HomeMy WebLinkAboutPermit EL11-0809 - FED EXFED EX
112 ANDOVER PK E
EL1 1 -0809
City Tukwila
Department of Community Development
6300 Southcenter B oulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.TukwilaWA.gov
Parcel No.: 0223000045
Address: 112 ANDOVER PK E TUKW
Project Name: FED EX
ELECTRICAL PERMIT
Permit Number: EL11 -0809
Issue Date: 08/29/2011
Permit Expires On: 02/25/2012
Owner:
Name: BETA TUKWILA LLC
Address: 18827 BOTHELL WAY NE #110 , BOTHELL WA
Contact Person:
Name: JAMES GLASSCOCK Phone: 253 312 -9896
Address: 5113 PACIFIC HY E #13 , FIFE WA
Contractor:
Name: IDEAL SERVICES INC
Address: 5113 PACIFIC HY E #13 , TACOMA WA
Contractor License No: IDEALSI011J2
Phone: 253 475 -8884
Expiration Date: 04/22/2013
DESCRIPTION OF WORK:
ADD NEW WALL PACK LIGHT TO EXTERIOR OF BUILDING
Value of Electrical: NRES: $907.00 Fees Collected: $92.40
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
Date:
tbigi it,
I hereby certify that I have read and eamin: d this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied 'th, ether specified herein or not.
The granting of this permit does not pre
construction or tJ perfo e of wprkj I am authorized to sign and obtain this electrical permit.
,7_.7
to give authority to violate or cancel the provisions of any other state or local laws regulating
Signature:
Print Name:
Date: I (d-0(
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 1-0809 Printed: 08 -29 -2011
•
PERMIT CONDITIONS •
Permit No. EL11 -0809
* *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 art 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 -0809 Printed: 08 -29 -2011
CITY OF TUKW�
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
•
Electrical Permit No.
St4-
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: 1 1 - P clo,i,oc
Tenant Name: i= cc Ex /�
Property Owners Name: / t J F_ n -1t : c_er. . s
Mailing Address: I 1 a— IA Eck n 0(4' L'. c-s
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ❑ .. No
D2-Z DD- ( -%
v�wt \h
City
V-) 'A\
950�s
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: G ,,t,.e_ S
(- �k-55c
Mailing Address: 5 I I" i Pc-e_
E -Mail Address:
Day Telephone: x-13 - 3 f a- 9 e.9 U
t'= F:4 wA 7 Y,'1) -LI
City State Zip
Fax Number: 2-5 j - L/ 7S `d S 6
ELECTRICAL CONTRACTOR INFORMATION
Company Name: (5
Mailing Address: 51 3 ■ -t- ,
Contact Person:
E -Mail Address:
500Z. c."-O l' aQ «1 S e.0 t. (C( S ./1 '
Contractor Registration Number: 1EkLc.> 1201 1
fiCity
Day Telephone:
Fax Number:
Expiration Date:
State
053 -1-1 -15
atc
6441 ?S
Valuation of Project (contractor's bid price): $ i0 % . D U
Scope of Work (please provide detailed information):
1 - sycz, eX - o r 0-c b %, ta t 'V\ C3
,,✓ C 1 I po .c Ic_
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Pro a Served b :
Puget Sound Energy
❑ Seattle City Light
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
bh
Page 1 of 2
Adding more than 50 amps? ❑ Yes
❑ 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 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:
Mailing Address: S` \ 3 Y. +, c.
Ustn 5 ("-) r oc
Date Application Accepted:
Day Telephone:
171
City
Date: g `� ),3-0 ) 1
X53- 3ta- -�Fs�6
State Zip
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised May 2011
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.: 0223000045
Address: 112 ANDOVER PK E TUKW
Suite No:
Applicant: FED EX
RECEIPT
Permit Number: EL11 -0809
Status: PENDING
Applied Date: 08/29/2011
Issue Date:
Receipt No.: R11 -01889
Payment Amount: $92.40
Initials: JEM Payment Date: 08/29/2011 01:07 PM
User ID: 1165 Balance: $0.00
Payee: JAMES GLASSCOCK, IDEAL SERVICES INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 051713
ACCOUNT ITEM LIST:
Description
92.40
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 92.40
Total: $92.40
doc: Receipt -06 Printed: 08 -29 -2011
:7 •
•
i: ,•.. INSPECTION RECORD
.... Retain a copy with permit
. • INSPECTIONNO. '. " PERMIT NO.
• . • • CITY OFTUKWILA BUILDING DIVISION • '• .. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
L.. .
. . Permit Inspection Request Line (206) 431-2451
•i
(14- ogol
•
•
•
•
:`.
•
Project:
Type of Inspection:
2/00
Address: / e'
I 1 MIMI/6A\ C"
Date Called:
Special Instructions:
Date Wanted:.
gif30 . .
. .
Requester:
r
Phone No:
•
lid
Approved per applicable codes. 0 Corrections required prior to approval.
,
r-:
r ,f,f404„.
,
COMMENTS:
• Pi
Inspector:
Date: 000/1
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
1---1paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peter 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
IDEAL SERVICES INC
2534758884
5113 Pacific Hwy E
#13
Tacoma
WA
98424
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601905187
Active
IDEALSI011J2
Electrical Contractor
4/22/1999
4/22/2013
General
Unused
Master Electrician INFORMATION
License SALZERD979M2
Name SALZER, RAY D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MENDOZA, CURRAN
Agent
01/01/1980
Bond Amount
SALZER, RAY
President
01/01/1980
6751440
SALZER, CATHY A
Secretary
06/01/2007
ELECTRICAL CITATION
SALZER, CATHY
Treasurer
01/01/1980
AMERICAN STATES INS
CO
LAMBERT, MARCIA
President
01/01/1980
12/30/2002
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
3
American States
Insurance Co
6751440
02/15/2011
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.0003/04/2011
$2,062.50
2
AMERICAN STATES INS
CO
73071
02/07/2007
Until Cancelled
04 /27/2011
EOXFJ00830
$4,000.00
02/07/2007
1
CBIC
SC0623
04/20/1999
Until Cancelled
02/03/2007
$4,000.0004/20/1999
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
EOXFJ00832
12/17/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$495.00
EOXFJ00828
12/17/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,062.50
EOXFJ00831
12/17/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$1,155.00
EOXFJ00830
12/17/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,062.50
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/29/2011