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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 bh ❑ 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 • 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