HomeMy WebLinkAboutPermit EL11-0166 - KOTIS DESIGNKOTIS DESIGN
1165 ANDOVER PK W
EL1 1 -0166
Parcel No.: 3523049097
City itf 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
Address: 1165 ANDOVER PK W TUKW
Tenant Name: KOTIS DESIGN
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0166
02/28/2011
08/27/2011
Owner:
Name: WALTON CWWA SOUTHCENTER 4 L
Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134
Contact Person:
Name: ERIC JOHNSON
Address: 12501 S 299 PL , AUBURN WA 98092
Contractor:
Name: WASHINGTON ELECTRIC
Address: 12501 SE 299 PL , AUBURN WA 98092
Contractor License No: WASHIE *908CA
Phone:
Phone:
Expiration Date:
253 - 561 -5828
253 561 -5828
02/01/2012
DESCRIPTION OF WORK:
INSTALL ELECTRICAL IN TWO PHASES- 1) POWER FOR 5 PIECES OF EQUIPMENT 2) POWER
FOR REMAINING 3 REMAINING PIECES OF EQUIPMENT
Value of Electrical Work: NRES: $4,120.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: PUGET SOUND RGY
Permit Center Authorized Signature:
Fees Collected:
$178.50
National Electrical Code Edition: 2008
Date:
I hereby certify that I have read and examined this permi d know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether spe •. 'ed 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 performanc = Or a authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signature: -.1116f
Print Name:
Date:
W27
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 -0166 Printed: 02 -28 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0166
* *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 -0166 Printed: 02 -28 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit No. E., L_. l "
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 /7 (9,5- nN /Jv (TAX- (�
S King Co Assessor's Tax No.:
Floor: Address: 4,A/o o-il i - /9/z-- ' V / T1 w `Sui a Number: / "4
Tenant Name:
K o ri s Pes/ G
Property Owners Name: f 17 t!LIL 4 T 1`f
Mailing Address: � `� c7 )--4 Nb&irL V /A7b W/ 1/1- W* c g1 is '
City State
New Tenant:
Yes
/V;9-
❑..No
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
•rl. / C TO +NI O- �/ Day Telephone: 2-,S-3 ` 3—G l —LS-$3f 7i K
Mailing Address: / (ZLSO ! M- .1 k f L 413 (/Y -A V -wig- qg 07�J
^ I
City �f State Zip
E -Mail Address: ?-/ ( �1/1/ al417PTo 101-1 0`,/ lrax Nu r:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
City
Day Telephone:
E -Mail Address: / Fax Number:
Contractor Registration Number: V/t/K t->•/ a ceoib rcA-
Contact Person:
State
Zip
Expiration Date:
Valuation of Project (contractor's bid price): $ l2 v
Scope of Work (please provide detailed information): /4/'S7/l2 L ( "Llu3f"2i ( 42 / /`1 ]wO
q vi;/%/2_ l it frieiA -I iv intro 6 ce
c out? dar 9
c4 6.,e 2u C , /l /GCf /li5-
Will service be altered? ❑ Yes
Type of Use: VOL(66 t i n y s.
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Sleeved by:
Puget Sound Energy
❑ Seattle City Light
Adding more than 50 amps? El Yes No
❑ Service Change
❑ Fire Alarm
H:\Applications \Forms - Applications On Line120I0 Applications \7.2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Remodel �enant Improvement
❑ Telecommunication ❑ Temporary Service
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RESIDEN L
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 REODL AND SERVICE CHANGES
❑ Service change or altera tlb $81.90
(no added/altered circuits).
❑ Service change with added/altered brquits $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 ELE TRICA ONTRACTOR:
Signature:
Print Name:
�fLl c e Ni
Mailing Address:- / PC
IDate Application Accepted: •J
Day Telephone:
Date:
.-Aa.2111
z -,CC( -5K 266
Avig v✓r J 1A-- 98 QGt
City State Zip
Date Application Expires:
1
Staff Initials:
H :1Applications\Forms- Applications On Line 2010 Applications17 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
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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.tulcwila.wa.us
Parcel No.: 3523049097
Address: 1165 ANDOVER PK W TUKW
Suite No:
Applicant: KOTIS DESIGN
RECEIPT
Permit Number: EL11 -0166
Status: PENDING
Applied Date: 02/28/2011
Issue Date:
Receipt No.: R11 -00374
Initials:
User ID:
Payee:
TLS
1670
ERIC DJOHNSON DBA WASHINGTON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 003818
ACCOUNT ITEM LIST:
Description
178.50
Payment Amount: $178.50
Payment Date: 02/28/2011 03:39 PM
Balance: $0.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
doc: Receiot -06 Printed: 02 -28 -2011
2
ri.
INSPECTION RECORD ��.o� W/'_ !
Retain a copy with permit w
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
K Project: �Type
of Inspection:
/oo
- ODINIT 2000 PS( It- /02-651
Ad
1I 0S
V +�
Date Called:
01-
Special Instructions:
Date Wanted:
Y�7
6.m. .5.,
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
qpiscampix PSE /07433
A /0143
- ODINIT 2000 PS( It- /02-651
- 'fR1 i irf co PSE io2435°"
- fl5P 31 io Mt ti 162-454
01-
Inspector:
Date:
oy 2.-7/a
REINSPECTION FEE REQUIRE . Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
. •
•
lr.
INSPECTION NO.
INSPECTION RECORD
Retain.a copy with permit
ti 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: /
IT o-Y, 2)4515-,.1
Type of Inspection:
of/ a c)
Address: J qq �gA,
,/%/Jr4/N De ill - I9 A✓
Date Called:
.
aA ,
Special Instru tions:
•
Date W`annte1/..,.,./ d::
9
a.m.
p:m.
Requester:
Phone No:
7
/`s„„!-- EA-Cc-7R ic/ii- Eau, "wryly,
• • Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
. S po>27- s M 1 V EX (Tern Ltr. Pp i ►rrlk.<
0 -
aA ,
CiePa.4untr' 7 4- Intteost400 -- 11
•
.50 /Apr nio a (73 fYOL-
" "`
/`s„„!-- EA-Cc-7R ic/ii- Eau, "wryly,
z
f
t
A i r - s e � ' 4 7r ✓.,iaA -r4
-
L .
..d
Inspector:
7fgy
N
Date:
❑ REINSP ION FEE REQUIRED. Prior to next inspection. fee must be
paid at 300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
4V. :WrArg
Contractors or Tradespeople Per Friendly Page
Page 1 of 2
Electrical Contractor
A business licensed by L8J 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
WASHINGTON ELECTRIC
2535615828
12501 Se 299Th Pt
Auburn
WA
98092
King
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602987792
Active
WASHIE *908CA
Electrical Contractor
2/1/2010
2/1/2012
General
Unused
Electrical Administrator INFORMATION
License JOHNSED919RZ
Name JOHNSON, ERIC D.
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOHNSON, ERIC D
Owner
02/01/2010
Bond
Amount
Bond Information
Bond
Bond Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
Lexon Insurance
Company
9801270
02/01 /2010
Until
Cancelled
$4,000.00
02/01/2010
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/Printaspx
02/28/2011