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Permit EL11-0230 - KOLL BUSINESS PARK, BLDG 30
KOHL BUSINESS PARK BLDG 30 1002 INDUSTRY DR EL1 1 -0230 Parcel No.: Address: Tenant Name: Cityt 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 2523049071 1002 INDUSTRY DR TUKW KOLL BUSINESS PARK, BLDG 30 ELECTRICAL PERMIT Permit Number: EL11 -0230 Issue Date: 03/15/2011 Permit Expires On: 09/11/2011 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: WALTON CWWA TUKWILA 1 LLC C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134 EDWARD DAVE DAVIS 15008 35 AV W #C , LYNNWOOD WA 98087 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: SUITES 1002, 1006, 1008, 1012, & 1016: LIGHTING RETROFIT - LAMPS AND BALLAST CHANGES ONLY. Value of Electrical Work: NRES: $3,200.00 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 xami with, The granting of this permit does not pr construction or the performance of work. of this permit. Fees Collected: $157.50 National Electrical Code Edition: 2008 Date:_ u ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. Signature: Print Name: 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 Date: /5-1,4e 46?J/ 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 -0230 Printed: 03 -15 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0230 * *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 -0230 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. EL,A,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 oe% /2 /l) /e Site Address: 'ma Tenant Name: Property Owners Name: Mailing Address: King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: ❑ Yes 0.. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Day Telephone: . t '"'791S1 Mailing Address: /5‘27Z5216) 3S ' /t CZ/1✓0://a/Od : ✓T� ©8 �. /} Cit3 State Zip E -Mail Address: �� 2T �Wie,9 4Wri Fax Number: T��'r'y J ELECTRICAL CONTRACTOR INFORMATION Company Name: /% S e‘79,�� � tt ..��l� ✓ c] Cam /1e-.5 i,54-e2e'g 3 5-7 � � -s�'/ C .0/0/ % .P.0= a � �' � Contact Person: / ✓. Mailing Address: E -Mail Address: /37, CX9 $ '9Y get Contractor Registration Number: -� 923 City State Zip _ Day Telephone: ��S, "c99-S Fax Number: 417S--- '7119 ` -i's Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): y /fr .:.�� ,�,�- � ` & ;'/ J, �•-� / ® Cie &,s Will service be altered? ❑ Yes AEr No.. �y Adding more than 50 amps ?' ❑ Yes No Type of Use: CJ� �% '�ji`G /So/ / - Type of work: / ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Pro a e . Served b • Puget Sound Energy ❑ Seattle City Light H.1Applications\Forms- 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 581.90 (no added/altered circuits) ❑ Service change with added/altered circuits 581.90 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 554.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) 4PPL�I "CATION�� N OT�S'�= :.. MULT1- 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: ie> yd! Date: 1 :94 4 Print Name: ,&� 7A/6- z /,. Day Telephone: 5 S-7? 'J '5'S° Mailing Address: /57),A, X7.3 /iy°Fl 0.17 pf4e 7:2)n.Q 4,,7' 4,,. c City State fee Late Application Accepted: e Date Application Expires: H:Wppkications\Forms. Applications On Line 12010 Applications\7-2010 - Electrical Permit Applicanon.doc be Page 2 of 2 Staff Initials: Cil.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. tukw ila. wa. us SET RECEIPT RECEIPT NO: R11 -00501 Initials: JEM User ID: 1165 Payee: HOON LEE Payment Date: 03/15/2011 Total Payment: 3,581.30 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 ACCOUNT ITEM LIST: Description Citk of Tukwila, Depa ent of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: /hvww. ci. tukwila. wa. us • Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 3,581.30 TOTAL: 3,581.30 INSPECTION NO. INSPECTION RECORD Retain a copy with permit tii/- 2 30 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION t• 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: i s. pie •4.30 Type of Inspection: .( Address: / 002- Date Called: ita Special Instructions: kerk Date Wanted: c11 . p.m Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: 0 Ki reivm, • Inspector: Date: ft el\ 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 Printer Friendly Page Page 1 of 1 • • 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 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 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 Et 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