HomeMy WebLinkAboutPermit EL09-0138 - CITY OF TUKWILACITY OF TUKWILA
6200 SOUTHCENTER BL
ELO9-0 138
Parcel No.: 3597000282
Address: 6200 SOUTHCENTER BL TUKW
Suite No:
Contractor:
Name: HOLMES ELECTRIC CO
Address: PO BOX 179 , RENTON WA
Contractor License No: HOLMEEC549BH
DESCRIPTION OF WORK:
RELOCATE APPROXIMATELY 5 OUTLETS
Value of Electrical: NRES: $1,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Permit Center Authorized Signature:
Citylf 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: 6200 SOUTHCENTER BL , TUKWILA WA
Owner:
Name: TUKWILA CITY OF Phone:
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA
Contact Person:
Name: DAVE D'AMBROSIO Phone: 253- 234 -2835
Address: P[O BOX 338 , KENT WA
Electrical Service provided by: PUGET SOUND ENERGY
ELECTRICAL PERMIT
Fees Collected:
Permit Number: EL09 -0138
Issue Date: 02/19/2009
Permit Expires On: 08/18/2009
Phone: (425)255 -8666
Expiration Date: 10/31/2010
National Electrical Code Edition: 2005
$110.00
Date: � ..-- 1 6 1 '0/
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
constructio he performance work. I am authorized to sign and obtain this electrical permit.
Signature
Print Name:
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.
doc: EL -4/07
Date : , J19 (
EL09 -0138 Printed: 02 -19 -2009
Parcel No.: 3597000282
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
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.
Signature:
PrintName:3 '(A001
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
6200 SOUTHCENTER BL TUKW
CITY OF TUKWILA
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
Date:, I) g to 1
EL09 -0138
ISSUED
02/19/2009
02/19/2009
EL09 -0138 Printed: 02 -19 -2009
CITY OF TUKWI•
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
h ttp: / /www. ci. tukwila. wa. u s
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 **
Q
/_ King Co Assessor's Tax No.: 3,6470 — 0 0).2 2
Site Address: 2a 0 0 (Sou 7--,p.,;>„,--, U /� 0 Suite Number: Floor:
Tenant Name: CJY7 or / e &1-c)/�i¢ New Tenant: ❑ Yes IS..No
Property Owners Name: 2177 OAT- -meta / %' / t iV GA-
�� ��/
Mailing Address: 6aoO 54Gf �f✓.cit Sit/�o 77t-
Zip
CON.TAC't PERSON - W h do we contact your is ready to•be a ped
Name: :Drn'E D ftmb.�oS� i- Day Telephone: c2 S3 - - 2 g 35
Mailing Address: P 12 60)
II ® • 7:) / City State Zip
E -Mail Address: 47 t/ a 0144-n4 i&'SIo (u' hOtn?4' . C-04/ Fax Number: 0 s.3 " .234 .2"1,1
.
ELECTRICAL .COl�fi'�RACTOR;.INFORMATION
Company Name: ,Y eS s't ��L C- / C
Mailing Address: P • V • /501C A 3.3 .
Contact Person: D47/1 t fi1Ay��tS�v /
E -Mail Address:dQ (1 ;1, 14 rh h eos; v 1144 es , � G / JY►t
Contractor Registration Number: / )1'.Lm EE .3 /'r
4/ '/i
Valuation of Project (contractor's bid price): $ 1 . <7)0
Scope of Work (please provide detailed information): R gGcc!! -rg A--/,• 71' oze /e9
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes Az No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:\Applications\Fom s- Applications On Line \I -2009 - Electrical Pemiit Application.doc
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Electrical Permit No. ,� r � -�
Project No. ' r:
City
(Pa euseoril),
State
City
tc.1 ! d'C)3.S^
State Zip
Day Telephone: .2.-3- 023 0ZO SS
Fax Number: e)S ? 3'/2927 3v -
Expiration Date: /0 "'3j /O
Page 1 of 2
RESIDENTIA
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
Q Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
PERI'- ',,Ct91.9N
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 1 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 ELECTRICAL CONTRACTOR:
Signature: / t4.'4
Print Name: DAV i Gt j),414.1.0 ee / s d
Mailing Address: al vi Ur 2 AI6/0 o a),%j, nc •
d. ,80 3
F!' Vspplicationalrorms- Appltcauons On Lme \.2009. Electrical Permit App tcation.doc
bh
Day Telephone:
City
Date
L3- 2 3S - ad3s_
9 235
Date Application Accepted:
Date Application Expires:
Staff Initials:
State Zip
Pagc 2 of 2
Parcel No.: 3597000282
Address: 6200 SOUTHCENTER BL TUKW
Suite No:
Applicant: CITY OF TUKWILA
Receipt No.: R09 -00283 Payment Amount: $110.00
Initials: WER
User ID: 1655
Payee: HOLMES ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 049121 104.00
Payment Check 2238 6.00
ACCOUNT ITEM LIST:
Description
doc: Receipt -06
ELECTRICAL PERMIT - NONR
City of Tukwila
6200 Southcenter b iaid Tukwila, i;A
1 F nance Department
0905.01 -1 02/20/2009 BR1 7101
Fri Feb20,2009 1 Trams #8 -8
c' $110,00 DCDCEN - 000 Permits Plus
General Fund
1 ITEM(S): TOTAL: $110,00
Check (2238) PAID $6.00
Check (049121) PAID $104.00
wwa,.ci.tukivila.wa.us 206 - 433 -1835
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
0905101-1 0008 02/20/2009 001 101
Dc:D Permits Plus - General Fund $110.000
Permit Number: EL09 -0138
Status: PENDING
Applied Date: 02/19/2009
Issue Date:
Payment Date: 02/19/2009 09:29 AM
Balance: $0.00
PAYMENT
RECEIVED
Printed: 02 -19 -2009
Project: n i ��
U I �
Type of Inspection:
tOl.)
Address:
Zoo 5 � . D c..
Date Called:
_ Th
Special Instructions:
4 11A '
1
Date Wanted:
02 2 '
a.m
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISI ON
6300 Southcenter Blvd., #100, Tukwila, WA 98188
1k Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
4 . / AaJck(A tivt
(4ki,
Date:
02-
6,0 01 3Y
PERMIT NO.
R.
(206)431 -3670 .
„ ` •
LI $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
'Date:
Name
Role
Effective Date
Expiration Date
RICHARDS, MICHAEL W
Cancel
Date
01/01/1980
Bond
Amount
RICHARDS, EUGENE M
3
01/01/1980
52BSBFB9243
HOLMES, MICHAEL J
Until
Cancelled
01/01/1980
HOLMES, JERAY A
AGENT
01/01/1980
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
3
HARTFORD
FIRE INS
52BSBFB9243
12/08/2008
Until
Cancelled
$4,000.0012/09/2008
Untitled Page
•
License RICHAM *178LZ
Name RICHARDS, MICHAEL
Status ACTIVE
Business Owner Information
Bond Information
https: // fortress .wa.gov /lni/bbip/Detai1.aspx ?License= HOLMEEC549BH
•
Page 1 of 2
Electrical Contractor
A business licensed by Lal 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 HOLMES ELECTRIC CO UBI No. 177003752
Phone 2534794000 Status ACTIVE
Address PO BOX 338 License No. HOLMEEC549BH
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City KENT Effective Date 1/8/1946
State WA Expiration Date 10/31/2010
Zip 98035 Suspend Date
County KING Previous License
Business Type Corporation Next License
Parent Company Associated License RICHAM *178LZ
Specialty 1 GENERAL
Specialty 2 UNUSED
ADMINISTRATOR INFORMATION
02/19/2009