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Home My WebLink AboutPermit EL07-757 - CITY OF TUKWILA - TUKWILA COMMUNITY CENTERTUKWILA COMMTJNITY CENTER 12424 42 AV S ELO7-757 Parcel No.: 0179003225 Address: 12424 42 AV S TUKW Suite No: Tenant: Name: TUKWILA COMMUNITY CENTER Address: 12424 42 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 SW , RENTON WA Contractor: Name: HOLMES ELECTRIC CO Address: PO BOX 179 , RENTON WA Contractor License No: HOLMEEC549BH DESCRIPTION OF WORK: INSTALL (2) LIGHT FIXTURES, EXTEND EXISTING CIRCUIT Value of Electrical: $2,099.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT 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 construct's: e performance ^ work. I am authoriz - d-to sign and obtain this electrical permit. Signature: Aid .4 ��/ �` Date: )/ Print Name: 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 ELECTRICAL PERMIT This permit shall become null and void if the work 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 - • - ction. doc: EL -4/07 EL07 -757 Fees Collected: Permit Number: EL07 -757 Issue Date: 12/07 /2007 Permit Expires On: 06/04/2008 Phone: (425)255 -8666 Expiration Date: 10/31/2008 $124.00 Date: off`7— 7 Printed: 12 -07 -2007 Parcel No.: 0179003225 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** doc: Cond - Elec 1242442AVS Signature: Zi/i4it 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 TUKWILA COMMUNITY CENTER PERMIT CONDITIONS Print Name: 6 (" Permit Number: Status: Applied Date: Issue Date: Date: 1 21 0 EL07 -757 ISSUED 12/07/2007 12/07/2007 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. EL07 -757 Printed: 12 -07 -2007 ,5 Site Address: Mailing Address: CITY OF TUKW /L4 Community Developmet lepartment Permit Center �' 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us SITE LOCATIO \ya \ v►7,00 Pr 3 Suite Number: Tenant Name: rOF W/L4 tprrlm4y// / 6/U Property Owners Name: 1 t\lj " 1y-ti 9l (.44 AfrE Name: i.i o 6O)._9(" 1 Mailing Address: A 3 E -Mail Addresa2 aa, ( GD �b tme5 ecyy, Electrical Pr it No. Project No. 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.: 011 CIQO City Floor: New Tenant: ❑ .... Yes !No / 46 -, L f 16 it ' State Zip CONTACT ERSON - Who do we eon when your "permit is rea to be Issued Day Telephone: (/ 5a j /Q.le9J of 11 1 — City State Zip Fax Number: Li 5C2 Coon ELECTRICAL CONTRACTOR INFORMATION Company Name: j-}aul(1 Av LPG ICJ Mailing Address: -14aa. -7 &Jo 1V6 3149 Contact Person: ,.(t2 :r (ms/ E -Mail Address: Contractor Registration Number: 'tea get Sound Energy gr Seattle City Light H:Uppliationa\Fonna- Applications On Line49 -2007 - Electrical Permit Application.doc City Day Telephone: '� Fax Number: pp yo, Expiration Date: id State Zip L it5e9o2 . 4 lolt$5 CoCokSi 3ilnY Valuation of Project (contractor's bid price): $ 4590 99 Scope of Work (please provide detailed information): ]hur ic 'fi.e C ( &MT V \NIC1Z)Q,�5 s cA 1,;(7) \ OA91 Will service be altered? ❑ Yes No Type of Use: Type of work: ❑ New 0 Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Property Served by: Adding more than 50 amps? ❑ Yes ❑ Tenant Improvement ❑ 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) BUILDING OWNER OR ELEC CAL CONTRACTOR: Signature: Mailing Address: Print Name: 1X1,1 Date Application Accepted: H:Upplications\Forme- Applications On Lineal -2007 - Electrical Permit Application.doc City MUL',`AMILY 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 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: I z\ l a I 04 Day Telephone: 1005 a (i9/ Zip • it JIiOL State Staff Initials: Date Application Expires: Page 2 of 2 Parcel No.: 0179003225 Permit Number: EL07 -757 Address: 12424 42 AV S TUKW Status: PENDING Suite No: Applied Date: 12/07 /2007 Applicant: TUIKWILA COMMUNITY CENTER Issue Date: Receipt No.: R07 -02688 Initials: WER Payment Date: 12/07/2007 09:54 AM User ID: 1655 Balance: 30.00 Payee: HOLMES ELECTRIC TRANSACTION LIST: Type Method Description Amount Payment Check 44188 124.00 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 Account Code Current Pmts 000.322.101.00.0 124.00 Total: $124.00 Payment Amount: $124.00 5787 12/07 9710 TOTAL 124.00 doc: Receiot -06 Printed: 12 -07 -2007 Project: WMG4 cor /uai i7 cf� Type of Inspectio /ate Address: N6 Date Called: pecial Instructions: Date Wanted: / /,''.// 3 a.m. P.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION /ta7 Z7 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36170 roved per applicable codes. Corrections required prior to approval. InspeA c / / 7 E/9/ ay Date 2 / ? $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: 1Date: 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* 178LZ RICHARDS, MICHAEL ACTIVE https:// fortress. wa. gov /lni/bbip /printer.aspx ?License= HOLMEEC549BH 12/07/2007