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Home My WebLink AboutPermit EL11-0313 - VACANT SPACEVACANT SPACE 1165 ANDOVER PK W EL1 1 -0313 Parcel No.: Address: City* 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 3523049097 1165 ANDOVER PK W TUKW Tenant Name: VACANT SPACE ELECTRICAL PERMIT Permit Number: EL11 -0313 Issue Date: 04/06/2011 Permit Expires On: 10/03/2011 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: WALTON CWWA SOUTHCENTER 4 L C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134 DAVE DAVIS Phone: 425 - 879 -2795 15008 35 AV W, SUITE C , LYNNWOOD WA 98087 ENERGY MANAGEMENT SERVICES INC Phone: 425 - 741 -3526 15008 35TH AV W STE C , LYNNWOOD WA 98087 Contractor License No: ENERGMS913B6 Expiration Date: 06/15/2011 DESCRIPTION OF WORK: INSTALLATION OF EMERGENCY BALLAST IN SIX FIXTURES AND INSTALLATION OF ONE LIGHT SWITCH Value of Electrical Work: NRES: $600.00 Fees Collected: RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $79.80 National Electrical Code Edition: 2008 Date: 1c -(D -(1 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 the performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back of this permit. Signature: Print Name: Date: 0,0/ 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 1-0313 Printed: 04 -06 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0313 * *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 -0313 Printed: 04 -06 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us Electric al Permit No. Project No. L.l --0 e 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 ** JOCATION n King Co Assessor's Tax No.: 1S)-30L-1`.- 410 �L 1 Site Address: 11 ,5 /T/Ul1(�� /%92k (D S 3Suite Number: Tenant Name: VC%`Cat tti+ New Tenant: Floor: ❑ Yes ❑ ..No Property Owners Name: Mailing Address: 63/ 57-12---,4A/60"2 )5LV/J 8 / G/ /- iC City State Zip CONTAC RSOI do your mit early to be ii ued Name: 74\16 bil:V/3 Day Telephone: z4�-5- - 2 '✓ Mailing Address: I5CZ7cU 35`F'^ AVC to 576. C.- / y/)/t)G -v00 City State / Zip Fax Number: /-72.5- E -Mail Address: PA-V6 s /lam . 60 E. CTRLCAL CONTRACTOR FORMATION Company Name: h /'' ll Mailing Address: 1 5005 3 S 1-V/ 13 576 Contact Person: pig v, I\ 5 /G-Ut E -Mail Address: C,t cry./ F'Y115 /c.Ji GZf�✓I Contractor Registration Number: -i i14 59/3 136 uryu49 _ c State Zip Day Telephone: WS - 7-z7./ - 35,2- Fax Number: WS ' ?/ �5, / l Expiration Date: /2/ /2 Valuation of Project (contractor's bid price): $ 6of) Scope of Work (please provide detailed information): D5T77u --/4" 7/0'Z -� 6-74 i 1Z / &9Z-47,7 / /X%fC i/. J % f1-7 Will service be altered? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light A:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Apphcation.doc bh Page 1 of 2 Adding more than 50 amps? ❑ Yes No ❑ 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 ca 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 �PERIVIIT��APRLIC'ATIQN�NO�E ...•mob» 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: Print Name: Apo LE-c-- Mailing Address: /To (—f4) Xt^e _ (it% C Day Telephone: Z.—Ye/1000d City Date: b 0.0 / (AM- 9Po State Zip/ Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications \Forms - Applications On Linc\2010 Applications \7 -2010 - Electrical Pcrmit Application.doc bh Page 2 of 2 Parcel No.: Address: Suite No: Applicant: 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 3523049097 1165 ANDOVER PK W TUKW VACANT SPACE RECEIPT Permit Number: Status: Applied Date: Issue Date: EL11 -0313 ISSUED 04/06/2011 04/06/2011 Receipt No.: R11 -00664 Initials: User ID: WER 1655 Payment Amount: $79.80 Payment Date: 04/06/2011 01:52 PM Balance: $0.00 Payee: NOON LEE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 042822 ACCOUNT ITEM LIST: Description 79.80 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $79.80 79.80 doc: Receiot -06 Printed: 04 -06 -2011 � r � 7.971, ";:: " " " "z- = 70 °,mss =mss.+- - . .. --r _..: ,..,. • ; • INSPECTION RECORD Retain a copy with permit (/Al -o3/9 INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3 Permit Inspection Request Line (206) 431 -2451 Project: Dtir DVIS Address: rr Arid & Special Ins ctions: Type of Inspection: too Date Called: Date Wanted: Requester: Phone No: KiApproved per applicable codes. O Corrections required prior to approval. COMMENTS: (fl4Cflblk5 tiOrDtr ry • Inspector: Date: 155/0Y n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. .Z ,,°'_.. , _. yam: TM_ _ r. "155 ..—'17 • .e•' , , 't • °S•. • z INSPECTION RECORD '+D� Retain a copy with permit INSPECTION N0. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION r- (206) 431 -3 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431 -2451 Project:(., 5pAirat Address: �� Aitotsk) Special Instructions: Type of Inspection: 7 PO 4. Date Called: Date Wanted: Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: figitnA EM • 6mAA-s( lid vJvcK s Inspector: Date:0 0 3/1/ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • .. iltl Sd?, EC:Tt:dWRECO D. Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IL* (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: vete DA41 5 Type of Inspection: �/ Address: Date Called: Special Instructions: eti. eft ✓ I S Date Wanted: , j / Requester: Phone No: - IA t( IDApproved per applicable codes. KCorrections required prior to approval. COMMENTS: - of'40wor (tap 8 Ck t tai UOJ - f 1 r oni o f 6(w-so-Aar- CO , - IA t( fir at-c PAmIEt. Alen- 1.Jo gv (dci 411 Date :by l� n REINSPECTIO FEE REQD. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: 1� • L_.. .. .a•6'II�i.Yl�ilwY•. • �. _ _ Contractors or Tradespeople Per 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 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 DAVISEB961 B8 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 Page 1 of 1 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 AMERICAN STATES INS 6664485 08/20/2009 Until Cancelled 19.28.161 RCW ELECTRICAL CITATION 54,000.0010/21 /2009 1 STATE FARM FIRE & CAS CO 98bas1616 01/20/2009 Until Cancelled 10/18/2009 $4,000.0001/26/2009 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 04/06/2011