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Home My WebLink AboutPermit EL11-0257 - SURFACE ARTSURFACE ART 18285 ANDOVER PK W EL1 1 -0257 City it 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 Parcel No.: 3523049104 Address: 18285 ANDOVER PK W TUKW Tenant Name: SURFACE ART ELECTRICAL PERMIT Permit Number: EL11 -0257 Issue Date: 03/18/2011 Permit Expires On: 09/14/2011 Owner: Name: SEGALE PROPERTIES LLC Address: PO BOX 88028 , TUI{VVILA WA 98138 Contact Person: Name: BRIGET CAUDILL Address: PO BOX 338 , KENT WA 98035 Contractor: Name: HOLMES ELECTRIC CO Address: PO BOX 179 , RENTON WA 98057 Contractor License No: HOLMEEC549BH Phone: 253- 234 -2842 Phone: (425)255 -8666 Expiration Date: 10/31/2012 DESCRIPTION OF WORK: INSTALL 30 AMP 120V CIRCUIT TO 2ND FLOOR FOR DATA RACK Value of Electrical Work: NRES: $1,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $96.60 National Electrical Code Edition: 2008 , (e i 1 Date: "S l 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 t rformance of • rk. I am authorized to sign and obtain this electrical permit and agree to the conflitio on the back of this permit. Signature: Print Name: Date: 1 WET- 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 EL 11 -0257 Printed: 03 -18 -2011 • * *ELECTRICAL ** PERMIT CONDITIONS Permit No. EL11 -0257 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 -0257 Printed: 03 -18 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us EXectrcal Permit N 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 Address: 1 5 iu 1 t `Q- Pia Lt ) Tenant Name: - C9IL ta(' & i \i'LT Property Owners Name: ` : cil.V-A- Mailing Address: j U`c> f / V L1 King Co Assessor's Tax No.: 9 LO 9 Floor: Zi(D New Tenant: 0 Yes ZI..No Suite Number: City State Zip CONTACT PERS° Whii do we eon et when your permit. Is ready to be issued Name: E.t ine-- Mailing Address: P o X .2). 3 E -Mail Address: i.(.L i<7.6 fit. b i t L )fblt ni -3 , a')/1 Day Telephone: OC33-3q City State Zip t Fax Number: 3e3/t7 ) � ELECTRICAL CONTRACT() Company Name: ,�? es , .. - U�i ! C- Mailing Address: P. v . /50 it 33 g Contact Person: )V.t t`T E -Mail Address: U 1-2/40 Di Ll V . itinA ,p / Contractor Registration Number: I/0441 E E C .5'rV 7s4 /'y City State Zip Day Telephone: 675 c-3V ZAY'2 Fax Number: 3 a 3 `3 Expiration Date: 10 --3i 02010 Valuation of Project (contractor's bid price): $ / Scope of Work (please provide detailed information): /'Q77 ? L , , 3''A /►1t2 IL 7 L' li `,r::/ c' r6 Will service be altered? ❑ Yes FeNo Type of Use: Type of work: New ❑ Addition 0 Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service Adding more than 50 amps? ❑ Yes 9 No 0 Remodel ❑ Tenant Improvement Property Served by: �]. Puget Sound Energy ❑ Seattle City Light H:\Applications \Fomms- Applications On Line \I -2009 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIA NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) • MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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. 1 HEREBY CERTIFY THAT 1 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: (/L1i.t (L i ?' , Print Name: Lqiiherr LL Mailing Address: Date: 311 Day Telephone: 07,3 .98'i f City LJf!- State Zip Date Application Accepted: Date Application Expires: Staff Initials: H: \Applications \Fomts - Applications On Line \I -2009 - Electrical Permit Application.doc bh Pagc 2 of 2 r 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.: 3523049104 Permit Number: EL11 -0257 Address: 18285 ANDOVER PK W TUKW Status: PENDING Suite No: Applied Date: 03/18/2011 Applicant: SURFACE ART Issue Date: Receipt No.: R11 -00534 Initials: User ID: Payee: WER 1655 Payment Amount: $96.60 Payment Date: 03/18/2011 11:10 AM Balance: $0.00 BRIGET CAUDILL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 318190 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 96.60 Total: $96.60 doc: Receiot -06 Printed: 03 -18 -2011 V• • 9:'-...1.757.1.Wr-:. 770";Agt •-•• INSPECTION RECORD. Retain a copy with permit 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 Project: , / (-5-ria Ac. _ Type of Inspection: — Address: 122, °46 Vax Date Called: --, Special Instructions: g I - 30 Date Wanted: Requester: Phone No: 71Approved per applicable codes. , OCorrections required prior to approval. COMMENTS: "Ir Inspector: Date: c I ri REINSPECTIO FEE REQUIRED. Prior to next inspectio fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • . •• •.••••• . Contractors or Tradespeople Pricer 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 HOLMES ELECTRIC CO 2534794000 Po Box 338 Kent WA 98035 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 177003752 Active HOLMEEC549BH Electrical Contractor 1/8/1946 10/31/2012 General Unused Master Electrician INFORMATION License HILLME'973KR Name HILLMAN, ED Status Active Business Owner Information Name Role Effective Date Expiration Date HOLMES, JERAY A Agent 01/01/1980 Bond Amount HOLMES, MICHAEL J President 01/01/1980 52BSBFB9243 RICHARDS, MICHAEL W Secretary 01/01/1980 RICHARDS, EUGENE M 12/09/2008 01/01/1980 10/15/2010 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 3 HARTFORD FIRE INS 52BSBFB9243 12/08/2008 Until Cancelled $4,000.00 12/09/2008 2 AM CASUALTY 9239830 12/08/1984 Until Cancelled 02/09/2009 $4,000.0009/14/2008 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 EREEB00495 10/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 03/18/2011