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HomeMy WebLinkAboutPermit EL11-1003 - CITY OF TUKWILA - 6300 BUILDINGCITY OF TUKWILA 6300 SOUTHCENTER BL EL1 1 -1003 City oilI'ukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 0003200005 Address: 6300 SOUTHCENTER BL TUKW Project Name: CITY OF TUKWILA ELECTRICAL PERMIT Permit Number: EL11 -1003 Issue Date: 11/07 /2011 Permit Expires On: 05/05/2012 Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUKWILA WA Contact Person: Name: SINJIN ANTEROLA Phone: 425 806 -9200 Address: 19804 141 PL NE , WOODINVILLE WA Contractor: Name: NORTHWEST EDISON Address: 21106 86 AV SE, SUITE B , SNOHOMISH WA Contractor License No: NORTHEI983RD Phone: 360 - 668 -9200 Expiration Date: 12/04/2012 DESCRIPTION OF WORK: \ ENERGY EFFICIENT LIGHTING RETROFIT (1) I Value of Electrical: NRES: $16,000.0 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and 0 governing this work will be complied The granting of this pe construction or the pe Signature: Print Name: does not pres ance of work. Fees Collected: National Electrical Code Edition: $367.70 2008 Date: b1 I L ed 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 Date: 1 ( horized to signed obtain this electrical permit. N IT iN ilit• (lick 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 -1003 Printed: 11 -07 -2011 • PERMIT CONDITIONS • Permit No. EL 11 -1003 * *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 m 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 -1003 Printed: 11 -07 -2011 Site Address: CITY OF TUKWIIdik Community DevelopmenMpartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.Tukw i IaW A.gov 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 ** 6300 s0 l h c n+er Eh Tenant Name: C t +5 0 T ,� L y. Ti�fd =iPROPER =TY OWNERsr � SS dt Name: I (, • b°� et i) Phone:3'/ t 6Q0 -2 70 Fax: Address: Tukwila Business License No.; Cj`C _o: Gt 7_0 City: State: Zip: , a a- k0 n 40:1. -Y. Mkt. ::- .CONTACT PERSON person receivmg alI project r Name: ..S-i n .) In RrVe`"O\oc. Address: �%�l A.- City: State: Zip: Phone:3'/ t 6Q0 -2 70 Fax: Email: 5inTir∎o, a r sjtSon .GOB King Co Assessor's Tax No.: OCO 't9 ` - ^, Cc Suite Number: Floor: f� New Tenant: ❑ Yes No ELECTRICAL ONTRACTUR 1 o RMATION,;..�, Company Name: not T L. CSl" G dk56 n Address: 170,1 ,LA' ST (�I n E 1 City: P �o r 0 I\ State: tio A Zip: q 072 Phone:Cl2s- g06' c 2OO Fax: 42S 2/b'7Lj55 Contr Rleg No.:not''k'l,N2 14 S3R xp Date: Tukwila Business License No.; Cj`C _o: Gt 7_0 Valuation of Project (contractor's bid price): $ /6, ®00 Scope of Work (please provide detailed informatio . Will service be altered? ❑ Yes ® No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Property Served bv: Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Adding more than 50 amps? ❑ Yes No ❑ Tenant Improvement ❑ Temporary Service 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 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR E - CTRICAL CONTRACTOR: � �� Signature /4.00 Dat///7/r Print Name: -57Jv A/ Day Telephone: - %r 601<0 ""Z Mailing Address: %. HAApplications\Forms- Applications On Line \2011 Applications'Electrical Permit Application Revised 8.9.11.docx Revised: August 2011 bh City State Zip Page 2 of 2 CiP 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.ci.tukwila.wa.us SET RECEIPT Copy Reprinted on 11 -07 -2011 at 15:06:15 11/07/2011 RECEIPT NO: R11 -02435 Initials: JEM Payment Date: 11/07/2011 User ID: 1165 Total Payment: 789.70 Payee: NORTHWEST EDISON, LEONARD S ANTEROLA SET ID: 1107 SET NAME: Temporary Set SET TRANSACTIONS: Set Member Amount EL11 -1003 EL11 -1004 EL11 -1005 TOTAL: 367.70 264.50 157.50 367.70 TRANSACTION LIST: Type Method Description Amount Payment Credit C VISA 789.70 TOTAL: 789.70 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 789.70 TOTAL: 789.70 INSPECTION NO. INSPECTION,RECORD Retain a copy with permit all- 03 PERMIT NO. . CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 pr (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: I, J� Type of Inspection: l' ti Address: 632 5.0 - 8t.. Date Called: Special Instructions: C� tt l ' -r "�V+bI wi a Date Wanted:. (. .m. .m Requester: Phone No: pproved per applicable codes. a Corrections required prior to approval. :OMMENTS: Inspector: (Date: h JiT/u REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 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 NORTHWEST EDISON INC UBI No. 601522062 Phone 3606689200 Status Active Address 21106 86Th Ave Se License No. NORTHEI983RD Suite /Apt. Suite B License Type Electrical Contractor City Snohomish Effective Date 12/4/2002 State WA Expiration Date 12/4/2012 Zip 98296 Suspend Date County Snohomish Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company INDUSTRIAL LIGHT & ENERGY INC Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status NORTHEI012P7 NORTHWEST EDISON INC Electrical Contractor Lighting Maintenance Unused 11/3/1999 11/3/2003 Archived Electrical Administrator INFORMATION License OWEN *RM959Q8 Name OWEN, RANDY MARK Status Active Business Owner Information Name Role Effective Date Expiration Date OWEN, RICHARD Agent 12/04/2002 7/18/2007 OWEN, RICHARD President 12/04/2002 $250.00 OWEN, SALI Secretary 12/04/2002 ELECTRICAL CITATION OWEN, RANDY Vice President 12/04/2002 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 1 DEVELOPERS SURETY & INDEM CO 851250C 10/26/1999 Until Cancelled $4,000.00 11/08/1999 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 EKLOS00226 7/18/2007 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EHELJ00382 2/4/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 11/07/2011