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Permit EL12-0066 - FATIGUE TECHNOLOGY
FATIGUE TECHNOLOGY 401 ANDOVER PK E EL1 2-0066 City oi4ukwila • 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.: 0223400050 Address: 401 ANDOVER PK E TUICW Project Name: FATIGUE TECHNOLOGY ELECTRICAL PERMIT Permit Number: EL12 -0066 Issue Date: 01/27/2012 Permit Expires On: 07/25/2012 Owner: Name: GIBSON PROPERTIES LLC Address: PO BOX 50268 , BELLEVUE WA Contact Person: Name: CRAIG ALSID Address: 401 ANDOVER PK E , TUKWILP., WA Contractor: Name: WESTCOAST INDUS ELEC CO INC Address: P 0 BOX 15390 , SEATTLE WA Contractor License No: WESTCIE016NZ Phone: 206 - 335 -8241 Phone: 206 - 729 -0703 Expiration Date: 08/09/2013 DESCRIPTION OF WORK: INSTALL CONDUIT & MACHINE FEEDER WIRE FROM MDP TO EQUIPMENT TRANSFORMER AND PRIMARY DISCONNECT Value of Electrical: NRES: $8,000.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: _LL Date: $230.10 2008 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:_ Print Name: Ke Date: l'27. (2 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 EL12 -0066 Printed: 01 -27 -2012 • PERMIT CONDITIONS Permit No. EL12 -0066 * *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 EL 12 -0066 Printed: 01 -27 -2012 CITY OF TUKWILA Community DevelopmetMfpartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical PeNo. E Project No. Date. Application Ac'cepted: Date Application Expires: (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: ArAove-tc- &Lac. Tenant Name: s/tA.e_ Te.c 0 PROPERTY OWNER: Name: Address: City: cosT4t-Ot coinrnwieatjbn in au roject —persop - Name: Address: AlcrCA., 4-61 /614,0 citY:Vvr-m State: Zip: Phone: 16k, qtFax: Email: King Co Assessor's Tax No.: Suite Number: Floor: /(4.,!?. New Tenant: El Yes ID.. No ELECTOCAL.6j$TRAC ,- ATION Company Name: vves(-31.„.0—i— 1 v.v)A,L64_( J Address: p.0 . 60,, City: ceAk-k-- State: (AAA_ . J Zip: 9K-it c Phone: 2(5-t. _--i2.91 _0-70-s Fax: Contr Reg No.:NrsirA Olb Exp Date: g 43./2. Tukwila Business License No.; Valuation of Project (contractor's bid price): $ OLAD Scope of Work (please provide detailed information): Z-v1/4.5.,#-o1/4_, Co v6)_ 1/43 CLZ e Fe_ F o c_Ov■ v\.9 v'v'- A-0 Will service be altered? El Yes El No Type of Use: Ve:L‘A Q Ct- sC \ Type of work: New E Addition 0 Low Voltage 0 Generator Property Served by: I. Puget Sound Energy 0 Seattle City Light O Service Change O Fire Alarm 1-1: ApplicationsWorms-Applications On Line \ 201 1 Applications\Electrical Permit Application Revised 8-9-11 .docx Revised: August 2011 bh Adding more than 50 amps? LI Yes 0 No `1$0 O Remodel O Telecommunication O Tenant Improvement O Temporary Service 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 OR ELECTRICAL CONTRACTOR: j/(. tee/La/IA-42,, Print Name: l °/1i%4/1 -d, f l Gov Signature: Mailing Address: H:Wpplications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8 -9 -I I.docx Revised: August 2011 bh Day Telephone: City Date: /' 2: 20K2- 266 ---72q0 7c State Zip Page 2 of 2 • 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.: 0223400050 Permit Number: EL12 -0066 Address: 401 ANDOVER PK E TUKW Status: PENDING Suite No: Applied Date: 01/27/2012 Applicant: FATIGUE TECHNOLOGY Issue Date: Receipt No.: R12 -00309 Initials: WER User ID: 1655 Payment Amount: $230.10 Payment Date: 01/27/2012 10:10 AM Balance: $0.00 Payee: WESTCOAST INDUCTRIAL ELECTRIC COMPANY TRANSACTION LIST: Type Method Descriptio Amount Payment Check 16426 230.10 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 230.10 Total: $230.10 doc: Receiot -06 Printed: 01 -27 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. 2`tb. 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: r Type of Inspection: ° � Address: 8� � , t! � � • Date Called: Special Instructions: 3- iof:f T-vo Date Wanted:. Z l / 7 a.m. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: - 56 $ itgril , :t to gil 3- iof:f T-vo o0 /ill Date: iNIZ (17—,- ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION _RECORD Retain a copy with permit INSP PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 1 - (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: s/ tA- 1C JE 1 -1- Type of Inspection: /..-11612 Address :: 1(t ft ( Y C ,�' C Date Called: dr Rr t J t &.c's..'S A33f a J k'rE. 5c/PPc t.r/ t. 11 Special instructions: L t- t1 � ,rJe -c7- / Date Wanted :. i 3c) a.m Requester: Phone No: 1CS t 4-) t O R QApproved per applicable codes. Corrections required prior to approval. COMMENTS: f LIdt .5s ( %tSW,44(Yi k(K o e'4c V /G t f &td f 640,,Ndk I..I f ssi t %ell," Art) z" M P IL- .,. dr Rr t J t &.c's..'S A33f a J k'rE. 5c/PPc t.r/ t. 11 i.%it 3 ( :e of Bair L t- t1 � ,rJe -c7- / 1CS t 4-) t O R Date: O1/36/12.•" REINSPECTI ©N 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 Electrical Contractor A business licensed by LEI 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 WESTCOAST INDUS ELEC CO INC UBI No. 601963273 Phone 2067290703 Status Active Address Po Box 15390 License No. WESTCIE016NZ Suite /Apt. License Type Electrical Contractor City Seattle Effective Date 8/9/1999 State WA Expiration Date 8/9/2013 Zip 98115 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Electrical Administrator INFORMATION License MOUZAB *923CN Name MOUZAKIS, BROOKE Status Active Business Owner Information Name Role Effective Date Expiration Date KERANEN, MONIQUE Agent 01/01/1980 KERANEN, JUSSI Agent 01/01/1980 08/01/2007 KERANEN, JUSSI President 01/01/1980 08/01/2007 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 DEVELOPERS SURETY £t INDEM CO 855646C 08/01/2001 Until Cancelled $4,000.00 08/24/2001 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 01/27/2012