HomeMy WebLinkAboutPermit EL11-0475 - SEGALE PROPERTIESSEGALE PROPERTIES
18271 ANDOVER PK W
EL1 1 -0475
Parcel No.:
Address:
Tenant Name:
Cityltf 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: ht tp: / /www c t to kwil a. wa. us
3523049104
18271 ANDOVER PK W TUKW
SEGALE PROPERTIES
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0475
05/24/2011
11/20/2011
Owner:
Name: SEGALE PROPERTIES LLC
Address: PO BOX 88028 , TUKVVILA WA 98138
Contact Person:
Name: JOSH SIMMONS
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: 253 304 -5505
Phone: 800 -757 -3469
Expiration Date: 09/17/2012
DESCRIPTION OF WORK:
UPGRADE TO ENERGY SAVING BALLASTS AND LIGHTS
Value of Electrical Work: NRES: $1,100.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature: �
I hereby certify that I have read and
governing this work will be complie
x.
with,
The granting of this permit does not prey
construction or the performance of work.
of this permit.
Signature:
Print Name:
Fees Collected:
$115.50
National Electrical Code Edition: 2008
Date:
ed this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
z ie to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
gott to/Ar
Datekr-��! 7(
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 -0475
Printed: 05 -24 -2011
• •
PERMIT CONDITIONS
Permit No. EL 11 -0475
* *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 -0475 Printed: 05-24-20U
CITY OF TUIC1/481
Community Development Department
Permit Center
6300 Soutllcenter Blvd., Suite 100
Tukwila, WA 98188
Electrical Permit No. fL " 11C
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
,g r t!G King Co Assessor's Tax No.: 7 2- 71
Site Address: r d `� �Lf G(%s°i 5 /_. Suite Number. Floor:
Tenant Name: 5 d `.. pro p' mil
e 4 LC
Property Owners Name: f
Mailing Address:
Zip
New Tenant:
❑ Yes ❑ ..No
City
State
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: josh.simmons @ezmetro.00m
Day Telephone: (253) 3045505
BELL.
WAD 98005
city State
Fax Number: (888) 887 -0939
Zip
ELECTRICAL CONTRACTOR INFORMATION
J
Company Name: d Nten2o i .Gc lL
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
City State
Day Telephone: (253) 3045505
Fax Number: () 887 -0939
98134
Zip
Expiration Date:
,�y� O°
Valuation of Project (contractor's bid price): $ / /!Z
Scope of Work (please provide detailed information): UPGRADE TO ENERGY SAVING BALLASTS AND LIGHTS
Will service be altered? ❑ Yes J No Adding more than 50 amps? ❑ Yes GI No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
J Puget Sound Energy
❑ Seattle City Light
'�.,•mlic' ationsWcems- npplicaNam3onL inelzmoAQtilica1Qni73o10-Electrical Permitnpplicatiou.doc
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 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR
Signature:
Date:
5 -23 -`/
Print Name:
itAktov
Mailing Address: 2233 1ST AVE S
Day Telephone: (253) 304 -5505
SEATTLE tA/ /.- 4/6 ( 3
City State Zip
Date Application Accepted: 9,44 f ( I Date Application Expires:
H :\ApplicationsWorms- Appheations On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
Staff Initials:
CAIIT 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 -01058
Initials: JEM
Payment Date: 05/24/2011
User ID: 1165 Total Payment: 195.30
Payee: ROGER A STEWART
SET ID: 0524 SET NAME: METRO ELECTRIC
SET TRANSACTIONS:
Set Member
EL11 -0474
EL11 -0475
TOTAL:
Amount
79.80
115.50
79.80
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 195.30
TOTAL: 195.30
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 195.30
TOTAL: 195.30
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 -367
Permit Inspection Request Line (206) 431 -2451
�u) -orc
Project: Vi 1
Type of Inspection:
2,109
Address: ' on 1 /7 t ,r ]•
1� f t+�Il�t/ (1�
Date Called:
m
Special Instructions:
Mt. ' filik°
Date Wanted:
WO
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
igcl
COMMENTS:
Date: 0% v3
n REINSPECTION FEE REQUIR D. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
•
t;,i.,r`r. • .:. rwur.;- ra•�p; • �gxw.Y ;i7.Y. r.r- ...y --.. • - .- z- a: -... -ti r.. _.�.. •
INSPECTION RECORD
tut Retain a copy with permit " O l j
INSPECTION NO. ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 i ..(206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: `_ti foP.
T ype of Inspection:
Address: p ,j
Date Called:
Special Instructions:
VITA - RC--111‘ 0
Date Wanted:
>D�
`gym.
Requester:
l
Phone No:
ElApproved per applicable codes.
COMMENTS:
V 1 Corrections required prior to approval. Id
4..1) Pkair t tcr.
Inspector:
Date:
a 01
REINSPECTION IEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
S
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Contractors or Tradespeople enter Friendly Page
O
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
METRO ELECTRIC LLC
8007573469
2233 First Ave S #105
Seattle
WA
98134
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603045891
Active
METROEL901OP
Electrical Contractor
9/17/2010
9/17/2012
General
Unused
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
KOO, 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
Page 1 of 1
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 05/24/2011