HomeMy WebLinkAboutPermit EL07-587 - INSPATTaLLS
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Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
DESCRIPTION OF WORK:
LOW VOLTAGE: (3) T -STATS AND ASSOCIATED LV WIRING
Value of Electrical:
Type of Fire Protection:
Electrical Service provided by:
The granting of
construction or
Signature:
Print Name: \ 11
doc: EL -4/07
Cityf 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
2623049081
17100 SOUTHCENTER PY TUKW
INSPA
17100 SOUTHCENTER PY, STE 112 , 'TUKWILA WA
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE WA
SHANNON BUCKINGHAM
5108DSTNW, AUBURN WA
EMERALD AIRE INC
Address: 5108 D ST NW , AUBURN WA
Contractor License No: EMERAAI991KG
$300.00
Permit Center Authorized Signature:
PUGET SOUND ENERGY
d 5) d4fr\
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 253 872 -5665
Phone: 253 -872 -5665
Expiration Date: 05/07/2009
Fees Collected:
National Electrical Code Edition:
EL07 -587
10/15/2007
04/12/2008
$62.00
2005
I hereby certify that I have read an ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compile vn whether specified herein or not.
permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
performance of work. I am authorized to sign and obtain this electrical permit.
Date:
lc/
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 -587 Printed: 10 -15 -2007
City of Tukwila
Parcel No.: 2623049081
Address: 17100 SOUTHCENTER PY TUKW
Suite No:
Tenant: INSPA
1: ** *ELECTRICAL * **
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: EL07 - 587
Status: ISSUED
Applied Date: 10/15/2007
Issue Date: 10/15/2007
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 m accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
6: 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.
doc: Cond -Elec
Date: /0//5
EL07 -587 Printed: 10 -15 -2007
Type of Use:
Site Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
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 **
Tenant Name: L.P6f (k
Property Owners Name: t k)\E\ Pr i itto
Mailing Address: /. I 10 U Or'', , S S
CONTACT 'PERSON Who do we contact when your permit is reaidy'to be issue
Name:: Tha Yn i � / Day Telephone: &5 /0 (cJ C),8 - 64 �LJ
(+
Mailing Address: 5I05 1.4.3 t YJ- Cb14,0)
City State Zip
E -Mail Address .�L � jy 0 i? .(— » Fax Number: r�?. 53 f 4 , 7
ELECTRICAL'CONTRACTOR INFORMATION
Company Name:
Mailing Address: (5/De3
Contact Pers
E -Mail Address:
Contractor Registration Number:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed informatio
Will service be altered? ❑ Yes 44 No
Type of work:
IQ New ❑ Addition ❑ Service Change
)Q
Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H: .pplicationsWorms- Applications On Line44.2007 - Electrical Permit Application.doc
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ice use only)
King Co Assessor's Tax No.: 2.1P2 3) O [
Suite Number: a
New Tenant:
City
Floor:
Yes
t.l
State
Adding more than 50 amps? ❑ Yes 9No
❑ ..No
Zip
atbain
City State � Zip
Day Telephone: p7 ��1 ] ro l e �.r
Fax Number: e =' — e p ' 7
Expiration Date: 4 /1/`tY 9
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ 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 575.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) 555.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration 575.00
(no added/altered circuits)
❑ Service change with added/altered circuits 575.00
number of added circuits 510.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change 550.00
(6 or more circuits) 57.00 ea
❑ Meter /mast repair 565.00
❑ Low voltage systems 555.00
(alarm, furnace thermostat)
BUILDING OW ? R OR ELECTRIC = - _ CONTRACTOR:
Signature:
Print Name: ./11 . AK, It
Mailing Address5 /cD46 1 . T ' v (A..)
I Date Application Accepted:
toil 4
HAApplications \Forms - Applications On Line\4- 2007 - Electrical Permit Appliation.doc
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MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) 575.00
❑ Manufactured/mobile home service 580.00
(excluding garage or outbuilding)
❑ Carnivals 575.00
Number of concessions 510.00 ea
PERMIT NOT
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.
hu_ro
Date: er Day Telephone: 3
/A) fr-
Stett b lZip
Date Application Expires:
Staff Initials:
Page 2 of 2
Receipt No.: R07 - 02256
Initials: JEM
User ID: 1165
Payee: EMERALD AIRE, 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
Parcel No.: 2623049081 Permit Number: ELO7 -587
Address: 17100 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: ' 10/15/2007
Applicant: INSPA Issue Date:
Amount
Payment Check 1046 62.00
Account Code Current Pmts
000.322.101.00.0 62.00
Total: $62.00
Payment Amount: $62.00
Payment Date: 10/15/2007 03:15 PM
Balance: $0.00
7 ? /i`' 1 ;710 IOTA: 62‘K
rinn: RAn int -QR Printed: 1Q- 15 -9A07
Pro /4 k 569
Type of Inspection:
_ 0'
...)
Ac.dr��e �
1 fiAs■
Date Called:
Special Instructions:
Date Wanted:
a:m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD ��� rl ��
Retain a copy with permit k
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 'R
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 = 6
p roved per applicable codes. Corrections required prior to approval.
OMMENTS:
L - F //
Inspect /44 fi aletwi/6 (
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
Project:
iii.. '/�
Type of Inspection: _
7 0D 7
Address:
17 /crU ,_1/ 7).-/
4
E A/TV r 4)\/
Date Called:
Special Instructions:
Date Wanted:
/D /
:m. •
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
fLO7$ ' 7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
OM M ENTS:
izow61/ /4/
Inspector
,I 0 7 E,(// //
'Receipt No.:
'Date:
proved per applicable codes. E1 Corrections required prior to approval.
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
lik
Business Owner Information
Name
Role
Effective Date
Expiration Date
DENT, CHARLES
AGENT
05/07/2001
HAPPE, DOUGLAS, A
PRESIDENT
05/07/2001
RIDGE, JOHN P
VICE PRESIDENT
05/07/2001
Look Up a Contractor, Electric ; an 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.
License Information
License
Licensee Name
Licensee Type
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
Expiration Date
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
EMERAAI991 KG
EMERALD AIRE INC
ELECTRICAL CONTRACTOR
600591552
CORPORATION
5108DSTNW
AUBURN
KING
WA
98001
2538725665
ACTIVE
GENERAL
UNUSED
5/7/2001
5/7/2009
EMERAAI012OT
REINHJS956RK
Electrical Administrator Information
License
Name
Status
REINHJS956RK
REINHARDT, JEFFREY S
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= EMERAAI991KG 10/15/2007