HomeMy WebLinkAboutPermit EL10-0964 - NEW IMAGENEW IMAGE
1210 ANDOVER PK E
EXPIRED
08-2642
EL1 0-0964
Cit3'�1F 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.: 3523049075
Address: 1210 ANDOVER PK E TUKW
Tenant Name: NEW IMAGE
ELECTRICAL PERMIT
Permit Number: EL10 -0964
Issue Date: 11/22/2010
Permit Expires On: 05/21/2011
Owner:
Name: GRAY CAT COLLECTIVE LLC
Address: 5430 45TH AVE W , SEATTLE WA 98199
Contact Person:
Name: SAM VERT
Address: 7717 DETROIT AV SW , SEATTLE WA 98106
Contractor:
Name: MACDONALD MILLER FAC SOL INC
Address: PO BOX 47983 , SEATTLE WA 98106
Contractor License No: MACDOMF972BF
Phone: 206 396 -4359
Phone: 206 763 -9400
Expiration Date: 01/06/2011
DESCRIPTION OF WORK:
INSTALL MISC LIGHTS, PLUGS, AND SWITCHES IN A WAREHOUSE BUILDOUT (APPROX 10).
REVISION #1: CONNECTION OF LIGHTS ON SPRAY BOOTH TO EXISTING (2) CIRCUIT J -BOX.
CONNECTION OF FAN MOTOR/SWITCH TO EXISTING 3 -PHASE CIRCUIT J -BOX.
Value of Electrical Work: NRES: $1,200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:'
that have read an e
■
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date:
I hereby certify t t xari\ined this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
governing this work will be complied wit
The granting of this permit does not resui'ne to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of wo .mil am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature:
Print Name:
Date: () \ ) is
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 -9/09
ELI 0-0964 Printed: 05 -19 -2011
PERMIT CONDITIONS
Permit No. EL 10 -0964
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
ELI 0-0964 Printed: 05 -19 -2011
Parcel No.: 3523049075
Address:
City' 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
1210 ANDOVER PK E TUKW
Tenant Name: NEW IMAGE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL10 -0964
11/22/2010
05/21/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
GRAY CAT COLLECTIVE LLC
5430 45TH AVE W , SEATTLE WA 98199
SAM VERT
7717 DETROIT AV SW , SEATTLE WA 98106
Contractor:
Name: MACDONALD MILLER FAC SOL INC
Address: PO BOX 47983 , SEATTLE WA 98106
Contractor License No: MACDOMF972BF
Phone: 206 396 -4359
Phone: 206 763 -9400
Expiration Date: 01/06/2011
DESCRIPTION OF WORK:
INSTALL MISC LIGHTS, PLUGS, AND SWITCHES 1N A WAREHOUSE BUILDOUT (APPROX 10).
Value of Electrical Work: NRES:
RES:
$800.00 Fees Collected: $88.20
$0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by:
PUGET SOUND ENERGY
National Electrical Code Edition: 2008
Permit Center Authorized Signature: ( �1 hl 1 ' Date: ¶ 1, 22-1 t
I hereby certify that I have read an
governing this work will be complie
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pre
construction or the performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
Signature:
Print Name:
Date:
1I
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 -9/09
EL10 -0964 Printed: 11 -22 -2010
PERMIT CONDITIONS
Permit No. EL10 -0964
* *ELECTRICAL **
•
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the
Electrical Inspector at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the
Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical
installations, Chapter 296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
EL10 -0964 Printed: 11 -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.`:�
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.: 3523049075
Site Address: 1210 ANDOVER PARK EAST TUKWILA, WA 98188 Suite Number:
NEW IMAGE
Tenant Name:
Property Owners Name: GRAY CAT COLLECTIVE LLC
Mailing Address: 1210 ANDOVER PARK EAST
New Tenant:
TUKWILA
Floor: 1
❑ Yes ®.. No
WA 98188
Zip
City
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: SAM VERT
Mailing Address: 7717 DETROIT AVE SW
E -Mail Address: SAM.VERT @MACMILLER.COM
Day Telephone:
SEATTLE
City
Fax Number:
(206) 396 -4359
WA 98106
State Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
MACDONALD MILLER
7717 DETROIT AVE SW
SAM VERT
E -Mail Address:
SAM.VERT @MACMILLER.COM
Contractor Registration Number: MACDOMF972BF
SEATTLE WA 98106
City State Zip
Day Telephone: (206) 3964359
Fax Number:
Expiration Date: 01/06/2011
Valuation of Project (contractor's bid price): $ 800
Scope of Work (please provide detailed information): INSTALLING MISC LIGHTS, PLUGS AND SWITCHES IN A
WAREHOUSE BUILDOUT. APPROX. 10.
Will service be altered? ❑ Yes
® No Adding more than 50 amps? ❑ Yes ® No
Type of Use: COMMERICAL
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ® Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
® Puget Sound Energy
❑ Seattle City Light
H:\Applications \Forms - Applications On Line' -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, fumace thermostat)
PERMIT APPLICATION NOTES -
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
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:
D,LQ
Print Name: DARLA DOLL
Mailing Address: 7717 DETROIT AVE SW
IDate Application Accepted:
LI.
