HomeMy WebLinkAboutPermit EL11-1022 - CITY OF TUKWILA - FIRE STATION #51CITY OF TUKWILA
FIRE STATION #51
444 ANDOVER PK E
EL1 1 -1022
City (*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
ELECTRICAL PERMIT
Parcel No.: 0223400080
Address: 444 ANDOVER PK E TUKW
Project Name: CITY OF TUKWILA - FIRE STATION #S1
Permit Number:
Issue Date:
Permit Expires On:
E1 -1022
11 / 01 N
oii 0i�12
Owner:
Name: TUKWILA CITY OF
Address: 6200 SOUTHCENTER BLVD , TUKVVILA WA
Contact Person:
Name: DEAN HUMPHRIES
Address: 2018 BLAINE AV NE , RENTON WA
Contractor:
Name: QUALITY ELECTRICAL CONT LLC
Address: 2018 BLAINE AV NE , RENTON WA
Contractor License No: QUALIEC915JN
Phone: 425 207 -8866
Phone: 425 207 -8866
Expiration Date: 04/15/2013
DESCRIPTION OF WORK:
INSTALL NEW 200 AMP PANEL AND GROUNDING FOR LIGHTING PROTECTION
Value of Electrical: NRES: $2,800.00
RES: $0.00
Fees Collected:
$136.50
Type of Fire Protection: SPRINKLERS /AFA National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complied
The granting of this permit does not p
constructioi�oi the p ormance of
Signature:
with,
Date: 111 11
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
ork. I am authorized to sign and obtain this electrical permit.
Date: / 19/(/
Print Name: �iA w� �✓l�s
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 -1022 Printed: 11 -09 -2011
•
PERMIT CONDITIONS
Permit No. EL11 -1022
* *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 -1022 Printed: 11 -09 -2011
Site Address:
CITY OF TUKWI *
Community Development Department
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 **
171` �4N�QL�f ��fL E
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Tenant Name: fii ✓Prliov^ S
King Co Assessor's Tax No.: p22 1Q—i t UD
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tt
Name:
1 \
CAT-.1 1 j r, (1 upc
Address:
l� Z0n �C Ll
City:
w i i f,,.. State: 1.4A-.- Zip: 11 I y
Suite Number: Floor:
New Tenant: ❑ Yes
0
Company Name: r& � a ec e n /G
t G 6
`
Address: 20 18 VcGi�z ,4-we ME
Name: a
'e�lvl 1-k kv,:ei
Phone: 42S- 2v7 - S S-(0 Fax: q2. 2c7_ frk9i
Address: 20 I t -0 0(sL AAR ALE
Tukwila Business License No.; ``k k * DO0c 1 ti 1
City: ,e State: Zip:S�
Phone: 2�'ZCUjr -0 4 Fax: 425S26)?-(WIi
Email: //�� 1
lan LC a. Gfut0ie(AC-,L(/c.(0.,
Suite Number: Floor:
New Tenant: ❑ Yes
0
Company Name: r& � a ec e n /G
t G 6
`
Address: 20 18 VcGi�z ,4-we ME
City: 22�t�^�ad� State: �A Zip: ICE
Phone: 42S- 2v7 - S S-(0 Fax: q2. 2c7_ frk9i
Contr Reg No.: atA 4 La.6 C 7( JExp Date: //S py
Tukwila Business License No.; ``k k * DO0c 1 ti 1
Valuation of Project (contractor's bid price): $ 22ob
Scope of Work (please provide detailed information): X, -e6.Y 20 0 ,A},,.i.,
9
Will service be altered? ❑ pp Yes 0 No Adding more than 50 amps? ? ] Yes No
Type of Use: C PJw�lt,�vcv./�
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Cam. Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
-:''Puget Sound Energy ❑ Seattle City Light
H:Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx
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 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 OELECTRIC A CONTRACTOR:
Signature:
Date: ///9/ t
Print Name: 1 Day Telephone: Z/2 2v 7 8 -6
Mailing Address: 201 1?L
City
H:1Applications\Forms- Applications On Line12011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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l t/tA 9P05,
State Zip
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.gov
RECEIPT
Parcel No.: 0223400080 Permit Number: EL11 -1022
Address: 444 ANDOVER PK E TURIN Status: PENDING
Suite No: Applied Date: 11/09/2011
Applicant: CITY OF TUKWILA - FIRE STATION #51 Issue Date:
Receipt No.: R11 -02457
Payment Amount: $136.50
Initials: JEM Payment Date: 11/09/2011 02:46 PM
User ID: 1165 Balance: $0.00
Payee: QUALITY ELECTRICAL CONTRACTORS LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3117 136.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receiot -06 Printed: 11 -09 -2011
3
INSPECTION NO.
