HomeMy WebLinkAboutPermit EL11-0822 - TOTEM ELECTRICTOTEM ELECTRIC
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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
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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
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
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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