HomeMy WebLinkAboutPermit EL09-0191 - KIDDER MATHEWS128
DDER MATHEWS
6 INTERURBAN AV S
ELO9M191
Parcel No.:
Address:
Suite No:
2716000010
Cityilf Tukwila
Department of Community Development
6300 Sou.:hcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 2C6- 431 -3670
Fax: 206 -431 -3665
Web site: htlp://www.ci.tukwila.wa.us
ELECTRICAL PERMIT
Permit Number: EL09 -0191
12886 INTERURBAN AV S TUKW Issue Date:
Permit Expires On:
03/17/2009
09/13/2009
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
KIDDER MATHEWS
12886 INTERURBAN AVE S , TUKWILA WA
RREEF AMERICA REIT II CORP/
PO BOX 4900 #207 , SCOTTSDALE AZ
ANDREW BENTLEY
PO BOX 7205 , TACOMA WA
D F ELECTRIC INC
PO BOX 7205 , TACOMA WA
Contractor License No: DFELEI *010D9
Phone:
Phone: 253 - 572 -3704
Phone: 253 572 -3704
Expiration Date: 03/31/2009
DESCRIPTION OF WORK:
TIE EXISTING CIRCUITS TO (7) NEW ROOFTOP HVAC UNITS
Value of Electrical: NRES: $2,400.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $130.00
National Electrical Code Edition: 2005
Date: 1-I3-D?
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 or the perfo ce of work. authorized to sign and obtain this electrical permit.
Signature: Date:3 / 7-or
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
EL09 -0191 Printed: 03 -17 -2009
Parcel No.: 2716000010
Address:
Suite No:
Tenant:
0
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 -421 -3665
Web site: http://www.ci.tukwila.wa.us
12886 INTERURBAN AV S TUKW
KIDDER MATBEWS
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0191
ISSUED
03/17/2009
03/17/2009
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 m 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:
Print Name:
Date:
07
doc: Cond -Elec
EL09 -0191 Printed: 03 -17 -2009
0
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://wwrv.ci.tukwila.wa.us
Electrical Permit No. L LO i- V 1 Q 1
Project No.
(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.:
71 4�— CO ( v
Site Address: I 2- '39 1 11J i{✓,(A V i am.) AVE /4 Suite Number: Floor:
Tenant Name: k 4 d. c. e— /V 4' t A. J S New Tenant: ❑ Yes ❑ ..No
Property Owners Name:
Mailing Address:
City
State Zip
CONTACT PERSON - who do we contact when your permit is ready to be issued
Name:
Mailing Address: ?D 11 IB O X
E -Mail Address: H r t e`'1 E el f -re Ie LJ
Day Telephone: 2 S3— S3 Z - 3 7-D
e-4City State Zip
- Fax Number: 3 e Z (,
ELECTRICAL CONTRACTOR INFORMATION
Company Name: L) • ( GT -1 C- / ?.1< •
13D> -7-Zo � -fit _0/
City State Zip
I Day Telephone: Z S �Z -3?-6)‹c
• Iedvz • N-Ki Fax Number: - 2 3-6 — ---7 ?7,&
Contractor Registration Number: bF E 1 '( iU / QI .6q Expiration Date: 3 - 3 1 Z 0 1 1
Mailing Address:
Contact Person:
E -Mail Address:
Valuation of Project (contractor's bic. price): $ .Z 403
Scope of Work (please rovide detailed information): _ T■ •(.- ' -rc �; t,
-k-_, C-`1-- I,/Li / r 00'F f+ civil-L- c.,...,
c �/`c�;',��
Will service be altered? ❑ Yes ''No Adding more than 50 amps? ❑ Yes A-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:
XPuget Sound Energy
Seattle City Light
I1:\Appheations\Fonns- Applications On Line ll -2009 - Electncal Permit Application.dnc
hh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings S78.00 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
❑ 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 th3 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:
Print Name: Tj2l - j1 lL e. r
Mailing Address:
Date: 3' /x-07
Day Telephone: 'Z 5-7 Z_ 3
State
Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials:
I I: \Applications\Forms- Applicanons On Line \l 2009 - Elecmcal Pcrmn Applicanon.doc
hh
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: littp://www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 2716000010 Permit Number: EL09 -0191
Address: 12886 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 03/17/2009
Applicant: KIDDER MATHEWS Issue Date:
Receipt No.: R09 -00421
Initials: WER
User ID: 1655
Payment Amount: $130.00
Payment Date: 03/17/2009 09:54 AM
Balance: $0.00
Payee: D F ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 24972 130.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 130.00
Total: $130.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 03 -17 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(,t.o7..or9 I
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION r-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: K) oDK rib fC �S
t
Type of Inspection: O0
II
Address:
Date Called:
Special Instructions:
11:00 th.
Date Wanted:
Qy
p�
Requester:
Phone No:
/1
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
610.6M off, tlftDot
Inspector:
6-Mei
Date: / z S D
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee lust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
1
INSPECTION RECORD
Retain a copy with permit
601-0191
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
(206)431 - 0
Project: Ki 179 („R ' J
Type of Inspection:
L
Q
Address: 1 m Co
I �r k
Date Called:
QAIJet_ 504tD4L,f 5 ib R
^—.
Special Instructions:
Date Wanted:
^,J 7Q3
fa. m.
Requester:
Phone No:
f
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
— fAtliZntikP I41 -4C, 1,48a4 f% c&te..6P
- NW-41 un'T Ifs q-T7o
Ar19 .oJ U
17446L- AO 4CA my
QAIJet_ 504tD4L,f 5 ib R
fcr »F TDP
tdrt pC-5I6%44T+od 40113
Inspector:
Date: 4 07
❑ $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
•
•
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 D F ELECTRIC INC UBI No. 601940601
Phone 2535723704 Status ACTIVE
Address PO BOX 7205 License No. DFELEI *010D9
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City TACOMA Effective Date 3/29/1999
State WA Expiration Date 3/31/2011
Zip 98406 Suspend Date
County PIERCE Previous License NORTHSE011 D6
Business Type Corporation Next License
Parent Company Associated License BENTLA *972QG
Specialty 1 GENERAL
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License BENTLA *972QG
Name BENTLEY, ANDREW
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
BENTLEY, ANDREW
AGENT
09/16/2003
BENTLEY, ANDREW
PRESIDENT
09/16/2003
BENTLEY, LYNETTE M
SECRETARY
09/16/2003
BENTLEY, LYNNETTE M
VICE PRESIDENT
09/16/2003
FISTERM DONALD J
AGENT
01/01/1980
09/16/2003
FOSTER, DONALD J
PRESIDENT
01/01/1980
09/16/2003
BENTLEY, ANDREW
SECRETARY
01/01/1980
09/16/2003
BENTLEY, ANDREW T
VICE PRESIDENT
01/01/1980
09/16/2003
https: / /fortress.wa gov /Ini/bbip/Detail.aspx ?License= DFELEI *010D9
03/17/2009
I