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HomeMy WebLinkAboutPermit EL11-0822 - TOTEM ELECTRICTOTEM ELECTRIC INTERLJRBAN AV S &SS2ST EL1 1 -0822 City ollikukwila • 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.: 0003000004 Address: Project Name: TOTEM ELECTRIC ELECTRICAL PERMIT Permit Number: EL11 -0822 Issue Date: 08/31/2011 Permit Expires On: 02/27/2012 Owner: Name: Address: Contact Person: Name: MARK STEPHENS Address: PO BOX 1093 , TACOMA WA Contractor: Name: TOTEM ELECTRIC OF TACOMA INC Address: PO BOX 1093 , TACOMA WA Contractor License No: TOTEMET315BS Phone: 253 722 -2829 Phone: 253 - 383 -5022 Expiration Date: 09/30/2011 DESCRIPTION OF WORK: REPLACE EXISTING TRAFFIC SIGNAL LOOPS AND LOW VOLTAGE WIRE IN NEWLY PAVED ROADWAY Value of Electrical: NRES: $22,310.00 RES: $0.00 Type of Fire Protection: N/A Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $488.10 National Electrical Code Edition: 2008 5 ak Date: * (l I hereby certify that I have read and an, ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied th 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: -r--1 G /J �----_, Date: S-°- 3 I - l ( Print Name: ..CIE-0 F4 EN S 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 1-0822 Printed: 08 -31 -2011 PERMIT CONDITIONS Permit No. EL11 -0822 * *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 EL 11 -0822 Printed: 08 -31 -2011 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit 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 LOCAT �C,, King Co Assessor's Tax No.: 000 .bbbW Site Address: Interurban Ave South & 52nd Ave CST Tukwila WA Suite Number: NA Floor: "IA Tenant Name: City of Tukwila Public Works Property Owners Name: City of Tukwila Mailing Address: 6200 South Center Blvd New Tenant: ❑ Yes ..No Tukwila WA 98188 Zip City State CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Mark Stephens Day Telephone: (253) 722 -2829 Mailing Address: PO Box 1093 Tacoma WA 98401 City State E -Mail Address: Marks @Totemelectric.com Fax Number: (253) 272 -5214 Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Totem Electric of Tacoma Inc Mailing Address: PO Box 1093 Contact Person: Mark Stephens Tacoma WA City State Day Telephone: (253) 722 -2829 E -Mail Address: Marks @Totemelectric.com Fax Number: (253) 272 -5214 Contractor Registration Number: TOTEMET315BS Expiration Date: 09/30/2011 98401 Zip Valuation of Project (contractor's bid price): $ 22,310 Scope of Work (please provide detailed information): Replace existing traffic signal loops and low voltage wire in newly paved roadway 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 ❑ Remodel ❑ Tenant Improvement m Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Seattle City Light H:\Applications\Porms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application doe bh 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 ERNI1T 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. 1 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: 7s/1 Print Name: 14'" 4C- S il=-‘) tiS Mailing Address: PO Box 1093 Date Application Accepted: Date: 08/31/2011 Day Telephone: (253) 722 -2829 Tacoma City 98401 State Zip Date Application Expires: Staff Initials: r H:\Applications\Forns- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 2 of 2 SET RECEIPT RECEIPT NO: R11 -01917 Initials: JEM Payment Date: 08/31/2011 User ID: 1165 Total Payment: 1,189.10 Payee: TOTEM ELECTRIC OF TACOMA, INC. SET ID: S000001564 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount EL11 -0822 EL11 -0823 EL11 -0824 TOTAL: 488.10 212.90 488.10 488.10 TRANSACTION LIST: Type Method Description Amount Payment Check 45437 1,189.10 TOTAL: 1,189.10 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 TOTAL: 1,189.10 1,189.10 INSPECTION RECORD Retain a copy with permit • INSPEQTION. NO. PERMIT NO. • sCITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 112 (206) 431 -36 ,. Permit Inspection Request Line (206) 431 -2451 Project: �" ' 1.-4111‘ Type of Inspection 3 71 oo t Address: . tit 4 4- 52-a Date Called: Special Instru ions: Date Wanted:. " p.m. Requester: V Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Vtfx ;o4 Co feet - tor Inspector: • c_ I 11 1Date:/1/ RE INSPECTION FEE REQUIRED. Prior to next inspecti . fe must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. aim, — g..._ INSPECTION RECORD �aAOY2 �� Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ix (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 3 Project: f Type of Inspection: 7, Address: ,1 1;1/4k. je. Date Called: Special Instructions: Date Wanted:. +fl� di. oun Requester: • Phone No: ElApproved per applicable codes. E Corrections required prior to approval. COMMENTS: p`i • 64.11>dir qr S,E, coaAi14\ Inspector: j I Date: 1.1 ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 Project: 6 (o( Type of Inspection: DO/ Address: - I � � A Date Called: Special Instructio . Date Wanted:. d r (.r a.m. Requester: Phone No: Approved per applicable codes. 1Lorrections required prior to approval. COMMENTS: j° ree-- 6aekto ki i r 1301)4 64b5 oC 11 r%/ f Alcf,4\. ( REINSPECTION FEE REQUIRED./Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1 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: /f l' ir. Type of Inspection: 2o! Address: Date Called: Special Instructions: . Date Wanted:. 7 02.-- 0.21.1, Requester: Phone No: EiApproved per applicable codes. Corrections required prior to approval. /3 COMMENTS: gd-D eP4Jb) 1 n t ate\ tAi/r4' 14-ePko‘18) g4c44.614, ‘ Ilnspector:: 11 must vie(\. REINSPEGTIO FEE REQUIRED. Prior to ne p t be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. (Date: Oil D24t1 next ins ecti n fee Contractors or Tradespeople Peer 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 TOTEM ELECTRIC OF TACOMA INC 2533835022 Po Box 1093 Tacoma WA 98401 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 278043550 Active TOTEMET315BS Electrical Contractor 1/10/1969 9/30/2011 General Unused Electrical Administrator INFORMATION License STEPHM'101CC Name STEPHENS, MARK A Status Active Business Owner Information Name Role Effective Date Expiration Date JARDEEN, RICHARD E 01/01/1980 STEPHENS, JOHN R 01/01/1980 STEPHENS, MARK A 01/01/1980 STEPHENS, SCOTT B 01/01/1980 STEPHENS, JOHN R Agent 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 2 TRAVELERS CAS e SURETY CO 081S103483688BCM 12/26/2000 Until Cancelled $4,000.00 10/31/2000 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 08/31/2011