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Permit EL11-0346 - APOLLO SPAS
APOLLO SPAS 1233 ANDOVER PK E EL1 1 -0346 Parcel No.: Address: City Alt 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 3523049084 1233 ANDOVER PK E TUKW Tenant Name: APOLLO SPAS ELECTRICAL PERMIT Permit Number: EL11 -0346 Issue Date: 04/19/2011 Permit Expires On: 10/16/2011 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: HOUGHTON HARBOR LLC 6363 LAKE WASHINGTON BLVD NE #104 , KI2KLA.ND WA 98033 KEITH FORTE 22435 SE 240 ST, G -204 , MAPLE VALLEY WA 98038 FORTE ELECTRIC, LLC Phone: 206 999 -2672 Phone: 206 999 -2672 Address: 22435 SE 240TH ST G -204 , MAPLE VALLEY WA 98038 Contractor License No: FORTEEL935DF Expiration Date: 04/14/2012 DESCRIPTION OF WORK: RELOCATING (2) GFI BREAKERS INTO DISCONNECTS WITH PLUG AND CORD CONNECTION Value of Electrical Work: NRES: $300.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $67.20 National Electrical Code Edition: 2008 Date: 04 L M l l I hereby certify that I have read an ex. 'ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compli d wit whether specified herein or not. The granting of this permit does not p ; e 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: Date: 4L 201I Print Name: Kl -rflA 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 -0346 Printed: 04 -19 -2011 1 • PERMIT CONDITIONS Permit No. EL11 -0346 * *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 -0346 Printed: 04 -19 -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. fiA, 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.: Site Address: 1233 AMtkBtK&. Suite Number: Tenant Name: Property Owners Name: A.-8-ao S`1.dtb Mailing Address: S1PE New Tenant: Floor: ❑ Yes $. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: K Mailing Address: 22435 SE 246 1 . sr C, '204 E -Mail Address: s L • cOw■ Day Telephone: Cola J X19 °I • 2.672. Fax Number: WA State g503B Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: VtAke F tzetl c t_LC 221435 2/4&A - G • WA- E -Mail Address: k��r ejor -k. c Contractor Registration Number: FO TE E-L 135 ©F i`Ro4Att. vaQQay W City' U State Day Telephone: Fax Number: Expiration Date: 4 / 13 /2012 Zip 20442 . 999 .2.477-2- Valuation of Project (contractor's bid price): $ (1.)C10 . 0 0 Scope of Work (please provide detailed information): Q Q (2-) GF\ lastidzu6, t _t d ,Ccrivitgitki Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Low Voltage Pro .e Served b : Puget Sound Energy ❑ Seattle City Light No Adding more than 50 amps? ❑ Yes 1 No ❑ Addition ❑ Generator ❑ Service Change ❑ Fire Alarm H:Wpplications\Forms- Applications On Line\2010 Apphcahons \7 -2010 - Electncal Permit Apphcation.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 $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 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: Print Name: Date: A /z )1 Day Telephone: Mailing Address: City IDate Application Accepted: 0(4 State Zip Date Application Expires: Staff Initials: HPApplications\Farms- Applications On Line 1201.0 Applications l7 -2010 - Electrical Permit Apphcation.doc bh Page 2 of 2 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 Parcel No.: 3523049084 Address: 1233 ANDOVER PK E TUKW Suite No: Applicant: APOLLO SPAS RECEIPT Permit Number: EL11 -0346 Status: PENDING Applied Date: 04/19/2011 Issue Date: Receipt No.: R11 -00753 Initials: User ID: Payee: JEM 1165 Payment Amount: $67.20 Payment Date: 04/19/2011 11:05 AM Balance: $0.00 FORTE ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 550199 ACCOUNT ITEM LIST: Description 67.20 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 67.20 Total: $67.20 doc: Receipt -06 Printed: 04 -19 -2011 ` �YauC. - •.uni7`�8;r •.P�E+wC v'; z'+ - - }�ti: A. tier TyFawe ,�H{ - ...r4 4�` ire+• __ _•.`.,(r • - . • z INSPECTION NO. INSPECTION RECORD Retain a copy with permit RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: &Ot ) 5p, Type of Inspection: „zoo Address: f r�33 /7 j( ( ( Date Called: y "� Special Instructions: Date Wanted: 1�g J p.m. Requester: r f Phone No: cii Approved per applicable codes. D Corrections required prior to approval. COMMENTS: 0.E,u'ia,JS rW6)E OK r Date: 01J tp /fp ri J ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: __. ,w�.e.y...•■•49., 4...13113+•A/s ••■_ •c• • • 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 &,II-�396 Project: p A v� J Cpff� Type of Inspection: 2.1190 P\(k Address: /233 /7'`ime Date Called: _Y Special Instructions: Date Wanted: �� a:m. rI. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: % II /O fQ4 IPIVAIT ttA) IPIINT atOOAJD «i 1 fd 6j i 644,,o5%16 Ati4D P\(k _Y Inspector: Date: QY Z I 1 1 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 Peer Friendly Page • Page 1 of 2 Electrical Contractor A business licensed by Litt 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 FORTE ELECTRIC LLC 2069992672 22435 Se 240Th St G -204 Maple Valley WA 98038 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602513087 Active FORTEEL935DF Electrical Contractor 3/6/2007 4/14/2013 General Unused Electrical Administrator INFORMATION License FORTEK *932DL Name FORTE, KEITH Status Active Business Owner Information Name Role Effective Date Expiration Date FORTE, KEITH Agent 03/06/2007 Bond Amount FORTE, KEITH Partner /Member 03/06/2007 100116352 FORTE, CHRISTINA Partner /Member 03/06/2007 04/21/2010 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 American Contractors Indem CO 100116352 03/06/2010 Until Cancelled 04/29/2011 $4,000.00 05/03/2010 1 DEVELOPERS SURETY £t INDEM CO 745837C 03/06/2007 Until Cancelled 03/22/2010 $4,000.00 03/06/2007 Assignment of Savings Information No records found for the previous 6 year period https: // fortress .wa.gov /lni/bbip /Print.aspx 04/19/2011