HomeMy WebLinkAboutPermit EL07-068 - USSCOUSSCO
18251 CASCADE AV S
ELO7-068
Parcel No.: 7888900160
Address:
Suite No:
Tenant:
Name: USSCO
Address: 18351 CASCADE AV S , TUKWILA WA
Owner:
Name:
Address:
18351 CASCADE AV S TUKW
Contact Person:
Name: BRIGET GONCZY
Address: 1422 RAYMOND AV SW , RENTONW A
Contractor:
Name: HOLMES ELECTRIC CO
Address: PO BOX 179 , RENTON WA
Contractor License No: HOLMEEC549BH
DESCRIPTION OF WORK:
INSTALL (2) 20 AMP CIRCUITS AND (2) 4 -PLEX RECEPTACLES ON EACH NEW WORK STATION
Value of Electrical: $1,500.00
Type of Fire Protection:
Cityif 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
CAMPBELL JAMES ESTATE
1001 KAMOKILA BLVD , KAPOLEI HI
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
The granting of this permit does not
constructio . • e performance of
Signature: 1 APB.
doc: EL -4/07
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 227 -6691
Phone: (425)255 -8666
Expiration Date: 10/31/2008
ELO7 -068
04/27/2007
10/24/2007
Fees Collected: $104.00
National Electrical Code Edition: 2005
Date: (4t71 -1 pl -
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
ume to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to si obtain this electrical permit. /
Date: /2 c � ! O
Print Name:
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.
EL07 -068 Printed: 04 -27 -2007
Parcel No.: 7888900160
Address: 18351 CASCADE AV S TUICW
Suite No:
Tenant: USSCO
1: ** *ELECTRICAL * **
Signature:
doc: Cond -Elec
N
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
Print Name:
Permit Number: EL07 -068
Status: ISSUED
Applied Date: 04/27/2007
Issue Date: 04/27/2007
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 m 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 pr- ume to give authority to violate or cancel the provision of any other work or local
laws regulating construction or the p = ormance of work.
Date: ( 7 1 /
EL07 -068 Printed: 04 -27 -2007
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Community Developmer* Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:llwww.ci.tukwila.wa.us VA
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 **
�`j
Site Address: I 5/5-5\ 5
Tenant Name: V5e..c)
Property Owners Name: t.)
Mailing Address: \ 35l e 0( 4 \ 9F, S
Name: (lA, ('per" 6r) .9
Mailing Address: I t- Z 1 k)1ki 9.p We, 5( )
E -Mail Address: jW,Qa 6erLD Z\1/40U'INet>, c
Property Served by:
Puget Sound Energy
❑ Seattle City Light
Company Name: 4AOUN1 -5 EUFt'r 7��
Contractor Registration Number:
H :VApplications\Ponns- Applications On Line4-2007 - Electrical Permit Application.doc
Mailing Address: ' 1�1} -AM 0 Wk 5
Contact PersonrkAW
E -Mail Address: TRACaer,. C T (a'n , e PON
Valuation of Project (contractor's bid price): $ 1
Scope of Work (please provide detailed information): )A) $T 3 ( ,t i
Will service be altered? ❑ Yes ( ?No
Type of Use:
Type of work:
❑ New YAddition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
King Co Assessor's Tax No.: 1 Ott& o
Suite Number:
New Tenant:
YVi', A ILA
City
q4
State Zip
o we contactiwben your permit is ready to b'
Day Telephone: 4 4 (414/
City State
Fax Number: Was Caa q- (p,(,
City State Zip
Day Telephone: - ) - ( A,lp%1
Fax Number:
Expiration Date: /t) ` ( Q?.
Floor:
❑ .... Yes ?No
1 L."
try -
Adding more than 50 amps? ❑ Yes (p No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page i of 2
Signature:
Print Name: INAce Y 6
Mailing Address: \ Li ga, Q1�
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
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)
Date Application Accepted:
a•JVaaia,s • a aa-aaj
(7 ?-1-00 14-06 51,0
H:ApplicationsWonns-Applications On LinM4-2001 - Electrical Permit Application.doc
MULTJ _ 1MILY 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
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 ELECTRIC CONTRACTOR:
Day Telephone:
IIT
City
Date: 7 b(Qd
ua� a°a- i 9/
tok 914,65
State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
•
Parcel No.: 7888900160
Address: 18351 CASCADE AV S TUKW
Suite No:
Applicant: USSCO
Receipt No.: R07 -00696
Initials: JEM
User ID: 1165
Payee: ROLMES ELECTRIC
TRANSACTION LIST:
Type Method Description
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
Payment Check 041601 104.00
Account Code Current Pmts
000.322.101.00.0 104.00
Total: $ 104.00
Permit Number: ELO7 -068
Status: PENDING
Applied Date: 04/27/2007
Issue Date:
Payment Amount: $ 104.00
Payment Date: 04/27/2007 10:29 AM
Balance: 80.00
Amount
7584 04/27 9716 TOTAL 104.00
doc: Receiot -06 Printed: 04 -27 -2007
Project:
crss� U
Type of In trio
�,
Addr
I s�l cilscn 41 s
Date ailed:
Special Instructions:
L
Date Wanted: /,
a
pm
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431-
pproved per applicable codes. E1 Corrections required prior to approval.
COMMENTS:
Inspecto „1,
Date -- / / / c.i7
El $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:
4 {�
License Information
License
HOLMEEC549BH
Licensee Name
HOLMES ELECTRIC CO
Licensee Type
ELECTRICAL CONTRACTOR
UBI
177003752
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
PO BOX 179
Address 2
City
RENTON
County
KING
State
WA
Zip
98057
Phone
4252558666
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
1/8/1946
Expiration Date
10/31/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
RICHAM* 178LZ
Business Owner Information
Name
Role
Effective Date
Expiration Date
RICHARDS, MICHAEL W
01/01/1980
RICHARDS, EUGENE M
01/01/1980
HOLMES, MICHAEL J
01/01/1980
HOLMES, JERAY A
AGENT
01/01/1980
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2
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
RICHAM* 178LZ
RICHARDS, MICHAEL
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= HOLMEEC549BH 04/27/2007