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Permit EL07-191 - PARK WEST PLAZA
PARK WEST PLAZA 150 ANDOVER PK W EL07491 Parcel No.: 0223100010 Address: 150 ANDOVER PK W TUKW Suite No: Tenant: Name: PARK WEST PLAZA Address: 150 ANDOVER PK W , TUKWII,A WA Owner: Name: GIBSON PROPERTIES LLC Phone: Address: 401 ANDOVER PARK E , TUKWILA WA Contact Person: Name: DREW MACKEY Phone: 206 774 -1356 Address: 3849 1 AV S , SEATTLE WA Contractor: Name: EVERGREEN POWER SYSTEMS INC Phone: 206 774 -1400 Address: 3849 1 AV S , SEATTLE WA Contractor License No: EVERGPS950BE Expiration Date: 01/05/2009 DESCRIPTION OF WORK: RELOCATE (4) EXISTING LIGHT POLES, INSTALL (5) NEW LIGHT POLES, (7) BOLLARD LIGHTS, (1) SIGN J-BOX, TRENCH FOR (2) PSE VAULTS, RUN CONDUIT STUBS FROM VAULT TO (2) FUTURE BUILDINGS, INSTALL TELCO CONDUIT TO BUILDINGS AND (1) 30 AMP TEMP POWER TO TRAILER. Value of Electrical: Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PSE Permit Center Authorized Signature: Signature: Print Name: doc: EL - 4/07 $67,600.00 Cit 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 Fees Collected: Permit Number: EL07 -191 Issue Date: 06/07/2007 Permit Expires On: 12/04/2007 $1,118.00 Date: 0(11c4 I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied , whether specified herein or not. The granting of this permit does not pres to give authority to violate or cancel the provisions of any other state or local laws regulating construction 9r formance of work. am authorized to sign and obtain this electrical permit. Date: O 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 -191 Printed: 06-07 -2007 Parcel No.: 0223100010 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: doc: Cond -Elec 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 150 ANDOVER PK W TUKW PARK WEST PLAZA PERMIT CONDITIONS 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 perfo • ce of work. Print Name: -t Permit Number: Status: Applied Date: Issue Date: Date: o (10. ELO7 -191 ISSUED 06/07/2007 06/07/2007 EL07 -191 Printed: 06-07 -2007 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Site Address: Tenant Name: 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 ** King Co Assessor's Tax No.: V li 2^ % 0 —a7l 0 10 3OO' 6Q (.%) 6S i Suite Number: A�riw. t4 P t 7A- � Name: b i�h! �L�T Property Owners c (LAANS- Mailing Address: Z 65 CA 42-1 PO1N37 - 1(Z1C1AAto permit is ready to he issued CONTACT PERSON - Who do we contact when you Mailing Address: SA4ct. 1 Sr Asi Name: City tate p E -Mail Address: L3iVM CiK-d 4 J C,� � d PS• N r Fax Number: 4 - (4 C 2i ELECTRICAL CONTRACTOR INFORMATION E -Mail Address: v\ L 4. - .0 S . hls-r Contractor Registration Number: E V OVA "5 i5 Q' Will service be altered? ❑ Yes EX No Type of Use: et Type of work: ❑ New 'n Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: Puget Sound Energy ❑ Seattle City Light H: Applications\Fonns- Applications On Line■-2007 - Electrical Permit Application.doc bh City Electrical Permit No. Fax Number: - 2.%6 — 17 e+ - 443 1 Expiration Date: 0 /0S /0 c1 Adding more than 50 amps? Floor: New Tenant: Yes ❑ ..No State 423©3"3 Zip Day Telephone: t b • 1 4 1 5(6 c e,A7T x1 Company Name: Mailing Address: 104 `1 1 t, f ft $ e 6Jr-►"ll e r City is Contact Person: M IC �1�,1U -S Day Telephone: l L.- 114- - 13 SS i- A e i 54\ State Zip Valuation of Project (contractor's bid price): $ 1.011 �0 Scope of Work (please provide detailed information): ko.4005 4 (,, g, 15 (`x(- Li k1'tj P uai, 1 0 S I LL S 14 U &ill ►" Qo s • � ' 3ou, D L� (t F1►`S , t 5� C-r� J �0 % , �.