HomeMy WebLinkAboutPermit EL11-0600 - SPECULATIVE TENANTSPECULATWE
TENANT
12628 INTERURBAN AV S
EL1 1 -0600
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
0004800003
12628 INTERURBAN AV S TUKW
SPECULATIVE TENANT
ELECTRICAL PERMIT
Permit Number: EL11 -0600
Issue Date: 07/07/2011
Permit Expires On: 01/03/2012
Owner:
Name: GATEWAY OLYMPIA INC
Address: PO BOX 4900 #207 , SCOTTSDALE AZ 85261
Contact Person:
Name: CLIFF WINFREY
Address: 18133 NE 68 ST, D -120 , REDMOND WA 98052
Contractor:
Name: PRIDE ELECTRIC INC
Address: 3984 150 AV NE , REDMOND WA 98052
Contractor License No: PRIDEEI077DR
Phone: 425 466 -2796
Phone: 425 454 -3665
Expiration Date: 03/19/2013
DESCRIPTION OF WORK:
LIGHTS AND OUTLETS FOR TENANT IMPROVEMENT
Value of Electrical Work: NRES: $34,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read an• ex-
governing this work will be compli - • wit
The granting of this permit does not p
construction or the performance of work.
of this permit.
Signature:
Print Name:
Fees Collected: $677.30
National Electrical Code Edition: 2008
Date: 01
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e 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
Date: N\ ��' \\
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 1-0600 Printed: 07 -07 -2011
0 •
PERMIT CONDITIONS
Permit No. EL11 -0600
* *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 -0600 Printed: 07 -07 -2011
1310.S-
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Souihcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical
Pro,] ec
Permit No.'.
(For office
use ontyj
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
Site Address: \�L� � �$ J
Tenant Name: A) ill
Property Owners Name:
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
oC)C(
Floor: \�
Yes
. . N o
Mailing Address: \ �� �-� � -Ttz_ t,3 r'
1J \c‘r..\
City
State
i
Zp
CONTACT PERSO
Wha
we contact when your permit is ready to be issued
Name:
C \ \\ � � \A ) '
Mailing Address:
E -Mail Address: tJ R '.� �,. c 1 t. t r. 1
Day Telephone: L i a$ bI, -10
1r,, F'
City State Zip
Fax Number: S - t_\ C) " R ' J D
YC
ELECTRICAT. CONTRACTOR INFORMATION
Company Nam: 2'aa
' w
Mailing Address: �,?�' a.1
Contact Person: \Ak
E -Mail Address: e W o >J C, 4 "(1)
Contractor Registration Number: C 3 rY) >
t".> A SAfYet eY'i�
City
Day Telephone: t,}
Fax Number:
\-1 -S -
Expiration Date:
11
Zip
3
Valuation of Project (contractor's bid price): $ `fib l� + t) 6
Scope of Work (please provide detailed information): \i^.
NR
IN
Will service be' altered? ❑ Yes
Type of Use: Iv\►`RC Z A }
Type of work:
n New
to
No Adding more than 50 amps?
