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HomeMy WebLinkAboutPermit EL10-0987 - JUBA CENTER - PHASE 1JUBA CENTER 14227 TUKWILA INTERNATIONAL BL EL 10-0987 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 ELECTRICAL PERMIT Parcel No.: 1523049011 Address: 14227 TUKWILA INTERNATIONAL BL TUKW Tenant Name: JUBA CENTER Permit Number: EL10 -0987 Issue Date: 12/03/2010 Permit Expires On: 06/01/2011 Owner: Name: SEG 56TH LLC Address: 845 106TH AVE NE #100 , BELLEVUE WA 98004 Contact Person: Name: WALKER SMITH Address: PO BOX 2491 , BELFAIR WA 98528 Contractor: Name: GREEN MOUNTAIN ELECTRIC Address: PO BOX 2491 , BELFIAR WA 98528 Contractor License No: GREENME933P6 Phone: 360 265 -9301 Phone: 360 265 -4962 Expiration Date: 10/16/2011 DESCRIPTION OF WORK: ADD ELECTRICAL IN NEW OFFICE FOR TENANT IMPROVEMENT Value of Electrical Work: NRES: $15,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied ami ith, The granting of this permit does not pres construction or the performance of . ork. of this permit. Signature: Print Name: Fees Collected: $350.50 National Electrical Code Edition: 2008 Date: 12 . 0 d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit and agree to the conditions on the back Date: Jam_ /U 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 -0987 Printed: 12 -03 -2010 PERMIT CONDITIONS Permit No. EL 10 -0987 * *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 Ell 0-0987 Printed: 12 -03 -2010 toa62 CITY OF TUIClitA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa. us 1 M.K1 Electrical Permit No. 'E Lti0 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.: tc V' 4 '1 0 t Site Address: 1"(off 1U k\,v1 (G� L�kPs1-1/lU1-- to1i,G,,Z 3L1)O Suite Number: Floor: Tenant Name: __T-Uz/k L'f/v{ -�2�Z L`C- Property Owners Name: 3 w. `L Mailing Address: 3`'1'010 SaoTt 1 I ..5ref ci Q New Tenant: ❑ Yes ❑ ..No /UMW) q City lam. State 9843.3 Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: . l k etr Mailing Address: Address: PO E6 cY9/ E -Mail Address: l ke i' � G (e NAT ; ,UA- Day Telephone: 36-0 0���^ F30( p� City . State Zip Fax Number: -air y7 ELECTRICAL CONTRACTOR INFORMATION Company Name: (e.-G'\ 1/V(00 wt `Llec Mailing Address: '&67\ 24/c)/ Contact Person: %tpGAP t % <51,/ r E -Mail Address: /k)fk( Ce . WL -%- , iU Contractor Registration Number: 6 e,° o'. WI P-6 w0. City Day Telephone: S Fax Number: SC() c97S 38-'7/ 7 Expiration Date: //-7/-1( State Zip a �_C--- 93o / Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information)/ ,4 e/eC- ) -y-t'c G ( (l NC`t✓ C C�sp-c-e_ Will service be altered? ❑ Yes J No Type of Use: acc C & _TC Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy Seattle City Light Adding more than 50 amps? ❑ Yes Er-No ❑ Service Change ❑ Fire Alarm H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 ]Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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: n)C7 1 k' v" L fl / T � Day Telephone: 36 ? Date: �� 3l� Mailing Address: 36 (121•(q ( IDate Application Accepted: \2_1:09, e l(Pa t'( cAi a - City State Zip Vo Date Application Expires: Staff Initials: H: Applicat ions \Forms - Applications On Line\20I0 Applications \7 -2010 - Electrical Permit Application.doc bh 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.: 1523049011 Permit Number: EL10 -0987 Address: 14227 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 12/03/2010 Applicant: JUBA CENTER Issue Date: Receipt No.: R10 -02427 Payment Amount: $350.50 Initials: JEM Payment Date: 12/03/2010 12:20 PM User ID: 1165 Balance: $0.00 Payee: WALKER L SMITH, LEE ANDREW ENTERPRISES TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. B87134 ACCOUNT ITEM LIST: Description 350.