HomeMy WebLinkAboutPermit EL11-0770 - PUETZ GOLFOLLOI jrjrj
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City okukwila
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.: 0223200010
Address: 402 STRANDER BL TUKW
Project Name: PUETZ GOLF
ELECTRICAL PERMIT
Permit Number: EL11 -0770
Issue Date: 08/17/2011
Permit Expires On: 02/13/2012
Owner:
Name: FIDELITY NORTHWEST ASSOC
Address: 4211 HOLLY LN , MERCER ISLAND WA
Contact Person:
Name: ROB VAUGHN
Address: 1730 GIBSON RD , EVERETT WA
Contractor:
Name: FIRE PROTECTION INC
Address: P 0 BOX 12642 , MILL CREEK WA
Contractor License No: FIREPI *021ML
Phone: 425 290 -9600
Phone:
Expiration Date: 07/13/2012
DESCRIPTION OF WORK:
ADD (2) STROBES TO THE EXISTING FIRE ALARM SYSTEM
Value of Electrical: NRES: $3,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
Date:
$157.50
2008
31*
I hereby certify that I have read and =1 ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied ®. hether specified herein or not.
The granting of this permit does not pr
to give authority to violate or cancel the provisions of any other state or local laws regulating
construction o • e performance of work. am authorized to sign and obtain this electrical permit.
Signature:
Date: V
Pitt
Print Name: )kn4\ cnj Rees
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
EL1 1-0770 Printed: 08 -17 -2011
•
PERMIT CONDITIONS 1
Permit No. EL11 -0770
* *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 -4110
EL11 -0770 Printed: 08 -17 -2011
1
CITY OF TUKWICA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. ci. tukwila. wa. us
Electrical Permit No.
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
SiteAddress:'702 Sl2MOEIZ P,LV
Tenant Name: ,YU
Property Owners Name: F - E-`l (v(,
King Co Assessor's Tax No.: O!2_' --LOP
Suite Number: Floor:
New Tenant: ❑ Yes '..No
Mailing Address: ui 51V-P■ ll Pe- (1 I. L-V Q
City
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: lad A b N A Day Telephone: a-160o
Mailing Address: (—% 3 0 C 1056e• (2.-0
City State Zip
E -Mail Address: Q e_ F P zS (' A Tl L C. Co /w Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address: (jS�n Q4
Fl QC PP- o-r €c---rton I'-Q_
Contact Person: (O g ) AUL 44 r\
kit 4'$2so`-t
E -Mail Address: %2c7 6 e
Contractor Registration Number: Ft 'A 6 2 ( L
City State Zip
Day Telephone: `11- — a `Y a " qb Oo
Fax Number: 'YZ S^ - 3 s-3 ` y y--1/4/(2,
Expiration Date: 7 — 13 - 1 Z
Valuation of Project (contractor's bid price): $ 3 soo .
Scope of Work (please provide detailed information):
t At D 4 T l20 d LsS 9b 4'{ 'L eta_
')(S M
Will service be altered? ❑ Yes Adding more than 50 amps? ❑ Yes ej21-1clo
Type of Use: C/
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator [Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:Wpplications\Fonns- Applications On Line \4 -2007 - Electrical Permit Application.doc
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Page 1 of 2
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RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$140.00
$75.00 ea
$55.00 ea
❑ Low voltage systems
(alarm, furnace thermostat)
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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:
Signature:
Print Name: I2 VAO %4 r%
Mailing Address: C13 0 b ( ,S 0,,, ee
IDate Application Accepted: D f h I I I
Date: 7/
Day Telephone: X2-5 -� 1? - < 0
City
State Zip
Date Application Expires:
Staff initials:
H :Wpplications\Forms- Applications On Lin64 -2007 - Electrical Permit Application.doc
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Page 2 of 2
1
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.00v
RECEIPT
Parcel No.: 0223200010 Permit Number: EL11 -0770
Address: 402 STRANDER BL TUKW Status: APPROVED
Suite No: Applied Date: 08/17/2011
Applicant: PUETZ GOLF Issue Date:
Receipt No.: R11 -01785
Payment Amount: $157.50
Initials: JEM Payment Date: 08/17/2011 12:26 PM
User ID: 1165 Balance: $0.00
Payee: FIRE PROTECTION, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 29021 157.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 157.50
Total: $157.50
doc: Receipt -06 Printed: 08 -17 -2011
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 -36
Permit Inspection Request Line (206) 431 -2451
Project: I"i(r. b
Type of Inspection: el
Address: 1020* 5
+ ,Q
�_'p `�
Date Called:
Special Instructions:
Of
Date Wanted:.
9 ��
am
Requester:
Phone No:
KApproved per applicable codes. ' D Corrections required prior to approval. IS.
COMMENTS:
04'
Inspector:
(Date: 047/1511 1
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Printer 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
FIRE PROTECTION INC
2064405763
Po Box 12642
Mill Creek
WA
98082
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601848346
Active
FIREPI'021 ML
Electrical Contractor
7/13/1998
7/13/2012
Limited Energy
Hvac /Rfrg Ltd Energy
Master Electrician INFORMATION
License CATS'RL976LS
Name CATS, ROY L
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CATS, ROY
Violation Amount
01/01/1980
1/2/2008
CATS, KARI
ELECTRICAL CITATION
01/01/1980
$1,000.00
WILLIAM KASTNER & GIBBS
Agent
01/01/1980
ELECTRICAL CITATION
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
CBIC
SB5426
07/13/1998
Until Cancelled
$4,000.00
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
ESTRL00491
1/2/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
ESTRL00493
1/2/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ESTRL00492
1/2/2008
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
ESTRL00772
1/30/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ESTRL00773
1/30/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJURT00297
7/2/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJONM00305
2/13/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
ECOPK00032
9/1/2005
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
ECOPK01409
2/3/2007
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECOPK01410
2/3/2007
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 08/17/2011