Yes ❑ No
❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
] Seattle City Light
❑ Service Change
❑ Fire Alarm
HAAppli cations \Forms - Applications On Line \1 -2009 - Electrical Permit Application.doc
bh
❑ Remodel ,] Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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)
❑ Camivals $75.00
Number of concessions $10.00 ea
PERMIT APP;
TION NO'
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: _\J \, J n-AJl
Print Name: C,NVVV` (� C \r(` , \C
Mailing Address: \ a
I Date Application Accepted:
o11q�1 tt
Date: 1)- 1" 11
Day Telephone: I., ),S ' L U - 1.1 °
i �2 dtv, hr•
City
Date Application Expires:
H:\Applications\Fo'ms- Applications On line \1 -2009 - Electrical Permit Application.doc
bh
‘Nihstate Zip
Staff Initials:
Page 2 of 2
•
i"--- w City of Tukwila
ti
n i 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.: 0004800003 Permit Number: EL11 -0600
Address: 12628 INTERURBAN AV S TUKW Status: APPROVED
Suite No: Applied Date: 07 /07/2011
Applicant: SPECULATIVE TENANT Issue Date:
Receipt No.: RI 1 -01394
Initials: JEM
User ID: 1165
Payment Amount: $677.30
Payment Date: 07/07 /2011 12:51 PM
Balance: $0.00
Payee: PRIDE ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 6532 677.30
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 677.30
Total: $677.30
doc: Receiot -06 Printed: 07 -07 -2011
r `!t° ,P"'.•F. z:++p ;�rm��� .. —± avers— :•c f, 3r; ,. .::_ . .. T4r
3
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 }� (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: I�
Type of Inspection:
%JO0
Address: '2.06 z0 /ry' _-\
Date Called:
Special Instructions:
Date Wanted:
.mm.
* '/
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
A16-t/
1.
Inspector:
Date:
❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
1'
INSPECTION RECORD
Retain a copy with permit
aft °6°0
INSPECTION NO. MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 V, (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: pec 1.64444r.
Type of Inspection:
Address: I 242Z OrA6
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
gl, Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
. - eea4Iibc1 J
k Jc, H I�
(;01Pert
Inspector:
Date: 07 Zg ir I
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must, be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection..
yw • T ,-.irxil -'1: ; 73°"1T•:r� s :l'- te* -.;n•- c - • . , , :',17,∎77. .-cy, .- - •
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
64-160
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451 . 1E-
Project: /rtCA' I Vi
T�Ae of Inspection:
7a3O
Address: /�V�I
/ ,` Jk6 '
Date Called:
Special Instructions:
Date Wanted:
74
7
p.m
Requester:
Phone No:
Approved per applicable codes.
•
ElCorrections required prior to approval.
COMMENTS:
X55
.g(sc000k fai2, 717:3
Inspector: /f/�� ,
U1
Date: e7 /77fir
LI REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
•
•
•
r
..r
:r
.8
•a
•i
•b
INSPECTION RECORD
Retain a copy with permit �..j
INSPEC ION NO. ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project:
A4r
Type of Inspection:
7003
Address: 1 U9 a
oirom
Date Called:
Special Instructions:
Date Wanted:
I
a.m., e.".
Requester:
Phone No:
IDApproved per applicable codes. O Corrections required prior to approval.
COMMENTS:
1. r Avis 9 kw<DL.ii
'1661'd'A,
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
Date: 67/14
Contractors or Tradespeople Poer 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
Parent Company
PRIDE ELECTRIC INC
4254543665
18133 Ne 68Th St D120
Redmond
WA
98052
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601451700
Active
PRIDEEI077DR
Electrical Contractor
3/19/1993
3/19/2013
General
Unused
Master Electrician INFORMATION
License GOAD'CJ955DG
Name GOAD, CHRISTOPHER J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GOAD, CHRISTOPHER J
Agent
03/15/2005
3/11/2010
GOAD, CHRISTOPHER J
President
03/15/2005
$250.00
GOAD, KIRK A
Secretary
03/15/2005
ELECTRICAL CITATION
GOAD, ROBERT L
Vice President
03/15/2005
11/21/2008
SEELEY, ROBERT M
Agent
01/01/1980
03/15/2005
SEELEY, ROBERT M
President
01/01/1980
03/15/2005
SEELEY, KAROLYN J
Secretary
01/01/1980
03/15/2005
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
3
TRAVELERS CAS &
SURETY CO
103366931
03/17/2005
Until Cancelled
$4,000.00
04/01/2005
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
EHULR00252
3/11/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHULR00251
3/11/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
EREYT00332
11/21/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EREYT00331
11/21/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHOLX00349
1/2/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: / /fortress. wa.gov /lni/bbip /Print.aspx 07/07/2011