Date: 11/22/2010
Day Telephone: (206) 768 -4278
SEATTLE
WA 98106
City
State . Zip
Date Application Expires:
H:Wpplications \Forms - Applications On Line \I -2009 - Electrical Permit Application.doc
hh
Staff Initials:
(f—
Page 2 of 2
Parcel No.:
Address:
Suite No:
Applicant:
•
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.TukwilaWA.gov
3523049075
1210 ANDOVER PK E TUKW
NEW IMAGE
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0964
ISSUED
11/22/2010
11/22/2010
Receipt No.: R11 -01013
Initials:
User ID:
JEM
1165
Payment Amount: $27.30
Payment Date: 05/19/2011 12:37 PM
Balance: $0.00
Payee:
NEW IMAGE CREATIVE SIGN INC.
TRANSACTION LIST:
Type Method
Descriptio Amount
Payment Check
Authorization No.
ACCOUNT ITEM LIST:
Description
10023 27.30
Account Code
Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.00
Total: $27.30
27.30
doc: Receiot -06
Printed: 05 -19 -2011
• •
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.: 3523049075
Address: 1210 ANDOVER PK E TUKW
Suite No:
Applicant: NEW IMAGE
RECEIPT
Permit Number: EL10 -0964
Status: APPROVED
Applied Date: 11/22/2010
Issue Date:
Receipt No.: R10 -02370
Payment Amount: $88.20
Initials: JEM Payment Date: 11/22/2010 03:16 PM
User ID: 1165 Balance: $0.00
Payee: MACDONALD- MILLER FACILITY SOLUTIONS, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2762 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
doc: Receiot -06 Printed: 11 -22 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 ii= (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: /AJ I j� (
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Type of Inspection:
av
' Pe Ashov5 colvz.(4c7iod5 calet,ert
Address: r 71 O ! �-
Date Called:
- imft.c'ft Trod ?AI 6 c-c' m
Special Instructions:
Date Wanted:
U l Z?
p.m.
Requester:
Phone No:
DApproved per applicable codes. (-Corrections required prior to approval.
COMMENTS:
' Pe Ashov5 colvz.(4c7iod5 calet,ert
� c?Ase iT 60011
- imft.c'ft Trod ?AI 6 c-c' m
_
Inspector:
t
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
02 ZY I
INSPECTION NO.
INSPECTION RECORD tn
Retain a copy with permit w4V -0 MT
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 'c2,. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
id
Type of Inspection:
Address:
220
Date Called:
Special Instructions:
Date Wanted:.
'j`
;6 /
p.m.
Requester:
Phone No:
Approved per applicable codes. E Corrections required prior to approval. /11-
COMMENTS: /�
l w )
-eJLe 2/22
Inspector:
6NAI6A
Date:
OZ- L? tr,
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 So_ uthcenter Blvd., #100, Tukwila. WA 98188 YL (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: , ' /.1 t . :
Type of Inspection:
-:f t(,: Nr.p.0 -.6li drn-1A 3 'rF^' or 8007+
Address:
i%ti
Date Called:
- fl '1At -. 6t/c`-&L0.A -b S f 4/(R
Special Instructions: :
Date Wanted:.
.� /z3
U/
.m.
Requester:
6c-04.)nl6.. Q(asIa c Chill2i✓E% P(
uLi
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: '
-:f t(,: Nr.p.0 -.6li drn-1A 3 'rF^' or 8007+
O ir)1 1.6 . °T) g( (-k5 C b1'. Z./Mx-04f.
6) a 4IR f-f aToPA -(
- fl '1At -. 6t/c`-&L0.A -b S f 4/(R
- 3244 JsN-4 J%S k.EZ )tom (
6c-04.)nl6.. Q(asIa c Chill2i✓E% P(
uLi
rfai ,r 4 Prat , 7O / iir(.4'T1
- r ,-, 4J `• a_c-0,itatii 0rJ Co "JDNt i3
-: J PDLr C,bijD )IT . hT 4-1../ 3 ct --i oc gtx
Date: 6213/rt
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: 464 �tA f I
Type of Inspection:
7603
Address:
Date Called:
Special Instructions:
Date Wanted:.
11
0
P.m.
Requester:
Phone No:
14 Approved per applicable codes.
r
Corrections required prior to approval.
COMMENTS:
(1:0(42,EciloN15 (AArD
• �
OD 07
&1 414 r4 ('D pfttT
Inspector:
Date: II
o3
11
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION-RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: 'ticv+
1 ��
Type of Inspection:
700
Address:
/
210 P P- )O
Date Called:
/ J 15 kki-oC ATE ?)9
,-
Special Instructions:
1,4%11" ..ry..
CMS F k Ot
Date Wanted:.
(' 02-
/'-m.
P.
