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Home My WebLink AboutPermit EL09-0187 - TUKWILA COMMUNITY CENTERTUKWILA COMMUNITY CENTER 12424 42 AVE S ELO9O 187 CityOf 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 Parcel No.: 0179003225 Address: 12424 42 AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0187 Issue Date: 03/16/2009 Permit Expires On: 09/12/2009 Tenant: Name: TUKWILA COMMUNITY CENTER Address: 12424 42 AVE S , TUKWILA WA Owner: Name: CITY OF TUKWILA Phone: Address: 6200 SOUTHCENTER BLVD , TUKWILA WA Contact Person: Name: DAVID D'AMBROSIO Phone: 253- 234 -2835 Address: PO BOX 338 , KENT WA Contractor: Name: HOLMES ELECTRIC CO Address: PO BOX 179 , RENTON WA Contractor License No: HOLMEEC549BH Phone: (425)255 -8666 Expiration Date: 10/31/2010 DESCRIPTION OF WORK: EXTEND CIRCUIT AND ADD OUTLET Value of Electrical: NRES: $1,000.00 Fees Collected: $92.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: J ` 10 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 a performance • ork. I am authorized to sign and obtain this electrical permit. Signature: Jay � l Date: / / LO /0 Print Name: -1' L1.. - (..14q0l L 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. doc: EL -4/07 EL09 -0187 Printed: 03 -16 -2009 0 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 Parcel No.: 0179003225 Address: Suite No: Tenant: 12424 42 AV S TUKW TUKWILA COMMUNITY CENTER Permit Number: Status: Applied Date: Issue Date: EL09 -0187 ISSUED 03/16/2009 03/16/2009 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 cr the performance of work. Signature Print Name: 4U Date: c3 ii rY` 107 doc: Cond -Elec EL09 -0187 Printed: 03 -16 -2009 CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. -OPP Project No., (For vfflce iise nly)f 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 Address: C I ` of „a ke /iS• Tenant Name: 774 14 0")2,77 .co�.r7 Gw ,tX Property Owners Name: e /111 OG %Z[/et.4) /44- Mailing Address: /9000 2n revet, c 4n ,4'i S King Co Assessor's Tax No.: 0 lig 00 Suite Number: Floor: New Tenant: ❑ Yes K.No 711e("1///4- City AjAt State gtel6D Zip CONTACT.PERSON: -� !VVt�d:do we' contact when your permit- Name: D/4 Ul L D `4m6h°os / O Day Telephone: e-g."3 �02 3 -- 02r3s Mailing Address: Po • idox .3- /:: /l /7- �� %'ft ‘1 L�.S„5— / // City State Zip E -Mail Address: Clue/ of c1Gt. m 4e 0 51 d 7 /10Thiei ,64-4 Fax Number: 25.s" - a 3 y 2 9' Company Name: rS Mailing Address: TP. U . / 1501e 3.2 .S Contact Person: D,4v'i,d D4111 %/40.5,-J E -Mail Address: vt4 vi 1. Set 1�'r; 6lL.vS� o ‘O /ei , Contractor Registration Number: i` - Ln% E e`° $' `s iqd/'i ,T/17 J City State Zip Day Telephone: 01, 3^ ? S/- o2 ai' 3S Fax Number: -2 3 `/- .29 1 Expiration Date: /0 "'3 c20% O0 Valuation of Project (contractor's bid price): $ /000,_ Scope of Work lease provide detailed information):1 g)CTI l C itLu,/r it d r k7 Will service be altered? ❑ Yes 14 No Adding more than 50 amps? ❑ Yes No Type of Use: C 01$14141-.1, L ryTG�C Tvpe of work: ❑ New ❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served bv: A_ Puget Sound Energy ❑ Seattle City Light H:\Applications\Fomss- Applications On Line \I -2009 - Electrical Permit Application.dec bh Page 1 of 2 RESIDENTIAL 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) S60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $1 0.00 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. 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 ELECTRICAL CONTRACTOR: Signature: Lxva X ;;Pe-111Q-2 Print Name: 1// D% 'i ,4/eare Mailing Address: 0 . ide 33 C Date: 3 - lG' °9 Day Telephone: K6 7r- GUS .1'6035- City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H-ApplicaiioniTonns.Apphcaiions On Linr11-2009 - LlecIncat Permit Applicai on.doc bh Page 2 of 2 0 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.: 0179003225 Permit Number: EL09 -0187 Address: 12424 42 AV S TUKW Status: PENDING Suite No: Applied Date: 03/16/2009 Applicant: TUKWILA COMMUNITY CENTER Issue Date: Receipt No.: R09-00417 Initials: WER User ID: 1655 Payment Amount: $92.00 Payment Date: 03/16/2009 02:19 PM Balance: $0.00 Payee: HOLMES ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 049402 92.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 92.00 Total: $92.00 PAYM ENT RECEIVE doc: Receiot -06 Printed: 03 -16 -2009 INSPECTION RECORD Retain a copy with permit Orgl INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 12- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: Type of Inspection: ziQo Address: �2 /2Y 1/'Z W. 5 - Date Called: Special Instructions: Date Wanted: p� '7 air Requester: Phone No: 0 Approved per applicable codes. J Corrections required prior to approval. +, COMMENTS: Inspector: Date: 03/17 09 II 1 f ❑ $60.00 REINSIECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: _. x. a.. _... �.. .... _ Untitled Page O • Page 1 of 2 Electrical Contractor A business licensed by LEtI 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 License RICHAM *178LZ Name RICHARDS, MICHAEL Status ACTIVE Business Owner Information 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 Information 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 $4,000.00 12/09/2008 https: / /fortress.wa. gov /lni/bbip/Detai1.aspx ?License= HOLMEEC549BH 03/16/2009