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HomeMy WebLinkAboutPermit EL08-0856 - WA STATE DEPARTMENT OF LABOR & INDUSTRIESWA STATE DE171' OF L&I 12806 GATEWAY DR 1108-856 Parcel No.: Address: Suite No: Citleof 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 2716000050 12806 GATEWAY DR TUKW ELECTRICAL PERMIT Permit Number: EL08 -856 Issue Date: 06/26/2008 Permit Expires On: 12/23/2008 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: LABOR & INDUSTRIES 12806 GATEWAY DR , TUKWILA WA RREEF AMERICA REIT II CORP/ PO BOX 4900 #207 , SCOTTSDALE AZ DOUG JARVIS PO BOX 266 , HOBART WA Contractor: Name: D J ELECTRIC & CONSTRUCTION Address: P 0 BOX 266 , HOBART WA Contractor License No: DJELECI027L9 Phone: Phone: 206 396 -2856 Phone: Expiration Date: 06/29/2008 DESCRIPTION OF WORK: RESWITCH LIGHTING AND RELOCATED EXISTING CIRCUITS Value of Electrical: Type of Fire Protection: $2,500.00 Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and ex Fees Collected: National Electrical Code Edition: Date: $124.00 2005 ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied yvith,)whether s • ecified herein or not. The granting of this pe • oes ri re - e t • • 've authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe c k • I . authorized to sign and obtain this electrical permit. Signature: Date: Print Name: //1- 'l � ( S 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 -856 Printed: 06-26 -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 LABOR & INDUSTRIES PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL08 -856 ISSUED 06/26/2008 06/26/2008 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 n presume to give authority to violate or cancel the provision of any other work or local laws regulating construcctipn or ape • >rmance,of work. Signature: Print Name: doc: Cond -Elec EL08 -856 Printed: 06 -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. 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 Site Address: Tenant Name: r King Co Assessor's Tax No.: 2i' t L 00 �.--1) Suite Number: New Tenant: Floor: ❑ Yes ®.,,No Property Owners Name: -14-/LiAt -em- -wC l Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: cc96r T L(J(S /J o e ®x 2 E -Mail Address: Day Telephone: Zc 377 rs-Ce City Fax Number: State Vag' 3z ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: Contractor Registration Number: /, �CzEGZ�� �7L 7 _b 3r—t 677 9f4 ,dam, Zit/ C /© 13ox uo� £5' J,1 c1(S City �y State Zip Day Telephone: Y/ 3�� Fax Number: e/ a 5— e/ 3 Z z S73 Expiration Date: Valuation of Project (contractor's bid price): $ ,2e-__s ercer L-7- � (? DC.9 -? L fS77 Scope of Work (please provide detailed information): C((Lco /7:__S Will service be altered? ❑ Yes 2f---,10 Adding more than 50 amps? ❑ Yes , .No Type ,of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel AS.. Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light HAApplicanons\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 580.00 (excluding garage or outbuilding) ❑ Carnivals $75 -00 Number of concessions .510.00 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 LA S OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ' ECT'4 CCA 1 T CTOR: Signature: Print Name: l// • . ( S�''e V ( S Mailing Address: / e) ,432: c IDate Application Accepted: Date: 6 Day Telephone: city State Zip 2(t1 ) Date Application Expires: H tAppbcauons'Iorma- AppLartom On Gne's4-7007 - Electrical Permit Application clot bh Staff Initials: d 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 TUICW Suite No: Applicant: LABOR & INDUSTRIES RECEIPT Permit Number: EL08 -856 Status: PENDING Applied Date: 06/26/2008 Issue Date: Receipt No.: R08 -02314 Payment Amount: $124.00 Initials: JEM Payment Date: 06/26/2008 12:30 PM User ID: 1165 Balance: $0.00 Payee: D J ELECTRIC & CONSTRUCTION INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2887 124.