HomeMy WebLinkAboutPermit EL10-0470 - CITY OF TUKWILA - 6300 BUILDINGCITY OF TUKWILA
6300 SOUTHCENTER BL
EL 10-0470
wq City oikukwila
sy
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspectio n Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 0003200005
Address: 6300 SOUTHCENTER BL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0470
Issue Date: 06/22/2010
Permit Expires On: 12/19/2010
Tenant:
Name: CITY OF TUKWILA
Address: 6300 SOUTHCENTER BL , TUKWILA WA
Owner:
Name: TUKWILA CITY OF Phone:
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA
Contact Person:
Name: DEAN HUMPHRIES Phone: 425 - 207 -8866
Address: 2018 BLAINE AV NE , RENTON WA
Contractor:
Name: QUALITY ELECTRICAL CONT LLC Phone: 425 207 -8866
Address: 2018 BLAINE AV NE , RENTON WA
Contractor License No: QUALIEC915JN Expiration Date: 04/15/2011
DESCRIPTION OF WORK:
INSTALL 2 CIRCUITS FOR SERVERS IN ROOM 115
Value of Electrical: NRES: $500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $75.60
National Electrical Code Edition: 2008
Date: �- O
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 ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe rmance of wo , am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
T-
Date: Z a /l0
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 0-0470 Printed: 06 -22 -2010
•
wq� 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.: 0003200005
Address:
Suite No:
Tenant:
6300 SOUTHCENTER BL TUKW
CITY OF TUKWILA
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0470
ISSUED
06/22/2010
06/22/2010
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:
Date: 02-//4)
doc: Cond -Elec
ELI 0-0470 Printed: 06 -22 -2010
Site Address:
CITY OF TUKWIL
Community Developmelt epartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://Www.ci.tukwila.wa.us
Tenant Name:
ilectricalPermit
ro jeef No r
(For'off ce.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�3ov
59(,441(0,,d-r, Aus
Cry o'r Tµkwllei
King Co Assessor's Tax No.: 000 3,-0 — 0005-
Suite Number: Floor:
New Tenant: ❑ Yes .4.. No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACTPERSON = 'wbo,do we contact when your permit is ready to belssued<
Name:
// 4r,4_5
Mailing Address: 2 D t $ ry-f
E -Mail Address: OP,89iAlt e set c /(C. cvr---
Day Telephone: Y%2S- 207- G
quo cvvl 96=O.S6
City State Zip
Fax Number: 42s- 2 D? • 9-1P3 /
ELECTRICAL CONTRACTOR INFORMATI
Company Name: av 7 E 1 Rd,r,(J 614.- j r5
Mailing Address: 2o/ (9 .a /4t A1,ts gc Zaudok 141✓4 9 s6
C� '( I City State Zip
Contact Person: -1 .Ct h fk.. L�vq_) Day Telephone: "2 S - 2 7. $J 6
E -Mail Address: G ,%t n4 l' De !i'��c�c. — Fax Number: y 2°? ��/
Contractor Registration Number: Q(.4-1}1..I6' 1 /SJJU Expiration Date: y / /S ///
O2
Valuation of Project (contractor's bid price): $ g"O0
Scope of Work (please provide detailed information): ...5,4,a 2 C-LP ecirl,5 'ter ces-t, . S %t
P-An I (S-.
Will service be altered? ❑ Yes gi No Adding more than 50 amps? ❑ Yes No
Type of Use: 60 vt,/,;:.+
Type of work:
❑ New ❑ Addition__. ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:Wpplications\Forms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Remodel _ _. Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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)
,RMIT'APELICATION NOTE'
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:
i
Print Name: d /t Gr' ,�✓,�J
Mailing Address: 264 /4gA/ ,6
Day Telephone:
City
Date: 02 //r
y2 -
2°7- X106
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line\2010 Applications \I-2010 - Electrical Permit Application,doc
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Page 2 of 2
r •
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.: 0003200005
Address: 6300 SOUTHCENTER BL TUKW
Suite No:
Applicant: CITY OF TUKWILA
RECEIPT
Permit Number: EL10 -0470
Status: PENDING
Applied Date: 06/22/2010
Issue Date:
Receipt No.: R10 -01119
Initials: WER
User ID: 1655
Payment Amount: $75.60
Payment Date: 06/22/2010 01:32 PM
Balance: $0.00
Payee: QUALITY ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1024 75.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 75.60
Total: $75.60
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 06 -22 -2010
INSPECTION RECORD
Retain a copy with permit
64V-0160
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Y—te--'
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 0
INSPECTION NO.
Project: //
(.i 0
/ �'�
J
Type of Inspection: w
v/ clod
�
Q.
Address:
300
.54.13t.
Date Called:
Special Instructions:
Date Wanted:
a.m.
P-111.
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval. 1
COMMENTS:
0 I rtA)
r
Date: 96/23// v
❑ $60.00 REINS ECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
Contractors or Tradespeople Pf ter Friendly Page
1
Electrical Contractor
A business licensed by MI 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
Quality Electrical Cont Llc
4252078866
2018 Blaine Ave Ne
Renton
Wa
98056
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602906582
Active
QUALIEC915JN
Electrical Contractor
4/15/2009
4/15/2011
General
Unused
ADMINISTRATOR INFORMATION
License HUMPHDM918BR
Name . Humphries, Dean M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Humphries, Dean M
Partner /Member
04/15/2009
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
2
American Contractors
Indem CO
100117956
04/02/2010
Until Cancelled
$4,000.0003/22/2010
1
WESTERN SURETY CO
70702057
04/14/2009
Until Cancelled
04/02/2010
$4,000.0004/15/2009
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
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip /Print.aspx 06/22/2010