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Home My WebLink AboutPermit EL10-0628 - GOLFTECHGOLFTECH 406 BAKER BL SUITE l20 EL1O-0628 Parcel No.: Address: Suite No: City o*I'ukwila • 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 0223100037 406 BAKER BL TUKW ELECTRICAL PERMIT Permit Number: EL10 -0628 Issue Date: 08/05/2010 Permit Expires On: 02/01/2011 Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: GOLF TECH 406 BAKER BL, STE 120 , TUKWILA WA VILLAGE PARTNERS SOUTHCENTE 1420 5TH AVE #2200 , SEATTLE WA SHANNON BUCKINGHAM 5108 D ST NW , AUBURN WA Contractor: Name: EMERALD AIRE INC Address: 5108 D ST NW , AUBURN WA Contractor License No: EMERAAI991KG Phone: Phone: 253 872 -5665 Phone: 253 - 872 -5665 Expiration Date: 05/07/2011 DESCRIPTION OF WORK: INSTALL (1) ELECTRONIC PROGRAMABLE THERMOSTAT 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: I hereby certify that I have read and e governing this work will be complied arm ith, Fees Collected: $75.60 National Electrical Code Edition: 2008 Date: OS d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit doe of presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the gerform ce of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: 44-M1)On UC% 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 ELI 0-0628 Printed: 08 -05 -2010 Parcel No.: 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 0223100037 406 BAKER BL TUKW GOLF TECH PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0628 ISSUED 08/0S/2010 08/05/2010 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: Date: rAr Print Name: doc: Cond -Elec EL10 -0628 Printed: 08 -05 -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. 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 King Co Assessor's Tax No.: O 2 23 f d- CO 3? ' O6 Site Address: `!0 6 45", 'c-/, C?■/0 , Suite Numbe ` / O Floor: Tenant Name: G 6 - I 7 EC; /V Property Owners Name: l/ • v(,46a , .er/vE,4 S ,, Mailing Address: ea ? 3' 6 4/, 95 7'd 5'T S • / Off/. S:CA' %G , OA 12S City New Tenant: ,....Yes ❑..No State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: s...3"hCL%l ()()ri Eii!..A( 2` .1'1.1 Day Telephone: 5")g,f� Mailing Address: S/ C3 C-a I� ' �V�aL) / n I v ci, m a) C f d � City �`� State � Zip E -Mail Address: 0��' -) /"' J!`" , J e eraldi / � Fax Number: d ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Perso E -Mail Address: Ilan /'1 Ca) II') 4 Alai L 6rarp Contractor Registration Number: 6,11671114] 0)9 Ken rneraod 1irc. /riC ie a .2 :'t Ak e) nOn , A �li��+'}h,I City �State Z Day Telephone: Ci,��l?F►�ti Fax Number: 3 8 ?a 5'7 Expiration Date: 04) Valuation of Project (contractor's bid price): $ J' 6 Scope of Work (please provide detailed information): / #CI. 7-A f . L- 1/ eG et-T /1,0 r // c Roe, €/L/SMAe 4-61 714Cl Aid s7-x-t Will service be altered? ❑ Yes ya No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: 'New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: is Puget Sound Energy ❑ Seattle City Light H:Wpplicanons\Forms- Apphcanons On Line41 -2007 - Electncal Pemut Apphcanon.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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) PERMIT APPLICATION NOTES - 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 $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. I HEREBY CERTIFY THAT I HAVE READ AND XAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF i . TATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ECTRICAL • 1 NTRACTOR: Signature: i Date: Print Name: Mailing Address: 5v DS S IDate Application Accepted: Day Telephone: Q,unurn City 13&5 [422' tate Zip w Date Application Expires: Staff Initials: H:1Apphcations\Fonns- Applications On Line&4 -2007 • Electrical Pertnit Applicanon.doc bh Page 2 of 2 CiP 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. tukw ila. wa. us SET RECEIPT RECEIPT NO: R10 -01504 Initials: JEM Payment Date: 08/05/2010 User ID: 1165 Total Payment: 151.20 Payee: EMERALD AIRE INC. SET ID: S000001405 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member EL10 -0628 EL10 -0629 TOTAL: Amount 75.60 75.60 75.60 TRANSACTION LIST: Type Method Description Amount Payment Check 1497 151.20 TOTAL: 151.20 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 151.20 TOTAL: 151.20 PAYMENT RFCFIVED INSPECTION RECORD Retain a copy with perm: INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: r64f 740 Type of Inspection: IG7 Addre� fixixeit &LL b Date Called: ecial Instructions: Date Wanted: / f �/ a.m. p.m. Requester: / //. Phone No: oved per applicable codes. DCorrections required prior to approval. O M M ENTS: 1./4/nL Inspector: rriogo Dater /////0 ri $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: Y.s.,- h.f:�?..i.r. -�. ��... e. y�...? �a.•,... ti.,a....rr+- ,- ..Y...+a...� -,,.. ,....,- .,,.- ,n...,..... „_.,_ �.,- .RtJ�'�.0 .a. .__ . . �z3.'Cr,^�'''�: Contractors or Tradespeople Pier 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 EMERALD AIRE INC 2538725665 5108 D St Nw Auburn WA 98001 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600591552 Active EMERAAI991 KG Electrical Contractor 5/7/2001 5/7/2011 General Unused ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status EMERAA10120T EMERALD AIRE INC Electrical Contractor Hvac /Rfrg Ltd Energy Unused 9/30/1999 9/30/2001 Archived ADMINISTRATOR INFORMATION License LEIPHMK913LS Name LEIPHART, MICHAEL K Status Active Business Owner Information Name Role Effective Date Expiration Date DENT, CHARLES Agent 05/07/2001 HAPPE, DOUGLAS, A President 05/07/2001 RIDGE, JOHN P Vice President 05/07/2001 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount 1 INS CO OF THE WEST 1839774 05/02/2001 Until Cancelled $4,000.00 Page 1 of 2 Received Date l 05/07/2001 J 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 Infractions /Citations Information https: // fortress .wa.gov /lni/bbip /Print.aspx 08/05/2010