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Home My WebLink AboutPermit EL11-0108 - KIDDER MATTHEWSKIDDER MATHEWS 1165 ANDOVER PK W EL1 1 -0108 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 1165 ANDOVER PK W TUKW KIDDER MATTHEWS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0108 02/10/2011 08/09/2011 Owner: Name: WALTON CWWA SOUTHCENTER 4 L Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134 Contact Person: Name: DAVE DAVIS Address: 15008 35 AV W, STE C , LYNNWOOD WA 98087 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 RETROFIT Value of Electrical Work: NRES: $1,200.00 Fees Collected: 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 exa wit $115.50 National Electrical Code Edition: 2008 02-1101 1,1 fined this permit and know the same to be true and correct. All provisions of law and ordinances , whether specified herein or not. The granting of this permit does not pr - e 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: �,1�� /Gj ,, �✓1-e �'.k Date: l� f4 �J 'D/ / Print Name: ✓_ _/2/f 0 -,6e, <2» cg2a.1V /-s 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 EL11 -0108 Printed: 02 -10 -2011 PERMIT CONDITIONS Permit No. EL11 -0108 * *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 -0108 Printed: 02 -10 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 WA 98188 . ci. tukwila. wa. us (Ap It ELECTRICAL PERMIT APPLICATION lications 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: 1165 Andover Park West BIdq B j/$ King Co Assessor's Tax No.: 2— l l,—C1. d i Suite Number: Tenant Name: Kidder Mathews New Tenant: Property Owners Name: Kidder Mathews Mailing Address: 1165 Andover Park West Bldg B Name: Dave Davis Mailing Address: 15008 35th Ave W Ste C Lynnwood WA 98087 Zip Floor: 0 Yes Tukwila .. No WA 98188 Zip City State Day Telephone: (425) 879 -2795 E -Mail Address: dave @emsiwa.com City State Fax Number: (425) 741 -3521 TION 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 Retr Will service be altered? D Yes Type of Use: Type of work: O New 0 Addition 0 Low Voltage 0 Generator Property Served by: Puget Sound Energy O Seattle City Light 0 No \' dding more than 50 amps? 0 Yes 0 No C; %1 1 V O Service Change O Fire Alarm H:\ApplicationsWorms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 O Remodel 0 Tenant Improvement O Telecommunication 0 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 $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 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: Mailing Address: 15008 35th Ave W Ste C IDate Application Accepted: Date: 1 ,4j L(/ / / Day Telephone: (425) 741 -3526 Lynnwood 98087 Loll� City State Zip Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On Iinc\2010 Applications \7 -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: //www.ci.tukwila.wa.us Parcel No.: 3523049097 Address: 1165 ANDOVER PK W TUKW Suite No: Applicant: KIDDER MATTHEWS RECEIPT Permit Number: EL11 -0108 Status: PENDING Applied Date: 02/10/2011 Issue Date: Receipt No.: R11 -00256 Payment Amount: $115.50 Initials: JEM Payment Date: 02/10/2011 11:36 AM User ID: 1165 Balance: $0.00 Payee: ENERGY MANAGEMENT SERVICES INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2163 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 -10 -2011 INSPECTION RECORD Retain a copy with permit iif-OIo INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION Rs. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: , J0 � �gj Type of Inspection: �, i Address: �� ) p Date Called: Special Instructions: Date Wanted: :m. m. Requester: Phone No: 1)14:1 ,COMMENTS: Approved per applicable codes. • DCorrections required prior to approval. 60(eioctoA5 vw* Inspector: Date: I ae,; �a Fi REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100: Call to schedule reinspection. • 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO.* CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 64-0/0) Project: �� Type of Inspection: ov Address: /) �"' 1t_on Date Called: Special•lnstructidns: -.,q�� tf r :00 Date Wanted: � 11 1 p.m. Requester: [[ Phone No: LIApproved per applicable codes. Corrections required prior to approval. COMMENTS: -0-14(146044(76715 getwic-5> (Auk f-trua t,{(T ±R r lee p roc. t ibea.fuu.)56 Inspector: Date: 02-ri it I, I REINSPECTION I EE 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company ENERGY MANAGEMENT SERVICES INC 4257413526 15008 35Th Ave W Ste C Lynnwood WA 98087 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602881485 Active ENERGMS913B6 Electrical Contractor 1/26/2009 1/26/2013 General Unused Electrical Administrator INFORMATION License DAVISEB961 B8 Name DAVIS, EDWARD B Status Active Business Owner Information Name Role Effective Date Expiration Date NAM, SANG Agent 07/13/2009 Bond Amount NAM, SANG President 07/13/2009 6664485 LEE, KYUNG T Agent 01/26/2009 07/13/2009 KIM, DAVID T President 01/26/2009 07/13/2009 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 2 AMERICAN STATES INS 6664485 08/20/2009 Until Cancelled 19.28.161 RCW ELECTRICAL CITATION $4,000.00 10/21 /2009 1 STATE FARM FIRE & CAS CO 98bas1616 01/20/2009 Until Cancelled 10/18/2009 $4,000.0001 /26/2009 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 EJONV01359 10/18/2010 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EBEAK00271 1/13/2010 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 02/10/2011