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Permit EL11-1016 - SOUTHCENTER SQUARE
S OUTHCENTER SQUARE 17100 SOTJTHCENTER PY EXPIRED 05 -21 -12 EL1 1 -1016 City (*Tukwila 1 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.: 7888920020 Address: 17100 SOUTHCENTER PY TUICW Project Name: SOUTHCENTER SQUARE ELECTRICAL PERMIT Permit Number: EL11-1016 Issue Date: 11/09/2011 Permit Expires On: 05/07/2012 Owner: Name: WIG PROPERTIES LLC-SS Address: 4811 134TH PL SE, BELLEVUE WA Contact Person: Name: BERNIE KULLMANN Address: 5746 BOSTON HARBOR RD NE, OLYMPIA WA Contractor: Name: NORTH PACIFIC ELECTRIC INC Address: 5746 BOSTON HARBOR RD, OLYMPIA WA Contractor License No: NORTHPE957JA Phone: 360 943-6020 Phone: 360-943-6020 Expiration Date: 04/01/2013 DESCRIPTION OF WORK: MONUMENT SIGNS - (4) NEW AND (1) REPLACEMENT Value of Electrical: NRES: $5,000.00 RES: $0.00 Fees Collected: Type of Fire Protection: SPRINK1ERS/AFA National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: $178.50 2008 I hereby certify that I have read and ex.:indite this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied w h, w ether specified herein or not. The granting of this permit does not presum o give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe ormance of work. I am authWized to sign and obtain this electrical permit. Signature: (17C2— 1 Print Name: Date: P ,%;' 610// This permit shall become null and void if the work is not conunenced 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 EL11-1016 Printed: 11-09-2011 • PERMIT CONDITIONS Permit No. EL 11 -1016 * *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 -1016 Printed: 11 -09 -2011 CITY OF TUKWIiii Community Developmellrepartment 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 ** King Co Assessor's Tax No.: Site Address: / �` V S007 EiVTER P414k tee Y Suite Number: Floor: Tenant Name: cOL'7e -dA1 %RZ SO 1.0fi/E. New Tenant: ❑ Yes ❑.. No PR ;OPt. _ , WNjER -.. 1 ;,. Name: plQzti W /6_ Address: ,y g/r 13 f/ fill pc. 5-,c-. city: 13 ,L,uoc_ Ston. Zip :900(0 T i a t x � yAS, eat i4M+.(f 3 V to i rfw:P* r]t S CONTACT' ERSON* person receivmg fall pro ect, fi N commu ca`tion ,,,'`� Name: v}E 1C k LL444 V,cJ Address: s..7.4, BosmN WitedoR AD /ue. City: � r7P�� State: GLIn Zip: Clg�-vb Phone:3f0o - ?,/3 -&ozo Fax: 360_ 9cF3- 64162 Email: n, EI�EC' TRIeCONTRCTOR„,INFO,RMATi , Company Name: A /O4T71 L� If7/C /l`- /4/C /�o" Address: 3 7.�� 7TH E �0 Tem) /T'% 1 oe ACA A/ c-- City: D1.,yin /0 %� State:1m Zip: 7. (96-06 Phone: 0- 9 `i3 -6 ozo Fax: 36) 0 - 9Y3 -68 62 Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ T,.� 5" qv Scope of Work (please provide detailed information): T?OJ/ VAC criN / / G-NS - A) C) i4A/2 1 RePz„9e_644cNT Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes KNo Type of Use: Type of work: ❑ New Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H:Wpdications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 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 $8].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 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 LEC RI AL C TRACT : Signature: Print Name: 1 1/,� l/ �Tm2 Pie ) Date: ` 4/0V tQ c l( Day Telephone: 060 — /© Mailing Address: 5-7116 'Be S7eN //'0R RD. AJC 01-Y/1?i°/4 e.e,/tl 96'50c H:1ApplicationsWorms- Applications On Linet2011 Applications\Electrical Permit Application Revised 8 -9 -11 docx Revised: August 2011 bh City State Zip Page 2 of 2 • • City of Tukwila 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 RECEIPT Parcel No.: 7888920020 Permit Number: EL11 -1016 Address: 17100 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 11/09/2011 Applicant: SOUTHCENTER SQUARE Issue Date: Receipt No.: R11 -02450 Payment Amount: $178.50 Initials: JEM Payment Date: 11/09/2011 08:17 AM User ID: 1165 Balance: $0.00 Payee: NORTH PACIFIC ELECTRIC INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 17440 178.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 178.50 Total: $178.50 doc: Receiot -06 Printed: 11 -09 -2011 �2- INSPECTION NO. INSPECTION RECORD Retain a copy with permit ai. Ioi( PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 g (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: se Type of Inspection: 7® a Address: � � c � Pt Date Called: Special Instructions: 10 :QU Date Wanted:. 1//2..3 a.m I. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: fr efpqniti A-49 Inspector: 66■Itlelci ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: i 1 23 t , i • INSPECTION NO. INSPECTION RECORD Retain a copy with permit (i4- ior6 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION '6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 .Permit •Inspection Request Line (206) 431 -2451 Tr- Project: 5 e 64%)A4 Type of Inspection: 7of Address: !1100 S e • Date Called : Special Instructions: • Date Wanted:.- �� I r (' a m. Requester: Phone No: ElApproved per applicable codes. aCorrections required prior to approval. COMMENTS: 04- - ih•f o,aJ0D CoAlo,liY 5,f. m4i-A\ to F 5. L. ev4o �l�r 6wp (Inspector: sj Date: r) t 11 • ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 04 -02 -2012 Ci • ofTu ila Department of Community Development BERNIE KULLMANN 5746 BOSTON HARBOR RD NE OLYMPIA WA 98506 RE: Permit No. EL11 -1016 SOUTHCENTER SQUARE 17100 SOUTHCENTER PY TUKW Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director 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 05/21/2012. 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 fmal 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 05/21/2012, 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, fer Marshall it Technician File: Permit File No. EL11 -1016 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206 - 431 -3665 Contractors or Tradespeople Peer 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 Parent Company NORTH PACIFIC ELECTRIC INC 3609436020 5746 Boston Harbor Rd Olympia WA 98506 Thurston Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602117535 Active NORTHPE957JA Electrical Contractor 4/1/2005 4/1/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status NORTHPE159RU NORTH PACIFIC ELECTRIC INC Electrical Contractor General Unused 12/31/1985 3/31/2001 Archived NORTHPE277B3 NORTH PACIFIC ELECTRICAL INC Electrical Contractor General Unused 1/23/1973 12/31/1986 Archived NORTHPE994J6 NORTH PACIFIC ELECTRIC Electrical Contractor General Unused 4/3/2001 4/3/2005 Expired Master Electrician INFORMATION License KULLMBM974BU Name KULLMANN, BERNHARD Status Active Business Owner Information Name Role Effective Date Expiration Date C SCOTT KEE Agent 03/22/2011 5/18/2009 KULLMANN, BERNHARD M President 04/01/2005 $250.00 DITLEVSON, RICHARD Agent 04/01/2005 03/22/2011 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 OHIO CAS INS CO 3670240 04/01/2005 Until Cancelled $4,000.00 04/01/2005 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 EEVAJ00261 5/18/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EUPTG00291 4/28/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 11/09/2011