HomeMy WebLinkAboutPermit EL07-410 - PUGET SOUND ENERGYPUGET SOUND ENERGY
S 180 ST&ANDOVERPKE
ELO7-410
Parcel No.:
Address:
Suite No:
Contractor:
Name: PUGET SOUND ENERGY INC
Address: PO BOX 97034 , BELLEVUE WA
Contractor License No: PUGETSE033DD
Permit Center Authorized Signature:
doc: EL -4/07
City J 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
Tenant:
Name: PUGET SOUND ENERGY
Address: S 180 ST AND ANDOVER PK E , TUKWILA WA
ELECTRICAL PERMIT
Owner:
Name: GRAY CAT COLLECTIVE LLC Phone:
Address: 5430 45TH AVE W , SEATTLE WA
Permit Number: EL07 -410
Issue Date: 08/20/2007
Permit Expires On: 02/16/2008
Contact Person:
Name: TY GOLLIER Phone: 206 604 -5848
Address: PO BOX 90868 , BELLEVUE WA
Electrical Service provided by: PUGET SOUND ENERGY
■
7 o `(e c_-
Phone: 425 454 -6363
Expiration Date: 03/04/2009
DESCRIPTION OF WORK:
NEW 60 AMP ELECTRICAL SERVICE FOR NEW RTU (GAS MONITORING EQUIPMENT) WON. gri W pop 5 (44 (2-o
Value of Electrical: $2,500.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
$124.00
Date: 19401-
I hereby certify that I have read and e . 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 • oes not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the p rf• � ance 0 ; 4 •wo, J am authorized to sign and obtain this electrical permit. �
Signature: ? � s
� - Date: Ci 2O
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 -410 Printed: 06-20 -2007
Parcel No.: 3523049069
Address:
Suite No:
Tenant: PUGET SOUND ENERGY
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
PERMIT CONDITIONS
Permit Number: ELO7 -410
Status: ISSUED
Applied Date: 08/20/2007
Issue Date: 08/20/2007
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 th eperformance of work.
Print Name:
Date:
EL07 -410 Printed: 08 -20 -2007
Tenant Name:
Name:
Mailing Address:
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hftp: / /www. ci. tkwila. wa.us
Site Address: `> rip O
f5E
Property Owners Name: / C / ` K-t g Cr it f V'( 1
City
Mailing Address: faAtelerge
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Cho //ere—
/
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
5
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
r0(1 Fru
H:\Applications\Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc
bh
Project No.
Electrical Permit No.
lee 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 **
o
King Co Assessor's Tax No.: ° 1 C 1
Suite Number: Floor:
New Tenant: ❑ Yes ❑ ..No
State
Zip
Day Telephone: 2 06 64 e1 S e T 7
"
City State Zip
State
Zip
pea,/ c, O 4 e f /cG` - ffa <c S"Ce -�
G
G•44
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
uget Sound Energy
❑ Seattle City Light
Page 1 of 2
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)
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
BUILDING OWNER ORELECT NTRACTOR:
Signature:
Print Name:
Mailing Address:
I Date Application Accepted:
H:Wpplications\Forms- Applications On tine41-2007 - Electrical Pennit Appliation.doc
bh
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
❑ 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.
a Telephone:
c-
MISCELLANEOUS FEES
Date:
Qua
City State Zip
Staff Initials:
Date Application Expires:
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. ci. tukwila. wa. us
RECEIPT
Parcel No.: 3523049069 Permit Number: EL07 -410
Address: Status: PENDING
Suite No: Applied Date: 08/20/2007
Applicant: PUGET SOUND ENERGY Issue Date:
Receipt No.: R07 -01749
Initials: JEM
User ID: 1165
Payee: TYRONE GOLLIER
TRANSACTION LIST:
Type Method Description
Amount
Payment Check 15756 124.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
Account Code Current Pmts
000.322.101.00.0 124.00
Total: $124.00
Payment Amount: $ 124.00
Payment Date: 08/20/2007 03:30 PM
Balance: $0.00
1863 08/21 0710 TOTAL 124.00
doc: Receiot -06 Printed: 08 -20 -2007
Project
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Type of Inspection:
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Date Called:
lo
Special Instructions:
O\ t
Date Wanted:
/ a.m.
P.m.
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Requester: ^ � O //�
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INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
EL07 i
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367
!Approved per applicable codes.
OMMENTS:
Corrections required prior to approval.
I /.'S/ifT 444,e4,/71 I a
$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:
P
Type of Inspection2
7
y \.
Address: •�i
s/���,N8Ddi/l
j
Date Called:
Special Instructions:
Date Wanted:
/ L5
a.m.
p.m.
Requester:
Phone No:
I
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISI
6300 Southcenter Blvd., #100, Tukwila, WA 98188
fil 'icI
ON
(206)431 -36
PERMIT NO.
roved per applicable codes. Corrections required prior to approval.
COMMENTS:
rX - uN6x4 G/!Ol�ivn
(i X - </ /cam"
Inspect r/ LG (/ ,,b 7/ ////‘ #
El $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:
Date / /.
-y�
{C)2006
3523049070
3523049059
3523049002
3623049074
3623049106
Page 1 of 1
http://www5.metrokc.gov/output/parcellite_mapper21124340012865.gif 08/20/2007
01 -08 -2008
TY GOLLIER
PO BOX 90868
BELLEVUE WA 98009
RE: Permit No. EL07 -410
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 Inspection Request Line 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 writinr and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 02/25/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Ckk
Jc in fer Marshall
Permit Technician
xc: Permit File No. EL07 -410
City of Tukwila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
License Information
License
PUGETSE033DD
Licensee Name
PUGET SOUND ENERGY INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
179010055
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
ATTN: TYRONE B GOLLIER
Address 2
PO BOX 97034
City
BELLEVUE
County
KING
State
WA
Zip
98009
Phone
4254546363
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
3/4/1997
Expiration Date
3/4/2009
Suspend Date
Separation Date
Parent Company
Previous License
PUGETSP653R0
Next License
Associated License
GOLLITB972MZ
Business Owner Information
Name
Role
Effective Date
Expiration Date
HAWLEY, RICHARD L
01/01/1980
WEAVER, WILLIAM S
01/01/1980
ELDREDGE, JIM
01/01/1980
HOGAN, TIMOTHY J
01/01/1980
Look Up a Contractor, Electri-'in or Plumber License Detail
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.
Master Electrician Information
License
Name
Status
GOLLITB972MZ
GOLLIER, TYRONE B
ACTIVE
Page 1 of 2
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= PUGETSE033DD 08/20/2007