HomeMy WebLinkAboutPermit EL11-1035 - A-AMERICAA- AMERICA
18255 SEGALE PARK DR B
EL1 1 -1035
City oPrukwila
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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.: 3523049119
Address: 18255 SEGALE PARK DR B TUKW
Project Name: A- AMERICA
ELECTRICAL PERMIT
Permit Number: EL11 -1035
Issue Date: 11/16/2011
Permit Expires On: 05/14/2012
Owner:
Name: SEGALE PROPERTIES LLC
Address: PO BOX 88028 , TUKWILA WA
Contact Person:
Name: CHRISTY KOLBECK Phone: 206 - 788 -3837
Address: 828 POPLAR PL S , SEATTLE WA
Contractor:
Name: S M E INC OF SEATTLE
Address: 828 POPLAR PL S , SEATTLE WA
Contractor License No: SMEINS *066DB
Phone: 206 329 -2040
Expiration Date: 03/02/2012
DESCRIPTION OF WORK:
RELOCATE EXISTING 120V CEILING MOUNTED CORD DROPS TO SMALL AND LARGE PRODUCTION
CHAIR BUILDING STATIONS AND PHOTO SHOOT AREA.
Value of Electrical: NRES: $2,000.00
RES: $0.00
Fees Collected:
$115.50
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date: II- III -/I
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: / 1-1C " /(
Print Name: /1.44. �or» - Rot)tacT -4 ve--Z
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 -1035 Printed: 11 -16 -2011
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PERMIT CONDITIONS
Permit No. EL 11 -1035
* *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 -1035 Printed: 11 -16 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:'iwww.l'ukwi la W A.gov
Electrical Permit No. Lk t
Project No.
Date Application Accepted:
Date Application Expires'.
(For office use only)
t03S"
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
King Co Assessor's Tax No.:
Site Address: 18255 Segale Park Drive B, Tuk.,, WA 98188 Suite Number:
Tenant Name: A- America
PROPERTY OWNER
Name: A- AMERICA
Address:
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name: SME, Inc. of Seattle
Address: 828 poplar Place South
City: Seattle State: WA Zip: 98144
Phone: (206) 788 -3837 Fax: (206) 568 -4771
Email: christyk @smeincofseattle.com
New Tenant:
Floor:
❑ Yes
❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SME, Inc. of Seattle
Address: 828 Poplar Place South
City: Seattle State: WA Zip: 98144
Phone: (206) 788 -3837 Fax: (206) 568 -4117
Contr Reg No.: SMEINS *066DB Exp Date: 03/02/2012
Tukwila Business License No.: 01- 01825
Valuation of Project (contractor's bid price): $ 2,000
Scope of Work (please provide detailed information):
RELOCATE EXISTING 120 V. CEILING MOUNTED CORD DROPS TO SMALL AND LARGE PRODUCTION CHAIR
BUILDING STATIONS, AND PHOTO SHOOT AREA.
Will service be altered?
❑ Yes No
Adding more than 50 amps? ❑ Yes
�IVo
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro.ert Serves b :
I/
uget Sound Energy ❑ Seattle City Light
Applicauons \Forms - Applications On Line \2011 Applications \Flecrrical Permit Application Revised 8 --9 -11 docx
Revised- August 2011
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Page I 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 CHANCES
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
❑ Service change or alteration $81.90 (excluding garage or outbuilding)
(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)
❑ Carnivals $78.75
Number of concessions $10.5(1 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 justiciable 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address: £� P�r Phee S.
11 iApplicauons .forms - Applications On Line \201 1 Applications \Electrical Permit Application Revised 8 - -9 -1 I docz
Revised. August 2011
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Date: // - /` ' i0 / /
Day Telephone: - d2O6 - - o 5-1—
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City 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.: 3523049119 Permit Number: EL11 -1035
Address: 18255 SEGALE PARK DR B TUKW Status: PENDING
Suite No: Applied Date: 11/16/2011
Applicant: A- AMERICA Issue Date:
Receipt No.: R11 -02495
Initials: WER
User ID: 1655
Payment Amount: $115.50
Payment Date: 11/16/2011 11:44 AM
Balance: $0.00
Payee: SME OF SEATTLE
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 22452 115.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receipt -06 Printed: 11 -16 -2011
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF' TU'KWILA BUILDING DIVISION '�
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
D
Project:A �
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Type of Inspection:
'�
2 too
Address:
C
Date Called:
Special Instructions:
Date Wanted:.
, 117
P m
Requester:
Phone No:
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Approved per applicable codes.
IDCorrections required prior to approval.
COMMENTS:
0
a
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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Contractors or Tradespeople Pier Friendly Page
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Electrical Contractor
A business licensed by Lai 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
S M E INC OF SEATTLE
2063292040
828 Poplar Pl S
Seattle
WA
98144
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601524252
Active
SMEINS`066DB
Electrical Contractor
3/2/1994
3/2/2012
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
SMEINIS926QG
SME INC OF
SEATTLE
Construction
Contractor
General
Unused
11/5/2008
11/5/2012
Active
PACIFFS973PU
PACIFIC FIRE AND
SECURITY INC
Electrical
Contractor
Limited
Energy
Unused
10/30/2003
10/30/2009
Expired
Master Electrician INFORMATION
License BLAIRSA961NQ
Name BLAIR, STEPHEN ANDREW
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MARVICH, STEPHEN E
Violation Amount
01/01/1980
2/3/2011
PINSKY, ADAM A
ELECTRICAL CITATION
01/01/1980
$250.00
BAKER, JON T
Agent
01/01/1980
ELECTRICAL CITATION
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
636702
03/02/1994
Until Cancelled
$4,000.00
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
EBOES00522
2/3/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBOES00521
2/3/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJORP01018
10/19/2006
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EMILD00364
4/5/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 11/16/2011