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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 bh 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