HomeMy WebLinkAboutPermit EL11-0048 - KOTISKOTIS
1163 ANDOVER PK W
EL1 1 -0048
Parcel No.: 3523049097
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
Address: 1163 ANDOVER PK W TUKW
Tenant Name: KOTIS
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0048
01/25/2011
07/24/2011
Owner:
Name: WALTON CWWA SOUTHCENTER 4 L
Address: CIO CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134
Contact Person:
Name: ERIC JOHNSON Phone: 253 561 -5828
Address: 12501 SE 299 PL , AUBURN WA 98092
Contractor:
Name: WASHINGTON ELECTRIC
Address: 12501 SE 299 PL , AUBURN WA 98092
Contractor License No: WASHIE *908CA
Phone: 253 561 -5828
Expiration Date: 02/01/2012
DESCRIPTION OF WORK:
CONDUIT ONLY (SEE FULL SCOPE UNDER PERMIT EL 11-0047)
Value of Electrical Work: NRES: $50.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
xam
with
The granting of this permit does not pre
construction or the performance • work.
of this permit.
a�
Fees Collected: $63.00
National Electrical Code Edition: 2008
Date:
0111,e4 ll
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
uthorized to sign and obtain this electrical permit and agree to the conditions on the back
Signature: / v
Print Name: 7Z / (
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.
Date: // /rl
doc: EL -9/09
EL 11 -0048 Printed: 01 -25 -2011
• •
PERMIT CONDITIONS
Permit No. EL 11 -0048
* *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
EL11 -0048 Printed: 01 -25 -2011
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. at l�
(For office use only)
Project No.
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
Site Address: P6 A n 0012' U g V V •
Property Owners Name: JAM-1,Tc, tJ Po OFF -� ( v
Tenant Name:
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
0
Mailing Address:
Floor:
' Yes
❑..No
City
state Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: e71,1c
Mailing Address: (7—, ( Fj 2-2 TThL Pt--
E -Mail Address: 9ft (L (/V /NZ9 -%`d l4 U7 &IG.
ELECTRICAL CONTRACTOR INFORMATION
Day Telephone: %/� —��6 (`, 7/
470 02-At if Zip
1 1'O2
City
Fax Number:
Company Name: (/' fin if 1 A/`(9%d,1J i% /1/ Lt C-
Mailing Address: /' ej C)I c-/-1"/ 97 il
Contact Person: 9/01C TbH t 1 tv
Contractor Registration Number: Vv 1 $ z h q aKc 4-
E -Mail Address:
(450/\[
City State Zip
Day Telephone: — r6 ( cg 2
Fax Number:
Expiration Date:
Valuation of Project (contractor's bid price): $ , Z (%
Scope of Work (please provide detailed information):
✓ f'-r ;4/ ✓`I c.r . ( 6 224 4),i
Will service be altered? � Yes ❑ No Adding more than 50 amps?
Type of Use:
Type of work:
❑ New ❑ Addition Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
ems-"" aget Sound Energy
❑ Seattle City Light
H:Wpplications \Forms - Applications On Line \2010 Applications \7.2010 - Electrical Permit Application.doc
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Page 1 of 2
es ❑ No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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 554.60
(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 EL TRICA ".__ RACTOR:
Signatur
Print Name: pa. ((. 0 -0
Date: / 2V//
Day Telephone:1,5 3 -- (�, ( —,��y �.2��,�,
Mailing Address: /'2 54- 2.-°/ 17-1- 9L AL-0 21`i - ro �'/
Date Application Accepted:
City State Zip
Date Application Expires:
H: W pplications Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
Staff Initials: i nn ^
Y V
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: http: / /www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 3523049097 Permit Number: EL11 -0048
Address: 1163 ANDOVER PK W TUKW Status: APPROVED
Suite No: Applied Date: 01/25/2011
Applicant: KOTIS Issue Date:
Receipt No.: R11 -00129
Payment Amount: $63.00
Initials: JEM Payment Date: 01/25/2011 08:52 AM
User ID: 1165 Balance: $0.00
Payee: ERIC D JOHNSON, DBA WASHINGTON ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 035111
ACCOUNT ITEM LIST:
Description
63.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
doc: Receiot -06 Printed: 01 -25 -2011
■••
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION -
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: J r 5
i
Type of Inspection:
2/00
Address: 1143 A A_ vi /
ti/l
Date Called:
Special Instructions:
_ thr°dui ..
Date Wanted:
a.m.
P.m.
Requester:
Phone No:
. N, Approved per applicable codes.
•
aCorrections required prior to approval.
COMMENTS:
Inspector:
C /!
Date: oz
�s>rr!
REINSPECTION 'FEE REQUIREb. 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: Kib-rt 5
Type of Inspection:
7 ,_.
0
Address: itgz
o,%
Date Called:
Special Instru ons:
Date Wanted:
/
j
Ci:ii
Requester:
/
Phone No:
ElApproved per applicable codes. ' a Corrections required prior to approval. it
COMMENTS:
Inspector:
'Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd:, Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer Friendly Page
1
Electrical Contractor
A business licensed by LEI 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 WASHINGTON ELECTRIC UBI No. 602987792
Phone 2535615828 Status Active
Address 12501 Se 299Th Pt License No. WASHIE *908CA
Suite /Apt. License Type Electrical Contractor
City Auburn Effective Date 2/1/2010
State WA Expiration Date 2/1/2012
Zip 98092 Suspend Date
County King Specialty 1 General
Business Type Individual Specialty 2 Unused
Parent Company
Electrical Administrator INFORMATION
License JOHNSED919RZ
Name JOHNSON, ERIC D.
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOHNSON, ERIC D
Owner
02/01/2010
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
Lexon Insurance
Company
9801270
02/01/2010
Until Cancelled
$4,000.00
02/01/2010
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
EBOES00499
9/30/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBOES00498
9/30/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBOES00503
10/7/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBOES00504
10/7/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 01/25/2011