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Home My WebLink AboutPermit EL11-0203 - PUETZ GOLFPUETZ GOLF 402 STRANDER BL EL1 1-0203 Parcel No.: Address: Tenant Name: City* Tukwila 0 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 0223200010 402 STRANDER BL TUKW PUETZ GOLF ELECTRICAL PERMIT Permit Number: EL11 -0203 Issue Date: 03/11/2011 Permit Expires On: 09/07/2011 Owner: Name: Address: Contact Person: Name: Address: FIDELITY NORTHWEST ASSOC 4211 HOLLY LN , MERCER ISLAND WA 98040 RENEE CAHUM 4640 CAMPUS PL, STE 100 , MUKILTEO WA 98275 Contractor: Name: FOCUS MICRO Address: 4640 CAMPUS PL STE 100 , MUKILTEO WA 98275 Contractor License No: MOCUSMI982QT Phone: 425 293 -0123 Phone: 425 293 -0123 Expiration Date: 11/22/2012 DESCRIPTION OF WORK: LOW VOLTAGE: RELOCATE CCTV Value of Electrical Work: NRES: RES: $910.00 $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $92.40 National Electrical Code Edition: 2008 Date:vb( `i I hereby certify that I have read an ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be oomph wit whether specified herein or not. The granting of this permit d• -s no construction or the perfo ,��ce of this permit. Signature: presume to give authority to violate or cancel the provisions of any other state or local laws regulating ork. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back Print Name: FE- 1101` ''T t/ ' 1 S T f 1 Date: 3— I I — 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 EL1 1-0203 Printed: 03 -11 -2011 • 0 PERMIT CONDITIONS Permit No. EL 11 -0203 * *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 E L 11 -0203 Printed: 03 -11 -2011 tot CITY OF TUKWIL.A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us Electrical Permit No. Project No, 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 L CATION Site Address: 402 Strander Blvd Tenant Name: Puetz Golf King Co Assessor's Tax No.: 0 22 J oo Suite Number: New Tenant: Property Owners Name: Mailing Address: 402 Stander Blvd Tukwila Floor: ❑ Yes m .. No WA 98188 Zip City State CONTACT PERSON — Who do w eon tact when yo>Itr pe dy to be issued'' Name: Renee Cahum Mailing Address: 4640 Campus PL Suite 100 E -Mail Address: service @focusmicro.com Day Telephone: (425) 293 -0123 Mukileto ,p WA 98275 /1Company Name: veMing Address: FocuslMicro Inc City State Fax Number: (425) 293 -0393 Zip 4640 Campus PL Suite 100 v %ntact Person: FocusMicro Inc V service@focusmicro.com v\ E -Mail Address: @ Contractor Registration Number: Mukilteo WA 98275 City State Day Telephone: (425) 293 -0123 Fax Number: (425) 293 -0393 Zip Expiration Date: Valuation of Project (contractor's bid price): $ 910 Scope of Work (please provide detailed information): relocating CCTV. Low voltage Will service be altered? ❑ Yes Type of Use: CCTV Camera VI No Adding more than 50 amps? ❑ Yes J No Type of work: ❑ New ❑ Addition ❑ Service Change VI Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: m Puget Sound Energy ❑ Seattle City Light H:\Applications\Porms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ 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 tMIT APPL�IGATION=N 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 0 ONTRACTOR: Signature: / Date: 03/11/2011 Print Name: / Mailing Address: 4640 Campus PL Suite 100 Day Telephone: (425) 293 -0123 Mukilteo 98275 Date Application Accepted: City State Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 Zip • 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 RECEIPT Parcel No.: 0223200010 Permit Number: EL11 -0203 Address: 402 STRANDER BL TUKW Status: PENDING Suite No: Applied Date: 03/11/2011 Applicant: PUETZ GOLF Issue Date: Receipt No.: R11 -00475 Payment Amount: $92.40 Initials: JEM Payment Date: 03/11/2011 12:34 PM User ID: 1165 Balance: $0.00 Payee: FELIPE BAUTISTA, FOCUSMICRO INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 387409 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: 03 -11 -2011 • INSPECTION NO. • INSPECTION RECORD Retain a copy with permit ki P(ob3 RMIT NO CITY OF TUKWILA BUILDING DIVISION Ne"%:,.- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: .)V r Lei �� Type of Inspection: Address: �D� ��`�2 Date Called: Special Instrlrctions: CCTV Date Wanted: ,(� / ((..m. '" Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: r I Date: Ott 3 I n REINSPECTION FEE REQUIRE . Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: i INSPECTION RECORD. 07/493 Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 2- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: VU7 + / OW 6� ("�( Type of Inspection: >1.7, ko, Address: L1Q� 5 to Called: Date Instructions: • Date Wanted: 31;0 Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS Inspector: Date: 03/141111 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople PPter 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company FOCUS MICRO INC 4252930123 4640 Campus Pl Ste 100 Mukilteo WA 98275 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602139599 Active FOCUSMI982Q1 Electrical Contractor 11/21/2002 11/22/2012 Limited Energy Hvac /Rfrg Ltd Energy Electrical Administrator INFORMATION License HANSEJ•983QR Name HANSEN, JARED Status Active Business Owner Information Name Role Effective Date Expiration Date OETTINGER, RICHARD Agent 11/21/2002 3/4/2008 RHULE, KEN President 11/21/2002 $250.00 WHITE, BILL Secretary 11/21/2002 ELECTRICAL CITATION HANSEN, JARED Vice President 11/21/2002 07/30/2007 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 DEVELOPERS SURETY & INDEM CO 858863C 11/19/2002 Until Cancelled $4,000.00 01/30/2003 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 ESTRL00519 3/4/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECAML01083 7/30/2010 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03032 8/11/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03033 8/11/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EVANS00347 7/9/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 03/11/2011