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Home My WebLink AboutPermit EL11-0592 - BROADSTRIPEBROADSTRIPE 10427 MARTIN LUTHER KING WY S EL1 1 -0592 Parcel No.: 0323049026 City It 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: / /wwwci.tukwila.wa.us ELECTRICAL PERMIT Address: 10427 MARTIN LUTHER KING WY S TUKW Tenant Name: BROADSTRIPE Permit Number: Issue Date: Permit Expires On: EL11 -0592 07/06/2011 01/02/2012 Owner: Name: SEBCO INC Address: 4020 E MADISON #320 , SEATTLE WA 98112 Contact Person: Name: SAM NAM Address: 16010 60 AV W , EDMONDS WA 98026 Contractor: Name: ENERGY MANAGEMENT SERVICES INC Address: 15008 35TH AV W STE C , LYNNWOOD WA 98087 Contractor License No: ENERGMS913B6 Phone: 425 273 -7300 Phone: 425 - 741 -3526 Expiration Date: 01/26/2013 DESCRIPTION OF WORK: LIGHTING RETROFIT Value of Electrical Work: NRES: $1,500.00 Fees Collected: RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: $115.50 National Electrical Code Edition: 2008 Permit Center Authorized Signature: I hereby certify that I have read and exa Date: D1 kta( ( i ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie • with, whether specified herein or not. The granting of this permit does not p construction or the performance of work s e to give authority to violate or cancel the provisions of any other state or local laws regulating • am authorized to sign and ain this electrical permit and agree to the conditions on the back /✓�_� ;/_ Date: I X, o 1i PERMIT CONDITIONS Permit No. EL11 -0592 * *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 -0592 Printed: 07 -06 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us SITE LOCATION ON 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 Address: 10427 Martin Luther King Jr Way Tenant Name: Broadstripe King Co Assessor's Tax No.: 0� 02-A0 -I4 Suite Number: New Tenant: Floor: ❑ Yes ..No Property Owners Name: Mailing Address: 10427 Martin Luther King Jr Way Name: Sam Nam Tukwila WA 98178 City State Day Telephone: (425) 273 -7300 Zip Mailing Address: 16010 60th Ave. W. Edmonds WA 98026 City E -Mail Address: sam @emsiwa.com State Fax Number: (425) 741 -3526 Zip Company Name: Energy Management Services Mailing Address: 15008 35th Ave W Ste C Lynnwood WA 98087 Contact Person: E -Mail Address: sam@emsiwa.com Contractor Registration Number: EN ERGMS913B6 Sam Nam City Day Telephone: Fax Number: Expiration Date: State (425) 273 -7300 (425) 741 -3521 01/31/2012 Zip Valuation of Project (contractor's bid price): $ 1,500 Scope of Work (please provide detailed information): Lighting Retrofit Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service ® No Adding more than 50 amps? ❑ Yes ® No Property Served by: ® Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line \1 -2009 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea 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: Print Name: /f7/ . _17/01—Y /S Mailing Address: /5' € Date Application Accepted: M 19(AI Day Telephone: City Date: 1 State Date Application Expires: H:\Applications\Forms- Applications On Line \1.2009 - Electrical Permit Application.doc bh Page 2 of 2 II wq City of Tukwila sy r y 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 RECEIPT • Parcel No.: 0323049026 Permit Number: EL11 -0592 Address: 10427 MARTIN LUTHER KING WY S TUKW Status: PENDING Suite No: Applied Date: 07/06/2011 Applicant: BROADSTRIPE Issue Date: Receipt No.: R11 -01380 Payment Amount: $115.50 Initials: JEM Payment Date: 07/06/2011 12:21 PM User ID: 1165 Balance: $0.00 Payee: ENERGY MANAGEMENT SERVICE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 122102 ACCOUNT ITEM LIST: Description 115.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receipt -06 Printed: 07 -06 -2011 s774.' , : . 'T' ,i�r"° �. • k r - r .. � • • •q- ti -r• 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 -3 Permit Inspection Request Line (206) 431 -2451 Project: O 511ki i. Type of Inspection: '."4/0(.) Address: /0421 ti 01 Date Called: Special Instructio LTt , I J Date Wanted: 7 a p.m. Requester: Phone No: pC1 Approved per applicable codes. a Corrections required prior to approval: 8 COMMENTS: Inspector: Date: 07/07/1 i . REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr er Friendly Page • 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 ENERGY MANAGEMENT SERVICES INC 4257413526 15008 35Th Ave W Ste C Lynnwood WA 98087 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602881485 Active ENERGMS913B6 Electrical Contractor 1/26/2009 1/26/2013 General Unused Electrical Administrator INFORMATION License DAVISEB961 B8 Name DAVIS, EDWARD B Status Active Business Owner Information Name Role Effective Date Expiration Date NAM, SANG Agent 07/13/2009 Bond Amount NAM, SANG President 07/13/2009 6664485 LEE, KYUNG T Agent 01/26/2009 07/13/2009 KIM, DAVIDT President 01/26/2009 07/13/2009 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 2 AM STATES INS 6664485 08/20/2009 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 10/21 /2009 1 STATE FARM FIRE & CAS CO 98bas1616 01/20/2009 Until Cancelled 10/18/2009 EJONV01359 $4,000.0001/26/2009 19.28.161 RCW 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 EJORP04571 4/19/2011 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 EJORP04572 4/19/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EJORP04570 4/19/2011 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 EJONV01359 10/18/2010 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EBEAK00271 1/13/2010 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EAARG00401 2/15/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 07/06/2011