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 124.00 Total: $124.00 4159 06/26 9711 TOTAL 124.00 doc: Receiot -06 Printed: 06-26 -2008 r INSPECTION RECORD Retain a copy with permit INSPE ON NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION .1Z- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 64- Project: IN 1 41,- Type of Inspection: 0Q V Address. 171061 ! L� Date Called: Special Instructions: Date Wanted: fl r (0 451°.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: (oucnotJs tAt-OE Inspector: Date: hito 0\8 r7 $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: .. .r.n�. e_...�_.w. i.... ..+tea..,_ ......L.,.�.r._ J.%�- INSPECTION RECORD ^ �7L RRetain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -360 Project: Type of Inspection: Z /0v '']rn Address: i nO I 6 Date Called: R0.i14 ,4 Special Instructions: Date Wanted: �Q I� / 1 !!! a m m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ( )0,egem 0145 ?11 7oo> Oi. - CO l✓IA ti £ Oi/ R0.i14 ,4 Aler6 or C&iteeGr(o J to() - EMrtuA6 AJc- E 5 alio - +-J4 407- rvnlC. ot. I nl A Inspector: &AJA/c7S, Date: 10/3 1/01 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: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION CL" 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 bAT-gr6) Project: L_ I Type of Inspection: 703 Address: t 2SQco 6,J Dk • Date Called: Special Instructions: Date Wanted: /o7 Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 50116 (t)7u € s 5ff ray k(owi 56 tStitC 5QPPbe'r - 5EI5iLc WieLCC kfat1I rtl/vffuml 5 4 e.5 - t ot'JR t*Ju t5 fnl u &4-7f"it 6°Xe5 th i1 ge co4det-rd) 7o ep 0 A &toWJ c¢,F -w oc arum gePe8r!t-P IOW, ( o"r iD>r►l f cf 'i) gtilaC ! fiVe - ( /r- /AI 80/0 K001 17'4 f42.0Pelt ,3a4Qft/' (6ebv AJD SCQ, S) Inspector: Date: / Q� � p 0 $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: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. 64.15-4 CITY OF TUKWILA BUILDING DIVISION P- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: ! 4- L Type of Inspection: 7003 - S V Pres kr C,0.4bUti, wl 3 41-. or Address: Q (} Date Called: - po tsO1 PA-'51 cuP74 ripiie65, Fop 1.41114 6 4.,J•L. t,,lH-I1PAS Special Instructions: Date Wanted: /044, 6a.mm. Requester: Phone No: Approved per applicable codes. OCorrections required prior to approval. COMMENTS: -- lio J4410 6( .5 tsrilLE9 - oP Eitect5 "l ce tt,'^4ts - S V Pres kr C,0.4bUti, wl 3 41-. or a°yEs - K. a . 5(-41.,5 kowt ttc-f) . - po tsO1 PA-'51 cuP74 ripiie65, Fop 1.41114 6 4.,J•L. t,,lH-I1PAS - Rf '1'y 6 A (304 fl \/E LV CAE 34c T& P ref 4c- Inspector: 6e74i-oc Date: 0$106184' r7 $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: Look Up a Contractor, Electri ' or Plumber License Detail of Washington State Department of Labor and Industries Electrical Contractor A business licensed by L &I 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. License Information License DJELECI027L9 Licensee Name D J ELECTRIC & CONST INC Licensee Type ELECTRICAL CONTRACTOR UBI 601872945 Ind. Ins. Account Id AGENT Business Type CORPORATION Address 1 PO BOX 266 Address 2 City HOBART County KING State WA Zip 98025 Phone 4254322513 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 6/29/1998 Expiration Date 6/29/2010 Suspend Date Separation Date Parent Company Previous License DJENT * *022BT Next License Associated License JARVIVD962O9 Master Electrician Information License JARV1VD962O9 Name JARVIS, VIRGIL D Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date JARVIS, VIRGIL D 01/01/1980 JARVIS, VIRGIL D AGENT 01/01/1980 Bond Information 1 Page 1 of 2 https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= DJELECI027L9 06/26/2008