HomeMy WebLinkAboutPermit EL10-1030 - CITY OF TUKWILA - COMMUNITY CENTERCITY OF TUKWILA
COMMUNITY CENTER
12424 42 AV S
EL1 0-1030
Cityef 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.: 0179003225
Address: 12424 42 AV S TUKW
Tenant Name: CITY OF TUKWILA COMMUNITY CENTER
Permit Number: EL10 -1030
Issue Date: 12/16/2010
Permit Expires On: 06/14/2011
Owner:
Name: CITY OF TUKWILA
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188
Contact Person:
Name: DEAN HUMPHRIES Phone: 425 - 207 -8866
Address: 2019 BLAINE AV NE , RENTON WA 98056
Contractor:
Name: QUALITY ELECTRICAL CONT LLC
Address: 2018 BLAINE AV NE , RENTON WA 98056
Contractor License No: QUALIEC915JN
Phone: 425 207 -8866
Expiration Date: 04/15/2011
DESCRIPTION OF WORK:
INSTALL NEW LIGHT FIXTURES AT ENTRANCE
Value of Electrical Work: NRES: $1,200.00
RES: $0.00
Type of Fire Protection: UNKNWON
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date: 1)--U0'40
t
I hereby certify that I have read and examined this permit and know the same to be true and correct. 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 provisions of any other state or local laws regulating
construction • r t e • : ormance of work. I a;n�tithorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permi
Signature:
Print Name:
7444.kir
Date: /Z�� /D
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 -1030 Printed: 12 -16 -2010
• •
PERMIT CONDITIONS
Permit No. EL 10 -1030
* *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 0-1030 Printed: 12 -16 -2010
CITY OF TUKW/LA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
•
Electrical Permit No. �:, L\ 0 — (030
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.:
Site Address: % 2 yZy 6/ 2 ' 4 z Suite Number:
Tenant Name: Cpyytf t,r LA_ ,.1,6Ce c�
Property Owners Name:
Mailing Address:
o qi0� -3�-2
Floor:
New Tenant:
Yes
..No
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
t �
Name: �t ems,,, %A.
Mailing Address: 20 l /
E -Mail Address:
Gt✓;�.v1
Day Telephone:
City
Fax Number:
/zs- e-1-6(o
71-ar6
State Zip
1zr -z 7 - -- (fi5/
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
2-01f )14A-c
Contact Person: l ?v+ ij�.t_t214h e)
E -Mail Address: ct04Q vi A c
Contractor Registration Number: Q (L4 L 1 Ec 9 /,r"3',(l
City
Day Telephone:
Fax Number:
Expiration Date:
State Zip
202 -d2 6
4125 -- 2e' ? -JfS/
V/S-1/
Valuation of Project (contractor's bid price): $ /20 0
Scope of Work (please provide detailed information):
- 44,rij P2Pkv Pl.G71.4 LP
Will service be altered? ❑ Yes jg No
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps? ❑ Yes ,-No
❑ Service Change
❑ Fire Alarm
H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Remodel 2 Tenant Improvement
❑ Telecommunication ❑ Temporary Service
IDate Application Accepted:
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.
i
BUILDING OWNER O ELECTRICAL ONTRACTOR:
4
0
Signature:
Print Name: I�ect,n
j
Date: /Z /6// C7
Day Telephone:
Mailing Address:
City
State
Zip
Date Application Expires:
Staff Initials:
H:Wpplications\Forns- Applications On Line\2010 Applications\ -2010 - 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: htqx//www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 0179003225 Permit Number: EL10 -1030
Address: 12424 42 AV S TUKW Status: PENDING
Suite No: Applied Date: 12/16/2010
Applicant: CITY OF TUKWILA COMMUNITY CENTER Issue Date:
Receipt No.: R10 -02516
Initials: WER
User ID: 1655
Payment Amount: $115.50
Payment Date: 12/16/2010 03:06 PM
Balance: $0.00
Payee: QUALITY ELECTRICAL CONTRACTORS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1059 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 12 -16 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. 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:I fr A
!Art 4...1.0rirr.(9rk.
Type of Inspection:
,aoo
Address.
Date Called:
Special Instructioni '
Date Wanted:
5-40
ap..mm.
Requester:
(
.
• .
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector: Date: 040/a
11 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION r'
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
INSPECTION RECORD
Retain a copy with permit
10P
PERMIT NO.
Project- fk e. �,o
Type of Inspection: 7c, n
Address:
2'4*./2)/ 9Z- i;'‘A
Date Called:
.
Special. Instructions:
Date Wanted:
(a-.m.
.
Requester:
Phone No:
Approved per applicable codes. •Ij Corrections required prior to approval.
COMMENTS:
(2‘..K
- 04C-A RooNi9
Inspector: ..1
t/
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
05 -02 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
DEAN HUMPHRIES
2019 BLAINE AV NE
RENTON WA 98056
RE: Permit No. EL10 -1030
12424 42 AV S 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 06/15/2011.
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 06/15/2011, 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 -1030
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople P,nter 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
QUALITY ELECTRICAL CONT LLC
4252078866
2018 Blaine Ave Ne
Renton
WA
98056
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602906582
Active
QUALIEC915JN
Electrical Contractor
4/15/2009
4/15/2011
General
Unused
Electrical Administrator INFORMATION
License HUMPHDM918BR
Name HUMPHRIES, DEAN M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUMPHRIES, DEAN M
Partner /Member
04/15/2009
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
American Contractors
Indem CO
100117956
04/02/2010
Until Cancelled
$4,000.0003/22/2010
1
WESTERN SURETY CO
70702057
04/14/2009
Until Cancelled
04/02/2010
$4,000.0004/15/2009
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
https: // fortress .wa.gov /lni/bbip /Print.aspx 12/16/2010