HomeMy WebLinkAboutPermit EL10-0706 - PAWS ABILITYPAWS ABILITY
1007 INDUSTRY DR
EL1 0-0706
City al/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.: 2523049071
Address: 1007 INDUSTRY DR TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0706
Issue Date: 09/01/2010
Permit Expires On: 02/28/2011
Tenant:
Name: PAWS ABILITY
Address: 1007 INDUSTRY DR , TUKWILA WA
Owner:
Name: WALTON CWWA TUKWILA 1 LLC Phone:
Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR
Contact Person:
Name: JENNIFER RAMEN Phone: 206 575 -3797
Address: 1007 INDUSTRY DR , TUKWIAL WA
Contractor:
Name: LIGHT DOCTOR LLC Phone: 425 - 481 -5001
Address: 21706 66 AVE W , MOUNTLAKE TERRACE WA
Contractor License No: LIGHTDL954L8 Expiration Date: 06/28/2011
DESCRIPTION OF WORK:
LIGHTING RETROFIT OF EXISTING FIXTURES
Value of Electrical: NRES: $4,123.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: /MS
Fees Collected: $178.50
National Electrical Code Edition: 2008
Date: 01 iPt 1[6
I hereby certify that I have read andlexanined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie wit whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: /(/Y /d Z'49(�
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 0-0706 Printed: 09 -01 -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.: 2523049071
Address:
Suite No:
Tenant:
1007 INDUSTRY DR TUKW
PAWS ABILITY
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0706
ISSUED
09/01/2010
09/01/2010
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: ��li��' Date: D / V/
Print Name: —L o ..C7/ c yI
doc: Cond -Elec
EL10 -0706 Printed: 09 -01 -2010
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto:/hvww.ci.tukwila.wa.us
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 **
�SITEYLOCATION .
1 U C/-% 11A
King Co Assessor's Tax No.:
Site Address: 10b—A (-1,, .0 V y2
Tenant Name: h1l�lQS
Property Owners Name:
Mailing Address:
Suite Number:
New Tenant:
Floor:
❑ Yes
City
State
Zip
;€pNTA' €T.-PERSON -iWho do we:contact ;when your. permitisssready to be Issued,.
Name: �rinit�. VCS - le—Al'-- Day Telephone: 21.10 ' SRJ • 511r
Mailing Address: 1l ?A I ut -CL:u t UG-
`� city
E -Mail Address: Fax Number:
State Zip
Company Name: boa
Mailing Address: 21,
Lo
Contact Person: %1a T \.&o MCCS
{per IWA ACkr..�. T¢AtA.CiC.11. wbD SO4j
City
State Zip
Day Telephone: 425 • 14%1 • St Ot
E -Mail Address: b-C1/�C:l1ACr< Fax Number: ��is • 2 S • ��Q�J
It•
eioC' • COQ
Contractor Registration Number: 1 Add Expiration Date:
2`)
—
Valuation of Project (contractor's bid price): $ n
Scope of Work (please provide detailed information): UlCVA-t %AL fejtOkti c ` 1 A-44. us S
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
g( Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Served b
Adding more than 50 amps? ❑ Yes Eg_No
Puget Sound Energy
H:Upplications\Ponns- Applications On line11.2009 - Electrical Permit Application.doc
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
PERIVIITAPPEICATIONINOTES
•
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: Date: 8- l3' 1 b
Print Name: `1Q-tA Q 2. G__ "te.AAJ1. -- Day Telephone: 456 1 •9M1
Mailing Address: ZI1Co UAD Up G -C1- 1QLICt_02- 0-41- 4 D4
City State Zip
IDate Application Accepted:
01 1,m,
Io
Date Application Expires:
Staff Initials:
H:Wpplications\Fonns- Applications On Line\1 -2009 - 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
Parcel No.: 2523049071
Address: 1007 INDUSTRY DR TUKW
Suite No:
Applicant: PAWS ABILITY
RECEIPT
Permit Number: EL10 -0706
Status: PENDING
Applied Date: 09/01/2010
Issue Date:
Receipt No.: R10 -01729
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $178.50
Payment Date: 09/01/2010 10:58 AM
Balance: $0.00
JOHN DOUGLAS, LIGHT DOCTOR LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 032324
ACCOUNT ITEM LIST:
Description
178.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
PAYMENT
qPirpivED
doc: Receiot -06 Printed: 09 -01 -2010
INSPECTION RECORD
Retain a copy with permit 1' m
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION T.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 3670
Permit Inspection Request Line (206) 431 -2451
Project:
s dAiwr7
Type of Inspection:
Address: N
100 1/1.1DAral a
Date Called:
Special Instructic s:
VIA o WA()
Date Wanted:
.
Requester:
f"
Phone No:
Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
OK: ' inL9t.--
Inspector:
Date:
o� 6i If 0
n REINSPECTION !FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Per Friendly Page
•
Electrical Contractor
A business licensed by Lal 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
$4,000.0007/02/2009
$500.00
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
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
ENESM00231
3/10/2008
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
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
$500.00
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
$2,000.00
EJORP02972
5/20/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 09/01/2010