HomeMy WebLinkAboutPermit EL10-0071 - DAHLGREN INDUSTRIESDAHLGREN INDUSTRIES
13975 INTERURBAN AV S
EL10-0071
Parcel No.:
Address:
Suite No:
Cityei' Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /wwwci.tukwila.wa.us
3365900227
13975 INTERURBAN AV S TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL10 -0071
02/02/2010
08/01/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
DAHLGREN INDUSTRIES
13975 INTERURBAN AV S , TUKWILA WA
INTERURBAN INVESTMENT LLC +D
2201 LIND AVE SW #150 , RENTON WA
WILLIAM THOMAS
4408 S 282 ST , AUBURN WA
Contractor:
Name: PACIFIC SUN SERVICES LLC
Address: 4408 S 282 ST , AUBURN WA
Contractor License No: PACIFSS945RC
Phone:
Phone: 253 - 653 -9638
Phone: 253- 856 -7397
Expiration Date: 12/12/2010
DESCRIPTION OF WORK:
REPLACING SERVICE ENTRANCE CONDUCTOR FROM PSE TRANSFORMER TO METER BASE
Value of Electrical:
Type of Fire Protection:
NRES: $2,200.00
RES: $0.00
UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $136.50
National Electrical Code Edition: 2008
Date: �—�— ( V
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.
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 performance of work. II am authorized to sign and obtain this electrical permit.
t o )1
Signature: IL.1, - 4 /1 /)`k Date: 2-121 % 0
Print Name: \IU' I (44 191h S • 11-643
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
EL10 -0071 Printed: 02 -02 -2010
Parcel No.: 3365900227
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
13975 INTERURBAN AV S TUKW
DAHLGREN INDUSTRIES
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0071
ISSUED
02/02/2010
02/02/2010
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 recrulating construction or the performance of work.
Signature:
�� ��1 e a—
Print Name: / LA,I /9111 S . TN-k■AS
Date: Z/Z/l O
doc: Cond -Elec
EL10 -0071 Printed: 02 -02 -2010
CITY OF TUKWILA.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tkwila. 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 Address: 3975 )11le- rarba►.
Tenant Name: Da..h 1grevt. d s -lr'rs
?-mac
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
37 S " 42-17
Floor: •
❑ Yes sR.. No
Property Owners Name:
Mailing Address: I ? 7 S GUe �
CONTACT RERSOI'
-1 ttILw i /A
City
io do we contact *hen. to be,tssued`
State
Name: di Wow' Tl4lt7 Pin s
Mailing Address: 4 408 5 . .94 are
Day Telephone: 2 5 3 (o 5 3 '? 3 r(
At W4 • qea)/
E -Mail Address: Pa ct''c St.l t, e)e Jri e awl ca s4-• ne /
City State Zip
Fax Number: ZSS 854 3q7
EL ECTRICALCONTRACTOR INFORMATI
Company Name: PA-c4 i ' C 50, 5 EX 01 CE, LL C
Mailing Address: 1 ''44th e s, a8 �n J Tarr.
WI Contact Person: I uL t von T ikK,IRS
E -Mail Address: etLaie. swt, e le c'ri c, (J Govtncasi,
Contractor Registration Number: oc 6i SS 94S rc
H�Gt�uvn
City
GtJ/'F
State
9800/
Zip
Day Telephone: 2 5 3 G53 963 ?
Fax Number: Z53 85 G 7$ 97
Expiration Date: l a l 1 2 _ /
Valuation of Project (contractor's bid price): $
it
Z� 200
Scope of Work (please provide detailed information):
Ps Trats$ 4-or4le,— -[n M4-Le
pla t i2tJ�re -cwt ee
dr.oL- - Mkt
Will :service be altered? ® Yes ❑ No
Type of Use: (Om n1. 04-icf SPt�ce
Type of work:
[] New ❑ Addition Ii Service Change
[] 'Low Voltage ❑ Generator ❑ Fire 'Alarm
Property Served by:
[g Puget Sound Energy
[] Seattle City Light
H:\Apphcations\Porms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
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Page 1 of 2
Adding more than 50 amps? ❑ Yes
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
IDate Application Accepted:
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$152.85
$81.90 ea
$59.85 ea
❑ Low voltage systems
(alarm, furnace thermostat)
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
• (no added /altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added /altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
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 LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date: a /?°/ °
Print Name: W 1 1,G / ✓ ► S : T owt AS Day Telephone: z5 4 53 '16 38
Mailing Address: 44(9 S 5. 098 c v 1 fir. 14uhSu
City
6014 gge,e)
State Zip
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.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
RECEIPT
Parcel No.: 3365900227 Permit Number: EL10 -0071
Address: 13975 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 02/02/2010
Applicant: DAHLGREN INDUSTRIES Issue Date:
Receipt No.: R10 -00170
Initials:
User ID:
WER
1655
Payment Amount: $136.50
Payment Date: 02/02/2010 09:00 AM
Balance: $0.00
Payee: PACIFIC SUN SERVICES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 074469
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 02 -02 -2010
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISI ON
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
(140-bo'7/
PERMIT NO.
(206)431 -36j/0
ProjecDk4l4AI '�. • _e
Type of Inspection:
2/00
Address: / � ��
3 ?. .
Date Called:
Special Instructions:
Date Wanted:
/�
a r
p.m.
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
1
Inspector: /�`
r r
Date: 04111 (0
$60.00 REIN PECTION FEE EQUIRED. 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 1
Electrical Contractor
A business licensed by L£tI 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
PACIFIC SUN SERVICES LLC
2538567397
4408 S 282ND ST
AUBURN
WA
98001
KING
Limited Liability Company
UBI No.
Status
License No.
602541311
ACTIVE
PACIFSS945RC
License Type ELECTRICAL CONTRACTOR
Effective Date 12/11/2006
Expiration Date 12/12/2010
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
ADMINISTRATOR INFORMATION
License THOMAWS940Q9
Name THOMAS, WILLIAM S
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
THOMAS, VICKIE L
AGENT
12/11/2006
Bond
Amount
PACIFIC SUN SERVICES LLC
PARTNER /MEMBER
12/03/2006
SH0636
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
CBIC
SH0636
12/11/2006
Until
Cancelled
$4,000.00
12/12/2006
https: // fortress .wa.gov /lni/bbip /Detail.aspx
02/02/2010