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Home My WebLink AboutPermit EL08-1279 - KING COUNTY HOUSING AUTHORITYKING COUNTY HOUSING AUTH t RITY 15455 65 AV S EL084 279 Parcel No.: Address: Suite No: cityltof Tukwila 0 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 0003200004 15455 65 AV S TUKW ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL08 -1279 09/26/2008 03/25/2009 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: KING COUNTY HOUSING AUTHORITY 15455 65 AV S , TUKWILA WA KC HOUSING AUTHORITY 600 ANDOVER PARK W , TUKWILA WA STUART RICHTER PO BOX 1386 , WOODINVILLE WA INTEGRATED SYSTEMS LLC 310389AV S, FEDERALWAYWA Contractor License No: INTEGSL944PW Phone: Phone: 206 778 -9260 Phone: 206 274 -1625 Expiration Date: 10/16/2008 DESCRIPTION OF WORK: LOW VOLTAGE: INSTALL WEB ACCESS BOILER CONTROLLER Value of Electrical: Type of Fire Protection: $10,000.00 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: Date: $246.00 2005 c#1IZ(pwI I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie • ®whether specified herein or not. The granting of construction or Signature: permit does not prey!' e to give authority to violate or cancel the provisions of any other state or local laws regulating e of work. I . std - _ _.' •sand obtain this electrical permit. Print Name: OCi/ �1CY� —C,L1 Date: 4- 65 (0 a 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 -1279 Printed: 09 -26 -2008 • 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.: 0003200004 Address: Suite No: Tenant: 15455 65 AV S TUKW KING COUNTY HOUSING AUTHORITY Permit Number: Status: Applied Date: Issue Date: EL08 -1279 ISSUED 09/26/2008 09/26/2008 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 c4struction or the performance of work. Signature: Print Name: L„A Date: `L a & S /4 doc: Cond -Elec EL08 -1279 Printed: 09 -26 -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. FLO' ' 111.1 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 ** t2tt'.bv SITE LOCATION Site Address: 15`155- hs A s Tenant Name: K i 4i C, (fur �j 1;3 u rl rip Property Owners Name: C C / A-- 11 Mailing Address: SFYvs 0 King Co Assessor's Tax No.: 60) 0oct_ Suite Number /c 1 Floor: 1 AJ-41---;( 1L7 New Tenant: ❑ Yes ❑..No ctli 14 City State 9g gg Zip CONTAT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: ►�. e 138 6 Day Telephone: o2'‘ c 6 0 („Jo n �t tiUl Se Li/4, ` q072, �j� Ciry State Zip E -Mail Address: La✓-- v ._ ..›, a4e si.,- p.i-FaxNumber: 1 L "' of 8 qd - of ELECTRICAL CONTRACTOR ][NFORMATION Company Name: ...A - z.- 4,5,41-, of Mailing Address: P b 6 < L 3 a (o Sys _v w n a el t' ,AAA+2 ki.)6 9807), Contact Person: ct ✓ti., C at c, A ec City State Zip Day Telephone: a °t° - ^7 `1-- / (c ) .a S E -Mail Address: - I t I , haw, aeK -/-* TA Le f � Ica( . A.e/- Fax Number: 4(2 r— 13 Q Contractor Registration Number: 11q1-667-/L. 01144 1 Expiration Date: 10 1(1) 1/01 Valuation of Project (contractor's bid price): $ / C� Scope of Work (please provide detailed information): t iti c_ Lc C CUSS /��t rev C 4,--- 1 �PV Will service be altered? ❑ Yes [E' o Adding more than 50 amps? ❑ Yes 1-11No Type of Use: Type of work: ❑ w 1:1 Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Propert y Se b : Puget Sound Energy ❑ Seattle City Light H:Wppltcanons\Fmms- Applications On tane\4.2007 - Electrical Pemut Application doc bh 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 ca ❑ 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) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ 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. 1 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 0 ER OR ELECTRICAL CONTRACTOR: Signature: ' Date: 04112- iQt4 Print Name: Day Telephone: Mailing Address: Date Application Accepted: City State Zip i1 Date Application Expires: CS/ pel H U pplicaaons\Forrm.Applrcaaone On tineA -2007 - Elect:cat Permit Application doc bh Page 2 of 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit FERMIT NO. CITY OF TUKWILA BUILDING DIVISION IQ 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: C si stl � - Type of Inspection: 2 M Address: 151SS 60x44- S . Date Called: Special Instructions: L f I J Date Wanted: Z :m m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspector: ;11 130440\ Date: 01771/0\11 17$60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 1Date: 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.eitulcwila.wa.us RECEIPT Parcel No.: 0003200004 Permit Number: EL08 -1279 Address: 15455 6S AV 5 TUKW Status: APPROVED Suite No: Applied Date: 09/26/2008 Applicant: KING COUNTY HOUSING AUTHORITY Issue Date: Receipt No.: R08 -03371 Initials: JEM User ID: 1165 Payment Amount: $246.00 Payment Date: 09/26/2008 03:13 PM Balance: $0.00 Payee: INTEGRATED SYSTEMS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2577 246.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 246.00 Total: $246.00 doc: Receiot -06 Printed. 09 -26 -2008 Untitled Page is. 1 Page 1 of 1 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 INTEGRATED SYSTEMS LLC 2062741625 31038 9TH AVE S FEDERAL WAY WA 98003 KING LIMITED LIABILITY COMPANY UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602540920 ACTIVE INTEGSL944PW ELECTRICAL CONTRACTOR 10/16/2006 10/16/2008 FOWLETT952D2 GENERAL UNUSED ADMINISTRATOR INFORMATION License FOWLETT952D2 Name FOWLER, TODD T Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date CAMARATA, TIM J PARTNER /MEMBER 10/16/2006 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC SG9810 10/04/2006 Until Cancelled $4,000.00 10/16/2006 https: / /fortress.wa. gov /lni/bbip/Detail. aspx ?License= INTEGSL944P W 09/26/2008