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