&4L} fin- z P s� JP %Jh- P-thJ comma 1 s 61 fa-CIA" \l/t 'TLI 2 fUti * X 1111.0 4-. TcL coq Do r Tu ��1 - � % 3411/4 16001 Pam- - I ' ❑ Yes Pir No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication Est Temporary Service Page 1 of 2 RESIDENTIAL 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) Print Name: L44 ft- K L 6 Mailing Address: ' Date Application Accepted: H:Wpplications\Fo,ms- Applications On Line4-2007 - Electrical Permit Application.doc bh City 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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: to 11 1 b 1 Day Telephone: 2 ,4' State Zip Date Application Expires: Staff Initials: Page 2 of 2 Parcel No.: 0223100010 Address: 150 ANDOVER PK W TUKW Suite No: Applicant: PARK WEST PLAZA Receipt No.: R07 -01067 Initials: JEM User ID: 1165 Payee: EVERGREEN POWER SYSTEMS, INC. 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 Amount Payment Check 003039 1,118.00 Account Code Current Pmts 000.322.101.00.0 1,118.00 Total: $1,118.00 Permit Number: ELO7 -191 Status: PENDING Applied Date: 06/07/2007 Issue Date: Payment Amount: $1,118.00 Payment Date: 06/07/2007 12:13 PM Balance: $0.00 9096 06/07 9716 TOTAL 1118.00 dnr.: Raniint- lfi Printart. 0fi-07 -2087 Roiect:. iff, 1/11S7 PG 0 4 Type of Inspection: ? /00 Address:, y07) p iloVi4 1.4i Date Called: Special nstru ctions: Date Wanted: / 0 P.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit (40 7—/ INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 proved per applicable codes. Corrections required prior to approval. COMMENTS: A) ( linr si tor: 1 14 13 2 R/C IDatv,4 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Can the schedule reinspection. Receipt No.: 'Date: " .t•-• • '^- COMMENTS: Type of Inspection: \.d Address: 137) /wow A w Date Called: To ef se / 72-ILc Special Instructiono 3 i 1 v - / - - 1K(91/1 &U1- Z- 06 -1 4 7 7041 Tie Requester: P • - - .1(07< 0 Al /t)472 S fir s 7 7W' ce .Aihq 1 71 wo g p e z 4 /A) Type of Inspection: \.d Address: 137) /wow A w Date Called: Special Instructiono 3 i 1 v - / - - Date Wanted: 7/ / Tie Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION e 6300 Southcenter Blvd., #100, Tukwila, WA 98188 . (206)431-3 Approved per applicable codes. 6-07-J9/ ections required prior to approval. ' Inspect /4i. & 71/2&/7vc /4 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. Receipt No.: 'Date: Project: 6 I 8 50 N 1 Type of Inspection: Address: /-5 ,cobovoL P GO Date Called: Special Instructions: Date Wantgd: '/-L3-cJ7 a.m. p.m. Requester: Phone No: .23 - INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PE (206)4 1-3670 OM M ENTS: OK IA 1 i ri Y -A:b Approved per applicable codes. Corrections required prior to approval. Inspect t z ew Atz, Date: 3 9 El $58. REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: 'Date: Project: PARK L.J(ST PA24 Type of Inspection: Tl? A I.tT' Tem Ph,...1tT Address: Acl) ANDntJm2 PAO( Date Called: /a -i3 O } 7 Special Instructions: Date Wanted: 4 _ Pt/- o 7 a.m. p.m. Requester: Phone No: '76o/ INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Approved per applicable codes. Corrections required prior to approval. COMMENTS: �K % RAILr'7t. Tt.W1 Po 'Inspector: Dat &72A T % - �y o 7 El $58.00 I EINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. (Receipt No.: 'Date: ��l.i..`iGM 9iS (206)431 -3 License Information License EVERGPS950BE Licensee Name EVERGREEN POWER SYSTEMS MC Licensee Type ELECTRICAL CONTRACTOR UBI 602451324 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 3849 1ST AVE S Address 2 City SEATTLE County KING State WA Zip 98134 Phone 2067741400 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/5/2005 Expiration Date 1/5/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License MACKEJE2I6JN Business Owner Information Name Role Effective Date Expiration Date HOPKINS, JAMES AGENT 01/05/2005 MACKEY, JAMES E PRESIDENT 01/05/2005 Look Up a Contractor, Electrb ian 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 MACKEJE216JN MACKEY, JAMES E ACTIVE I Bond Information i https:// fortress .wa.gov /lni/bbip /printer.aspx ?License= EVERGPS950BE 06/07/2007