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Permit EL11-0154 - REGENCY CLEANERS
REGENCY CLEANERS 950 ANDOVER PK E EL1 1 -0154 Parcel No.: Address: Tenant Name: 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: / /wwwci.tukwila.wa.us 2623049105 950 ANDOVER PK E TUKW REGENCY CLEANERS ELECTRICAL PERMIT Permit Number: EL11 -0154 Issue Date: 02/2S/2011 Permit Expires On: 08/24/2011 Owner: Name: NATIONWIDE LIFE INS Address: REAL ESTATE INVESTMENT , ONE NATIONWIDE PLAZA 43215 Contact Person: Name: JOSH SIMMONS Phone: 253 - 304 -5505 Address: 13547 SE 27 PL, #3B , BELLEVUE WA 98005 Contractor: Name: METRO ELECTRIC LLC Address: 2233 FIRST AV S, #105 , SEATTLE WA 98134 Contractor License No: METROEL901 OP Phone: 800 - 757 -3469 Expiration Date: 09/17/2012 DESCRIPTION OF WORK: UPGRADE BALLASTS AND LIGHTS. Value of Electrical Work: NRES: $1,800.00 Fees Collected: RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $115.50 National Electrical Code Edition: 2008 Date: Z- w1 ✓J/ 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. p/G/ ' ✓ Date: 7/Y>--/ S `l Signature: Print Name: 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 -0154 Printed: 02 -25 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0154 * *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 -0154 Printed: 02 -25 -2011 CITY OF TUKWW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httc://www.citukwila.wa.us Electrical Permit No: (711f-' 01. 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: 950 Andover Park E Tenant Name: Regency Cleaners Property Owners Name: Mailing Address: King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: ❑ Yes ..No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Josh Mailing Address: 13547 SE 27th PL #3B E -Mail Address: josh.simmons @ezmetro.com Day Telephone: A Bell City Fax Number: (253) 304 -5505 IA) 4" State (888) 887 -0939 98005 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Metro Electric 13547 SE 27th PL #3B Bellvue WA 98005 Contact Person: Metro Electric E -Mail Address: josh.simmons @ezmetro.com Contractor Registration Number: METROEL901 OP City State Zip Day Telephone: (253) 304 -5505 Fax Number: (888) 887 -0939 Expiration Date: Valuation of Project (contractor's bid price): $ 1 ,800 Scope of Work (please provide detailed information): PSE energy upgrade ballasts and lights Will service be altered? ❑ Yes i No Adding more than 50 amps? ❑ Yes l No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: • Puget Sound Energy ❑ Seattle City Light H AApplications\Ponns-Applications On line\2010 Applications\2-2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Remodel Tenant Improvement ❑ Telecommunication ❑ Temporary Service RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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: SD 9( S Mi Al 0/U5 Mailing Address: '1? 51-t 7 Z P 1. 1 Date: rZ / 7/ Day Telephone: 2,53 - 3pq -55© L/ age °S City State Zip Date Application Accepted: 1_ /15- _ / / Date Application Expires: 0— 25- 1/ Staff Initials: ciz H:Wpplic tionsTomm- Applications On line12010 Application0-2010 - Electrical Permit Application.doc bh Page 2 of 2 City o 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. tukwi la. wa. us Parcel No.: 2623049105 Address: 950 ANDOVER PK E TUKW Suite No: Applicant: REGENCY CLEANERS RECEIPT Permit Number: EL11 -0154 Status: PENDING Applied Date: 02/25/2011 Issue Date: Receipt No.: R11 -00351 Payment Amount: $115.50 Initials: BLH Payment Date: 02/25/2011 12:46 PM User ID: ADMIN Balance: $0.00 Payee: SANDRA STEWART TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA 358 115.50 Authorization No. 044415 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 02 -25 -2011 INSPECTION NO. INSPECTION 'RECORD Retain a copy with permit 641— 0151 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: Type of Inspection: 41+0 Address: Date Called: Special Instructions: Ottotor hj .. wk. pRR %Oa., Date Wanted: � 6'' p.m. Requester: Phone No: Approved per applicable' codes. Corrections required prior to approval. OMMENTS: 7 Inspector: -61r-1441t1C n REINSPECTION FEE REQUIRED: Prior to next inspection. fee must be paid at 6300 Southcenter Blvd:; Suite 100.-Call to schedule reinspection: I Date„ J , �f1 r Contractors or Tradespeople Pri ter 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 METRO ELECTRIC LLC UBI No. 603045891 Phone 8007573469 Status Active Address 2233 First Ave S 11105 License No. METROEL901OP Suite /Apt. License Type Electrical Contractor City Seattle Effective Date 9/17/2010 State WA Expiration Date 9/17/2012 Zip 98134 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Electrical Administrator INFORMATION License SIMMOJM900DJ Name SIMMONS, JOSHUA M Status Active Business Owner Information Name Role Effective Date Expiration Date PAUL KOO Agent 09/17/2010 KOO, PAUL Partner /Member 09/17/2010 SHIN, GARY Partner /Member 09/17/2010 THOM, ALAN J Partner /Member 09/17/2010 11/18/2010 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 AMERICAN STATES INS CO 6733204 09/13/2010 Until Cancelled $4,000.00 09/17/2010 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 02/25/2011