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HomeMy WebLinkAboutPermit EL11-0373 - KEYSTONE BROTHERSKEYSTONE BROTHERS 18303 ANDOVER PK W EL1 1 -0373 Parcel No.: Address: Tenant Name: 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 3523049104 18303 ANDOVER PK W TUKW KEYSTONE BROTHERS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0373 04/27/2011 10/24/2011 Owner: Name: SEGALE PROPERTIES LLC Address: PO BOX 88028 , TUKWILA WA 98138 Contact Person: Name: JOSH SIMMONS Phone: 253 - 304 -5505 Address: 13147 SE 27 PL #3B , BELLEVUE WA 98005 Contractor: Name: METRO ELECTRIC LLC Address: 2233 FIRST AV S, #105 , SEATTLE WA 98134 Contractor License No: METROEL901 OP Phone: 800 - 757 -3469 Expiration Date: 09/17/2012 DESCRIPTION OF WORK: UPGRADE TO ENERGY SAVING BALLASTS AND LIGHTS Value of Electrical Work: NRES: $640.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $79.80 National Electrical Code Edition: 2008 Date: 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: Date: q-77--,/ Print Name: w dea)A4 r 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 EL1 1-0373 Printed: 04 -27 -2011 • . PERMIT CONDITIONS Permit No. EL11 -0373 * *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 -0373 Printed: 04 -27 -2011 1 CITY OF TUKWIte Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 Electrical Permit No. 0 323 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: iSSCD 3 a9OQ-C 'c-4-Cs<< W Tenant Name: tLE Y .5719.4) E `J 11C9114- e-t1' 3 King Co Assessor's Tax No.: S 01-o% — CUD Suite Number. Floor: New Tenant ❑ Yes ..No Property Owners Name: Mailing Address: City State ZIP CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: JOSH SIMMONS Mailing Address: 13147 SE 27th PL # 3B E-Mail Address: i0sh.simmons ©ezmetro.com Day Telephone: BELL. (253) 304-5505 W/jj 98005 City State tip Fax Number: (888) 887 -0939 ELECTRICAL CONTRACTOR INFORMATION Company Name: JOSH SIMMONS Mailing Address: 22331 ST. Ave S #105 Contact Person: JOSH SIMMONS E -Mail Address: josh.simmons @ezmetro.com Contractor Registration Number: METROEL901 OP SEATTLE WA Qty sate Day Telephone: (253) 3045505 Fax Number: (888) 887-0939 98134 zip Expiration Date: Valuation of Project (contractor's bid price): $ ' JD Scope of Work (please provide detailed information): UPGRADE TO ENERGY SAVING BALLASTS AND LIGHTS Will service be altered? ❑ Yes Vi No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: O Puget Sound Energy ❑ Seattle City Light ❑ Service Change ❑ Fire Alarm H: VlpplicacrosWmms,Applicatiem On Lena12O10 Appf cabonsV.2O1O - Eletric& Permit Appdimtian.dae bh Page 1of2 ❑ Remodel m 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 I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY 13Y THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: 7051- S (MM0d Date: 22-- Day Telephone: Z 53 ' 3c `(" 5.45-c) S Mailing Address: 1 3 `i 7 SE 7 7r pL .013 a &e. j • 9e o's City State Zip Date Application Accepted: Date Application Expires: Staff Initials: ti\Applications\Fo ms-Applications On Line \2010 Applications \7 -2010 - Electrical Pennit Application.doc bh Page 2 of 2 Ci/ 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 SET RECEIPT RECEIPT NO: R11 -00816 Initials: WER Payment Date: 04/27/2011 User ID: 1655 Total Payment: 287.70 Payee: ROGER STEWART SET ID: 042711 SET NAME: METRO ELECTRIC SET TRANSACTIONS: Set Member Amount EL11 -0371 EL11 -0372 EL11 -0373 TOTAL: 92.40 115.50 79.80 92.40 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 287.70 TOTAL: 287.70 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 287.70 TOTAL: 287.70 INSPECTION RECORD Retain a copy with permit INSPECTION NO. (14-0373 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: w k 605. Type of Inspection: v Q Address: r�(f Date Called: Special Instructions: (r '> Date Wanted: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. 7 COMMENTS: Inspector: 'Date: aS OZ i ❑ REINSPECTION I EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Printer Friendly Page Page 1 of 1 • • 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 METRO ELECTRIC LLC UBI No. 603045891 Phone 8007573469 Status Active Address 2233 First Ave 5 #105 License No. METROEL9010P Suite /Apt. License Type Electrical Contractor City Seattle Effective Date 9/17/2010 State WA Expiration Date 9/17/2012 Zip 98134 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Electrical Administrator INFORMATION License SIMMOJM900DJ Name SIMMONS, JOSHUA M Status Active Business Owner Information Name Role Effective Date Expiration Date PAUL KOO Agent 09/17/2010 KCO, PAUL Partner /Member 09/17/2010 SHIN, GARY Partner /Member 09/17/2010 THOM, ALAN J Partner /Member 09/17/2010 11/18/2010 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 AMERICAN STATES INS CO 6733204 09/13/2010 Until Cancelled $4,000.00 09/17/2010 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 https: // fortress .wa.gov /lni/bbip/Print.aspx 04/27/2011