HomeMy WebLinkAboutPermit EL11-0826 - CONTINENTAL MILLS NORTH ANNEXCONTINENTAL MILLS
N SRTH ANNEX
18000 ANDOVER PK W
EL1 1 -0826
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
ELECTRICAL PERMIT
Parcel No.: 3523049018
Address: 18000 ANDOVER PK W TUKW
Project Name: CONTINENTAL MILLS NORTH ANNEX
Permit Number: EL11 -0826
Issue Date: 08/31/2011
Permit Expires On: 02/27/2012
Owner:
Name: SEGALE PROPERTIES LLC
Address: PO BOX 88028 , TUKWILA WA
Contact Person:
Name: JANET STEBBINS Phone: 206 291 -1468
Address: 9520 10 AV S #100 , SEATTLE WA
Contractor:
Name: SIMPLEXGRINNELL LP
Address: 9520 10 AV S #100 , SEATTLE WA
Contractor License No: SIMPLL *981SG
Phone: 206 291 -1400
Expiration Date: 01/11/2012
DESCRIPTION OF WORK:
TERMINATION OF FACP TO TEST FIRE ALARM SYSTEM BEING INSTALLED BY JOHNSON
ELECTRIC.
Value of Electrical: NRES: $1,500.00
RES: $0.00
Fees Collected:
Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
$115.50
2008
Date: V U
22itil
I hereby certify that I have read and xami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with, whether specified herein or not.
The granting of this permit does not pre e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perform ance of work. I am authorized to sign and obtain this electrical permit.
Sb i/JrcY; p. I/
Date: /3//20//
Print Name: jetfrte.71 aCkA3 L :rn p`1X(1'Yiiint#
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 1-0826 Printed: 08 -31 -2011
•
PERMIT CONDITIONS •
Permit No. EL11 -0826
* *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
EL11 -0826 Printed: 08 -31 -2011
CITY OF TUKVIn
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www. TukwilaWA. gov
Electrical Permit No.
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.: 35 ,.:)0li O'7 5
Site Address: Igoe* ttinck0V &' iP0 ik: VJ . Suite Number:
Tenant Name: CotoF,►nGv c..\ Mills IV . AKv..c1
Property Owners Name: Cotk,- ;",c,,A-!G1 M:l\S
Mailing Address: 143"o60 Ptieuz1n ti Pad t_ lni• 1-14_1.A.6 (c
Floor:
New Tenant: ❑ Yes ❑..No
1n)1°1
City
Ctgl
State
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: S;vv.Plt .*Grihvxcll /JCtv.C% Ste610;145
Mailing Address: `t510 104'4 Ale S. # 100
E -Mail Address: Irb-1e,196;v15 e9',6nnytcic.Jrivtvte.4.1 • c avv∎
ELECTRICAL CONTRACTOR INFORMATION
Seal c
Day Telephone: 2otO • 2°11.1`lbtf
WA
City
State
Fax Number: a.o d • acl l • l Too
CO 10 7/
Zip
Company Name: Si..? ltx 6vi v.,neA1
Mailing Address: g520 l04'4^ PTV S# (OD
Contact Person: Jaje t Se_l. b;
E -Mail Address: • AS{-c,lob; v.g es; rh.pltX.arI vt.nr ll • to ft,.
