HomeMy WebLinkAboutPermit EL11-0397 - SAFEWORKSSAFEWORKS
365 UPLAND DR
EXPIRED
11-09-11
EL1 1 -0397
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
8836500070
365 UPLAND DR TUKW
SAFEWORKS
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0397
05/13/2011
11/09/2011
Owner:
Name: TRIPLE H DEVELOPMENT LLC
Address: 1006 SPRAGUE ST , EDMONDS WA 98020
Contact Person:
Name: KELVIN BATTLE
Address: 25500 74 AV S , KENT WA 98032
Contractor:
Name: PERFORMANCE HTG & AC
Address: 25500 74 AVE S , KENT WA 98032
Contractor License No: PERFOHA005BS
Phone: 425 - 251 -0356
Phone: 425 - 251 -0356
Expiration Date: 01/29/2012
DESCRIPTION OF WORK:
INSTALL (1) NEW THERMOSTAT FOR NEW SPLIT SYSTEM SERVING SERVER ROOM
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: ( V 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: ., /r . Date: ‘'/S//
Print Name: /`G /-in sift 7 //A
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 1-0397 Printed: 05 -13 -2011
0 •
PERMIT CONDITIONS
Permit No. EL11 -0397
* *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 -0397 Printed: 05 -13 -2011
B83(nSU- 00-IIU
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. 1L `" �3g/
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.:
2613200133
365 Upland Drive Tukwila Wa 98188
Site Address: Suite Number: Server Rm Floor: 1st
Tenant Name:
Safeworks
Property Owners Name:_ Triple H Development LLC
Mailing Address: 1006 Sprague St Edmonds
City
New Tenant: ❑ Yes ❑ .. No
Wa
State
98020
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Kelvin Battle Day Telephone:
425.251.0356
Mailing Address: 25500 74th Ave S
kelvin @pmghvac.com
E -Mail Address:
Kent
City
Wa
State
Fax Number: 253.867.5775
98032
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Performance Heating & A \C
Mailing Address: Same as above
City
Contact Person: Day Telephone:
E -Mail Address: Fax Number:
Contractor Registration Number: PERFOHA005BS Expiration Date: 1/22/2014
State
Zip
300.00
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): Install (1) new T-stats for new split system serving Server Rm
Will service be altered? ❑ Yes d 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
Prooertv erved b :
Puget Sound Energy
❑ Seattle City Light
11: Applications`Yoims- Applications On Line 4 -2007 - Electrical Permit Application.doc
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Page 1 oft
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added /altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 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.
1 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 ELECTRICAL CONTRACTOR:
Signature:
Print Name: Kelvin Battle Day Telephone:
Date: 5/3/2011
425.251.0356
25500 74th Ave S
Kent
Wa
Mailing Address: 98032
City
State
Zip
Date Application Accepted:
Date Application Expires: Staff Initials:
H:\Applications'\Forms- Applications On Linet4 -2007 - Electrical Permit Application.doc
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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.: 8836500070
Address: 365 UPLAND DR TUKW
Suite No:
Applicant: SAFEWORKS
RECEIPT
Permit Number: EL11 -0397
Status: PENDING
Applied Date: 05/04/2011
Issue Date:
Receipt No.: R11 -00896
Initials: WER
User ID: 1655
Payment Amount: $67.20
Payment Date: 05/04/2011 02:25 PM
Balance: $0.00
Payee: PERFORMANCE HEATING & A/C
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 52107 67.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
doc: Receipt -06 Printed: 05 -04 -2011
KELVIN BATTLE
25500 74 AV S
KENT WA 98032
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Permit No. EL11 -0397
SAFEWORKS
365 UPLAND DR TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 11/09/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at Least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 11/09/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
---1,a 'U-___
Bill Rambo
Permit Technician
File: Permit File No. ELI 1 -0397
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Prater Friendly Page
•
Electrical Contractor
A business licensed by Lai 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
PERFORMANCE HTG 8 A/C INC
4252510356
25500 74Th Ave 5o
Kent
WA
98032
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600601386
Active
PERFOHA005BS
Electrical Contractor
1/20/2000
1/29/2012
Hvac /Rfrg Ltd Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
PERFOHA055RJPERFORMANCE
HEATING a A/C INC
Electrical
Contractor
General
Unused
12/11/1995
12/11/1997
Archived
Electrical Administrator INFORMATION
License MILLEDE986LS
Name MILLER, DANIEL EUGENE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MILLER, DANNY
Agent
11/20/2007
Bond Amount
MILLER, DANNY
President
11/20/2007
748803C
ERDAHL, DARRIN
Vice President
11/20/2007
GOWEN, RICHARD L
Agent
01/01/1980
11/20/2007
GOWEN, RICHARD L
President
01/01/1980
11/20/2007
GOWEN, CONSTANCE F
Vice President
01/01/1980
11/20/2007
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
3
DEVELOPERS SURETY
Ft INDEM CO
748803C
10/01/2007
Until Cancelled
$4,000.00
11 /20/2007
2
DEVELOPERS SURETY
8 INDEM CO
853804C
01/01/2001
Until Cancelled
11/20/2007
$4,000.0011/22/2000
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 I Date 1 RCW Code I Type
1 Status I Violation Amount
https://fortress.wa.gov/lni/bbip/Print.aspx
05/13/2011