HomeMy WebLinkAboutPermit EL09-0628 - PREVAIL CREDIT UNIONPREVIAL CREDIT iJ1VION
12834 INTERURBAN AV S
ELO9-0628
Cityif 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.: 2716000010
Address: 12834 INTERURBAN AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0628
Issue Date: 10/02/2009
Permit Expires On: 03/31/2010
Tenant:
Name: UNKNOWN
Address: 12834 INTERURBAN AV S , TUKWILA WA
Owner:
Name: RREEF AMERICA REIT II CORP/ Phone:
Address: PO BOX 4900 #207 , SCOTTSDALE AZ
Contact Person:
Name: ANDREW BENTLEY Phone: 253 - 577 -3704
Address: PO BOX 7205 , TACOMA WA
Contractor:
Name: D F ELECTRIC INC Phone: 253 572 -3704
Address: PO BOX 7205 , TACOMA WA
Contractor License No: DFELEI *010D9 Expiration Date: 03/31/2011
DESCRIPTION OF WORK:
TIE NEW ROOFTOP HVAC UNIT TO EXISTING CIRCUIT
Value of Electrical: NRES: $750.00 Fees Collected: $80.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
La;,,Q17,„,
Date: Lo-)`Q
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. a authorized to sign and obtain this electrical permit.
■
Signature:
Print Name:
Date: t Cj ' Z —
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 -0628 Printed: 10 -02 -2009
Parcel No.: 2716000010
Address:
Suite No:
Tenant: UNKNOWN
•
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
12834 INTERURBAN AV S TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0628
ISSUED
10/02/2009
10/02/2009
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:
rfrAii
-A-pftzeL,J
Date: /° — 2 -al
doc: Cond -Elec
EL09 -0628 Printed: 10 -02 -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 No. ELY - 0 g
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
�'J King Co Assessor's Tax No.: r).-77 ‘00 ^c t 0
Site Address: 2 b $ IN \ �V �3 Ax12: Suite Number: 3 Floor:
Tenant Name:
New Tenant: 0 Yes
Property Owners Name:
Mailing Address:
City
Zip
CONTACT PERSON - Who do we contact when your permit is ready to beissued
Name: At�l�iZ
Day Telephone: Zs-3— S-4-7— 3 90 ¢-
Mailing Address: gO< --q" ZDS- 1-4(n4.44-
l ^� C. (� City
E -Mail Address: C-4)0. �' J (e,-) E C..-- Q (ecly,'c_. oft Fax Number: 75-- 762 r 3yZ
State Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number: ELT I ' CY ((d DGi Expiration Date: 3 3 1 - 70 l I
De occ c,TRK�
IN C
ty State Zip
Day Telephone: 7 -- 9 4
Fax Number: 3.3"?,7
Valuation of Project (contractor's bid price): $ '% cp. U 6
Scope of Work (please provide detailed information): -I- 2 Ca
✓le1200.-F-4-6/ 14
ri
Will service be altered? ❑ Yes p No Adding more than 50 amps? ❑ Yes o
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.'Apphcatwns \Forms - Applications On Line \1 -2009 - Electncal Permit Applicanon.doc
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) $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:
alb
Date: /0 — Z - ZOO
Day Telephone: Z T? _ J Z - 3 -9-4
Cay
tate
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H. 1Applicauons\Forms- Applications On Line1-7009 - Electncal Permit Applicanon.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.: 2716000010 Permit Number: EL09 -0628
Address: 12834 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 10/02/2009
Applicant: UNKNOWN Issue Date:
Receipt No.: R09 -01544
Initials:
User ID:
WER
1655
Payment Amount: $80.00
Payment Date: 10/02/2009 10:06 AM
Balance: $0.00
Payee: D F ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 25386 80.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 80.00
Total: $80.00
'AYMENT
RECEIVED
doc: Receiot -06 Printed: 10 -02 -2009
2
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
Cwl-ob2p
PERMIT NO.
(206)431 -3
Project: NAM , CB 6NT J \l(Q
Type of Inspection:
2 (00
Addres2311 (
k6 .
Date Called:
Special Instructions:
Date Wanted:
t 0 � 1
cw„rid.
Requester:
Phone No:
EApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
oketm045 tiks7(
Inspector:
irrier-44c-ik
Date: mil 5107
ri $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:
1
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
/be
Etui -off
PERMIT NO.
(206)431 -3E7
Project l
f�i441(/a(1)T 014101k
'Type of Inspection:
2100
\
Address:
r 31 (4.06
Date Called:
---
Special Instruct ons:
Date Wanted:
lO r
cll:nei.
Requester:
Phone No:
EjApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
S6eet P-(cthltibt ROorekb
tm1Ni "lc
i/4 6(-41.1e1
Date: 10113107
ri $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
Untitled Page
0
•
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
D F ELECTRIC INC
2535723704
PO BOX 7205
TACOMA
WA
98406
PIERCE
Corporation
UBI No.
Status
License No.
601940601
ACTIVE
DFELEI *010D9
License Type ELECTRICAL CONTRACTOR
Effective Date 3/29/1999
Expiration Date 3/31/2011
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
DFELE * *269DMD F
ELECTRIC
ELECTRICAL
CONTRACTOR
GENERAL
UNUSED
3/14/1974
5/31/2000
ARCHIVED
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
https: // fortress .wa.gov /lni/bbip/Detail.aspx
10/02/2009