HomeMy WebLinkAboutPermit EL08-1087 - CITY OF TUKWILACITY OF TIJKWILA
12424 42 AV S
EXPIRED 02 -02 -09
ELO8-1 087
CitAbf 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: EL08 -1087
Issue Date: 08/04/2008
Permit Expires On: 01/31/2009
Tenant:
Name: CITY OF TUKWILA
Address: 12424 42 AV S , TUKWILA WA
Owner:
Name: CITY OF TUKWILA Phone:
Address: 6200 SOUTHCENTER BLVD , TUKVVILA WA
Contact Person:
Name: BROOK BOONE Phone: 253- 261 -5768
Address: PO BOX 1985 , MILTON WA
Contractor:
Name: DUCHESS CONSTRUCTION INC Phone: 253 952 -7285
Address: P.O. BOX 1985 , MILTON
Contractor License No: DUCHECI021N8 Expiration Date: 08/28/2008
DESCRIPTION OF WORK:
ADD 20 AMP CONTROL CIRCUIT.
Value of Electrical: $0.00
Fees Collected:
$75.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
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.
Date:
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 oe performance of . • rk. I am authorized to sign and obtain this electrical permit.
Signature: r't.!!t%/ /� ,' 3c N` Date:
Print Name: 216o/ (.0Q ,t
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
EL08 -1087 Printed: 08 -04 -2008
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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
Parcel No.: 0179003225
Address: 12424 42 AV S TUKW
Suite No:
Tenant: CITY OF TUKWILA
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1087
ISSUED
08/04/2008
08/04/2008
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:
reier/'- tco,-
Fra OC30fri
Date:
doc: Cond -Elec
EL08 -1087 Printed: 08-04 -2008
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.
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.:
Site Address: 2. Z� 11'2 a Suite Number: Floor:
Tenant Name: C;17' O F % /(w) ! 4. New Tenant: ❑ Yes A..No
Property Owners Name: (1 t l
Mailing Address:
City
State
Zip
CONTACT PERSON - Who•do we contact when your permit is ready to be issued
Name: eg f/4 ft t Day Telephone: 7 S3 ZG / ` r768
Mailing Address: Po 12o )( / f'2 m / /Awl f/ UST
Ciry State Zip
E -Mail Address: Fax Number: 2.3-3 80 -9// C
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Pot-tell" LC n51.
Mailing Address:
City State Zip
Contact Person:2 jQO fL goo Day Telephone: Z 1-3 7. / _57(9
E -Mail Address: /�� / Fax Number: 2J
Contractor Registration Number: L� Y/t
— /nee„..��►► L�ilxfiation Date: S/Z Q S
Valuation of Project (contractor's bid price): $ r.7 00
Scope of Work (please provide detailed information):
/
Will service be altered? ❑ Yes 17,1 No Adding more than 50 amps? ❑ Yes g No
Type of Use: zo fib Ga►n 1 fa %'1 Lire 1..1-
Type of work:
❑ New [14 Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H :\ApplicationsWorms- Applications On Line\4 -2007 - Electrical Permit Application.doc
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❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
Signature:
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) S75.00
❑ 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.
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:
gf?ZV4 /600 #1"-Z--
Print Name: f'lake, /.e Fad
Mailing Address: P6 106)( �f 8s lin did n w A
Day Telephone:
rf'935 -r
City
Date: f�8
State
Zip
Date Application Accepted:
Date Application Expires: Z _ ,r) 6
Staff Initial
H Appbcations1Forrn3- Applications On Ltne\4.2007- Electrical Permit Appbcation. doc
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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
Parcel No.: 0179003225
Address: 12424 42 AV S TUKW
Suite No:
Applicant: CITY OF TUKWILA
RECEIPT
Permit Number: EL08 -1087
Status: APPROVED
Applied Date: 08/04/2008
Issue Date:
Receipt No.: R08 -02829
Payment Amount: $75.00
Initials: BLH Payment Date: 08/04/2008 12:18 PM
User ID: ADMIN Balance: $0.00
Payee: DUCHESS CONSTRUCTION INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 8304 75.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 75.00
Total: $75.00
25 )0/044."1: TO - -AL ...
doc: Receipt -06 Printed: 08-04 -2008
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 1
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
(( 1687
Project: -I
Fri 0( II�tIV l L$
Type of Inspection:
70o,
Address:
i 2' j 2-Lf 1•6 AiC • 5 .
Date Called:
Special Instructions:
Date Wanted:
06
p.m.
Requester:
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
ti
COMMENTS:
OK. ' JPV6V-IzotiA9
Inspector:
Date:
0y /06/0 �
El $60.00 REINSPECTION FEE REbUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
01 -02 -2009
BROOK BOONE
PO BOX 1985
MILTON WA 98354
City of Tukvvila Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. EL08 -1087
12424 42 AV S TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or fmal inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 02/02/2009 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
xc:
er Marshall
it Technician
Permit File No. EL08 -1087
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Untitled Page
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Page 1 of 2
Electrical Contractor
A business licensed by LW 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.
DUCHESS CONSTRUCTION INC
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent
Company
DUCHESS CONSTRUCTION
INC
2538912016
PO BOX 1985
MILTON
WA
98354
PIERCE
CORPORATION
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Separation Date
Previous License
Next License
Associated
License
Specialty 1
Specialty 2
601805583
ACTIVE
DUCHECI021 N8
ELECTRICAL
CONTRACTOR
8/28/1998
8/28/2008
BOONEJD250L5
GENERAL
UNUSED
ADMINISTRATOR INFORMATION
License BOONEJD250L5
Name BOONE, JACK D
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
LEENSTRA, RUTH
AGENT
08/28/1998
LEENSTRA, RUTH
TREASURER
01/01/1980
BOONE, BROOK
VICE PRESIDENT
01/01/1980
https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= DUCHECI021 N8
08/04/2008