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 350.50 Total: $350.50 doc: Receiot -06 Printed: 12 -03 -2010 Parcel No.: Address: Suite No: Applicant: JUBA CENTER 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: htv://www.ci.tukwila.wa.us RECEIPT 1523049011 14227 TUKWILA INTERNATIONAL BL TUKW Permit Number: Status: Applied Date: Issue Date: EL10 -0987 ISSUED 12/03/2010 12/03/2010 Receipt No.: R11 -00205 Initials: User ID: LAW 1632 Payment Amount: $63.00 Payment Date: 02/03/2011 11:13 AM Balance: $0.00 Payee: WALKER SMITH TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 065877 ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $63.00 63.00 doc: Receiot -06 Printed: 02 -03 -2011 /3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit tho- O?F7 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -3670 Project: I n a fl, Type of Inspection: Address: °� Q /11Z J !•5- Date Called: ,-._ Special Instructions: Date Wanted: 03 . Requester: Phone No: 9 Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: 44/ eDA, C,eri0d5 etw Inspector: Date: b2 � 3/1 n 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 6144 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 ProjectA T n eirtilt !� Type of Inspection: �� Address: /Y2Z74/ A . Date Called: Special Instructions'` Date Wanted: 27/2 z....., a.m. p.m. Requester: Phone No: 0 Approved per applicable codes. COMMENTS: Corrections required prior to approval. x jr LI %d%( 56/ Me kIP nJ &OW & u4 tifn 'i U CAIi r (jv rod 0 Ch 90.02 (r) e1WA r- P� I'I R' /1'5 /07, (0,o/05-- Inspector: JAI ef Date: �Z 24 n REINSPECTION FEE REQUIRED. Orior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. II INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431 -3670 610-am 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project: �b C Type of Inspection: %f" Address: 1 2 7 -r p e -r i.e. 9 Date Called: _-. Special Instructions: Date Wanted: /zz. l'` Requester: / Phone No: LApproved per applicable codes. Corrections required prior to approval. COMMENTS: 7:ou °1 • '\iO M €1 5 &ic 11 4,E�l i"*\ iJiii 'fi - Om. ReNkil PM. Inspector: 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 INSPE TION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project:D'� /ff� Type of Inspection: Address: %!� 7-7 l Date Called: Special Instructions: Date Wanted: 47 L,:p? Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 611egAg OALISI5eisiii?COCk(74dri.1 5 , �5 P 5 troll filek, WI? rr Vo- 317 AKP. E Wit' Inspector: Date:02 0 , 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 (Up' D111 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION P' 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 367Q � I Permit Inspecti n Request Line (206) 431 -2451 Project: ../1.1$4 (64_ V Type of Inspection: ���� Address: //yyeee Date Called: Special Instructions: Date Wanted: m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: (1AA ger 0A6 fm-Di (jo 16eLA CJ goo ti isj del Inspector: / t;:5r\kJf/ )\ Date: 0 ®);7 1 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 ti)°- INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION �1 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: �US4 &rt ek Type of Inspection: 7 Address: IL42,vi I=8 -6. Date Called: Special Instructions: Date Wanted: 2-.70 /a.m LP...:9` Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: — ROW, eaRakitcW5 :Jar' ilheb ® P 13.00 Rif) JWQt- Inspector: 604/jeg\ Date: 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 6)0- INSPECTION NO. 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: j 0611- w i Type of Inspection: %D Address: / ? �j a Date Called: L Special Instructions: Date Wanted: Cm.' Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: eV-6J) 5.66111ci oPc ,...; S eptil)tig ZOInu6 Mr 69113 T SfCA (s JC-TTk4 4P Inspector: Date: 010 it n 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 Project: Lt e,A C. H 'TV Type of Inspection: f7 ,9U3 Address: Date Called: 7- 23A ii Special Instructions: Date Wanted: - .2 O— pi f a.m. p.m. Requester: Phone No: die /r gApproved per applicable codes. Corrections required prior to approval. COMMENTS: C9 7- 23A ii 0 c r .c i rr, die LOA LAS ' t .Y�c.P`f Ar 4 F-Lr c7'r'Its; L 14)IfAl 'l---- e.) v21Kr n'4 o i. e--A p ?A.vcv- Inspector; x"32 ►2 `a° 6c N 3r/ Date: /-11a '.1/ LI $60.00 RE NSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: - / i- o� INSPECTION NO. INSPECTION RECORD Retain a copy with permit E1 /a- 5P17 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. (206)431 -3670 Project: Zit 6A 1:dN'fh- Type of Inspection: /Ca3 Address: 1 Y-7.217 i 2Jkl. i mil igc Date Called: M ,A7/7.)-lu Special Instructions: Date Wanted: i _/ 9' .1/ p.m. Requester: Phone No: 31,o- d s -93o/ IDApproved per applicable codes. Corrections required prior to approval. COMMENTS: Adt), 6,r SCE sue, C 69, , ?ar.5 a,„ it e ,A7/7.)-lu -?O�It {�J' 6,14 rt I H t ` 4-r if /tit Nev- /i7 71ifria2 ` 01( 70 /1d, •eves AI./_ / hf/./.s r7ic..101 T.✓ f/20,97 '1"-. U d),1 P-2---‘ Inspector: Date: b } . N-7 ri $60.00 R NSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431 -3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspect9n Request Line (206) 431 -2451 Project: g / Type of Inspection: Address: I PZIll Date Called: Special Instructions: Date Wanted: /2 7 a.r p.m. Requester: Phone No: nApproved per applicable codes. El Corrections required prior to approval. Ca COMMENTS: 04 tAI Artki5 Sc Ve o) Inspector: 6641,-A) Date: /0 n REINSPECTIOIV 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 610 - 077 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 M Type of Inspection: .7003 Address. pi7 '7 �^ Date Called: Special Instructions: Date Wanted: ,j a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Pk - Gl)" Paerto4 arato 61cs'r ,s/DE Inspector: Date: 12- l y t v 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 INSPE TION NO. et(O-O7 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 i) (206) 431 -3670 Project: 0845 . • Type of Inspection: �00) Address: / Date Called: Special Instructions: Date Wanted: /z i a.m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: YA, eolMiLtAieser Psorgegrior.1 Inspector: /17 Date: 12/07// 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 Palter 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 GREEN MOUNTAIN ELECTRIC Phone 3602654962 Address Po Box 2491 Suite /Apt. City Belfair State WA Zip 98528 County Mason Business Type Limited Liability Company Parent Company LEE ANDREW ENTERPRISES LLC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602768910 Active GREENME933P6 Electrical Contractor 10/16/2007 10/16/2011 General Unused Electrical Administrator INFORMATION License MALLEJ'936MZ Name MALLETTE, JAMES A Status Active Business Owner Information Name Role Effective Date Expiration Date SMITH, WALKER L Agent 10/26/2007 8/4/2010 MALLETTE, JAMES A Partner /Member 10/26/2007 $500.00 SMITH, WALKER L Partner /Member 10/26/2007 ELECTRICAL CITATION 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 1 COLONIAL AM CAS & SURETY OF MARYLAND LPM4074714 10/16/2007 Until Cancelled $4,000.00 10/16/2007 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 ELEIS00377 8/4/2010 19.28.010 RCW ELECTRICAL CITATION Satisfied $500.00 EMABQ02829 4/25/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $125.00 EMABQ02830 4/25/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $125.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 12/03/2010