Contractor Registration Number: 5% vvy p L L 14 V (. $ 6 -
Wfr
City
State Zip
Day Telephone: Zof. - 2°1. 1 • ( 41L
Fax Number: 206 • 2,11 • (SO0
Expiration Date: 1- l l - l2
Valuation of Project (contractor's bid price): $ / SOD . °2 0
/►
Scope of Work (please provide detailed information): /P,,A44, i K°c f ;0.7•••-t �f F/4 -cT' f1j 7'C s t TI v's0
(a. 1/ < kr] `"�' ivl 5 tied h, rcpt 97L
Con r■te / �( (("j /UOYf f iKl)C
Will service be altered? ❑ Yes I3 No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
['Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro a Served b :
Puget Sound Energy
❑ Seattle City Light
H: Applications\Forns- 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
(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)
❑ 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 _ � `L � ice_ . `, . . Date:
8' /.2G ///
Print Name: —74144,-/ lfiX(,- i' 0,te g Day Telephone: ?o6 e2 f l 7 U'
Mailing Address: / 20 /0 4✓e
/DO
IDate Application Accepted:
City
w A- 7870 B�
State Zip
Date Application Expires:
H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 2 of 2
Staff Initi 1
•
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
RECEIPT
Parcel No.: 3523049018 Permit Number: EL11 -0826
Address: 18000 ANDOVER PK W TUKW Status: PENDING
Suite No: Applied Date: 08/31/2011
Applicant: CONTINENTAL MILLS NORTH ANNEX Issue Date:
Receipt No.: R11 -01919
Payment Amount: $115.50
Initials: JEM Payment Date: 08/31/2011 04:11 PM
User ID: 1165 Balance: $0.00
Payee: JANET C STEBBINS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 051136
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 08 -31 -2011
iJ Retain a copy with permit
INSPECTION RECORD
INS'ECTION NO. ERMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
141 1Loti5
Address: 000 "m
:Special Instructions:
rp
Type of Inspection:
Po()
Date Called:
Date Wanted: .
Requester:
Phone No:
PCOMMENTS:
Approved per applicable codes. 1 Corrections required prior to approval.
Inspector:
WI\
Date: 01/30111
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
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 pm (206) 431 -36Z
Permit Inspection Request Line (206) 431 -2451
Project:
to
Type of Inspection:
703
Address:
/ ievo
l
&s (xJ
Date Called:
Special Instructions:
s h-
Date Wanted: .
0 Q
am
P.m.
Requester:
,
Phone No:
it°
COMMENTS:
Approved per applicable codes. 1 Corrections required prior to approval.
OKMiAdc, failEk
� Zi4H fa/ ea
Date: 0,171/11
n REINSPECTION FEE REQUIRED. rior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Contractors or Tradespeople P„i ter Friendly Page
•
Page 1 of 2
Electrical Contractor
A business licensed by L&tI 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
SIMPLEXGRINNELL LP
2062911400
9520 10Th Ave S #100
Seattle
WA
98108
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602113334
Active
SIMPLL *981 SG
Electrical Contractor
1/7/2002
1/11/2012
Limited Energy
Hvac /Rfrg Ltd Energy
Other Associated Licenses
License
Name
Type
Specialty
Specialty 2
Ef Date
Ex Date on
Status
SIMPLL *977LE
SIMPLEXGRINNELL LP
Electrical
Contractor
Limited
Energy
Unused
6/5/2003
6/6/2013
Active
SIMPLL *999KG
SIMPLEXGRINNELL LP
Electrical
Contractor
Limited
Energy
Hvac /Rfrg
Ltd Energy
5/7/2001
5/7/2013
Active
SIMPLTR051M6
SIMPLEX TIME
RECORDER CO 458
Electrical
Contractor
Limited
Energy
Unused
7/26/1995
8/8/2003
Archived
SIMPLTR055LE
SIMPLEX TIME
RECORDER 479
Electrical
Contractor
Limited
Energy
Hvac /Rfrg
Ltd Energy
6/5/1995
6/5/2003
Archived
SIMPLTR055JF
SIMPLEX TIME
RECORDER CO 448
Electrical
Contractor
Limited
Energy
Unused
4/6/1995
4/6/2001
Archived
SIMPLTR124N5
SIMPLEX TIME
RECORDER CO
Electrical
Contractor
Limited
Energy
Unused
8/25/1988
8/25/1994
Archived
Master Electrician INFORMATION
License MANSFR *9730K
Name MANSFIELD, RONALD
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
STR GRINNELL GP HOLDING INC
Partner
01/07/2002
SIMPLEX TIME RECORDER CO
Partner
01/07/2002
https://fortress.wa.gov/lni/bbip/Print.aspx
08/31/2011