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Permit EL10-0244 - SEATTLE MORTGAGE
SEATTLE MORTGAGE 6450 SOUTHCENTER BL EL 10 -0244 CitAf 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: / /www.ci.tukwila.wa.us Parcel No.: 0003200011 Address: 6450 SOUTHCENTER BL TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0244 Issue Date: 03/29/2010 Permit Expires On: 09/25/2010 Tenant: Name: SEATTLE MORTGAGE Address: 6450 SOUTHCENTER BL , TUKWILA WA Owner: Name: ROYAL COACHMAN ASSOCIATES LLC Phone: Address: 415 BAKER BLVD #200 , TUKWILA WA Contact Person: Name: VANESSA GREENE Phone: 425 - 481 -5001 Address: 21706 66 AV W , MOUNTLAKE TERRACE WA Contractor: Name: LIGHT DOCTOR LLC Phone: 425 - 481 -5001 Address: 21706 66 AVE W , LAKE TERRACE WA Contractor License No: LIGHTDL954L8 Expiration Date: 06/28/2011 DESCRIPTION OF WORK: LIGHTING RETROFIT OF EXISTING LIGHTING Value of Electrical: NRES: $5,706.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $195.70 National Electrical Code Edition: 2008 Date: V`)—'( 4 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 rmit does of • r e sume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe ormance • f • rk. I am authorized to sign and obtain this electrical permit. Signature: Print Name: J 4-10 Ci/l1 Date: 2410 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 ELI 0-0244 Printed: 03 -29 -2010 • 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.: 0003200011 Address: 6450 SOUTHCENTER BL TUICW Suite No: Tenant: SEATTLE MORTGAGE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0244 ISSUED 03/29/2010 03/29/2010 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 art 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 c truction or e performance of work. Signature: Print Name: gfrntv Date: SA-41/20 I 0 doc: Cond -Elec ELI 0-0244 Printed: 03 -29 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. LL` O- 0)--).9 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 ** g C,c4}, SITE LOCATION Site Address: 6450 South Center Blvd Tenant Name: Seattle Mortgage Property Owners Name: Mailing Address: 6450 South Center Blvd King Co Assessor's Tax No.: WO fit) ' 00 1 Suite Number: New Tenant: Floor: ® Yes ❑ ..No 98186 Zip Tukwila City WA State CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Vanessa Greene Mailing Address: 21706 66th Ave W Mountlake Terrace E -Mail Address: vgreene @lightdoctor.com Day Telephone: (425) 481 -5001 WA 98043 City State Zip Fax Number: (425) 275 -4495 ELECTRICAL CONTRACTOR INFORMATION Company Name: Light Doctor, LLC Mailing Address: 21706 66th Ave W Mountlake Terrace Contact Person: Vanessa Greene E -Mail Address: vgreene @lightdoctor.com Contractor Registration Number: WA 98043 City State Day Telephone: (425) 481 -5001 Fax Number: (425) 275 -4495 Zip Expiration Date: Valuation of Project (contractor's bid price): $ 5,706 Scope of Work (please provide detailed information): Lighting retrofit of existing lighting. Will service be altered? ❑ Yes El No Adding more than 50 amps? ❑ Yes El No Type of Use: Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ® Seattle City Light H:\Applications\Forms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc ❑ Service Change ❑ Fire Alarm bh Page 1 of 2 ❑ Remodel ® Tenant Improvement ❑ Telecommunication ❑ Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea 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 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 LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Q \ Q I v 3- -� Print Name: � S .)