Requester:
Phone No:
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Al - Opt( o,( i0 r 70 6( ki
INSPECTION RECORD
Retain a copy with permit tup-676i
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 iZ (206) 431 -31
Permit Inspection Request Line (206) 431 -2451
Project:
C1AJ /MA (
Type of Inspection:
-. Ptoo 1 T-- 60y .zm/ 5rs Rh-t 10-
Address: .
/1/0 •
e
Called:
1'Jb,sr
-- n t✓. Pt-A(-11-5 RiW tA ix-A F ri c,.
,.) //y" 1rsiv1)6.1)46
Special•Instructions:
Date Wanted:.
/ F�
a:m:
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
etfolft,_ q5
-. Ptoo 1 T-- 60y .zm/ 5rs Rh-t 10-
to IX" 1C& 5561.6
- Rt 'iP t +R% c f ovr( &a1 AtJj rj C- aJ
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1'Jb,sr
-- n t✓. Pt-A(-11-5 RiW tA ix-A F ri c,.
,.) //y" 1rsiv1)6.1)46
iti PORT" tic, biurgeod 11" or 80x /PA Je..-
Inspector: / /„ f Date: w 07 t
REINSPECTION FEE REQUIRE . Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
07 -02 -2012
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
SAM VERT
7717 DETROIT AV SW
SEATTLE WA 98106
RE: Permit No. EL10 -0964
NEW IMAGE
1210 ANDOVER PK E TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a fmal inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 08/26/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or fmal inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 08/26/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL10 -0964
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
SAM VERT
7717 DETROIT AV SW
SEATTLE WA 98106
RE: Permit No. EL10 -0964
NEW IMAGE
1210 ANDOVER PK E TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 11/21/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 11/21/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
c
Bill Rambo
Permit Technician
File: Permit File No. EL10 -0964
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 -431 -3665
May 24, 2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
Greg Rust
1210 Andover Pk E
Tukwila, WA 98188
RE: Request for Extension
Electrical Permit No EL10 -0964
New Image —1210 Andover Pk E
Dear Mr. Rust,
This letter is in response to your written request for an extension to Permit EL10 -0964. The
Building Official has reviewed your letter and considered your request to extend the above
referenced permits. The City of Tukwila Building Division will be extending the permits an
additional 180 days, through November 21, 2011.
If you should have any questions, please contact our office at (206) 431 -3670.
Sincerely,
ifer Marshall
it Technician
File:
Permit No. EL10 -0964
WAPernit Center\Extension Letters \Permits\2010\EL10 -0964 Permit Extension.doc
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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04 -01 -2011
City of f Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
SAM VERT
7717 DETROIT AV SW
SEATTLE WA 98106
RE: Permit No. EL10 -0964
1210 ANDOVER PK E TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 05/21/2011. -
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 05/21/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. ELIO -0964
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Web site: http: / /www.ci.tukwila.wa.us
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through
the mail, fax, etc.
Date: $ I f p 1 Plan Check/Permit Number:
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
Revision # r after Permit is Issued
Et,I0 -0q 61
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name:
Project Address:
Contact Person:
Summary of Revision: A c L c9.
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(x'k) 1300 + -e?4_ .Cc S
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MAY 1192011
PERMIT CENTER
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Phone Number: 2-06— – 4 3 S I
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Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permi Center by:
Entered in Permits Plus on �� V
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Revision Submittal.doc
Created: 8- 13.2004
Revised: 7 -2010
Contractors or Tradespeople P ter Friendly Page
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Page 1 of 2
Electrical Contractor
A business licensed by L81 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
MACDONALD MILLER FAC SOL INC
2067639400
Po Box 47983
Seattle
WA
98106
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602254260
Active
MACDOMF972BF
Electrical Contractor
1/6/2003
1/6/2011
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
MACDOMC329B5
MACDONALD
MILLER CO INC
Electrical
Contractor
General
Unused
1/25/1968
1/31/2003
Archived
ENCOMMS984JP
ENCOMPASS
MECHANICAL
SERVICES
Electrical
Contractor
Maintenance
Hvac /Rfrg
Ltd Energy
4/17/2002
4/17/2004
Expired
ENCOMMS981JP
ENCOMPASS
MECHANICAL
SERVICES
Electrical
Contractor
Hvac /Rfrg Ltd
Energy
Unused
4/17/2002
4/17/2004
Out Of
Business
MACDOMS982BM
MACDONALD
MILLER SERVICE
INC
Electrical
Contractor
Maintenance
Unused
1/14/2002
1/14/2004
Out Of
Business
MACDOMS011RS
MACDONALD
MILLER SERVICE
INC
Electrical
Contractor
Hvac /Rfrg Ltd
Energy
Unused
12/10/1999
12/10/2003
Out Of
Business
Master Electrician INFORMATION
License MCGIVMH979N8
Name MCGIVERN, MICHAEL H
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HACK, RICHARD R
Agent
01/06/2003
https://fortress.wa.gov/lni/bbip/Print. aspx
11/22/2010