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HomeMy WebLinkAboutPermit EL07-753 - CITY OF TUKWILACITY OF TUKWILA 14000 INTERURBAN AV S ELO7-753 Parcel No.: 0002800006 Address: 14000 INTERURBAN AV S TUKW Suite No: Contractor: Name: HOLMES ELECTRIC CO Address: PO BOX 179 , RENTON WA Contractor License No: HOLMEEC549BH Value of Electrical: $2,099.00 Type of Fire Protection: Permit Center Authorized Signature: Signature: Print Name: __31,t,(o i 7 6 w1' doc: EL -4/07 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 Tenant: Name: CITY OF TUKWILA Address: 14000 INTERURBAN AV S , TUKWILA WA Owner: Name: CITY OF TUKWILA Phone: Address: 6200 SOUTHCENTER BLVD , TUKWILA WA Contact Person: Name: BRIGET GONCZY Phone: 425 -227 -6691 Address: 1422 RAYMOND AV SE , RENTON WA DESCRIPTION OF WORK: DEMO (1) CIRCUIT, INSTALL NEW 220V CIRCUIT FOR EQUIPMENT Electrical Service provided by: PUGET SOUND ENERGY ELECTRICAL PERMIT Permit Number: EL07 -753 Issue Date: 12/06/2007 Permit Expires On: 06/03/2008 Phone: (425)255 -8666 Expiration Date: 10/31/2008 Fees Collected: National Electrical Code Edition: 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 he performance o ( ork. I am authorize • <ign and obtain this electrical permit. This permit shall become null and void if the work • 1 of 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 -753 $124.00 2005 Date: [2-- lD "I Date: /z /o Printed: 12 -06 -2007 Parcel No.: 0002800006 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: 14000 INTERURBAN AV S TUKW CITY OF TUICWILA Print Name: LC0'r V '_ / 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: Status: Applied Date: Issue Date: ELM-753 ISSUED 12/06/2007 12/06/2007 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: )90- Ca EL07 -753 Printed: 12 -06 -2007 CITY OF TUKWILA Community Developme' epartment Permit Center p,, 6300 Southcenter Blvd., Suite 100 J Tukwila, WA 98188 http://www.ci.tukwila.wa.us vro‘' SITE LOCATION Site Address: \yW) •3 3 5 V►In\ ( Y1•0■LAI Property Owners Name: IV , I Mailing Address: \ \-1 © / / Jr l ' pus S Tenant Name: CONTACT PERSON Who do we contact when your permit is ready to be issued Name: 10 • f. , or JZ fi4 Mailing Address: ) 1(j to 13r Germ K'UY1 5, Qom E -Mail Address: ELECTRICAL CONTRACTOR INFORMATION Company Name: \4O( 1c1E,S ez,i-TW , Mailing Address: Contact Person`: Sill p •5 6702 9 C E -Mail Address: Contractor Registration Number: l� CEL ?5/3 Valuation of Project (contractor's bid price): $ 20°6 / & I Scope of W o r k (please provide detailed information): I (1) lit ( j , & ) / T - ) ' 1/U Q0 cilo I pm 13237 Will service be altered? ❑ Yes 3No Type of Use: 11 j KIT1.52itiXP.S Type of work: ❑ New ❑ Low Voltage Property Served by: g f Puget Sound Energy Seattle City Light H:\Applications\Forns- Applications On Lineal -2007 - Electrical Permit Application.doc 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 ** tg Addition Generator AV& 5G0 ❑ Service Change ❑ Fire Alarm King Co Assessor's Tax No.: ( OOO (p Suite Number: City New Tenant: ❑ .... Yes [ ..No State Floor: 9 Zip Day Telephone: LiRsaa Ze62 'e)J 10 g abs City State Zip Fax Number: Ua 5 0 • U Lit it l I'M_ City State Zip Day Telephone: Ua5 as - 4 b /�9/ Fax Number: t 5 ? y`7�l /Q82y Expiration Date: J J3 / 10c< Adding more than 50 amps? ❑ Yes ip>g ❑ 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 $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea Signature: I Date Application Accepted: 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) BUILDING OWNER OR ELEC ' 'CAL CONTRACTOR: Print Name: k ,ea" m ��J� i Mailing Address: 14a� � 4 iircpJ H:Wpplications\Forms- Applications On Line 4 -2007 - Electrical Permit Application.doc MUL' kMILY 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) ID 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. Date: '2k5101 Day Telephone: L.1 4- WA/ i 41 State Zip City Date Application Expires: Staff Initials: Page 2 of 2 Receipt No.: R07 -02677 Payee: HOLMES ELCTRIC 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.: 0002800006 Permit Number: EL07 -753 Address: 14000 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 12/06/2007 Applicant: CITY OF TUKWILA Issue Date: Initials: WER Payment Date: 12/06/2007 11:30 AM User ID: 1655 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 44175 124.00 Account Code Current Pmts 000.322.101.00.0 124.00 Total: $124.00 Payment Amount: $124.00 5740 i2 /06 9710 TOTAL 124.00 Mr.. Raraint -OS Printarl. 12- ns -7nn7 Project: Cal/ of WOIM Type of Inspection: 2 /A' Address: MOO irg~ (Date — Called: Special Instructions: Date Wanted: /2// K a.m. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. rMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 p pproved per applicable codes. Corrections required prior to approval. COMMENTS: 074 -- F/41/96■- l inspectoig ii I /2- //74 Date: / $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: COMMENTS: Type of Inspection: iV i? A c e L7-.5S IC A_ -S a P tr" OF 2,3.0,1R Special Instructions: Date Wanted: 1.2 - / '7 - e 7 ( rb ( Al r, c:r1, et_ 75 . / c e ass Lib A tr ,774- ,--,„ Project: ATV �F Type of Inspection: Address: PYd DO j.,-,-rwAAA) As Date Called: /. - /7- d/7 Special Instructions: Date Wanted: 1.2 - / '7 - e 7 a.m. p.m. Requester: 9599 Phone No: c.7 SO - 29x 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. 1 E20'7- '77 PERMIT NO. 4 ? - * (206)431-3670 Corrections required prior to approval. 'Inspector: 4eR R9 'Date: FRNrri 1 7- /Y El $58.00 RE NSPECTION FEE REQUIRED. Prior to inspectiOn, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. r eceipt No.: 'Date: 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* 1781.2 RICHARDS, MICHAEL ACTIVE https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= HOLMEEC549BH 12/06/2007