HomeMy WebLinkAboutPermit EL09-0075 - ANALYTICAL RESOURCESANALYTICAL RESOURCES
4611 S 134 PL
ELO9-0075
Parcel No.: 2613200042
Address: 4611 S 134 PL TUKW
Suite No:
Tenant:
Name: ANALYTICAL RESOURCES
Address: 4611 S 134 PL , TUKWILA WA
Owner:
Name: ARION PARTNERS LLC Phone:
Address: 4611 S 134TH PL STE 100 , TUKWILA WA
Contact Person:
Name: MITCH CHAMBERLIN Phone: 253 770 -0656
Address: PO BOX 849 , SUMNER WA
Contractor:
Name: EVERGREEN STATE ELECTRIC INC Phone: 253 770 -0656
Address: PO BOX 849 , SUMNER WA
Contractor License No: EVERGSE066JA Expiration Date: 04/01/2010
DESCRIPTION OF WORK:
REPLACE 20 AMP CIRCUIT WITH 40 AMP CIRCUIT FOR MAKE UP AIR UNIT
Value of Electrical: NRES: $2,000.00 Fees Collected: $110.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Print Name:
CitAf 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
th,
ELECTRICAL PERMIT
doc: EL -4107 EL09 -0075
Permit Number: EL09 -0075
Issue Date: 01/26/2009
Permit Expires On: 07/25/2009
Date: e[12-l4c 1'c
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether 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 performance of wor . authorized to sign and obtain this electrical permit.
Signature: � ie� Date: l
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.
Printed: 01 -26 -2009
Parcel No.: 2613200042
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Signature:
doc: Cond -Elec
4611 S 134 PL TUKW
•
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
ANALYTICAL RESOURCES
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0075
ISSUED
01/26/2009
01/26/2009
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.
Print Name
Date:
EL09 -0075 Printed: 01 -26 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Site Address: 4611 South 134th Place
Tenant Name: Analytical Resources
Property Owners Name: Ana 1 y t i c ' 1 R P s n i i r r e c
Mailing Address: 4611 S 134th Place, Suite 100, Tukwila WA
City
Name: Mitch Chamber i n
Mailing Address: PO Box 849, Sumner WA 98390
E - Mail Address: wired1@ L wnhirp_crm
Company Name: Fyprgrppn State Elertric, Inc
Mailing Address: PO Box 849, Sumner WA 98390
Contact Person: Mitch Chamberli n
E -Mail Address: wiredl @net — venture. com
Contractor Registration Number: EVERGSF066,TA
Valuation of Project (contractor's bid price): $ 2 nn0 J)O
Scope of Work (please provide detailed information):
fnr make up air unit.
Will service be altered? El Yes No
Type of Use: Commercial / Tndustri a l
Type of work:
El New ❑ Addition
El Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
IM Seattle City Light
H:Upplcetians\Foms- Applications On Linekt -2007 - Electrical Pemdt Application.doc
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❑ Service Change
❑ Fire Alarm
Electrical Permit No.
Project No.
oD <
(For office 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 **
SITE LOCATION
King Co Assessor's Tax No.: 2.11 I ` — �� 2
Suite Number: 1 0 0 Floor:
New Tenant: ❑ Yes El ..No
981 68
State
Day Telephone: 2 5 3 — 7 7 0 0 6 5 6
Cit State
Fax Number: 253 -770 -1767
City
Day Telephone:
Fax Number:
Expiration Date:
State
253 - 770 -0656
253 - 770 -1767
04/01/2010
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Zip
ELECTRICAL CONTRACTOR INFORMATION
Zip
-e.• . - I : ii.
Al ! u •
Adding more than 50 amps? ❑ Yes Ed No
❑ Remodel ® Tenant Improvement
❑ Telecommunication El Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$140.00
$75.00 ea
$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)
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 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.
1 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 ELECTRIC A OIiTRACTOR
Print Name: //k Li
Signature:
Day Telephone:
Mailing Address: /5 c Oi cc ? '56eweee-
City
I Date Application Accepted: t9 I
H: lApplications\Forms- Applioaueas On Line \4-2007 - Electrical Permit Applicetion.doc
bh
Date Application Expires:
Date:
State
Staff Initials:
2,/
c ?6
Zip
Page 2 of 2
Project: j( - ri gCS -
Type of Inspection:
Addre
I/ 5 • i3y pt.
Date Called:
Specia Instructions:
5 , I 00
Date Wanted:
0 3/2, s...-
p.m.
Requester:
Phone No:
INSPECTION RECORD �� � �
Retain a copy with permit
INSPECTION NO. PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
1
I
COMMENTS:
Approved per applicable codes. U Corrections required prior to approval.
Date :3 /Z
1/ Q
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee rhust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Parcel No.: 2613200042
Address: 4611 S 134 PL TUKW
Suite No:
Applicant: ANALYTICAL RESOURCES
Payment Amount: $110.00
Initials: JEM Payment Date: 01/26/2009 02:16 PM
User ID: 1165 Balance: $0.00
Receipt No.: R09 -00135
Payee: EVERGREEN STATE ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 09946 110.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
PAYMENT
RECEIVED
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
000.322.101.00.0 110.00
Total: $110.00
Permit Number: EL09 -0075
Status: PENDING
Applied Date: 01/26/2009
Issue Date:
doc: Receipt -06 Printed: 01 -26 -2009
Name
Role
Effective Date
Expiration Date
CHAMBERLIN, MITCHELL
01/01/1980
CHAMBERLIN, LYNDA K
01/01/1980
CHAMBERLIN, LYNDA
AGENT
01/01/1980
SMITH, FAITH
SECRETARY
07/28/2005
MCBRIDE, TOM
SECRETARY
07/28/2005
WILKINSON, JESSICA
SECRETARY
07/28/2005
Untitled Page
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Business Owner Information
https: // fortress. wa. gov /lni/bbip/Detail.aspx ?License= EVERGSE066JA
Page 1 of 2
Electrical Contractor
A business licensed by Lecl 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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
EVERGREEN STATE
ELECTRIC INC
2537700656
PO BOX 849
SUMNER
WA
98390
PIERCE
CORPORATION
UBI No.
Status
License No.
License Type
601521666
ACTIVE
EVERGSE066JA
ELECTRICAL
CONTRACTOR
4/1/1994
4/1/2010
Effective Date
Expiration Date
Suspend Date
Previous License EVERGSE066BG
Next License
Associated
License
Specialty 1
Specialty 2
CHAMBM*977KG
GENERAL
UNUSED
MASTER ELECTRICIAN INFORMATION
License CHAMBM*977KG
Name CHAMBERLIN, MITCHELL
Status ACTIVE
01/26/2009