-- r . � Day Telephone: LIZS • 4-`61 ' ca.M1 1lCut cuj -Pi ctLQ LL \ Date: JIZl9)I� Mailing Address: UCe- Doc _41.1- City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\ Forms - Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc bh Page 2 of 2 Parcel No.: Address: Suite No: Applicant: 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 0003200011 6450 SOUTHCENTER BL TUKW SEATTLE MORTGAGE RECEIPT Permit Number: Status: Applied Date: Issue Date: EL10 -0244 ISSUED 03/29/2010 03/29/2010 Receipt No.: R10 -00706 Initials: User ID: Payee: WER 1655 Payment Amount: $63.00 Payment Date: 04/26/2010 11:26 AM Balance: $0.00 FRANCISCO SEGURA TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 060499 63.00 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $63.00 63.00 PAYMENT R doc: Receiot -06 Printed: 04 -26 -2010 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.: 0003200011 Permit Number: EL10 -0244 Address: 6450 SOUTHCENTER BL TUKW Status: PENDING Suite No: Applied Date: 03/29/2010 Applicant: SEATTLE MORTGAGE Issue Date: Receipt No.: R10 -00537 Initials: WER User ID: 1655 Payment Amount: $195.70 Payment Date: 03/29/2010 09:30 AM Balance: $0.00 Payee: LIGHT DOCTOR LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 14087 195.70 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 195.70 Total: $195.70 PAYMENT RECEIVED doc: Receiot -06 Printed: 03 -29 -2010 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit -OP PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Projec_ J 'Aa / Type of Inspection: ,k(00 Address: O 5,c. 12� V Date Called: •---, Special Instructions: Date Wanted: j,/z) Q " p.m Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: OK .." Inspector: Jf.Ak\ ri $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 8`'f! a Receipt No.: Date: 2 INSPECTION NO. INSPECTION RECORD Retain a copy with permit &iO ,1L!1 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 PERMIT NO. Project: D Frio t Type of Inspection: Poo Address: Date Called: Special Instructions: Date Wanted: a.m P• • Requester: Phone No: Approved per applicable codes. jelCorrections required prior to approval. COMMENTS: ( 05M ►Ci 5J'DIT 1fkortileft ►-�NF RfR►1 � f �T FRo,Ir e_aA1 Inspector: // /JAI Date: N M I ° Kr REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 1 INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION Retain a copy with permit INSPECTION RECORD �� }n� �Z PERMIT NO. 6300 Southcenter°Blvd., #100, Tukwila, WA 98188. (206)43}=3670 Project: 5f*Trtie " T ype of Inspection:: Address: Date Called: Special Instructions: 1)-1T14(1) il 9 Date Wanted: y Q� a.m. .m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: - 14/6 F'6:Mt1- gtr 0_04 berg_ Fkov D6 LA-tbtf\ r26c.AU/ f, Inspector: $60.00 REINSPECTION FEE R paid at 6300 Southcenter Blvc Date:. © y _QUIRED. Prior to inspection, fee must be ., Suite 100. Call to schedule reinspection. Receipt No.: Date: t". .'-":- -...0 Contractors or Tradespeople P ter Friendly Page • 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company Light Doctor Llc 4254815001 21706 - 66Th Ave W Mountlake Terrac Wa 98043 Snohomish Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602503496 Active LIGHTDL954L8 Electrical Contractor 6/28/2005 6/28/2011 General Unused ADMINISTRATOR INFORMATION License THOMALD926C5 Name Thomas, Lawrence Daniel Status Active Business Owner Information Name Role Effective Date Expiration Date Nielsen, Kurt R Partner /Member 06/28/2005 Bond Amount Nielsen, Donald P Partner /Member 06/28/2005 2063005 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 FEDERATED MUTUAL INS CO 2063005 05/23/2009 Until Cancelled 19.28.161 RCW ELECTRICAL CITATION $4,000.00 07/02/2009 1 TRAVELERS CASUALITY AND SURETY 104451378 05/23/2005 Until Cancelled 10/01/2009 ENESM00230 $4,000.0006/28/2005 19.28.161 RCW Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ENESM00231 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied 5500.00 ENESM00229 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00228 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00230 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied 5500.00 ENESM00227 2/28/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EOKAD00262 9/27/2005 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02971 5/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied 52,000.00 EJORP02972 5/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EJORP02973 5/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied 52,000.00 EJORP02975 5/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied 5500.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 03/29/2010