HomeMy WebLinkAboutPermit EL11-1004 - CITY OF TUKWILA - FOSTER GOLF COURSEFOSTER GOLF COURSE
13500 INTERURBAN AV S
EL1 1 -1004
City oA'ukwila
•
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.: 0003000049
Address: 13500 INTERURBAN AV S TUKW
Project Name: FOSTER GOLF COURSE
ELECTRICAL PERMIT
Permit Number: EL11 -1004
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 (PARKING LOT)
Value of Electrical: NRES: $9,800.00 Fees Collected: $264.50
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature: k C7
I hereby certify that I have read and e
governing this work will be complied
National Electrical Code Edition: 2008
Date:
n 1,
a -d this permit and know the same to be true and correct. All provisions of law and ordinances
ith, hether specified herein or not.
The granting of this pe 't does not press : to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the p= ' ormance of work. authoriz d to sign and obtain this electrical permit.
Signature: Date:
"7i' /7
Print Name:
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 -1004 Printed: 11 -07 -2011
PERMIT CONDITIONS
Permit No. EL11-1004
* *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
EL11-1004 Printed: 11 -07 -2011
CITY OF TUKWI
Community Developmenrrepartment
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.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 **
.SITE'
j ,1�/ p , J King Co Assessor's Tax No.:
Site Address: 1 �t7 V " ' lj I v 1l J 1 A J" 4t) & Jl • Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Tenant Name: foqi-Vt5 c P adfSe-
PIt'Oft." ,
Electri{ca1�PeNox `1%I.
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Address:
7t CO41
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FihojectNo t§ s
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Date lAppltcation Acce - ted
Address:
xa� td
,
lA�pplteation Expires
3Date
��IiJ�'
,, .., . ;(For;o ceitison ly)
City:
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'
j ,1�/ p , J King Co Assessor's Tax No.:
Site Address: 1 �t7 V " ' lj I v 1l J 1 A J" 4t) & Jl • Suite Number: Floor:
New Tenant: ❑ Yes ❑.. No
Tenant Name: foqi-Vt5 c P adfSe-
PIt'Oft." ,
,
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Address:
7t CO41
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f1 e �
Name:
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.1,4„4„,k
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Address:
City:
State:
Zip:
tV�Y ns m s a r'.t,zt 'r 5! ei
C01�1'ACT PERSON erson reMYJA all ro ect
V commu mcatio>
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Name:
'� LfrN / /vracy PA
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Address:
7t CO41
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City: State: Zip:
Phone:91 _08), Z6 ?b Fax:
Email: ilk) IT/NA 6, / % iN • 6 M
Valuation of Project (contractor's bid price): $
ELEC iRICALCONTRACT'ORnINFOMA'PIN s'
Company Name: A V 004 .40Es.,r 0-74co /`-./
Address: ( / p.m—r- PL._ AI E---
"(/-iC
City: (�(%DD%%//Ui/l Lte State: i/ Zip: f %O7Z
Phone: S= o — (72 v0 Fax: yZ57y— 7t%Sr
Contr Reg No. :No. rtier7 .� , �9Exp Date:
Tukwila Business License No.; (1_ C,_ f
Scope of Work
6Avac-147 (please provide detailed information):
t1.(4/7
17'UC-7 77-77rP yi 7— el IA)
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L
Will service be altered? ❑ Yes /ti3 No Adding more than 50 amps? ... Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Tenant Improvement
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:\Applications\Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 6 -9 -1 I.docn
Revised: August 2011
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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
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 1 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: Date: 11 7 /
Print Name: Al /l/ it/7/ Day Telephone:%-- (O k0 — Z Co % 0
Mailing Address: ' . 0 / Sfi /�2_, 4/
City
H.\Applications\Forms- Applications On Line1201 1 Applications\Electrical Permit Application Revised 8 -9 -11 docx
Revised. Augus! 2011
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State Zip
Page 2 of 2
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 : /hvww. ci. tukw ila. 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
F •
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
'CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 fr. (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:-
.6
Type of Inspection:
Address:
/3CW bkinjik6
Date Called:
Special Instructions:
Date Wanted: .
1
5-
.m.
p.m
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
(I "
Inspector:
(Date: I t j 1'! i
0 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
•
•
Electrical Contractor
A business licensed by Lail 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
NORTHWEST EDISON INC
3606689200
21106 86Th Ave Se
Suite B
Snohomish
WA
98296
Snohomish
Corporation
INDUSTRIAL LIGHT E ENERGY INC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601522062
Active
NORTHEI983RD
Electrical Contractor
12/4/2002
12/4/2012
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
NORTHE1012P7
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
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
DEVELOPERS SURETY
Et 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