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Permit EL11-0079 - FATIGUE TECHNOLOGY
FATIGUE TECHNOLOGY 401 ANDOVER PK E EXPIRED OS -02 -I1 ELi 1 -0079 Parcel No.: Address: Tenant Name: Cityif 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 0223400050 401 ANDOVER PK E TUKW FATIGUE TECHNOLOGY ELECTRICAL PERMIT Permit Number: EL11 -0079 Issue Date: 02/02/2011 Permit Expires On: 08/01/2011 Owner: Name: Address: Contact Person: Name: Address: GIBSON PROPERTIES LLC PO BOX 50268 , BELLEVUE WA 98015 MIKE MUNSON 828 POPLAR PL S , SEATTLE WA 98144 Contractor: Name: S M E INC OF SEATTLE Address: 828 POPLAR PL S , SEATTLE WA 98144 Contractor License No: SMEINS *066DB Phone: 206 - 391 -6884 Phone: 206 329 -2040 Expiration Date: 03/02/2012 DESCRIPTION OF WORK: UNDERGROUND BRANCH CIRCUIT, CONDUIT, FOR BALLARD REPAIR Value of Electrical Work: NRES: Type of Fire Protection: $900.00 RES: $0.00 UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $92.40 National Electrical Code Edition: 2008 Date: 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 work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Print Name: lY f f /iv f ljOt Dater 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 1-0079 Printed: 02 -02 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0079 * *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 EL 11 -0079 Printed: 02 -02 -2011 CITY OF TUKINILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electrical Permit No. L1 oCr 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 Site Address: fib! gn Io. e ✓ /°!' A E Tenant Name: 7/cc A King Co Assessor's Tax No.: C1)-).ZIO L(.() 00 S---) Suite Number: Floor: New Tenant: ❑ Yes R. No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: n/ k /'1 vet p'& Day Telephone: 02 ©g - t 39/ ‘ggy Mailing Address: E -Mail Address: City Fax Number: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Sp2 F Polo 7� v P/ sM of sew ff /� Contact Person: 0m,02xr % 5c-c file City Day Telephone: W.4- 9g/ V1-1 State Zip E -Mail Address: �d,,„� �$�t�i ""� o�Sr -ice f,Nc . £' Fax Number: Contractor Registration Number: S fri EIi> 5 !1C O5 Expiration Date: e> o Valuation of Project (contractor's bid price): $ 9©C Scope of Work (please provide detailed information): p A ,-r• Will service be altered? ❑ Yes 121.-No Type of Use: La n1,5ra..� -e l ,o h f Type of work: Adding more than 50 amps? ❑ Yes No ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: g Puget Sound Energy ❑ Seattle City Light H:Wpplicat ions \Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 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: /1i 1cC fi vns a 0-1. Date: Day Telephone: Mailing Address: City State Zip IDate Application Accepted: j Date Application Expires: Staff Initials: i H: kpplicatiom.Forms- Applications On Line12010 Applications17 -2010 - 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:/lwww.ci.tukwila.wa.us Parcel No.: 0223400050 Address: 401 ANDOVER PK E TUKW Suite No: Applicant: FATIGUE TECHNOLOGY RECEIPT Permit Number: EL11 -0079 Status: PENDING Applied Date: 02/02/2011 Issue Date: Receipt No.: R11 -00195 Initials: User ID: WER 1655 Payment Amount: $92.40 Payment Date: 02/02/2011 10:50 AM Balance: $0.00 Payee: MICHALE MUNSON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 084913 ACCOUNT ITEM LIST: Description 92.40 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 92.40 Total: $92.40 doc: Receiot -06 Printed: 02 -02 -2011 INSPECTION RECORD Retain a copy with permit ji r"° 1 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: 6 fi L` 41 • 7oof Type of Inspection: Address: te'• Date Called: Special Instructions: • Date Wanted: �j d7t"% caA/ Requester: i Phone No: Approved per applicable codes. El Corrections required prior to approval. 7 COMMENTS: OK: f tlA Es4(g2oJ,gp (Inspector: 'Date: 6$2, f03A n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection: 06 -30 -2011 • City of Tukwila • Jim Haggerton, Mayor Department of Community Development Jack Pace, Director MIKE MUNSON 828 POPLAR PL S SEATTLE WA 98144 RE: Permit No. EL11 -0079 401 ANDOVER PK E 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 08/02/2011. 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 08/02/2011, 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, --ti,U 1.1- Bill Rambo Permit Technician File: Permit File No. ELI 1 -0079 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Printer Friendly Page I Electrical Contractor A business licensed by Lii1 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 S M E INC OF SEATTLE 2063292040 828 Poplar Pl S Seattle WA 98144 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601524252 Active SMEINS'066DB Electrical Contractor 3/2/1994 3/2/2012 General Unused ther Associated Licenses License icense Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status PACIFFS973PU PACIFIC FIRE AND SECURITY INC Electrical Contractor Limited Energy Unused 10/30/2003 10/30/2009 Expired Master Electrician INFORMATION License BLAIRSA961NQ Name BLAIR, STEPHEN ANDREW Status Active Business Owner Information Name Role Effective Date Expiration Date MARVICH, STEPHEN E 01/01/1980 PINSKY, ADAM A 01/01/1980 BAKER, JON T Agent 01/01/1980 Bond Information Page 1 of 1 Bond Bond Company Name Bond Account Number Effective DatelExpiration DatejCancel Datetlmpaired DatejBond AmountlReceived Date 1 CBIC 6367 https: // fortress .wa.gov /lni/bbip/Print.aspx 02/02/2011