The URL can be used to link to this page

Home My WebLink AboutPermit EL11-0793 - HOOPER HOLMESHOOPER HOLMES 15445 53 AV S EL1 1 -0793 City oftukwila • 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.: 1157200035 Address: 15445 53 AV S TUKW Project Name: HOOPER HOLMES ELECTRICAL PERMIT Permit Number: EL11 -0793 Issue Date: 09/19/2011 Permit Expires On: 03/17/2012 Owner: Name: QESTAR THREE L L C Address: PO BOX 24060 , FEDERAL WAY WA Contact Person: Name: COLLIN BARRETT Phone: 206 - 431 -7970 Address: 15445 53 AV S , TIJKWILA WA Contractor: Name: ADVANCE BLDRS /TECHNOLOGIES LLC Address: 6805 STEWART AVE E , PUYALLUP WA Contractor License No: ADVAN * *951PO Phone: 253 - 228 -8970 Expiration Date: 10/20/2011 DESCRIPTION OF WORK: DEMO AND MOVE TWO OUTLETS. ALSO MOVE TWO EMERGENCY LIGHTS AND ONE FIRE ALARM ANNUNCIATOR. Value of Electrical: NRES: $1,000.00 Fees Collected: $96.60 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 and governing this work will be complie x. with National Electrical Code Edition: 2008 Date: Yikii\ 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 pr e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of ork. I am authorized to sign and obtain this electrical permit. Signa Date: Print Name: )-e-I44) L► /--ti /(xL 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 -0793 Printed: 09 -19 -2011 • • PERMIT CONDITIONS Permit No. EL11 -0793 * *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 E L 11 -0793 Printed: 09 -19 -2011 CITY OF TUKWIA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //Www. TukwilaWA. qov 1 Electrical Permit No. ti..3-t6713 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 Site Address: t5 dam °. 5. Tenant Name: t 11,1 _ ii T \lk Property Owners Name: Mailing Address: King Co Assessor's Tax No.: ti Z Suite Number: `w Floor: New Tenant: la Yes ❑..No Ualar State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: e-1ii.i.At■i Mailing Address: gb Pt ' Day Telephone: E -Mail Address: c eL V e "0 4) • €4141• C& ELECTRICAL CONTRACTOR INFORMATION City State Zip Fax Number: Company Name: ig'tdvawca- Roi(et2v5 Tcccnv.ato•its LLL Mailing Address: 6205 ,5-t'ew er -4 iv c. e .. �„,� l v` , /.�+R /31-71 9Ciry State Zip Contact Person: ""S73-r llz'' Day Telephone: Z53 Z-2-13 X76 E -Mail Address: GdugKC�bN;lc%rsard �ee{�tro(a�,�i Eace- wtestslma.T Fax Number: 253 y�15 578 / Contractor Registration Number: ,4 DVA N *4- 1 Sl PO Expiration Date: l t Zen Valuation of Project (contractor's bid price): $ (0o0 r Scope of Work (please + provide detailed information): TH+a ra4(A o. oL wee c,.� -t Wb_ A\ so v►�o..� �' avnevQ�v�ett Iie,VRS kav v.G \/ Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes 1/4E1 No Type of Use: 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:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $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) 04 Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter /mast repair $68.25 g Low voltage systems $59.85 (alarm, furnace thermostat) zsit' --t 1.4 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 11 ' E TRICAL CONTRACTOR: Signature: !li Print Name: Mailing Address: Day Telephone: �vt� Wt k City Date: &1255p) state ell Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Fonns- Applications On Line\2010 Applications \7 -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 Parcel No.: 1157200035 Address: 15445 53 AV S TUKW Suite No: Applicant: HOOPER HOLMES RECEIPT Permit Number: EL11 -0793 Status: PENDING Applied Date: 08/23/2011 Issue Date: Receipt No.: R11 -01840 Initials: WER User ID: 1655 Payment Amount: $96.60 Payment Date: 08/23/2011 02:50 PM Balance: $0.00 Payee: PACIFIC ENGINEERING DESIGN TRANSACTION LIST: Type Method Descriptio Amount Payment Check 90772 96.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 96.60 Total: $96.60 doc: Receiot -06 Printed: 08 -23 -2011 • • r 7 r. INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 vt. (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: PO Type of Inspection: i Address: // Date Called: • Special Instructions: Date Wanted:. ll9 _ 9/v p'a.m. � Requester: / / %/% Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: rtAk- Date: „R r_yJJ 2q t REINSPECTION FEE REQUIREF5. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by Lai 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 ADVANCE BLDRS /TECHNOLOGIESLLC 2532288970 6805 Stewart Ave E Puyallup WA 98371 Pierce Limited Liability Company Parent Company ADVANCE BLDRS & TECHNLGIES INC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602548493 Active ADVAN "951 PO Electrical Contractor 10/20/2005 10/20/2011 General Unused Electrical Administrator INFORMATION License FULLEJJ971CJ Name FULLER, JEREMIAH J Status Active Business Owner Information Name Role Effective Date Expiration Date FULLER, JEREMIAH J Partner /Member 10/20/2005 MACKEY, CLIFF Partner /Member 10/20/2005 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 1 DEVELOPERS SURETY Et INDEM CO 548967C 10/18/2005 Until Cancelled $4,000.00 10/27/2005 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 09/19/2011