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HomeMy WebLinkAboutPermit EL09-0477 - CITY OF TUKWILA - POLICE DEPARTMENTCITY OF TUKWILA POLICE DEPARTMENT 6200 SOUTHCENTER BL ELO9-0477 Cityik 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.: 3597000282 Address: 6200 SOUTHCENTER BL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0477 Issue Date: 08/06/2009 Permit Expires On: 02/02/2010 Tenant: Name: CITY OF TUKWILA - POLICE DEPARTMENT Address: 6200 SOUTHCENTER BL , TUKWILA WA Owner: Name: TUKWILA CITY OF Phone: Address: 6200 SOUTHCENTER BLVD , TUKWILA WA Contact Person: Name: DEAN HUMPHRIES Phone: 425 - 207 -8866 Address: 2018 BLAINE AVE NE , RENTON WA Contractor: Name: QUALITY ELECTRICAL CONT LLC Phone: 425 207 -8866 Address: 2018 BLAINE AV NE , RENTON WA Contractor License No: QUALIEC915JN Expiration Date: 04/15/2011 DESCRIPTION OF WORK: INSTALL (2) 208 RECEPTACLES IN SERVER CLOSET Value of Electrical: NRES: $500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $72.00 National Electrical Code Edition: 2005 WA' 2.,4 Date: 8 -10-09 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 - • * ance of wor, -. =m authorized to sign and obtain this electrical permit. Signature: Print Name: Date: 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 -0477 Printed: 08 -06 -2009 • o 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.: 3597000282 Address: Suite No: Tenant: 6200 SOUTHCENTER BL TUKW CITY OF TUKWILA - POLICE DEPARTMENT Permit Number: Status: Applied Date: Issue Date: EL09 -0477 ISSUED 08/06/2009 08/06/2009 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 or the performance of work. Signature: Print Name: Rset �GereP 1 Date: c/ ' /� doc: Cond -Elec EL09 -0477 Printed: 08 -06 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://Www.ci.tukwila.wa.us 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.: 3S5'7 OD ^ 0) Site Address: 212 So C.AA c�o,,4 -t,� Q (vD Suite Number: Tenant Name: 7f2 Property Owners Name: 64 <9( Lci / Mailing Address: 6020O -CO 7.?L Q Floor: New Tenant: ❑ Yes City • CONTACT' PERSON :Who do:we contact wtieri your. permit is ready to: be';i §sdei� . Name: r Mailing Address: E -Mail Address: �.tiK•.�lri) -ei Zvi F State Zip Day Telephone: Y25 - 2o7 -,p(, 1.4,1 9dPas6 4 City e2 r, 4 @ gJJ- 2l' -edvic 1(c ,cam Fax Number: 4/2- S- ZQ ?— efzilL State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: 20 I� (e,;tt Ate: Contact Person: E -Mail Address: ., -t /ef,- c /lc, cam• 9(5-TA/ E-PCrric Q ('w GtGiN)e5 Contractor Registration Number: LC C City Day Telephone: Fax Number: z-)A 9LPeLSTo State Zip /ZS`— 2 0 7 — 21F sez r-- 207 - g11"3 Expiration Date: Valuation of Project (contractor's bid price): $ SDO Scope of Work (please provide detailed information): J>2P 5-err LA- v t_ (o s-4.,' 2. -- 20 8-v / -2mi70 - e(-es /n Will service be altered? ❑ Yes` n No Adding more than 50 amps? ❑ Yes RI No Type of Use: Cov.,w�Q., „ Type of work: ❑ New p Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H: Applications\Forms- Applications On Line \I -2009 - Electrical Permit Application.doc bh ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page l 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 CQMMERCIAL 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 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 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: / Print Name: Mailing Address: 2-47/S' 1 /r, •—s Date: 0/p Day Telephone: Vi f— 2 c ? - 6F-1.G c City t.44 State Zip IDate Application Accepted: Date Application Expires: Staff Initials: H \Applmations\Forms- Applications On Line\ I -7009 - Electncal Permit Application.doc bh Page 2 of 2 • 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.: 3597000282 Permit Number: EL09 -0477 Address: 6200 SOUTHCENTER BL TUKW Status: PENDING Suite No: Applied Date: 08/06/2009 Applicant: CITY OF TUKWILA - POLICE DEPARTMENT Issue Date: Receipt No.: R09 -01236 Payment Amount: $72.00 Initials: WER Payment Date: 08/06/2009 02:38 PM User ID: 1655 Balance: $0.00 Payee: QUALITY ELECTRICAL CONTRACTORS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1014 72.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 72.00 Total: $72.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 08 -06 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 1 °IT PERMIT NO. CITY OF TUKWILA BUILDING DIVISION >?- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36/70 Projeyt: Pc_Pr. � aL4cc Type of Inspection: 2/00 Address: (loo .5.c. gL. Date Called: Special Instructions: C.6 L1d rok ACGEi5 Date Wanted: I 1 m. p• Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: Inspector: 6rAisvcr Date: f 1 D El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee 4ust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: - -- a.I_.. ..... Untitled Page 0 Page 1 of 1 Electrical Contractor A business licensed by Lai 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 QUALITY ELECTRICAL CONT LLC 4252078866 2018 BLAINE AVE NE RENTON WA 98056 KING Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602906582 ACTIVE QUALIEC915JN ELECTRICAL CONTRACTOR 4/15/2009 4/15/2011 GENERAL UNUSED ADMINISTRATOR INFORMATION License HUMPHDM918BR Name Humphries, Dean M Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date HUMPHRIES, DEAN M PARTNER /MEMBER 04/15/2009 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 WESTERN SURETY CO 70702057 04/14/2009 Until Cancelled $4,000.00 04/15/2009 https: // fortress .wa.gov /lni/bbip/Detail.aspx 08/06/2009