HomeMy WebLinkAboutPermit EL11-0527 - ROCK AND ROLL MARATHONROCK AND ROLL
MARATHON
INTERURBAN AV S
ELi 1 -0527
Parcel No.:
Address:
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.citukwila.wa.us
Tenant Name: ROCK AND ROLL MARATHON
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0527
06/09/2011
12/06/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
BRUCE PHILLIPS Phone: 506 519 -6959
5202 S PROCTOR ST, STE A , TACOMA WA 97804
UNITED SITE SERVICE Phone: 503 519 -6959
5202 S PROCTOR ST, STE A , TACOMA WA 98704
Contractor License No:
Expiration Date:
DESCRIPTION OF WORK:
INSTALL PORTABLE GENERATOR (25 KW) TO RUN (2) PORTABLE RESTROOM TRAILERS. SET
UP TO TAKE PLACE ON PM OF 06 -24 AND REMOVAL EARLY PM OF 06- 25 -11.
Value of Electrical Work: NRES: $0.00
RES: $0.00
Type of Fire Protection: NONE
Electrical Service Provided by:
Permit Center Authorized Signatur
Fees Collected: $78.75
National Electrical Code Edition: 2008
At/ Date: W `c ( (
I hereby certify that I have read an ex- ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compli d with whether specified herein or not.
The granting of this permit does not pr 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:
Print Name:
Date:
This permit shall become null and void 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 -0527 Printed: 06 -09 -2011
• •
PERMIT CONDITIONS
Permit No. ELl 1 -0527
* *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
E L11 -0527 Printed: 06 -09 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. SIA C 1-.1
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.:
Site Address: Suite Number:
New Tenant:
Tenant Name:
cam:
gi.,91-te-6 S Ce4e Y-
Floor:
❑ Yes ❑..No
Property Owners Name: I
Mailing Address: G`--' Ly K7� V - Cc ] Vt r-L4 v-LxL .
City
TiLk k- cc- L 5 64
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: PL.i t.kf c
Mailing Address: 5.Z02 S . P c'r- `Jt Cjttt . A
Day Telephone: Q722 (J/1 C1
wTG�LP kAet_ dig 9 7Y6)
City State Zip
Fax Number: 5 ~03'6E6
E -Mail Address: br.ct. , // +� � ldu� Sc S� /'vi> 5, C_®H`t
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Lam-+ —lid t 4 S €rUC
Mailing Address: TZ@ Z s. PV`t`c.1:29(1- St, stu' k- 4
Contact Person: V'l t.L _ PL;11;i0
E -Mail Address: 6+u -e. p14s 11 0 LAkt S'ri■eei. . Ce,141 Fax Number: fLS 5Z -01
3 /
Contractor Registration Number:
/ OcLe'LNGL
City
Day Telephone:
IA y7t6Y
State Zip
503 -511 -61 5.
Expiration Date:
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): br V' -25 K(A)
v.e,441-eowt. -1141i€41-5 41,1ek T Ked
1 J z71 P , - e
Take 25
Will service be altered? ❑ Yes 0-No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage X Generator ❑ Fire Alarm ❑ Telecommunication
Adding more than 50 amps? ❑ Yes ❑ No
Property Served by:
tiPuget Sound Energy
Seattle City Light
H.\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application. doc
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Page 1 of 2
❑ Tenant Improvement
❑ 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:
/44f
Print Name: gy-U -e Pm/
I,p'
Signature:
Date: ?
c� / //�
l /
Day Telephone: 5'03
S.6-4-eh
Mailing Address: 5262 S. r �7 r rGt�t�(G� W 1 not
State Zip
Date Application Accepted:
City
Date Application Expires:
H:WpplicationsWorms- Applications On Line\2010 Applications \74010 - Electrical Permit Application.doc
bh
Page 2 of 2
Staff Initials:
Parcel No.:
Address:
Suite No:
Applicant:
•
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.TukwilaWA.gov
ROCK AND ROLL MARATHON
RECEIPT
Permit Number:
Status:
Applied Date:
Issue Date:
EL11 -0527
ISSUED
06/09/2011
06/09/2011
Receipt No.: R11 -01284
Initials:
User ID:
WER
1655
Payment Amount: $378.00
Payment Date: 06/22/2011 02:34 PM
Balance: $0.00
Payee:
BRUCE PHILLIPS
TRANSACTION LIST:
Type Method
Descriptio Amount
Payment Credit Crd MC
Authorization No. 004143
ACCOUNT ITEM LIST:
Description
378.00
Account Code
Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.00
Total: $378.00
378.00
doc: Receiot -06
Printed: 06 -22 -2011
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.TukwilaWA.gov
Parcel No.:
Address:
Suite No:
Applicant: ROCK AND ROLL MARATHON
RECEIPT
Permit Number: EL11 -0527
Status: PENDING
Applied Date: 06/09/2011
Issue Date:
Receipt No.: R11 -01177
Payment Amount: $78.75
Initials: JEM Payment Date: 06/09/2011 04:44 PM
User ID: 1165 Balance: $0.00
Payee: BRUCE PHILLIPS, UNITED SITE SERVICES CA
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 001244
ACCOUNT ITEM LIST:
Description
78.75
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 78.75
Total: $78.75
doc: Receiot -06 Printed: 06 -09 -2011
INSPECTION RECORD
Retain a copy with-permit tIJI
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36)
Perm j Inspection Request Line (206) 431 -2451
Proj (
6149 �(
Tya of Inspection:
;'vim
Date Called:
Special Instructions:
Date Wanted:
6 Z y
a p.m.
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
OMMENTS:
0
alb
1
1
tdki A.
•'/ Date: r/ /z..0 I
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
Date: ).AML'
ROMBURSEMENT AUTHIIZATION AND
APPROVAL TO CONDUCT INSPECTION ACTIVITIES_
DURING OFF HOURS
Requested by:
Firm/Company:
Project Name:
,BIZ
Permit No. ELI/ - 0527
Vv-t-tze_ pttAps
s,`P . 5-ervi'6es
Rail /'1aI/4/46m
Project Address /Location: It ,1 b !? .44 a Gam. , ?94e,45' Cekdeir--
Time of Off -Hours Construction Activity - From: 5-4,00p pm To: 5, (ea_
�6
Requested Date of Inspection: � 1 t�,)�t,P 2,-f 12011 Requested Time: T,1 a
Contact Name: V`'LC_ e Phone No. 563-57T- G c/
gpm
Special Conditions for Consideration: 5
** Contractor will be charged a minimum of four (4) hours inspection time for any
off -hours inspection work at $94.50 per hour. This is to be paid at time of request. **
The undersigned, as an authorized representative of the above firm, hereby agrees to reimburse the City for its
overtime inspections on the above referenced project. A separate invoice will be issued for all inspection time in
excess of four (44 hours.
Signature:
Print Name:
Reviewed by:
Approved:
Remarks:
AtiPg (.21/)
Disapproved:
RECEIVED
C1 00 TUKWILA
I JUN 2 2 2011
P5NMIf CENTER
W:\Permit Center\Templates \Forms\After Hour Inspection Request.doc
•
DECEIVED •
env OF TUKWI
JUN 2 2 2011
PERMIT CENTER
41- 12-1144-:i EL11
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