HomeMy WebLinkAboutPermit EL11-1015 - 6720 BUILDING - VARIOUS TENANTSVARIOUS TENANTS
6720 FORT DENT WY
EL1 1 -1015
City oikukwila
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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.: 2954900455
Address: 6720 FORT DENT WY TUKW
Project Name: VARIOUS TENANTS
ELECTRICAL PERMIT
Permit Number: EL11 -1015
Issue Date: 11/08/2011
Permit Expires On: 05/06/2012
Owner:
Name: JOHN C RADOVICH LLC
Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA
Contact Person:
Name: BOB WORLEY
Address: 287 SW 41 ST , RENTON WA
Contractor:
Name: CAPITAL LIGHTING COMPANY INC
Address: 287 SW 41 ST , RENTON WA
Contractor License No: CAPITLC964RN
Phone: 425 251 -0244
Phone: 425 251 -0244
Expiration Date: 12/15/2012
DESCRIPTION OF WORK:
LIGHTING RETROFIT
Value of Electrical: NRES: $17,136.00 Fees Collected: $402.10
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
National Electrical Code Edition: 2008
Permit Center Authorized Signature: / Date: t � (
ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, hether specified herein or not.
I hereby certify that I have read and qx
The granting of this
construction or the
Signature:
Print Name:
oes not pre
of work
to .g e authority to violate or cancel the provisions of any other state or loc laws egulating
orized to sign and obtain this electrical permit.
Date:
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 -1015 Printed: 11 -08 -2011
PERMIT CONDITIONS •
Permit No. EL 11 -1015
* *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 -1015 Printed: 11 -08 -2011
CITY OF TUKWIlt
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
•
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
Site Address: 6 -7 2-40 Fog-7-
Tenant Name: fr / Did j
Property Owners Name: v-o A&./ `: left D LJ/ T
Mailing Address: 2835' C2 N4 fl"1/If�' 00 3o a /0,6•246,- , va t olk 9 fo9
City State Zip
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
VL1Cq
Floor:
❑ Yes ❑ .. No
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
Day Telephone:
E-Mail Address:
City
State
ZIP
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
L219' # /741-L G/ dd,si,"'i t%6 a Zve
Zf 7 .S u/ 54 I 5-7 jr- ,ezivro v
�� % City
QMeg ate/779.c. o Q `� Day Telephone:
E -Mail Address:1dd w! ® t -:�P'r /779. c' L / 4 /'%4.6 S4 d ax Number:
Contractor Registration Number: 47*, /T L t w 4 iration D
#&r 7
State Zip
V A 2 3 / —o z sas!
ate: /2 /'/ /
` D
Valuation of Project (contractor's bid price): $ % .� L
Scope of Work (please provide detailed information): L it 8,017i7/ A• / 4 7-4 D / 0--'
Will service be altered? ❑ Yes PRiNo Adding more than 50 amps? ❑ Yes EeNo
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
De Puget Sound Energy
❑ Seattle City Light
H:Wpplication Farm - ApplicaDonsOnL e\4- 2007- ElectdcalPe. nit Application.doc
bh
*Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
El New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55 -00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter/mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 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 OWN R ELECTRIjAL C RACTOR:
Signature:
Print Name: e
Mailing Address: 2ii;L7 t7 .=') . 9-4-/ s ST
Date: /I //i/
Day Telephone: Va 2e--/ o ZiY
Av✓on/ id•o- ledr-7
City
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
HAApplieations\Foans- Applieat oas On Ime14 -2007 - Electrical Pmt Apptitati®.doc
as
Page 2 of 2
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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.aov
Parcel No.: 2954900455
Address: 6720 FORT DENT WY TUKW
Suite No:
Applicant: VARIOUS TENANTS
RECEIPT
Permit Number: EL11 -1015
Status: PENDING
Applied Date: 11/08/2011
Issue Date:
Receipt No.: R11 -02446
Initials:
User ID:
JEM
1165
Payment Amount: $402.10
Payment Date: 11/08/2011 01:09 PM
Balance: $0.00
Payee: ROBERT C WORLEY, CAPITAL LIGHTING CO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 86365Z
ACCOUNT ITEM LIST:
Description
402.10
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 402.10
Total: $402.10
doc: Receiot -06 Printed: 11 -08 -2011
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INSPECTION NO:
INSPECTION RECORD
Retain a copy with permit
61110K-
P IT NO.
CITY. OF TUKWILA BUILDING DIVISION
6300 Sout■center Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection. Request Line (206) 431 -2451
Project:
Type of Inspection:
�f/oV
Address: A4i....
.r.r.
Date Called:
Special Instructions: -
Date Wanted:.
r`
6_,..n
p.m.
Requester:
Phone No:
•
pproved per applicable codes. D Corrections required prior to approval.
COMMENTS:
(Inspector:
`Date: 10( /o5
-REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Per Friendly Page
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Electrical Contractor
A business licensed by Lal 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
CAPITAL LIGHTING COMPANY INC
4252510244
287 Sw 41St St
Renton
WA
98055
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601004603
Active
CAPITLC964RN
Electrical Contractor
12/15/2004
12/15/2012
Maintenance
Unused
Master Electrician INFORMATION
License LITTLD`963QP
Name LITTLE, DAVID
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
CALDWELL, C. MICHAEL
Agent
12/15/2004
3/6/2009
CALDWELL, C. MICHAEL
President
12/15/2004
$250.00
WORLEY, ROBERT C
Secretary
12/15/2004
ELECTRICAL CITATION
WORLEY, ROBERT C
Vice President
12/15/2004
3/6/2009
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
CBIC
SF9198
12/08/2004
Until Cancelled
$4,000.00
12/15/2004
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
EJORP02763
3/6/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02761
3/6/2009
19.28.041 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJORP02762
3/6/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02878
4/23/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02874
4/23/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02879
4/23/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02880
4/23/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02877
4/23/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP02873
4/23/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 11/08/2011