HomeMy WebLinkAboutPermit EL11-0790 - KEY BANKKEY BANK
275 ANDOVER PK E
EL1 1 -0790
City ofikukwila
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.: 9202470010
Address: 275 ANDOVER PK W TUKW
Project Name: KEY BANK
ELECTRICAL PERMIT
Permit Number: EL11 -0790
Issue Date: 08/23/2011
Permit Expires On: 02/19/2012
Owner:
Name: WESTFIELD PROPERTY TAX DEPT
Address: PO BOX 130940 , CARLSBAD CA
Contact Person:
Name: SARAH MURRAY
Address: 8115 BROADWAY, SUITE 101 , EVERETT WA
Contractor:
Name: EVERGREEN SECURITY INC
Address: 8115 BROADWAY, SUITE 101 , EVERE F WA
Contractor License No: EVERGSI112L2
Phone: 425- 348 -3850
Phone: 425 -348 -3850
Expiration Date: 08/02/2013
DESCRIPTION OF WORK:
(1) FIRE CONTROL PANEL, (7) WALL MOUNT RED HORN STROBES, (2) CEILING MOUNT RED
HORN STROBES, (26) SMOKE DETECTORS
Value of Electrical: NRES: $11,348.00 Fees Collected: $298.90
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
DX,
Date: lJ I
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit de -s not presume to give authority to violate or cancel the provisions of any other state • local laws regulating
constructio • e p �• = ce of work. I thorized to sign and obtain this electrical permit. ^�
Signature: / Date: �S J
Print Name:
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 -0790 Printed: 08 -23 -2011
0 •
PERMIT CONDITIONS
Permit No. EL11 -0790
* *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
ELI 1-0790 Printed: 08 -23 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.qov
Electrical Permit No. �,(-- O7 '
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.• 9202470010
Site Address: 275 Andover Pk W
Tenant Name: Key Bank
Suite Number:
Property Owners Name: Westfield Property Tax Dept
Mailing Address: P.O. Box 130940
Floor:
New Tenant: ❑ Yes m .. No
Carlsbad
CA 92013
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Sarah J. Murray
Mailing Address: 8115 Broadway, Suite 101
E -Mail Address: sarahm @evergreensecurity.com
Day Telephone: (425) 348 -3850
Everett WA
City State
Fax Number: (425) 353 -8934
98203
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Evergreen Security, Inc.
Mailing Address: 8115 Broadway, Suite 101
Contact Person: Sarah J. Murray
E -Mail Address: sarahm @evergreensecurity.com
Contractor Registration Number: EVERGSI112L2 Expiration Date:
Everett WA
City State
Day Telephone: (425) 348 -3850
Fax Number: (425) 353 934
i 1 '-c-
98203
Zip
•
Valuation of Project (contractor's bid price): $ 11,348
Scope of Work (please provide detailed information): 1 Fire control panel, 7 wall mount red horn strobes,
2 ceiling mount red strobes, 26 smoke detectors
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change m Remodel ❑ Tenant Improvement
O Low Voltage ❑ Generator m Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applicat ions \Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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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 CONTRACTOR:
Signature:
Print Name: 4 :; A/r'1 (T. M LLA r&
Mailing Address: 8115 Broadway, Suite 101
Date: 08/22/2011
Day Telephone: (425) 348 -3850
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications\Fonns- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
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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
Parcel No.: 9202470010
Address: 275 ANDOVER PK W TUKW
Suite No:
Applicant: KEY BANK
RECEIPT
Permit Number: EL11 -0790
Status: PENDING
Applied Date: 08/23/2011
Issue Date:
Receipt No.: R11 -01832 Payment Amount: $298.90
Initials: WER Payment Date: 08/23/2011 01:14 PM
User ID: 1655 Balance: $0.00
Payee: EVERGREEN SECURITY INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 4372 298.90
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 298.90
Total: $298.90
doc: Receipt -06 Printed: 08 -23 -2011
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 -3670
Permit Inspectio Request Line (206) 431 -2451
Project:
. • Kr ,
Type of Inspection:
Address: Ay joo kis tAi
Date Called:
• Special Instructions:
�
Date Wanted: .
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it
Requester:
Phone No:
Approved per applicable codes.
aCorrections required prior to approval.
COMMENTS:
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rAtki
DK
Inspector:
1Date: 01/26 _.
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
dam.._.....
i
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: y�,
/
•
Type of Inspection:
iii
Address215. r'DJD
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Date Called:
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t .. er
Special Instructions:
FIA
Date Wanted:.
A t
a:m
Requester:
Phone No:
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
•
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$144,De 4‘ (CAA r
, ?AiAkr $0,ic...t
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'Inspector:
/V ltr 1 (Date: off I if
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
o.
INSPECTION RECORD /4 l ,
Retain a copy with permit C
• INSPECTION NO. PERMIT NO.
. CITY OF TUKWILA BUILDING DIVISION
6300 So'uthcen.ter Blvd., #100, Tukwila. WA 98188 b (206) 431 -3
fill
• •Permit Inspection. Request Line (206) 431 -2451 r"
Project:
l
Type of Inspection:
410C)
Address:' .•
Date Called:
SpeciaEInstructions:
1 :• . .. ribr
L •
Date Wanted:.
49
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a.m: P.
Requester:
Phone No:
• •EJApprooved per applicable codes.
Corrections required prior to approval.
`COMMENTS:
Inspector:
6c,
I Date:
l 07,1.2 11
n REINSPECTION FEE REQUIRED. Prior to next inspectio , fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit VA I�
PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: e�
Type of Inspection:
!
Address: 2
Date Called:
Special Instructions:
. 1
et
Date Wanted:.
Q
I�/
a.m.
t.
Requester:
•
Phone No:
•
EjApproved per applicable codes.
•
•3
DCorrections required prior to approval. Al
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COMMENTS:
n
r
‘..,A#A4
Inspector:
I Date: a Pi /I i
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspectioh.
.1
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Contractors or Tradespeople Pr; -ter Friendly Page
1
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
EVERGREEN SECURITY INC
4253483850
8115 Broadway Ste 101
Everett
WA
98203
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601170578
Active
EVERGSI112L2
Electrical Contractor
6/22/1989
8/2/2013
Limited Energy
Hvac /Rfrg Ltd Energy
Other Associated Licenses
L
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
EVERGSS147JJ
EVERGREEN
SECURITY SRVCS INC
Electrical
Contractor
Limited
Energy
Unused
4/11/1986
7/31/1990
Archived
EVERGSS155CA
EVERGREEN
SECURITY SERVICES
Electrical
Contractor
Limited
Energy
Unused
2/1/1985
12/31/1986
Archived
Master Electrician INFORMATION
License MURRAW'96200
Name MURRAY, WILLIAM A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MURRAY, LINDA J
Violation Amount
01/01/1980
12/17/2008
MURRAY, WILLIAM A
Agent
06/22/1989
$250.00
MURRAY, WILLIAM A
President
06/22/1989
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
624148
06/01/1989
Until Cancelled
$4,000.00
08/01/2002
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
EMEHU02345
12/17/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECERM00429
10/20/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHECD00243
7/28/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01081
1/13/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
S750.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/23/2011