HomeMy WebLinkAboutPermit EL11-0601 - STRAIGHT PEARLSSTRAIGHT PEARLS
6720 FORT DENT WY
EL1 1 -0601
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: / /wwwci.tukwila.wa.us
2954900455
6720 FORT DENT WY TUKW
STRAIGHT PEARLS
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0601
07/07/2011
01/03/2012
Owner:
Name: JOHN C RADOVICH LLC
Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040
Contact Person:
Name: KEITH FISCHBECK Phone: 206 851 -7396
Address: 650 S ORCAS ST, #101 , SEATTLE WA 98108
Contractor:
Name: PROTI LIC
Address: 1201 1ST AVE S STE 307 , SEATTLE WA 98134
Contractor License No: PROTIL *957CP
Phone: 206 - 622 -2474
Expiration Date: 02/21/2013
DESCRIPTION OF WORK:
LOW VOLTAGE WIRING - PHONES & DATA
Value of Electrical Work: NRES: $5,000.00
RES: $0.00
Type of Fire Protection: UN MOWN
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
with,
Fees Collected: $178.50
National Electrical Code Edition: 2008
Date:
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not p -s ' 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 o • tain this electrical permit and agree to the conditions on the back
of this permit.
Signature:
Print Name:
fig' c //j�C
Date:
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 -0601 Printed: 07 -07 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0601
* *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
EL11-0601 Printed: 07 -07 -2011
CITY OF TUKAPA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.qov
-t-Pa
Electrical Permit No.
-ELiol
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.: 2 AS 1° V`I /
Site Address: 6 71-"' C4'11-1' i(5. ti.r' rii �Uki,. i t-4N. Suite Number: \ -Lc) Floor:
Tenant Name: S-s-61 A c,- Q Pt -\-S New Tenant: Vj Yes ID .. No
Property Owners Name: 0"-1 M 0 8' wA
Mailing Address: V ' � D (a' \)'3
44' CIO
1 V. kwt�gr
City
WFs
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
c.
Mailing Address: C'S' - 0<)- Li\'S S- 14
Day Telephone:
Sea 11 Le,
City
Fax Number:
E -Mail Address:
- L -$s\ - - 3a6
Vi
State
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: is- Q.se, N e ek l - ki, t a 1-- &-' 't 6-4)-lark
Mailing Address: C S 0 S - Uwe jta5
Contact Person: Co 6 N \-4 •■■`S
S-S-
org -Za \01
E -Mail Address:
R r \..0 -. t (? \
Contractor Registration Number: p N.-11 L 1S') C D Expiration Date: 2,- 12 �- 3
S� 7C2� `)vim �� Loeb
City
State Zip
Day Telephone: ILa b -
Fax Number: Zab 611' `a 9
Valuation of Project (contractor's bid price): $ �-a a
Scope of Work (please provide detailed information): L
P r'v e%
Will service be altered? ❑ Yes A No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel n Tenant Improvement
,, Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes 14 No
Property Served by:
Yi( Puget Sound Energy
❑ Seattle City Light
F3:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 1 of 2
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 CONTRAC R:
Signature:
Print Name:
/C,z, 1 ri 077- a- cAl J
Date: J /%/ //
Day Telephone: 220 ` - gfS"/ %� 6
Mailing Address: c< (d O — AS S (Tit_ , 6C L1' 1,✓j, %
City State Zip
LDate Application Accepted:
oitu I
Date Application Expires:
tf\Applications\Forms- Applications On Line12010 Applicationsl7 -2010 - Electrical Permit Application.doc
Revised. May 2011
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Page 2 of 2
Staff Initials:
•
- -- wq 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
RECEIPT
Parcel No.: 2954900455 Permit Number: EL11 -0601
Address: 6720 FORT DENT WY TUKW Status: PENDING
Suite No: Applied Date: 07/07/2011
Applicant: STRAIGHT PEARLS Issue Date:
Receipt No.: R11 -01395
Payment Amount: $178.50
Initials: JEM Payment Date: 07/07/2011 01:20 PM
User ID: 1165 Balance: $0.00
Payee: ROBING HALEY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 01597C
ACCOUNT ITEM LIST:
Description
178.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
doc: Receiot -06 Printed: 07 -07 -2011
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
0601
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 0`
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: J�Q wr �ip 5
mac, r
Type of Inspection:
r� ,
G/o:.�
Address:
02.0 FT- 06o.
Date Called:
Special Instructions:
/ret-leTIV
b
111
Date Wanted:
? 9
r
p.m.
Requester:
P
Phone No:
pproved per applicable codes. a Corrections required prior to approval.
OMMENTS:
0/1 /.r4i.
B
Inspector:
LI;(34)161
Date: 0 rq /1/
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople liter 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
PROTI LLC
2066222474
1201 1St Ave S Ste 307
Seattle
WA
98134
King
Limited
Parent Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Liability Company Specialty 2
602267137
Active
PROTIL *957CP
Electrical Contractor
2/17/2005
2/21/2013
Limited Energy
Unused
Electrical Administrator INFORMATION
License WILKIDE958CP
Name WILKINSON, DOUGLAS E
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BROWN, ROBERT 5
Agent
02/17/2005
Bond Amount
GOODMAN, MICHAEL
Partner /Member
02/17/2005
SH7036
WILKINSON, DOUGLAS
Partner /Member
02/17/2005
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
2
CBIC
SH7036
02/16/2008
Until Cancelled
$4,000.0001/29/2008
1
EMPIRE FIRE AND
MARINE INSURAN
FS801666
02/16/2005
Until Cancelled
03/01/2008
$4,000.0002/17/2005
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
https: // fortress .wa.gov /lni/bbip/Print.aspx 07/07/2011