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Home My WebLink AboutPermit EL11-0894 - EXTENDED STAY AMERICAEXTENDED STAY AMERICA 15635 WEST VALLEY HY EXPIRED 04 -07 -12 EL1 1 -0894 City *fukwila 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.: 0005800015 Address: 15635 WEST VALLEY HY TUKW Project Name: EXTENDED STAY AMERICA ELECTRICAL PERMIT Permit Number: EL11 -0894 Issue Date: 09/28/2011 Permit Expires On: 03/26/2012 Owner: Name: BRE /ESA PROPERTIES Address: ATTEN: FRANCES PARKER , 100 DUNBAR ST Contact Person: Name: DAVID MONTOYA Address: PO BOX 58328 , SEATTLE WA Contractor: Name: URBAN ELECTRIC Address: PO BOX 58328 , SEATTLE WA Contractor License No: URBANE *900RS Phone: 206 686 -8722 Phone: 206 - 686 -8722 Expiration Date: 12/17/2012 DESCRIPTION OF WORK: CONDUIT ONLY FOR LIGHT POLES IN (7) LOCATIONS Value of Electrical: NRES: $200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The grantin9this pe construction or Signature: xamv with, oes not pres work. Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: 02461 b1 t I Led this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit. CID C--1 zs, S 3 /Az c. Date: c o� /2 /1 Print Name: -ThAr1! 1 0 t\I ID 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 -0894 Printed: 09 -28 -2011 PERMIT CONDITIONS Permit No. EL11 -0894 * *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 -0894 Printed: 09 -28 -2011 CITY OF TUKV11 Community Develop ent Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Permit No. Project No. -mg (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: King Co Assessor's Tax No.: CCO Site Number: Floor: CM New Tenant: ❑ Yes ❑..No Tenant Name: tknrAcSI-ek01 S u lT�s Property Owners Name: f✓ Tt ►CC: C STTP y Mailing Address: S,P1/4-dvl C City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: M o 1..c :4 / L I N N \Etry K Day Telephone: 2-O(0 R72.2 Mailing Address: V.0 - 5 83'2 S 98/38 `` City State Zip E -Mail Address: ov∎ 7uex, c tA_el , (vat Fax Number: -2OCC - %$(P 72- L-1 ELECTRICAL CONTRACTOR INFORMATION Company Name: C--per4 is t 5 3 l a l C Mailing Address: S AO 0iL4A4.t l�l�-zT(-t( City State Contact Person: SA i \ Day Telephone: siorvt , E -Mail Address: 5 Fax Number: 5i6I1AE Contractor Registration Number: 042.. iki-kE = Cj 00 f _S Zip Expiration Date: ( .L / 17 ,4) Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): C:14._ —7 I/0 v'--tS 2 500 C-ok- L tGfti 'PO LL -- Will service be altered? ❑ Yes at1To Adding more than 50 amps? ❑ Yes agNo Type of Use: Type of work: ❑ New 0,aradition ❑ Service Change ❑ Remodel Lenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: iget Sound Energy ❑ Seattle City Light H:\Applications\Fortns- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 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 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 NER OR ELECTRICAL CONTRACTOR: Signature: J 76V•1.. S 3 / kL . Date: b45/11, / / Print Name: �/ n] IV ko 1•4 p Mailing Address: 4 Cp t-t,C) Z S . / y t'I Date Application Accepted: L Day Telephone: 7(, -6j76 $7 2 2_ sir (Vfuv, tuAt ,876,Li City State Zip Vb1�� Date Application Expires: Staff Initials. H :\Applications'Forms- Applications On Line\2010 Applications17 -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.: 0005800015 Address: 15635 WEST VALLEY HY TUKW Suite No: Applicant: EXTENDED STAY AMERICA RECEIPT Permit Number: EL11 -0894 Status: APPROVED Applied Date: 09/28/2011 Issue Date: Receipt No.: R11 -02130 Payment Amount: $63.00 Initials: JEM Payment Date: 09/28/2011 04:19 PM User ID: 1165 Balance: $0.00 Payee: GENESIS THREE INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 61245H ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receipt -06 Printed: 09 -28 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (L,IoTh PERMIT NO. • • CITY •OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 ir c • Project: Type of Inspection: X001 Address. f Date Called: Special Instructions' Date Wanted:. O/0 7 a.m. p.m. Requester: / Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: . . ' U4r 4aJAFj P��e�.tiT i�J � P•Af4f€R; 10 -nkoot-,15 Inspector: Date: /0/10/i I 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 th P41 If INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IL. (206) 431 -38 Permit Inspection Request Line (206) 431 -2451 Project: �tD Type of Inspection: 7°°/ Address :. • SO 5 t1- itu-7 Date Called: • Special Instructions: Date Wanted:. /v/or 6 Requester: Phone No: E] Approved per applicable codes. Corrections required prior to approval. COMMENTS: Cireit IA aks‘65 f1/4, qfts 4zato- 644-1A Inspector: Date: /O O 5.11 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 INSP CTION NO. ERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3 Permit Inspection Request Line (206) 431 -2451 �' r Sr;i4i Ad /573 ' 04104-e7 tuw Special Instructions: tot Type of Inspection: 7°°/ Date Called: Date Wanted: . Requester: Phone No: Approved per applicable codes. i•• aCorrections required prior to approval. s COMMENTS: ' . - (MO( 4(43■14P 69AIDI err �c�o�(g EAs�" Inspector: Date: /0/04/ 0 REINSPECTION FEE REQUIhED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • p k• r., • S. • • INSPECTION RECORD Retain a copy with permit I SPECTION NO. PERMIT NO. • CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 rb Project: I Type of Inspection: Address: .4 Date Called: Special Instructions: • Date Wanted:. ate. m. Requester: Phone No: • &UAL\ t4 V c k Approved per applicable codes. Corrections required prior to approval. COMMENTS: • &UAL\ t4 V c k ,�- ..fit 3 ,, .eoa t -5S -J• , c :.alt‘iFo +nh,� sfrit• V Q%) U ‘ Ik e04e.tki-K Eke-, Inspector: ji Date: 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. PERMIT NO CITY or TUKWILA BUILDING DIVISION • 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IL (206) 431-367 Permit Inspection Request Line (206) 431-2451 . . • , • t • • c•••• Al • • - Appro ed per applicable codes. Type of Inspection: -7 Acy Address: w. vpdadi Special Instructions'. Date Called: Date Wanted: . Requester: 00 rfj.4 Phone No: Corrections required prior to approval. COMMENTS! " #4?--rgotieri cP<Prilt itro roft‘hr tfroA6tAt 3 961.-e gAst5 ceitio61/41,) -co f4 cs-rii4., e(*)021-1) Inspector: rate: 4$7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF-TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 it (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Projec • _ IV) T pe of Inspection: Addres : /c43 / J. /� yV/ Date Called: Special Instructions: Date Wanted:. �T a.m. Requester: Phone No: ❑ Approved per applicable codes. VICorrections required prior to approval. it COMMENTS: ayr ver mokiiAtei fAI dehirt-R\ - • rya e_ov i;'t4 wick/ (zE t oik ` /3o Inspector: (Date: 07 • REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director DAVID MONTOYA PO BOX 58328 SEATTLE WA 98138 RE: Permit No. EL11 -0894 EXTENDED STAY AMERICA 15635 WEST VALLEY HY TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 04/07/2012. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 04/07/2012, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, ---pc:,3:A) —41...._ Bill Rambo Permit Technician File: Permit File No. EL11 -0894 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Contractors or Tradespeople Pter 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 URBAN ELECTRIC 2066868722 Po Box 58328 Seattle WA 98138 King Corporation Parent Company GENESIS 3 INC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603068122 Active URBANE'900RS Electrical Contractor 12/17/2010 12/17/2012 General Unused Master Electrician INFORMATION License COOK'JF961 NO Name COOK, JAY FRANK Status Active Business Owner Information Name Role Effective Date Expiration Date WEAVER, MICHAEL A Agent 12/17/2010 WEAVER, MICHAEL W President 12/10/2010 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 American States Insurance Company 6743716 12/10/2010 Until Cancelled S4,000.00 12/17/2010 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 09/28/2011