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Permit EL12-0170 - FOSTER CREEK
FOSTER CREEK 15016 MACADAM RD S EL12-0170 City ofI'ukwila • 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 Parcel No.: 7661600184 Address: 15016 MACADAM RD S TUKW Project Name: FOSTER CREEK ELECTRICAL PERMIT Permit Number: EL12 -0170 Issue Date: 02/22/2012 Permit Expires On: 08/20/2012 Owner: Name: TUKWILA ESTATES INVESTORS I Address: PO BOX 98 , WOODINVILLE WA Contact Person: Name: WAYNE SANDALL Address: 6605 200TH ST SW , LYNNWOOD WA Contractor: Name: ACTIVE ENGINEERING Address: 6605 200 ST SW , LYNNWOOD WA Contractor License No: ACTIVE *088MS Phone: 425 -776 -8119 Phone: 425 776 -8119 Expiration Date: 07/10/2012 DESCRIPTION OF WORK: REPLACE A 6 -METER PACK WITH BURNT BUSSING. Value of Electrical: NRES: $2,100.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: $136.50 2008 Date: 07d"/ /;— 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 perfo ance of work. I am authorized to sign and obtain this electrical permit. Signature: 71/1/ Date: Z I z Z i ) (. 1 © tea Print Name: ' C/ r-e- 7 A 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 -0170 Printed: 02 -22 -2012 • • PERMIT CONDITIONS Permit No. EL 12 -0170 * *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 EL12 -0170 Printed: 02 -22 -2012 s • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httt1: / /www.Tukwila\VA.aov • Electrical Permit No. 4)4.2. — ©l 1 Project No. Date Application Accepted: Date Application Expires: t/29- 0-- (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: t 5 O\ la M A -a dCM 1k0“..1 S Tenant Name: F OSt CekL King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes ❑..No PROPERTY OWNER Company Name: HcA;■t-e E A5inter;n9 Name: Wdr-1h-e. Se. u.dz \1 Name: Z V4,r J4v,2. Address: (AUG 3 7.0044-14 S-4 Ste) Contr Reg No.: Exp Date: Address: 1 5 0 1 la t►^a cad C r,, is a s City: -- `kw\6_ State: IAJPt Zip :98188 CONTACT PERSON — person receiving all project communication Company Name: HcA;■t-e E A5inter;n9 Name: Wdr-1h-e. Se. u.dz \1 City: State: Zip: L`t�nw�od W� s i..136 Address: (AUG 3 7.0044-14 S-4 Ste) Contr Reg No.: Exp Date: City: L y, N J OC State: ln.I A Zip: 9 Flo Phone: LILS•� -1-U. S11� Fax: AILS --4--1-J'• 15(.0 0 Email: WSand611 a (4 6-14-L. evA:..- «r:Acl. Yvir -4 ELECTRICAL CONTRACTOR INFORMATION Company Name: HcA;■t-e E A5inter;n9 Address: (it t O S 2, 0o-0,, S* S .) City: State: Zip: L`t�nw�od W� s i..136 Phone: LILS- 4*4- Gi -g119 Fax "LS. 4-4-5 - I 914r5 Contr Reg No.: Exp Date: Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Z ■ C) . CYO Scope of Work (please provide detailed information): (�% �� -F� Q 4 6 _fie rz2- ,M l L 9'5 /�j//�� .CJeZ.Ses3.115 Will service be altered? ❑ Yes g No Adding more than 50 amps? ❑ Yes ,65 No Type of Use: Type of work: ❑ New ❑ Addition NC Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy IR Seattle City Light H: \Applications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -1 I.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 $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 $1 1.55 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, fumace 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 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 OWNER 1R E _ CTRIAiiiirCONTRACTOR: Signature: Print Name: Date— /" / Day Telephone: Yo26.-- 76 7// 9 Mailing Address: 66-65 - Zd o 1". S S cA-) L�„��04�Y / 3� tty State Zip H: \Applications \Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh Page 2 of 2 Parcel No.: Address: Suite No: Applicant: • 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 7661600184 15016 MACADAM RD S TUKW FOSTER CREEK RECEIPT Permit Number: Status: Applied Date: Issue Date: EL12 -0170 ISSUED 02/22/2012 02/22/2012 Receipt No.: R12 -00738 Initials: LAW User ID: 1632 Payment Amount: Payment Date: Balance: $136.50 02/22/2012 10:25 AM $0.00 Payee: DUNINGER CORPORATION DBA ACTIVE ENGINEERING TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 32542 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $136.50 136.50 doc: Receipt -06 Printed: 02 -22 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO.._ CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 thz-or7o Project: 6 ei c ex 7 Type of Inspection: 00 Address: ` 501(p likent)44/ Date Called: Special Instructions: f � +� �• Date Wanted:. 3 0! / 6:r ,, p.m. Requester: Phone No: cgtApproved per applicable codes. a Corrections required prior to approval. COMMENTS: 1 .-f(4,1(ce r Inspector: 'Date: 403 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pifer Friendly Page • Page 1 of 2 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 ACTIVE ENGINEERING 4257768119 6605 200Th St Sw Lynnwood WA 98036 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601080293 Active ACTIVE *088MS Electrical Contractor 7/10/1992 7/10/2012 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status ACTIVEI094BB ACTIVE ENGINEERING INC Electrical Contractor General Unused 1/2/1991 1/2/1993 Archived ACTIVEE187NK ACTIVE ENGINEERING ELECTRICAL Electrical Contractor General Unused 8/12/1982 12/31/1991 Archived ACTIVE *441 BP ACTIVE ENGINEERING Electrical Contractor General Unused 1 /17/1956 12/31 /1982 Archived Master Electrician INFORMATION License SANKESR977C6 Name SANKEY, STUART R Status Active Business Owner Information Name Role Effective Date Expiration Date JENSEN, TERRY 01/01/1980 JENSEN, TERRY L Agent 04/05/1985 GAINES, RICHARD L Treasurer 12/26/2002 SANKEY, STUART R Vice President 12/26/2002 DANSENBURG, DAN Agent 01/01/1980 01/12/1985 DANSENBURG, DAN Vice President 01/01/1980 01/12/1985 Bond Information https://fortress.wa.gov/lni/bbip/Print.aspx 02/22/2012