HomeMy WebLinkAboutPermit EL11-0289 - KOTIS DESIGNKOTIS DESIGN
1165 ANDOVER PK W
EL1 1 -0289
Parcel No.: 3523049097
City S' Tukwila
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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 -0289
03/29/2011
09/25/2011
Owner:
Name: WALTON CWWA SOUTHCENTER 4 L
Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134
Contact Person:
Name: KAYCEE VANKIRK Phone: 425 656 -7111
Address: 7617 S 180 ST , KENT WA 98032
Contractor:
Name: PROTECTION ONE ALARM MNTRG INC
Address: 4221 W JOHN CARPENTER FWY , IRVING TX 75063
Contractor License No: PROTEOA033BP
Phone: 425 656 -7132
Expiration Date: 01/24/2013
DESCRIPTION OF WORK:
INSTALLATION OF LOW VOLTAGE CARD ACCESS AND CCTV SYSTEM
Value of Electrical Work: NRES: $3,200.00 Fees Collected:
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
$157.50
National Electrical Code Edition: 2008
Date: O
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not p
construction or the, performance,, of work
of this permit. / "
Signature:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
• am authorized to sign and obtain this electrical permit and agree to the conditions on the back
i
Print Name:
Date:
ii/70 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
ELI 1-0289 Printed: 03 -29 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0289
* *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 -0289 Printed: 03 -29 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.citukwila.wa.us
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Electrical Permit No. at'4
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
King Co Assessor's Tax No.: 2 W14 — I 0 '1
Site Address: 1 I (o5 Jd O / PC"----- , V 495-+-
Suite Number: Floor:
Tenant Name: "5 De 5 0 New Tenant: ❑ Yes ,No
Property Owners Name: n I �J c�
Mailing Address: _j_ 0) N- 3 ✓1 0 504-11-(Q `/( 9,6?) l (,--
City
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: (C,e,e ,, Q34/1 i./9
Mailing Addres : 71 (e)041 y (/U 7� 9eo 3 0
City S tom p ,, Zip
Fax Number:LQ7 J��
Day Telephone: (X 7-1
E -Mail Address:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: PO—ea.--P01A 0 .
Mailing Address: SJ,aAno_ _ a S CBvl e4-
Contact Person:
City
State
Zip
`' Day Telephone:
E -Mail Address: i vaphn ,�rl� —� Oi ope.£IFax Number:
Contractor Registration Number: , Y-fJ % 33,6 V-' Expiration Date:
rii M
Valuation of Project (contractor's bid price): $ 3Xr
Scope of Work (please provide detailed information): `''(N1 C-e-- (OVV
3 X70 sr-Eery-I
ubl ‘1-aaje,
Will service be altered? ❑ Yes `No Adding more than 50 amps? ❑ Yes X No
Type of Use: //
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Tenant Improvement
'0._Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H: WpplicationsWorms- Applications On Line14- 2007 - Electrical Permit Application.doc
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Page 1 of 2
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RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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:
Signature: /Li7
Print Name: / (,82-- V Q ✓� f �C flL
Mailing Address: 4V S, 00"
IDate Application Accepted:
c1121,ii(
Date: ,q///
Day Telephone: `7 — (15-6'
)47/-/— c4//I-- 3 a
City State Zip
Date Application Expires:
H:UpplicationsWortns- Applications On Line \4 -2007 - Electrical Permit Application.doc
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Staff Initials: 1
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.tukwi la. wa. us
Parcel No.: 3523049097
Address: 1165 ANDOVER PK W TUKW
Suite No:
Applicant: KOTIS DESIGN
RECEIPT
Permit Number: EL11 -0289
Status: PENDING
Applied Date: 03/29/2011
Issue Date:
Receipt No.: R11 -00605
Initials: JEM
User ID: 1165
Payment Amount: $157.50
Payment Date: 03/29/2011 09:30 AM
Balance: $0.00
Payee: PROTECTION ONE ALARM MONITORING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3659 157.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 157.50
Total: $157.50
doc: Receipt -06 Printed: 03 -29 -2011
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INSPECTION RECORD all' �QRetain a copy with permit _ -. 0
INSPECTION NO. 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:
14115
Type of Inspection:
Z/00
Address: 11 /
1J
Date Called:
Special Instructions:
5 j Aks ri
Date Wanted:
S�vY
. m.
.m
Requester:
Phone No:
® Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
tic ofili
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
...d. r -.. .!Loa. „.,•.•._4 • :.._r s,.:.a._•.RA: +Y,ma.+iier,Ja.•.,. wn.b ,.,su. .� ,... -• - -- • --
Contractors or Tradespeople Pri. Friendly Page
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Page 1 of 2
Electrical Contractor
A business licensed by Llfl 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
PROTECTION ONE ALARM MNTRG INC
4256567153
Attn: Justin B. Vise
1035 N 3rd St Ste 101
Lawrence
KS
66044
Out Of State
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601354926
Active
PROTEOA033BP
Electrical Contractor
1/17/1997
1/24/2013
Limited Energy
Unused
Electrical Administrator INFORMATION
License BERGEMA893BL
Name BERGENER, MATTHEW A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MACKENZIE, JAMES M JR
01/01/1980
RANKIN, THOMAS K
01/01/1980
HESSE, JOHN W
01/01/1980
CORNELL, MONTGOMERY W
01/01/1980
C T CORPORATION SYSTEM
Agent
01/01/1980
BECK, ANNETTE
President
10/27/2000
SOMMA,TONY
Secretary
10/27/2000
KINGSLEY, RENEE T
Vice President
10/27/2000
CHRETIEN, CRAIG
Vice President
10/27/2000
SANCHEZ, JOSEPH
Vice President
10/27/2000
WILSON, TONY
Vice President
10/27/2000
SIMONETTI, RICH
Vice President
10/27/2000
DEVIN, ANDY
Vice President
10/27/2000
WIENGARTNER, CRAIG
Vice President
10/27/2000
CORY, DENNIS (MIKE)
Vice President
02/25/2002
GRIFFIN, JOHN ERIC
Vice President
01/09/2003
https://fortress.wa.gov/lni/bbip/Printaspx
03/29/2011