HomeMy WebLinkAboutPermit EL11-0095 - KIDDER MATHEWSKJDDER MATHEWS
1165 ANDOVER PK W
EL1 1 -0095
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
3523049097
1163 ANDOVER PK W TUKW
KIDDER MATHEWS
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0095
Owner:
Name:
Address:
Contact Person:
Name:
Address:
WALTON CWWA SOUTHCENTER 4 L
C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134
DAVEDAVIS
15008 35 AV S STE C , LYNNWOOD WA 98058
Contractor:
Name: ENERGY MANAGEMENT SERVICES INC
Address: 15008 35TH AV W STE C , LYNNWOOD WA 98087
Contractor License No: ENERGMS913B6
Phone: 425 - 879 -2795
Phone: 425 -741 -3526
Expiration Date: 06/15/2011
DESCRIPTION OF WORK:
LIGHTING RETRO -FIT
Value of Electrical Work: NRES: $1,200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$115.50
National Electrical Code Edition: 2008
Date:
I hereby certify that I have read and examined this p : 't 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:
Date:
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 1-0095 Printed: 02 -07 -2011
PERMIT CONDITIONS
Permit No. EL11 -0095
* *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
EL1 1-0095 Printed: 02 -07 -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 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 Address: 1163 Andover Park West Bldg B
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Tenant Name: Kidder Mathews
Property Owners Name: Kidder Mathews
Floor:
0 Yes
Mailing Address: 1163 Andover Park West Bldg B,
Tukwila
WA
City
State
D..No
98188
Zip
�q7
ady to
ued
Name: Dave Davis
Mailing Address: 15008 35th Ave W Ste C Lynnwood WA 98087
Day Telephone: (425) 879 -2795
E -Mail Address:
City
State
Zip
Fax Number:
ICAL CONTRAC
rp
ATION
Company Name: Energy Management Services, Inc
Mailing Address: 15008 35th Ave W Ste C
Lynnwood
WA 98087
Contact Person: Energy Management Services, Inc
E -Mail Address: ems @emsiwa.com
Contractor Registration Number: ENERGMS913B6
City State
Day Telephone: (425) 741 -3526
Fax Number: (425) 741 -3521
Expiration Date: 01/26/2013
Zip
Valuation of Project (contractor's bid price): $ 1,200
Scope of Work (please provide detailed information):
Lighting Retrofit
Will service be altered? Yes 0 No Adding more than 50 amps? 0 Yes 0 No
Type of Use:
Type of work:
O New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
O Puget Sound Energy
O Seattle City Light
H:\ApplicationsWorms- Applications On Line\20I0 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
IDate Application Accepted:
•
•
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
t .�?
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: ✓r'
Print Name:_.. !7/, 4 t° .4 7,- 10,47 1./ S
Mailing Address: 15008 35th Ave W Ste C
Date: 02/04/2011
Day Telephone: (425) 741 -3526
Lynnwood
98087
City
State
Zip
Date Application Expires: / 4" ( l Staff Initials:
H:Wpplica1ions\Forms- Applications Oo IJne\2010 Applications \7 -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.: 3523049097
Address: 1163 ANDOVER PK W TUKW
Suite No:
Applicant: KIDDER MATHEWS
RECEIPT
Permit Number: EL11 -0095
Status: PENDING
Applied Date: 02/07/2011
Issue Date:
Receipt No.: R11 -00223
Initials: TLS
User ID: 1670
Payment Amount: $115.50
Payment Date: 02/07/2011 10:11 AM
Balance: $0.00
Payee: ENERGY MANAGEMENT
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2158 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receipt -06 Printed: 02 -07 -2011
t•
•
INSPECTION RECORD
Retain a copy with permit
INSPECTION' NO. ERMIT N
CITY OF TUKWILA BUILDING DIVISION! -t'
6300 Southcenter Blvd:, #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: 1 /r�
Type of Inspection:
Address: �/ i0
tK/
Date Called:
Special Instructions:
-•
Date Wanted:
2-/*
a.m.
Requester:
Phone No:
Approved per applicable codes,
Corrections required prior to approval.
FOMMENTS:
of oklc 69
• REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
P.
INSPECTION RECORD �p ,
Retain a copy with permit
INSPEC ION NO. I ?ERMIT N .
CITY OF TUKWILA BUILDING DIVISION 1Z-
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670'
Permit Inspection Request Line (206) 431 -2451
Pro'ect:
Type of Inspection:
Address: 4 6.p
Date Called:
Special Instructions:
A "5 11 -fl0
014■ im L
Date Wanted:
11
a.m
m.
Requester:
Phone No:
—
ElApproved per applicable codes.
COMMENTS:
Corrections required prior to approval.
Inspector:
C814Aikiel
Date:
oz�1t A%
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
��1+'Y- F°�!'.• -et '77+...--qF■•. • .. • r y.. -r :r- ".a1!r w �w ..'�7'. �e.•rt .+.. .r r, •VA..4C;bYC ' odlacn►
INSPECTION RECORD ] Retain a copy with permit
INSPECTION NO. PERMIT NO
CITY O.F TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 =3670
Permit Inspection Request Line (206) 431 -2451
Project: r 9
Type of Inspection:
Address: J "..wa,a)
Date Called:
Special Instructions:
Date Wanted:
1/(0
C
p.m.
Requester:
Phone No:
0 Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector:
Date
I 046b1
ri :REINS PECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300Southcenter Blvd:, Suite 100: Call to schedule reinspection.
IL
!8
.. • -.4 r lt.•gE
Contractors or Tradespeople Prier Friendly Page
•
Page 1 of 1
General /Specialty Contractor
A business registered as a construction contractor with L8i to perform construction work within the scope of
its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
ENERGY MANAGEMENT CORP
8013664100
501 W 700Th S
Salt Lake City
UT
84101
Out Of State
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602927879
Suspended
ENERGMC913L6
Construction Contractor
6/15/2009
6/15/2011
9/30/2010
Industrial Equipment /Machines
Unused
Business Owner Information
Name
Role
Effective Date
Expiration Date
ROSSITER, STEVEN L
President
06/15/2009
Bond
Amount
Bond Information
Bond
Bond
Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
HARTFORD
FIRE INS CO
34BSBFL4814
06/05/2009
Until
Cancelled
$6,000.0006/15/2009
/05/2010
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance'
Company
Name
Policy
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Amount
Received
Date
2
WEST
AMERICAN
INS CO
BKW53010874
09/30/2008
09/30/2011
$1,000,000.0010
/05/2010
1
OHIO CAS
INS CO
BKW53010874
09/30/2008
09/30/2009
$1,000,000.0006
/15/2009
Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
https://fortress.wa.gov/lni/bbip/Print.aspx
02/07/2011