Loading...
HomeMy WebLinkAboutPermit EL11-0629 - A AMERICAA AMERICA 18255 SEGALE PARK DR B EL1 1 -0629 City ogukwila 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.: 3523049119 Address: 18255 SEGALE PARK DR B TUKW Project Name: A AMERICA ELECTRICAL PERMIT Permit Number: EL11 -0629 Issue Date: 07/14/2011 Permit Expires On: 01/10/2012 Owner: Name: SEGALE PROPERTIES LLC Address: PO BOX 88028 , TUKWILA WA Contact Person: Name: KEVIN LEWIS Address: 804 WEST MEEKER ST STE 102 , KENT WA Contractor: Name: A C ELECTRIC SERVICE INC Address: 804 W MEEKER ST STE 102 , KENT WA Contractor License No: ACELESI025DF Phone: 253 - 852 -0225 Phone: 253 852 -0225 Expiration Date: 03/06/2012 DESCRIPTION OF WORK: WIRE ROOFTOP HEAT PUMP Value of Electrical: NRES: $700.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERG Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: Date: $84.00 2008 I hereby certify that I have read and examined this permit a , • know the same to be true and correct. All provisions of law . d ordinances governing this work will be complied with, whether specified herein or not. The granting of this permit does not presume 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. Signature: Print Name: ‘&e- SmusselJ. Date: )'t _ la0\ I 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 -4/10 EL11-0629 Printed: 07 -14 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0629 * *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 -4/10 EL11 -0629 Printed: 07 -14 -2011 CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.qov Electrical Permit No. Vt 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 Q �/ King Co Assessor's Tax No.: Site Address: \( x� X _ \\ 1" �o �� . Suite Number: Floor: Tenant Name: A ,,N` , `2�(_ -- New Tenant: ❑ Yes No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON -Who do we contact when your, permit is ready to be issued Name: Ye_ Mailin g Address: we..\- Mv ' (fiz_ `*e C\Cy 0et.C`t1Qf i \ . CuY1. E -Mail Address: Day Telephone: ( Y)) Cj 1 \C C33; City S p Fax Number: C C ` -.) t t e \ *) (SOP I ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: �C t\ec \-&iL c/vict`'St S cY`ec `_e4 \C14. \ Cvi 1 E -Mail Address: -a C -AEL EA-Nam-0, Contractor Registration Number: 'tip, \.JF1. City State Zip Day Telephone: (b i Si,4 -O Fax Number: (S33 � ✓ U Expiration Date: ?)1V-1\`()I c,_ Valuation of Project (contractor's bid price): $ zc'C) Scope of Work (please provide detailed information): cZe fiC0 art \ \\-e&A- c,t(Nry Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes '2' No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H.\Applications \Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application doc bh 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 arc 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: a\640 O l \-sL CV\ Mailing Address: '\ �% r\t" Yej7 Date: CCI`L -t\ i \�. Day Telephorie: (S3.) City State Zip IDate Application Accepted: Date Application Expires: Staff Initials: H:.Applications\Porms- Applications On Line\20I 0 Applications V-2010 - Electrical Permit Application.doc bh Page 2 of 2 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.: 3523049119 Permit Number: EL11 -0629 Address: 18255 SEGALE PARK DR B TUKW Status: PENDING Suite No: Applied Date: 07/14/2011 Applicant: A AMERICA Issue Date: Receipt No.: R11 -01461 Initials: User ID: Payee: TLS 1670 Payment Amount: $84.00 Payment Date: 07/14/2011 10:03 AM Balance: $0.00 AC ELECTRIC SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 15437 84.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 84.00 Total: $84.00 doc: Receiot -06 Printed: 07 -14 -2011 °' - ..7'$ :: ' e INSPECTION RECORD Retain a copy with permit INSPECTION NO. 641-0td-7 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 .' (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: 4 441/..n l Type of Inspection: 2/190 Address: aZ•55— v (A ( 3 Date Called: Special Instructions: • Date Wanted: 7 r—� a i. Requester: 30c( Phone No: yo 7 ? Ki. Approved per applicable codes. a Corrections required prior to approval. COMMENTS: • r Inspector: Date: 07/21 t 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 Prier 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 A C ELECTRIC SERVICE INC 2538520225 804 W Meeker St Ste 102 Kent WA 98032 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601858837 Active ACELESI025DF Electrical Contractor 3/6/1998 3/6/2012 General Unused Master Electrician INFORMATION License CHUTIAM960L8 Name CHUTICH, ALAN M Status Active Business Owner Information Name Role Effective Date Expiration Date CHUTICH, ALAN 01/01/1980 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 NATIONWIDE MUTUAL INS CO 7900313590 03/05/2007 Until Cancelled 19.28.010 RCW ELECTRICAL CITATION $4,000.0002/02/2007 $500.00 2 MERCHANTS BONDING CO (MUTUAL) WA 12906 03/05/2005 Until Cancelled 03/05/2007 $4,000.0002/01/2005 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 EJORP01701 9/5/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EREEB00387 8/6/2009 19.28.010 RCW ELECTRICAL CITATION Satisfied $500.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 07/14/2011