HomeMy WebLinkAboutPermit EL11-0354 - VERIZONE!?fOi TTEI
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Citytf 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
Parcel No.: 0004800003
Address: 12620 INTERURBAN AV S TUKW
Tenant Name: VERIZON
ELECTRICAL PERMIT
Permit Number: EL11 -0354
Issue Date: 04/21/2011
Permit Expires On: 10/18/2011
Owner:
Name: GATEWAY OLYMPIA INC
Address: PO BOX 4900 #207 , SCOTTSDALE AZ 85261
Contact Person:
Name: KEVIN LEWIS
Address: 804 WEST MEEKER ST , KENT WA 98032
Contractor:
Name: A C ELECTRIC SERVICE INC
Address: 804 W MEEKER ST STE 102 , KENT WA 98032
Contractor License No: ACELESI025DF
Phone: 253 852 -0225
Phone: 253 852 -0225
Expiration Date: 03/06/2012
DESCRIPTION OF WORK:
REMOVE AND REINSTALL WIRING FOR NEW HVAC
Value of Electrical Work: NRES: $1,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date: 04,124 1 I t
I hereby certify that I have read and x 'ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie 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: `1I a11, d01 _
Print Name: C \�e `K ffl J S Qk)-
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 -0354 Printed: 04 -21 -2011
0 •
PERMIT CONDITIONS
Permit No. EL11 -0354
* *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 -0354 Printed: 04 -21 -2011
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwfla.wa.us
Electrical Permit No.
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
Site Address:
King Co Assessor's Tax No.:
\a`loanno
V T�P�.,►t�b�� �.►e.
Tenant Name: e tZ\ Oil
Property Owners Name: Vt;e..0:00
Mailing Address: J &ui A\i .
Suite Number:
New Tenant:
Floor:
❑ Yes No
TUAA. ) \ r
City
tate Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Kevz 1V�,U�3LS Day Telephone: � S5 V Jo'- aas.
Mailing Address: �1 wes'� Men( (4. Sfir � 1a- V3■h. qgo 3a
O . e hok pn i\ . C_orr\ CFia Number:
S a I e J-5 p
E -Mail Address:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
IBC., UeegiC, f evCceS. TLG
\3eS'� meeveg eek
Kevt O L e.. tS.
E -Mail Address:
GC,. flee.. e'ro'tm \. (c '(\.
Ptak. ES \O S o F•
Contractor Registration Number:
s' \ta. \(ek G803a
City State Zi
Day Telephone: bS� 0
Fax Number: (aS3) %13" S O QQ.
I �.
Expiration Date: 3) �) 01U \a
Valuation of Project (contractor's bid price): $ NO0 t )•
Scope of Work (please provide detailed information):
- (4e,fst\WC, (( s. 11 fu,2
,N `-\ \I AC.
Will service be altered? ❑ Yes
Type of Use: 1.'e,.ON Zm Pz'
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
Piget Sound Energy
❑ Seattle City Light
No Adding more than 50 amps? ❑ Yes jdNo
emer ico mrneit%al.
❑ Service Change
❑ Fire Alarm
H:\Apphcations \Forms - Applications On Line \2010 Applications \7 -2010 - Electncal Perm Application. doc
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Page 1 of 2
❑ Remodel Tenant Improvement
❑ Telecommunication ❑ Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ECTRICAL CONTRACTOR:
Signature: ,cam
Print Name: 1e\t■ (1/4)
Mailing Address:
Date Application Accepted:
Date: LA jQa{►� Zk 1,
`S. Day Telephone: r a OJ
S. r•-(Y S
(Th Skec .via. \(e )u
City State Zip
Date Application Expires:
H.\Applicanons \Forms - Applications On Line \2010 Applications \7-2010 - Electncal Permit Applicaion.doc
bh
Page 2 of 2
Staff Initials:
(t_.
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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.tukwila.wa.us
RECEIPT
Parcel No.: 0004800003 Permit Number: EL11 -0354
Address: 12620 INTERURBAN AV S TUKW Status: PENDING
Suite No: Applied Date: 04/21/2011
Applicant: VERIZON Issue Date:
Receipt No.: R11 -00773
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $115.50
Payment Date: 04/21/2011 12:31 PM
Balance: $0.00
AC ELECTRIC SERIVCES, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 15092 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 04 -21 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION Pr.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: %���
U
Type of Inspection:
^ _
1100
Address: /2a0 f�/ s)43
Date Called:
Special Instructions:
Date Wanted:
/i7
a.r
P.m.
Requester:
Phone No:
Approved per applicable codes. ,=-„Corrections required prior to approval.
COMMENTS:
Inspector: - '�6
Date: Dsb I'
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 lter Friendly Page
•
Electrical Contractor
A business licensed by LEI 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 A C ELECTRIC SERVICE INC UBI No. 601858837
Phone 2538520225 Status Active
Address 804 W Meeker St Ste 102 License No. ACELESI025DF
Suite /Apt. License Type Electrical Contractor
City Kent Effective Date 3/6/1998
State WA Expiration Date 3/6/2012
Zip 98032 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Master Electrician INFORMATION
License CHUTIAM960L8
Name CHUTICH, ALAN M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CHUTICH, ALAN
01/01/1980
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
NATIONWIDE MUTUAL
INS CO
7900313590
03/05/2007
Until Cancelled
19.28.010 RCW
ELECTRICAL CITATION
$4,000.0002/02/2007
$500.00
2
MERCHANTS BONDING
CO (MUTUAL)
WA 12906
03/05/2005
Until Cancelled
03/05/2007
$4,000.0002/01/2005
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
EJORP01701
9/5/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EREEB00387
8/6/2009
19.28.010 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 04/21/2011