HomeMy WebLinkAboutPermit EL11-0221 - KOLL BUSINESS PARK, BLDG 22KOLL BUSINESS PARK
BLDG 22
912 INDUSTRY DR
EL1 1 -0221
Parcel No.:
Address:
Tenant Name:
City tf 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
2523049015
912 INDUSTRY DR TUKW
KOLL BUSINESS PARK, BLDG 22
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0221
03/15/2011
09/11/2011
Owner:
Name: WALTON CWWA TUKWILA 1 LLC
Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134
Contact Person:
Name: EDWARD DAVE DAVIS Phone: 425 879 -2795
Address: 15008 35 AV W #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 - 741 -3526
Expiration Date: 06/15/2011
DESCRIPTION OF WORK:
SUITES 902, 904, 906, 908, 910, 912, & 916: LIGHTING RETROFIT - LAMPS AND
BALLAST CHANGES ONLY.
Value of Electrical Work: NRES: $4,500.00
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
Fees Collected:
$178.50
National Electrical Code Edition: 2008
Date:
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this permit does not pre
construction or the performance of work.
of this permit.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
4%7, - ,/7,07/75
Date:7
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 -0221 Printed: 03 -15 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0221
* *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 arty 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
ELI 1-0221 Printed: 03 -15 -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. &1J (1-io n%
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.
/ * *Phase Print*
9t12 9.4 Y Z'' /6° 9e4le
SITE LOCATION
�% King Co Assessor's Tax No.:
Site Address: 72 2 'i ' �' C4'. Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes )2r.. No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: /91/2S Day Telephone: 4�-
Mailing Address: /522,e5715) � rk ,4 / Iii,' 7 CZ //,./a10dt7 }: Vg ().E3
Ci
E -Mail Address: � ,� i A `/1 Fax Number:
State Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
P 7. 1 29�Cd V." C j
GeS
city
State Zip
Contact Person: i�'✓ °o / //��/'- Day Telephone: l%r f',
E -Mail Address: / sue �� I 4 .' Fax Number: G� -7'99
Contractor Registration Number: 6. -6-- 92,4 / Expiration Date: d4eW/s:,2-G7 %,.5.
Valuation of Project (contractor's bid price): $
%D12_,
Scope of Work (pleease provide detailed information):
Will service be altered? ❑ Yes No, Adding more than 50 amps ?' ❑ Yes No
Type of Use: a52/414- e''`
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pronertu Served bv:
Puget Sound Energy
❑ Seattle City Light
H.\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Appli cation. doc
bh
Page 1 of 2
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
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:
Date: /- * ';,3
, '� Day Telephone: Z7 S7,
Mailing Address:
Signature:
Print Name:
City State tp
IDate Application Accepted:
04//slir
Date Application Expires:
Staff Initials:
H:Wpplications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
Citfof 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
SET RECEIPT
RECEIPT NO: R11 -00501
Initials: JEM
Payment Date: 03/15/2011
User ID: 1165 Total Payment: 3,581.30
Payee: HOON LEE
SET ID: 0315 SET NAME: EMS
SET TRANSACTIONS:
Set Member Amount
EL11 -0217 178.50
EL11 -0218 115.50
EL11 -0219 212.90
EL11 -0220 157.50
EL11 -0221 178.50
EL11 -0222 136.50
EL11 -0223 178.50
EL11 -0224 136.50
EL11 -0225 178.50
EL11 -0226 157.50
EL11 -0228 178.50
EL11 -0229 157.50
EL11 -0230 157.50
EL11 -0231 115.50
EL11 -0232 136.50
EL11 -0233 92.40
EL11 -0234 157.50
EL11 -0235 136.50
EL11 -0236 115.50
EL11 -0237 136.50
EL11 -0238 157.50
EL11 -0239 157.50
EL11 -0240 115.50
EL11 -0241 136.50
TOTAL: 178.50
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 3,581.30
T/1T • 1 .
ACCOUNT ITEM LIST:
Description
Cita of Tukwila,
DepO ment of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206-431-3665
Web site: hut,: //www. ci. tukwila. wa. us
0
Account Code Current Pmts
ELECTRICAL PERMIT - NONE 000.322.101.00.0
TOTAL:
3,581.30
3,581.30
• •h.v.11 ' re" — 7,?1,,r,",) • ••,:z.. • .,•37, 1771;•rp,p'w "efr, •• 117- Viorr•r5. • • • • 7 ' . • • s.1`. r—
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. ERMIT NO.
CITY OF TUKINILA BUILDING DIVISION 42'
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 431-2451
Project: klow g1/4)/5 .. sr,
Type of Inspection:
Address: n
7/2- AiDN/511
Date Called:
Special Instr ctions:
kill - £ (VIZ
Date Wanted:
ely
a. .
.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval. ./
COMMENTS:
0,K
wJ
Inspector:
Date: 05701/1
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
. i•Ird.s.Jtmet .0:2‘ I. 're a• - —
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
•
•
Electrical Contractor
A business licensed by LEt1 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 14o.
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 DAVISEB961B8
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
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
2
AM STATES INS
6664485
08/20/2009
Until Cancelled
19.28.161 RCW
ELECTRICAL CITATION
$4,000.0010/21
/2009
1
STATE FARM FIRE &
CAS CO
98bas1616
01/20/2009
Until Cancelled
10/18/2009
$4,000.00
01/26/2009
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
EAARG00401
2/15/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 03/15/2011