HomeMy WebLinkAboutPermit EL08-1337 - CITY OF TUKWILA - 6300 BUILDINGCITY OF TUKWILA
6300 SOUTHCENTER BL
ELO8-1337
Cityef 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.: 0003200005
Address: 6300 SOUTHCENTER BL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -1337
Issue Date: 10/09/2008
Permit Expires On: 04/07/2009
Tenant:
Name: CITY OF TUKWILA
Address: 6300 SOUTHCENTER BL , TUKWILA WA
Owner:
Name: TUKWILA CITY OF Phone:
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA
Contact Person:
Name: DEAN HUMPHRIES Phone: 425 864 -6969
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor:
Name: PRIME ELECTRIC INC
Address: 13301 SE 26 ST , BELLEVUE WA
Contractor License No: PRIMEEI134BT
Phone: 425 747-5200
Expiration Date: 01/30/2009
DESCRIPTION OF WORK:
INSTALL CIRCUIT FOR FUTURE VAN LOCATED IN PARKING SPACE NEXT TO BUILDING
Value of Electrical: $2,200.00
Fees Collected:
$124.00
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
governing this work will be complie
The granting of this p
construction or the p
Signature:
x
wl
Date: `D L M (g92
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
it does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ance of wor. I . authorized to sign and obtain this electrical permit.
Date: /4// Z7d'''
Print Name: —eG�Gr
1
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 -1337 Printed: 10 -09 -2008
Parcel No.: 0003200005
Address:
Suite No:
Tenant:
•
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
6300 SOUTHCENTER BL TUKW
CITY OF TUKWILA
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL08 -1337
ISSUED
10/09/2008
10/09/2008
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 docurr.entation 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:
Date:
doc: Cond -Elec
EL08-1337 Printed: 10 -09 -2008
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: /,hvtvw.ci ttlk::dtrt wa ttR
Electrical Permit No.
Project No.
(For ofc, use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan revi:w.
Applications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
King Co Assessor's Tax No.: 0005'20— 000C
Site Address: 11L2C -50c ice I ek- Suite Number:
Tenant Name: t!'i L ( ni.1 •✓i7
Property Owners Name: 06 p f 7 4 .i /
Mailing Address: 623-0O Soo,,{ Gew4/v 7/t /c0
Floor:
New Tenant: ❑ Yes
.®..No
74^.46.414
City
"�4 State
96e-AP-e
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: .v�w.�,l P�
Mailing Address: /73o/ SE 26,1 S j.
Day Telephone:
gat'cru t
444 9,fiekar
City
E -Mail Address: tarLi- ti ,6c7C -iL fowl Fax Number:
State Zip
yLs 7"? - s.5�s2
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
/33o/ S6' 2( S(
4J,Q 9e663-
Contact Person: Hm-n+ AeJ
E -Mail Address: Gig/% ii -A-eJ oario... -e•e /-C7 c -. —
Contractor Registration Number:
City
Day Telephone:
Fax Number: V2-5-- 74/7- .5-J-3-2
Expiration Date:
State Zip
pe, v— 6,7 G y
Valuation of Project (contractor's bid price): $ 2200
Scope of Work (please provide detailed information): _ nSh-€ ur ,t v4v rXur2 ve+ti
loci ,vt �,,, �� ea
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
,a Puget Sound Energy
El Seattle City Light
H \Applicanons\Fonns- Applicawns On L111e \4 -2007 - Electncal Pmt Application doc
hh
Page 1 of 2
RESIDENTIAL
NEW RESIDE :NTIAI. SERVICE
❑ New single family dwellings $1,10.00
(including an attached garage)
❑ Low voltage systems
(alarm. furnace thermostat) $55.01) ea
RESIDENTIAL. REMODEL AND SERVICE ( :HANG ES
❑ 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 scrvicc change $50.00
(6 or more circuits) $7.00 ca
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm. furnace thermostat)
MULTI-FAMILY AND COMMERCIAL
I , . , .::e h:; <ed ear. the va! ;:ili.'-1 c f :h el: t °rica; ctr, :.: •
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.0(
❑ Temporary service (generator) $75.00
❑ Manufactured /mobile home scrvicc $80.00
(excluding garage or outbuilding)
❑ Carnivals S75.00
Number of gouge sions $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 extensior shall be requested in writing
and justifiable cause demonstrated.
I IIEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF TIIE STATE OF WASHINGTON, AND I AM AUTHORIZED T() APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Date: A�/9/11
Print Name: — .42a./ / ". ✓iie1
Mailing Address: /330/ Se S .4.
Date Application Accepted: 101 oft
Day Telephone:
City
F6V- 907
w�9 Ref-ter-
State Zip
Date Application Expires: / Staff Initials:
11 \Apphcanons \Fntms- Apphcat:ons On Lme4-2007 - Eledncal rermt Apphcanon.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.: 0003200005 Permit Number: EL08 -1337
Address: 6300 SOUTHCENTER BL TUKW Status: PENDING
Suite No: Applied Date: 10/09/2008
Applicant: CITY OF TUKWILA Issue Date:
Receipt No.: R08 -03479
Initials: JEM
User ID: 1165
Payment Amount: $124.00
Payment Date: 10/09/2008 02:01 PM
Balance: $ 0.00
Payee: PRIME ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 16604 124.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 124.00
Total: $124.00
doc: Receiot -06 Printed: 10 -09 -2008
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
Project: (
Type of Ins') ection: ,7001 (2., I 00
Address:
69 300 .ACM 131— .
Date Called:
Special Instructions:
Date Wanted:
(0111
&It
Requester:
Phone No:
Approved per applicable codes. 12 Corrections required prior to approval.
COMMENTS:
p. K . , J4nK6QoUn►c)
cm1
Inspector:
I /54 J / Date: /0(///03
El $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:
Untitled Page
•
1
Page 1 of 2
Electrical Contractor
A business licensed by Lltl 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 PRIME ELECTRIC INC UBI No. 601004783
Phone 4257475200 Status ACTIVE
Address 13301 SE 26TH ST License No. PRIMEEI134BT
Suite /Apt. License Type ELECTRICAL CONTRACTOR
City BELLEVUE Effective Date 1/30/1987
State WA Expiration Date 1/30/2009
Zip 98005 Suspend Date
County KING Previous License
Business Type CORPORATION Next License
Parent Company Associated License TYRREWF973CK
Specialty 1 GENERAL
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License TYRREWF973CK
Name TYRRELL, WAYNE
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
TYRRELL, WAYNE F
Cancel
Date
01/01/1980
Bond
Amount
TYRELL, NANCY
01/01/1980
TYRELL, WAYNE
AGENT
01/01/1980
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
INS CO OF
Until
https: / /fortress.wa. gov /1ni/bbip/Detail. aspx ?License= PRIMEEI134BT
10/09/2008