HomeMy WebLinkAboutPermit EL10-0298 - CARE LINKCARE LINK
12201 TUKWILA
INTERNATIONAL BL
EL1 0-0298
Cityef 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
ELECTRICAL PERMIT
Parcel No.: 0923049120 Permit Number: EL10 -0298
Address: 12201 TUKWILA INTERNATIONAL BL TUKW Issue Date: 04/22/2010
Suite No: Permit Expires On: 10/19/2010
Tenant:
Name: CARE LINK
Address: 12201 TUKVVILA INTERNATIONAL BL , TUKWILA WA
Owner:
Name: INTERNATIONAL GATEWAY WEST Phone:
Address: 12201 TUKWILA INTERNATIONAL BLVD , SEATTLE WA
Contact Person:
Name: ANDY BURKE Phone: 206 - 812 -0795
Address: 900 N 34 ST , SEATTLE WA
Contractor:
Name: TITAN ELECTRIC INC Phone: 206 - 633 -2811
Address: 900 N 34 ST, SUITE 108 , SEATTLE WA
Contractor License No: TITANEI963OB Expiration Date: 09/02/2010
DESCRIPTION OF WORK:
INSTALL TEMPORARY GENERATOR IN CASE OF POWER OUTAGE AT CARELINK FACILITIES
Value of Electrical: NRES: $0.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $78.75
National Electrical Code Edition: 2008
Date: 1-(--)-)- —( 0
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 permit does •t presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or perform • ce •f work. I am authorized to sign and obtain this electrical permit.
Date:
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 -0298 Printed: 04 -22 -2010
Parcel No.: 0923049120
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
PERMIT CONDITIONS
12201 TUKWILA INTERNATIONAL BL TUKW
CARE LINK
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0298
ISSUED
04/22/2010
04/22/2010
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 regulating construction or the performance of work.
Signature:
Print Name:
4 i /.v / 4//'•
Date:
doc: Cond -Elec
ELI0 -0298 Printed: 04 -22 -2010
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. EL-10- o __r8
•
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 **
..��-- King Co Assessor's Tax No.: D'f' 2 31)l/ ! / 2-0 /�
Site Address: / c AO/ 0/ A1�/ -,1,j9 .Z?4 / �j4!/O Suite Number: Floor:
New Tenant: ❑ Yes ,R:t..No
Property Owners Name: 7ft l:i VidN 1�-��
Mailing Address: l Z2 „�/ 7114-(4/74 1��"-' 4' & 7-4.4 7 6705
, City • State Zip
Tenant Name:
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
?GvN w s —.
Day Telephone: (0206 -5/2
4 / / 4 m
/ �� ' 5
E -Mail Address: AAyi 7„,,,e7/4 a4G
City
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 77*-) C /ccT/�l,/ G c 9
Mailing Address: yt 2O h //h / ''fh 571 ' Sai/k pv41 ” ilo ?
}}� jj City State Zip
Contact Person: gODJ (o77477 Day Telephone: QO14 — 557 2' 3-2
E -Mail Address: ,D46 2 -- Fax Number:
7r/74-7 Contractor Registration Number: r7 1f_Z 3� 8 Expiration Date: 7— 02 /0
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): • j /rp /Cy pGaeli% ®IE
Will service be altered? Yes ❑ No Adding more than 50 amps? g Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage K. Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications \Forms - Applications On Lineal -2007 - Electrical Permit Application.doc
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Page 1 of 2
IDate Application Accepted:
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$140.00
$75.00 ea
$55.00 ea
❑ Low voltage systems
(alarm, furnace thermostat)
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) $954107 d 7 S
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 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.
1 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWN_ R OR ELEC I ?AL CONTRACTOR:
Signature: Date:
Print Name: Gi'i1^?/I /t9Gifina
Mailing Address: POO /V 5G //4 5'7
Day Telephone: 422,56 — ?8 ?— %O /U
..7r(
city
%03
State Zip
Date Application Expires:
Staff Initials:
H:Wpplications\Fotms- Applications On Line \4 -2007 - Electrical Permit Application.doc
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Page 2 of 2
1
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.: 0923049120 Permit Number: EL10 -0298
Address: 12201 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 04/22/2010
Applicant: CARE LINK Issue Date:
Receipt No.: R10 -00689
Payment Amount: $78.75
Initials: WER Payment Date: 04/22/2010 04:06 PM
User ID: 1655 Balance: $0.00
Payee: TITAN ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 08895 78.75
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 78.75
Total: $78.75
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 04 -22 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Y�
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: �+ / ��
� t
t/ i
Type of Inspection:
0
Address:
I2loI T•B .
Date Called:
Special Instructions:
Date Wanted:
�t
�O
m:
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
❑ $60.00 REINSPECTION FEE R QUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
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
Titan Electric Inc
2066332811
900 N 34Th Ste 108
Seattle
Wa
98103
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602250925
Active
TITANEI9630B
Electrical Contractor
9/2/2004
9/2/2010
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
TITANE *986Q5
Titan
Electric
Electrical
Contractor
General
Unused
11/25/2002
11/25/2004
Expired
MASTER ELECTRICIAN INFORMATION
License FUNG'LH967M9
Name Fung, Lawrence H
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Fung, Lawrence H
Agent
09/02/2004
8/10/2009
Burke, Patrick D
President
09/02/2004
$1,000.00
Fung, Lawrence H
Secretary
09/02/2004
ELECTRICAL CITATION
Crook, Travis J
Vice President
09/02/2004
8/25/2008
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
COLONIAL AM CAS &
SURETY OF MD
LPM4066933
08/03/2004
Until Cancelled
$4,000.00
08/10/2004
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
EREEB00416
8/10/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EREEB00206
2/20/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHAE00321
8/25/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 04/22/2010