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HomeMy WebLinkAboutPermit EL10-1032 - KING COUNTY - BOW LAKE TEMP POWERBOW LAKE TEMP POWER 18800 ORILLIA RD S EL1 0-1032 Parcel No.: Address: Tenant Name: Citygf 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 3523049037 18800 ORILLIA RD S TUKW BOW LAKE TEMP POWER ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL10 -1032 12/17/2010 06/15/2011 Owner: Name: KING COUNTY Address: 500 4TH AVE #500 KCAB , SEATTLE WA 98104 Contact Person: Name: GREG FULLER Address: 1220 S 356 ST, STE A -5 , FEDERAL WAY WA 98003 Contractor: Name: FULLER ELECTRIC CO Address: 37107 12 AV S , FEDERAL WAY WA 98003 Contractor License No: FULLEEI027BK Phone: 206 423 -8393 Phone: Expiration Date: 01/12/2012 DESCRIPTION OF WORK: PROVIDE AND INSTALL 200 AMP TEMP POWER TO CONSTRUCTION TRAILERS Value of Electrical Work: NRES: $3,200.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Fees Collected: $157.50 National Electrical Code Edition: 2008 Date: d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pres 'mt? 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 and agree to the conditions on the back of this permit. P Signature: Date: Print Name: ?Ct-/ / ' Fes/ `er- /2 -0-- /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 ELI 0-1032 Printed: 12 -17 -2010 PERMIT CONDITIONS Permit No. EL 10 -1032 * *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 0-1032 Printed: 12 -17 -2010 Site Address: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httol/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 ** 8iao or;144 /Qc/s. Tenant Name: [` ; n Cj CO(-01-/-1 King Co Assessor's Tax No.: 3 S236420 3id 6 Suite Number: Property Owners Name: k;& 9 Co u n fy Floor: New Tenant: ❑ Yes A'..No Mailing Address: .(31 $. ZT& c-k S o Si-- Kill, 7o / City State Zip CONTACT PERSON- ,Who do we contact when your permit is ready to be issued -' Name: Ca' er9 F(A./ /Q,r- Mailing Address: ))N =0 5. 3S 6 1'` Sf s,; /e A -5 E -Mail Address: Grey f .Cory ELECTRICAL CONTRACTOR INFORMATION Day Telephone: 010 6 - t/ 2 3 -83 q,.3 fecJe/oJ tLteJc?VO3 City State Zip Fax Number: d_53 -6 6/ -6 S Company Name: FCL.(l et Mailing Address: %2.20 5. 31 /-1- Si— A S Fee./ -icJ U647 w/4 ?JO 3 City Day Telephone: Fax Number: Contact Person: Fu,/ / 6- l e cJr • c E -Mail Address: Grey ©Fit.1 /et2 /ec . CO•^� Contractor Registration Number: F lee • O 17 !3 K Expiration Date: State Zip 253-66/-7/8/ )S3- 66/,6954 /Z-1v2_ Valuation of Project (contractor's bid price): $ 3, a00 - c, o Scope of Work (please provide detailed information): Pro ✓; !{ e C.en c „rh s 1.4.1/ a 0 D p-10 Te,1° 6' olJer 4-0 consd -ru-d D.t 7re : /e.rS Will service be altered? ❑ Yes IN No Adding more than 50 amps? Yes ❑ No Type of Use: 7- vvy Power 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 tine \4 -2007 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) PERMIT APPLICATION NOTES:- MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ 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: Print Name: Mailing Address: IDate Application Accepted: rk, \AV Date: Day Telephone: City State Zip Date Application Expires: Staff Initials: H: W pplicationsWorms- Applications On Line\4.2007 - 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 Parcel No.: 3523049037 Address: 18800 ORILLIA RD S TUKW Suite No: Applicant: BOW LAKE TEMP POWER RECEIPT Permit Number: EL10 -1032 Status: PENDING Applied Date: 12/17/2010 Issue Date: Receipt No.: R10 -02522 Payment Amount: $157.50 Initials:. JEM Payment Date: 12/17/2010 10:31 AM User ID: 1165 Balance: $0.00 Payee: FULLER ELECTRIC, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1240 157.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 doc: Receiot -06 Printed: 12 -17 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit fL(O-1031' PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 (206) 431 -367 Project: Litg— TEile* Type of Inspection: Address: ! r ` 00 ®& !k P � /}� Date Called: —1 Special Instructions: Date Wanted: I2 2 a.m. py Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ee)itzkur 4045 0/ r Inspector: :7176(71/./ei Date: 2127/10 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit OP-N®3 PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: �V Type of Inspection: 2 /do 1242 Address: r-i 10>60 004.tt Date Called: Special Instructions: Date Wanted: 4:m Requester: Phone No: 0 Approved per applicable codes. ® Corrections required prior to approval. . COMMENTS: i) ./ `� (j4 i Vilp i. fico ti r Pot, pia T tAloikKtA1 t Riodikko Ini Ib /k1 Inspector: .� PI n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. /W Date: di 2o /® Contractors or Tradespeople P.er 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company FULLER ELECTRIC INC 2536617181 37107 12Th Ave S Federal Way WA 98003 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601840365 Active FULLEEI027BK Electrical Contractor 1/12/1998 1/12/2012 General Unused iated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status FULLEE'088NE FULLER ELECTRIC Electrical Contractor General Unused 8/5/1992 8/5/1998 Archived FULLEE*105NL FULLER ELECTRIC Electrical Contractor General Unused 8/13/1990 8/13/1992 Archived Electrical Administrator INFORMATION License FULLEPA035NZ Name FULLER, PATRICIA ANN Status Active Business Owner Information Name Role Effective Date Expiration Date FULLER, GREGORY C Violation Amount 01/01/1980 5/4/2009 FULLER, PATRICIA ANN ELECTRICAL CITATION 01/01/1980 $250.00 S C & B SERVICES INC Agent 01/01/1980 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 CBIC SB2906 01/01/1998 Until Cancelled $4,000.00 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 EHOSJ00357 5/4/2009 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 12/17/2010