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