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HomeMy WebLinkAboutPermit EL11-0377 - CITY OF TUKWILACITY OF TUKWILA 14800 STARFIRE WY EL1 1 -0377 Parcel No.: Address: Tenant Name: Citylkf 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 2323049001 14800 STARFIRE WY TUKW CITY OF TUKWILA ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL11 -0377 04/27/2011 10/24/2011 Owner: Name: TUICWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUI{WILA WA 98188 Contact Person: Name: MARK TERSIEFF Address: 19804 141 PL NE , WOODINVILLE WA 98072 Contractor: Name: NORTHWEST EDISON Address: 21106 86 AV SE, SUITE B , SNOHOMISH WA 98296 Contractor License No: NORTHEI983RD Phone: 425 - 806 -9200 Phone: 360 - 668 -9200 Expiration Date: 12/04/2012 DESCRIPTION OF WORK: Value of Electrical Work: NRES: $26,460.01 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $556.90 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: Print Name: -1/1-7d Date: q -274( c-Z,f-e" res4-74/04( 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 1-0377 Printed: 04 -27 -2011 • • PERMIT CONDITIONS Permit No. EL 11 -0377 * *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 -0377 Printed: 04 -27 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:ll www. ci. tukwila. wa. us Electrical Permit No. ELI l y 017 3 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.: 23 %-3d c100 Site Address: (OS 0 0 F0 2 T DENT W rLi t lA KVi 1(.t� Suite Number: — Floor: Tenant Name: C11 I 0 F T U K W 1 1.Ok New Tenant: ❑ Yes 0.. No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: E -Mail Address: City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Iv02TA- w esT- FDtso+v Mailing Address: 1C1 804 1 Gi 1 s'1' 'i-ALE Ne Contact Person: WI A-(21- T Et2S LE-F-( E -Mail Address: Marks e. nwed t, SOt1 - LOM Contractor Registration Number: NOR-TOE ici B3 217. W000tMkS1l.l4 WA `18072 City State Zip Day Telephone: 42 S - 80G. - cl Z-a Fax Number: 4 Z 5- e 0 6' 74 S S Expiration Date: 12 at 1 2 017— Valuation of Project (contractor's bid price): $ Z(o 4 (00.01 Scope of Work (please provide detailed information): E N 1 - , -4 6---F--F-1 L 1 f✓-P4T 2 t —T2U E1 T LA uPijfLt4 fJ Will service be altered? ❑ Yes jg1 No Adding more than 50 amps? ❑ Yes % No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Er Puget Sound Energy ❑ Seattle City Light H: \Applications \Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Applicanon.doc bh Page 1 of 2 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: 14414f21v T-EVLSleec Pur2Gl4 -1951N Mailing Address: 5 /} INl 14-S A-13O U l= Date: el-i -7/Z(J / / Day Telephone: 475- 8 0(- 9 ZO U City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H: \Applications \Fortes - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc (xj 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.: 2323049001 Address: Suite No: Applicant: CITY OF TUKWILA 14800 STARFIRE WY TUKW RECEIPT Permit Number: Status: Applied Date: Issue Date: EL11 -0377 PENDING 04/27/2011 Receipt No.: R11 -00829 Initials: WER User ID: 1655 Payee: Payment Amount: $556.90 Payment Date: Balance: 04/27/2011 02:12 PM $0.00 NORTHWEST EDISON TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 14408 556.90 Account Code Curren ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $556.90 City of Tukwila 6200 Southcenter Blvd, Tukwila, WA 1 Finance Department 1111701 -1 04/27/2011 BR1 T121 Wed Apr27,2011 02:21PM Trans #40 -44 Name: NORTHWEST EDISON NORTHWEST E 40 $155.00 BUSLCN - Business License Customer #: 00055212 Activity #: 00003481 41 $591.30 DCDGEN - DCD Permits Plus - General Fund ID: NORTHWEST EDISON Secondary ID: PERMIT EL11 0374 42 $642.90 DCDGEN - DCD Permits Plus - General Fund ID: NORTHWEST EDISON Secondary ID: PERMIT EL11 0375 43 $212.90 DCDGEN - DCD Permits Plus - General Fund ID: NORTHWEST EDISON Secondary ID: PERMIT EL11 0376 44 $556.90 DCDGEN - DCD Permits Plus - General Fund ID: NORTHWEST EDISON Secondary ID: PERMIT EL11 0377 5 ITEM(S): TOTAL: $2159.00 Check (014408) PAID $2159.00 www.ci.tukwila.wa.us 206 - 433 -1835 INSPECTION RECORD Retain a copy with permit 611 -0377 INSPECTION NO. ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: f1J1Type of Inspection: 7 Address: Date Called: Special Instructions: ` Date Wanted: 5121 a:m: Requester: Phone No: F-X1 FOMMENTS: Approved per applicable codes. LJ Corrections required prior to approval. Inspector: 61„. 'AWeiQ Date: 05.A.Vi ' T7 REINSPECTIOIV FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter 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 Phone Address Suite /Apt. City State Zip County Business Type NORTHWEST EDISON INC 3606689200 21106 86Th Ave S.E. Suite B Snohomish WA 98296 Snohomish Corporation Parent Company INDUSTRIAL LIGHT & ENERGY INC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601522062 Active NORTHEI983RD Electrical Contractor 12/4/2002 12/4/2012 General Unused ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status NORTHE1012P7NORTHWEST EDISON INC Electrical Contractor Lighting Maintenance Unused 11/3/1999 11/3/2003 Archived Electrical Administrator INFORMATION License OWEN'RM959Q8 Name OWEN, RANDY MARK Status Active Business Owner Information Name Role Effective Date Expiration Date OWEN, RICHARD Agent 12/04/2002 7/18/2007 OWEN, RICHARD President 12/04/2002 5250.00 OWEN, SALI Secretary 12/04/2002 ELECTRICAL CITATION OWEN, RANDY Vice President 12/04/2002 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 1 DEVELOPERS SURETY & INDEM CO 851250C 10/26/1999 Until Cancelled $4,000.00 11/08/1999 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 EKLOS00226 7/18/2007 19.28.271 RCW ELECTRICAL CITATION Satisfied 5250.00 EHELJ00382 2/4/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 04/27/2011