HomeMy WebLinkAboutPermit EL11-0053 - CITY OF TUKWILA - FIRE STATION #53TUKWILA FIRE STATION #53
4202 S 115 ST
EL1 1 -0053
Parcel No.:
Address:
Tenant Name:
Cityef Tukwila
•
Department of Community Development
6300 Southcenter Boulevard, Suite # I00
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 -431 -2451
Web site: http: / /www.ci.tulovila.ivu.us
3351401005
4202 S 115 ST TUKW
TUKWILA FIRE STATION #53
ELECTRICAL PERMIT
Permit Number: EL11 -0053
Issue Date: 01/25/2011
Permit Expires On: 07/24/2011
Owner:
Name: CITY OF TUKWILA
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188
Contact Person:
Name: VINCE MIMICHIELLO Phone: 253 - 255 -2250
Address: 1002 CENTRAL AV NW , KENT WA 98032
Contractor:
Name: CINTAS FIRE PROTECTION
Address: 1002 CENTRAL AV N , KENT WA 98032
Contractor License No: CINTAFP903DK
Phone: 253- 852 -1962
Expiration Date: 03/12/2012
DESCRIPTION OF WORK:
REPLACE FIRE ALARM PANEL
Value of Electrical Work: NRES: $2,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date: (J.c `I
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 or the performance of vtlork. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature:
Print Name:
Date: / Z
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
EL1 1 -0053 Printed: 01 -25 -2011
• •
PERMIT CONDITIONS
Permit No. EL 11 -0053
* *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 arty 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
E L 1 1 -0053 Printed: 01 -25 -2011
CITY OF TUKW A
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn://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 **
SITE LOCATION
� -
IZoZ So 1L%14�'
Site Address:
Tenant Name:
King Co Assessor's Tax No.: SM.' (`t
Suite Number: Floor: Z 6
New Tenant: ❑ Yes tik No
Property Owners Name: Vk. � o(_
Mailing Address: 0 Stool )LQ-A.• c t e f t . r-� i L'-`"1""'
Lv -
City State
9PIF�
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: V t v L R 1A-/• N\ c\A.% e ,\ d
Mailing Address:
E -Mail Address:
IOC)? . CQ k 4 k)).
Day Telephone: ?.� 2�� -2-7- VT)
Y�..� (, 4-- Se363Z
City State Zip
Fax Number: i 53-- SS-2 —20 (jC(
ELECTRICAL CONTRACTOR INFORMATION
Company Name: rAvv-ici � Rke ^� }-r c*r ovkj
Mailing Address: 10 (') Z e • iv a .
Contact Person:
E -Mail Address:
\`of...) (u#1
Contractor Registration Number: (' VL ��VP 9 03W \L
A- 160 32.,
City State Zip
Day Telephone: 7 C 7— 0 , 2
Fax Number: Z C ?Ci t( c1
Expiration Date:
Valuation of Project (contractor's bid price): $ 2) C) OG . Ci 0
Scope of Work (please provide detailed information): (2r. Le.
jsp
Will service be altered? ❑ Yes ja,No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line\2010 Applications\7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Tenant Improvement
❑ Temporary Service
1
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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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
v\J
Date: /— 2 L(_ l /
A n 1 /Day Telephone: ZS—sc. — 5c-2— 1c16-2._
Mailing Address: } (0 (�) Z 0—e Wbt�k �-( I J
City State Zip
1 Date Application Accepted:
Date Application Expires: I Staff Initials:
H:\Applications\Forms- Applications On Line\2010 Applications17 -2010 - Electrical Permit Application.doc
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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.: 3351401005
Address: 4202 S 115 ST TUKW
Suite No:
Applicant: TUKWILA FIRE STATION #53
RECEIPT
Permit Number: EL11 -0053
Status: PENDING
Applied Date: 01/25/2011
Issue Date:
Receipt No.: R11 -00137
Initials:
User ID:
WER
1655
Payment Amount: $115.50
Payment Date: 01/25/2011 02:34 PM
Balance: $0.00
Payee: PATRICK DILLON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 006186
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 01 -25 -2011
INSPECTION. RECORD (uIOO53
Retain a copy with permit
INSPECTION 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: 1A +� g e 115
Type of Inspection:
421 ett)
Address:
02- 5 - !l5-sr.
Date Called:
Special Instructions:
Circa of r n (
Date Wanted:
a. .
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
A. r, f„„,
Inspector:
Date: 03 i r %1 t
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
•
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
CINTAS FIRE PROTECTION
2538521962
1002 Central Ave N
Kent
WA
98032
King
Corporation
Parent Company CINTAS CORPORATION NO 2
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602041861
Active
CINTAFP903DK
Electrical Contractor
3/12/2010
3/12/2012
Limited Energy
Urntied
Electrical Administrator INFORMATION
License DILLOP'009JA
Name DILLON, PATRICK
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
NATIONAL REGISTERED AGENTS INC
Agent
03/12/2010
FARMER, SCOTT D
President
03/12/2010
FROOMAN, THOMAS E
Secretary
0U12/2010
THOMPSON, MICHAEL L
Treasurer
1 ' / 12/2010
GALE, WILLIAM
Vice President
,3, 12/2010
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
SAFECO INS CO OF
AMERICA
6696280
03/11/2010
Until Cancelled
$4,000.00
03/12/2010
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
https: // fortress .wa.gov /lni/bbip /Print.aspx 01/25/2011