HomeMy WebLinkAboutPermit EL07-287 - LA MANAGEMENTLA MANAGEMENT
100 ANDOVER PK E
ELO7-287
Parcel No.: 0223000020
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
100 ANDOVER PK W TUKW
Contact Person:
Name: JUSTIN BRANSON
Address: 3623 EAST MARGINAL WY S , SEATTLE WA
Contractor:
Name: EVERGREEN POWER SYSTEMS INC
Address: 3849 1 AV S , SEATTLE WA
Contractor License No: EVERGPS950BE
DESCRIPTION OF WORK:
RELOCATE 150A Panel 75 KVA TRANSFORMER, 200A PANEL AND INSTALL (1) J -BOX
Value of Electrical: $4,500.00
Type of Fire Protection:
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating
construction or the erform ance of work. I am authorized to sign and obtain this electrical permit.
P
Signature: Date:
J u` S r \
Print Name:
doc: EL - 4/07
LA MANAGEMENT
100 ANDOVER PK W , TUKWILA WA
OPEN FRAME LLC
2635 CARILLON PT , KIRKLAND WA
City.►f 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:
Issue Date:
Permit Expires On:
Phone:
Phone: 206 -774 -1359
Phone: 206 774 -1400
Expiration Date: 01/05/2009
EL07 -287
07/11/2007
01/07/2008
Fees Collected: $164.00
National Electrical Code Edition: 2006
Date: - 7`- L 1 '"U
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 -287 Printed: 07 -11 -2007
Parcel No.: 0223000020
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Signature:
Print Name:
doc: Cond -Elec
LA MANAGEMENT
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
100 ANDOVER PK W TUKW
Ar
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
ELO7 -287
ISSUED
07/11/2007
07/11/2007
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: A VC I7
EL07 - 287 Printed: 07 -11 -2007
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
3L?o
Tenant Name: (A M AG I 3b 1 2.1 b
Property Owners Name: Lk ,
Mailing Address: V. %N. 84x e►6l
Name: '31.4SM -4 3 54x4
H:MpplicationsTonns- Applications On Line\- 2007 - Electrical Permit Application.doe
bh
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.: 0?-2-S00 - 00
Site Address: 1 00 Ar+takdri - P/►g- V...■P "I ST Suite Number: 13 Floor:
City
New Tenant: Yes ❑ ..No
State
CONTACT PERSON =Who do we contact when your permit is ready to be issued
Day Telephone: 246 - 114 - 1 i:S't
Mailing Address: 3 1.23 seirc ",14-6 %I)* -t 5A-1711 St-Phinr b a 161344
City
State Zip
E -Mail Address: Fax Number: 2. L - - ('to s
c eH3�
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: l Cr ?P-I 'i.vR - AS 7P^
Mailing Address: 3(23 'WS: MA LGlwAt WAS* S - tiYl" t4.4 15
City State Zip
Contact Person: 3 Xw a204wS IJ Day Telephone: 204 - l74 - arrs
E - Mail Address: Fax Number: -) ot, - -7/4 - ! Lt a
Contractor Registration Number: e'Vt:4C.?S ciS $E Expiration Date: a %/NS 74.1
Valuation of Project (contractor's bid price): $ 450.3. 4.3
Scope of Work (please provide detailed information): 1$.£t0 : ( , tSti ?NL '7S Vuti
2- s Snit . p*+p 71.'Yre.41 CO 7 - OW{ -
Will service be altered? ❑ Yes pa No Adding more than 50 amps? ❑ Yes �No
Type of Use: T�
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ' Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
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)
Signature:
Print Name:
Mailing Address:
I Date Application Accepted:
'3 To a 3 ie. 5tY1 el_r r ( t
HA Applications On 1.ine4-2007 - Electrical Permit Application.doc
bh
JI
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 NOTE
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:
Date:
Day Telephone: 69e) 6 ) 7 (act — -L 1 6.-C
Se fit , v A y
City State Zip
Date Application Expires:
Stafl'Initials:
Page 2 of 2
1
Parcel No.: 0223000020
Address: 100 ANDOVER PK W TUKW
Suite No:
Applicant: LA MANAGEMENT
Receipt No.: R07 -01349
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
City of Tukwila
Payee: EVERGREEN POWER SYSTEMS
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
Initials: WER Payment Date: 07/11/2007 10:15 AM
User ID: 1655 Balance: $0.00
Amount
Payment Check 3251 164.00
Account Code Current Pmts
000.322.101.00.0 164.00
Total: $ 164.00
Permit Number: EL07 -287
Status: PENDING
Applied Date: 07/11/2007
Issue Date:
Payment Amount: $164.00
0209 07/12 9710 TOTAL 164.00
doc: Receipt -06 Printed: 07 -11 -2007
Project: /�
LA /nl�AOat fnI /
Type of Inspection:
i �
CC
Address: /� , _ )
`//
Date Called:
S pecial Instructions:
Date Wanted:
7/
a.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
oved per applicable codes.
JIflSP7 r /i4-- i?72
/ fit/‘/
Ail - -2'5 7
El Corrections required prior to approval.
COMMENTS:
c v f/ z
Mi
Date?/ 7
$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:
License Information
License
EVERGPS950BE
Licensee Name
EVERGREEN POWER SYSTEMS INC
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
MACKEJE216JN
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, 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
MACKEJE216JN
MACKEY, JAMES E
ACTIVE
I Bond Information
1
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= EVERGPS950BE 07/11/2007