. 431 -36
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
A proved per applicable codes.
COMMENTS:
- fl'C. coM « f7 /iU Al c f f
'Inspector:R/1 g i _ rxx m liciii IDate:V / y / G _
JJ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
'Receipt No.:
'Date:
INSPECTION RECORD
Retain a copy with permit
ft. 02 - / .�
PERM u.
r.4,4
Corrections required prior to approval.
6
Jim Bagne
909 Kirkland Av
Kirkland WA
98033
RE: Permit No. EL07 -015
TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila
Building Division. Per the International Codes, Uniform Plumbing/Fuel Gas Code, and/or the National Electrical
Code, every permit issued by the Building Division under the provisions of the code shall expire by limitation and
become null and void if the building or work authorized by such permit is not commenced within 180 days from the
date of such permit issuance, or if the building or work authorized by such permit is suspended or abandoned at any
time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Permit Center at 206 -431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last
inspection; or if the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National
Electrical Code does allow the Building Official to approve one extension of time for an additional period not
exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances
beyond the applicant's control have prevented action from being taken.
Your permit is due to expire on 10/09/2007. Due to the short notice of this letter, your permit will become null and
void and any further work on the project will require a new permit and associated fees if you do not call for an
inspection or receive an extension prior to 10/29/2007.
Thank you for your cooperation in this matter.
Sincerely,
ifer Marshall
it Technician
xc: Permit File No. EL07 -015
City of Tukwila Steven M Mullet, Mayor
Department of Community Development Steve Lancaster, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
License Information
License
ASHFOEC147QC
Licensee Name
ASHFORD ELECTRIC & CONST CO
Licensee Type
ELECTRICAL CONTRACTOR
UBI
600640030
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
909 KIRKLAND AVE
Address 2
City
KIRKLAND
County
KING
State
WA
Zip
980336326
Phone
4258891486
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
11/3/1986
Expiration Date
11/3/2008
Suspend Date
Separation Date
Parent Company
Previous License
SUMMIE* 140BF
Next License
Associated License
ASHFOMK941 OG
Business Owner Information
Name
Role
Effective Date
Expiration Date
ASHFORD, GLORIA
01/01/1980
ASHFORD, KENNETH
01/01/1980
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
fir`
Washington State Department of Labor and Industries
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.
Electrical Administrator Information
License
Name
Status
ASHFOMK941 OG
ASHFORD, MARK K
ACTIVE
I Bond Information
i
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= ASHFOEC 147QC 04/06/2007