HomeMy WebLinkAboutPermit EL10-0691 - GATEWAY - BUILDING DGATEWAY BUILDING D
12618 INTERURBAN AV S
EL1 0-0691
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City Tukwila
•
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.tiva.us
Parcel No.: 0004800003
Address:
Suite No:
12618 INTERURBAN AV S TUKW
ELECTRICAL PERMIT
Permit Number: EL10 -0691
Issue Date: 08/25/2010
Permit Expires On: 02/21/2011
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractor
GATEWAY, BUILDING D
12618 INTERURBAN AV S , TUKWILA WA
GATEWAY OLYMPIA INC
PO BOX 4900 #207 , SCOTTSDALE AZ
RICHARD KOEMEN
PO BOX 1165 , KENT WA
MAPLE CREST ELECTRIC INC
P O BOX 1165 , KENT WA
License No: MAPLECE170JA
Phone:
Phone: 253 872 -4712
Phone: 253 - 872 -4712
Expiration Date: 01/31/2011
DESCRIPTION OF
ELECTRICAL FOR 2.
WORK:
5 TON A/C CHANGEOUT
Value of Electrical: NRES: $800.00
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 an
governing this work will be compli , whether specified herein or not.
Fees Collected:
$88.20
National Electrical Code Edition: 2008
Date:
ned this permit and know the same to be true and correct. All provisions of law and ordinances
The granting
construction
Signature:
Print Name:
f this p - does not pr me to give authority to violate or cancel the provisions of any other state or local laws regulating
th- • 3 ormance of work. I am authorized to sign and obtain this electrical permit.
Date:
.9-S
This permit shall become null and Soid 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 -0691
Printed: 08 -25 -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.: 0004800003
Address:
Suite No:
Tenant:
12618 INTERURBAN AV S TUKW
GATEWAY, BUILDING D
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0691
ISSUED
08/25/2010
08/25/2010
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 regulat. ig construction or the perfo anance of work.
Signature:
Print Name:
Date:
doc: Cond -Elec
ELI 0-0691 Printed: 08 -25 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htttal/www.ci.tukwila.wa.us
Electrical Permit No.
Project No.
l'
or 0
ace 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
OCATION'
King Co Assessor's Tax No.: 00 6 Li g0 - 0.003
Site Address: 1 2 6 1 9 e ijt IZavyo,i Sc
Tenant Name: 6-athY,Ludy
Property Owners Name: C , 13, liAduitte
Mailing Address: 1 7 `2-'9
Su ei-:
<9a
New Tenant:
Floor:
❑ Yes
..No
1190
City
state
Zip
CONTACT PERSON —Who do we
Name:
o�
.. ' r9-P1Zei+�
Mailing Address:
E -Mail Address:
your
ermlt is ready to be
tied
Day Telephone: 2 - ii ? 2
Pc, 00-7' i/64' 6,9_ nit (A,I9
ari
City state
C-P P_ss i 4? fr 7 S Pr. e,0 1+2 - Fax Number: 9- 3— Pr x. —
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
ere.P.4
2
Contact Person: rr►-�°.r1,�m
E -Mail Address: in-a I e Cy...; f 141 .s iJ
Contractor Registration Number: I '17 .T/
City
Day Telephone:
State
Zip
1- r3 — .V "72.- 9,7(�
Fax Number: "ZS -3 ' 2 ' Ss--4)1.
Expiration Date: t" 3 t- t 1
Valuation of Project (contractor's bid price): $ g4U
Scope of Work (please provide detailed information):
cJ
Will service be altered?
Type of Use:
❑ Yes Et No
Adding more than 50 amps? ❑ Yes 21 No
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
Et Puget Sound Energy
❑ Seattle City Light
❑ Service Change
❑ Fire Alarm
H: \Applications \Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Applicatio .doe
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Page 1 of 2
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ 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:
Print Name:
.IJ 110'.
1-. Chfcl�
Mailing Addre ss: b1 11
IDate Application Accepted:
A/0
Date: -?. 4 = / O
Day Telephone: 251 ' g' 72- Y 2 t
fte.Wt" zAi 9 $ e .3.s
City State Zip
Staff Initials:
Date Application Expires:
H:\Applications \Forms - Applications On Line\2010 Applications \7 -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.: 0004800003 Permit Number: EL10 -0691
Address: 12618 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 08/25/2010
Applicant: GATEWAY, BUILDING D Issue Date:
Receipt No.: R10 -01677
Payment Amount: $88.20
Initials: JEM Payment Date: 08/25/2010 01:20 PM
User ID: 1165 Balance: $0.00
Payee: MAPLE CREST ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 9382 88.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 88.20
Total: $88.20
PAYMENT
flPr'PIVED
doc: Receipt -06
Printed: 08 -25 -2010
INSPECTION RECORD
Retain a copy with permit
INSP TION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6,10- 061 I
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(b
(206) 431 -3670
Project: /1 ` �
k1
Type of Inspection:
2 �v0
Address:
1260 /Ain*
Date Called:
Special Instructions:
Date Wanted:
!
/
a:m:
Requester:
Phone No:
Elrequired approval. .
Approved per applicable codes. Corrections require prior to approva .
COMMENTS:
Inspector:
Date:
011151 of
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit C LrO' Otct
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION R .
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: / /
l /7� Nr rcw/
Type of Inspection:
��
Address:
r u 1(
'Jrt2 .
Date Called:
r--.
Special Instructions:
Date Wanted:
vok En.,
Requester:
n
Prc
Phone No:
730 D353
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
giSc4,WDO AO PRbJ(i)F Aca,
Inspector:
Date: Dq D X/0
n REINSPECTION I=EE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople meter Friendly Page
0
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
MAPLE CREST ELECTRIC INC
2538724712
Po Box 1165
Kent
WA
98035
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601112230
Active
MAPLECE170JA
Electrical Contractor
4/1/1983
1/31/2011
General
Unused
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
ELECTWI269L8
ELECTRICAL WEST
INC
Electrical
Contractor
General
Unused
6/28/1974
12/31/1983
Archived
ADMINISTRATOR INFORMATION
License ATCHLAL251NN
Name ATCHLEY, ALVIN L
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ATCHLEY, ALVIN L
Violation Amount
01/01/1980
10/7/2004
ATCHLEY, EILEEN R
Agent
01/01/1980
$1,000.00
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
DEVELOPERS SURETY
& INDEM CO
436896C
04/01/1997
Until Cancelled
54,000.00
03/23/2001
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
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
E48058
10/7/2004
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/25/2010