INSPECTION RECORD ( tr ion
Retain a copy with permit "4 ( 1-
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: 71 Tye_ (la i57
Type of Inspection:
26429
nu
Address: / 7
Date Called:
tio
Special Instrucns:
Date Wanted:.
//
a.m.
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
IDCorrections required prior to approval.
4ti till\Q,E41045 mot
At/
Inspector: d;71 43i:J�'4 j
Date: t I /21/1(
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
CITY OF' TUKWILA BUILDING DIVISION
6300.5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
' Permit Inspection Request Line (206) 431 -2451 r"�
INSPECTION RECORD
Retain a copy with permit
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P RMIT NO.
Project:'` — Sr,J q
Type of Inspection:
o`,�
Address:
ittit4
taNk
Date Called:
Special Instructions.
•
Date Wanted:.
/7
m
p.m
Requester:
Phone No:
must Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Rfelog 2rlca4,- I &n3nJi) tAlia
X7,1 •-oxt 1.3 -rc -K 4.1 Pitt.
ID At, > rr-- 14 A AtiodAD I
14% cri AC-.4 p ' m CA-4 0-
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Inspector:
Date:
I1 1$
tins ectio fee
a REINSPECTION FEE REQUIREIJ. Prior to next p t be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
• INSPE ION NO.
..INSPECTION RECORD
Retain a copy with permit
th-IOZZ
P RMIT NO.
CITY OFTUKWILA BUILDING DIVISION
6300 Southcenter, Blvd., #100, Tukwila. WA 98188 r" (206) 431 -3670
Permit Inspection 'Request Line (206) 431 -2451
Project: Ci T 4 f-•��( �1
Type of Inspection:
2,0o
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Address:
Date Called:
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Special In3tructions:
.
Date Wanted:.
11 110
m.
Requester:
. i.40 O .44-K I m.- Pte" 1 dip
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS ::.,,,. i Jkr 'J6Jr 14 pi )n,
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• • ' ..25o .30 (AID)
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Pipe. Pito
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pto-A- f (A►t:o 110.12. z-i V . �'(G�
. i.40 O .44-K I m.- Pte" 1 dip
Inspector:
Date:
it //0
L-1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or TradespeopleDnter Friendly Page
•
Electrical Contractor
A business licensed by LEN 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 QUALITY ELECTRICAL CONT LLC UBI No. 602906582
Phone 4252078866 Status Active
Address 2018 Blaine Ave Ne License No. QUALIEC915JN
Suite /Apt. License Type Electrical Contractor
City Renton Effective Date 4/15/2009
State WA Expiration Date 4/15/2013
Zip 98056 Suspend Date
County King Specialty 1 General
Business Type Limited Liability Company Specialty 2 Unused
Parent Company
Electrical Administrator INFORMATION
License HUMPHDM918BR
Name HUMPHRIES, DEAN M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUMPHRIES, DEAN M
Partner /Member
04/15/2009
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 Contractors
Indem CO
100117956
04/02/2010
Until Cancelled
$4,000.0003/22/2010
1
WESTERN SURETY CO
70702057
04/14/2009
Until Cancelled
04/02/2010
$4,000.0004/15/2009
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 11/09/2011