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HomeMy WebLinkAboutPermit EL08-1434 - WA STATE DEPARTMENT OF LABOR AND INDUSTRIESWA STATE DEPT OF L&I 12806 GA11EWAY DR EL08- 1434 City 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.: 2716000050 Address: 12806 GATEWAY DR TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL08 -1434 Issue Date: 11/12/2008 Permit Expires On: 05/11/2009 Tenant: Name: WASHINGTON DEPT OF L &I Address: 12806 GATEWAY DR , TUKWILA WA Owner: Name: RREEF AMERICA REIT II CORP/ Phone: Address: PO BOX 4900 #207 , SCOTTSDALE AZ Contact Person: Name: TONY ARBICOR Phone: 206 714 -3686 Address: 1402 AUBURN WY N PMB 371 , AUBURN WA Contractor: Name: SES INC Phone: 206 715 -2964 Address: 1402 AUBURN WY N PMB 371 , AUBURN WA Contractor License No: SESIN* *990RA Expiration Date: 12/01/2009 DESCRIPTION OF WORK: INSALL MODULAR FURNITURE SYSTEM (POWER WIRING BY OTHERS) Value of Electrical: $400.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e $66.00 2005 Date: 6116L ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied dlrith, 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 p rformance of o . I am authorized to sign and obtain this electrical permit. Signature: Print Name: 4erilouy C. kieicoee Date: /(42-/06 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 -1434 Printed: 11 -12 -2008 Parcel No.: 2716000050 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 12806 GATEWAY DR TUKW WASHINGTON DEPT OF L &I PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -1434 ISSUED 11/12/2008 11/12/2008 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 TO - 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. T: 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: /mid /tor Date: 11 ta-hg doc: Cond -Elec EL08 -1434 Printed: 11 -12 -2008 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://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.: Site Address: 02004 64110C II //,L Suite Number: Floor: Tenant Name: £O j . 1,4t64-- 7 I Gc Si7— r S New Tenant: El Yes Property Owners Name: Mailing Address: 2_1-Re 00 —7 Z..No City State Zip CONTACT PERSON -, o we contact en your perm Name: Mailing Address: City E -Mail Address: Fax Number: Day Telephone: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: SE 5 , Z t c. • ( ,/ } Mailing Address: /''/O Z 446 6�AJ WI- /�• Pin n le 311 4 L t%/34). t i- ggooz City State Zip Day Telephone: O(! - Pi/ c( - iv% V E -Mail Address: uwapa4O € C4I41c -4_Sl e ptt.1- Fax Number: 25'-3 - 604.- 737 (o 6 Contractor Registration Number: .4SS/t) ii pi Expiration Date: 12-- d 1 - ell Contact Person: r Z /Cot- Valuation of Project (contractor's bid price): $ 700 Scope of Work (please provide -ti d etailed infor- matio n): S - /' /1(0 )GUby /t ! / 1-e 541 44. 41^) e')-- J P $:(1 r( O 1, .-t s5\ Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes tg. No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change El Remodel gi Tenant Improvement El Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication El Temporary Service Property Served by: El Puget Sound Energy Seattle City Light H:\ Applications \Forms - Applications On Line \4 -2007 - Electrical Permit 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 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) 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. I 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: A Print Name: 4NT1-f2IJ.,r G • ftl 1 'COY- Mailing Address: !'/42-- , ,cL4 —z() ' the 37( City Date: / 74ZM Day Telephone: it ` "3* $(o Date Application Accepted: 1.94-- 95ooz state Date Application Expires: Stafflnitials: H Applicsaor Farms- Applic font On Une4 -2007 - Dec-triad Permit Application.doc bh Zip I 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.: 2716000050 Address: 12806 GATEWAY DR TUKW Suite No: Applicant: WASHINGTON DEPT OF L &I RECEIPT Permit Number: EL08 -1434 Status: APPROVED Applied Date: 11/12/2008 Issue Date: Receipt No.: R08 -03741 Payment Amount: $66.00 Initials: JEM Payment Date: 11/12/2008 12:28 PM User ID: 1165 Balance: $0.00 Payee: SES, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3777 66.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 66.00 Total: $66.00 doc: Receipt -06 Printed: 11 -12 -2008 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISI ON 6300 Southcenter Blvd., #100, Tukwila, WA 98188 INSPECTION RECORD Retain a copy with permit (La-i 34 PERMIT O. . R (206)431 -3d0 Project: L�l Type of Inspection: 7A00 N. Address: not coal-Wm Date Called: Special Instructions: Date Wanted: 11/(3 .m Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Ali, Inspector: 1 Date: il r (3 01 $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 • • 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 SES INC UBI No. 2067152964 Status 1402 AUBURN WAY N PMB 371 AUBURN WA 98002 KING CORPORATION License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 602103851 ACTIVE SESIN * *990RA ELECTRICAL CONTRACTOR 12/1/2001 12/1/2009 ARBICAC971 NF GENERAL UNUSED MASTER ELECTRICIAN INFORMATION License ARBICAC971 NF Name ARBICOR, ANTHONY C Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date WILLIAMS, MICHAEL E AGENT 12/01/2001 WILLIAMS, MICHAEL E PRESIDENT 12/01/2001 ARBICOR, ANTHONY C SECRETARY 12/01/2001 Bond Information 1 I Bond I Bond I Effective lExpirationlCancel I Impaired I Bond 1 Received 1 https: // fortress .wa.gov /lni/bbip/Detail.aspx ?License= SESIN * *990RA 11/12/2008