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Permit EL12-0173 - FOSTORIA PARK
FOSTORIA PARK 4385 S 133 ST EL12 -0173 City oPTukwila 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.: 2613200133 Address: 4385 S 133 ST TUKW Project Name: FOSTORIA PARK ELECTRICAL PERMIT Permit Number: EL12 -0173 Issue Date: 02/22/2012 Permit Expires On: 08/20/2012 Owner: Name: SEBCO INC Address: 4020 E MADISON ST #320 , SEATTLE WA Contact Person: Name: STEVEN PARIS Address: 670 S LUCILE ST , SEATTLE WA Contractor: Name: THE SAFETY TEAM INC Address: P 0 BOX 81246 , SEATTLE WA Contractor License No: SAFET** 169MF Phone: 206 - 762 -1450 Phone: 206 - 762 -1450 Expiration Date: 08/04/2013 DESCRIPTION OF WORK: REMOVE EXISTING FIRE ALARM SCAN ALERT MONITORING COMMUNICATION PANEL AND REPLACE WITH RADIO FREQUENCY MONITORING COMMUNICATION PANEL. Value of Electrical: NRES: $250.00 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: $63.00 2008 Date: eV-- -/a / /o2 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 p r t does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the p rf mane of work. I am authorized to sign and obtain this electrical permit. r� Signature: Date: 1 ZZ Print Name: S L "'" ' S &_"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 -0173 Printed: 02 -22 -2012 • • PERMIT CONDITIONS Permit No. EL 12 -0173 * *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 -0173 Printed: 02 -22 -2012 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Permit No. Project No. Date Application Accepted: a?_I / - Date Application Expires: ©g/a-?-I ( 2- (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 King Co Assessor's Tax No.: Site Address: 42 ^43 6 S 113 /10 S T Suite Number: Floor: Tenant Name: rbsl UAU PROPERTY OWNER nn• Name: S r ai" \7'N NO.A �p gekiSi‘‘CIVYA i i Address: ( c� S k_,.n,�� S� 15'`11 Name: 3c co I (\t... Email: ,A'�Vl_A S MIN, .. oyvi Address: o�to r � nA (1(Ni5 c--.1 -i►-3� City: 5cAl11c State: Wes' Zip: gjrll'L CONTACT PERSON - person receiving all project communication nn• Name: S r ai" \7'N NO.A �p gekiSi‘‘CIVYA i i Address: ( c� S k_,.n,�� S� 15'`11 City: 1 State: LA Zip: Qk'ot, 3 �11�0t Phone: (�t)(� t4s-0Fax:� ` L. 7L2 fat ti l LU t> Email: ,A'�Vl_A S MIN, .. oyvi New Tenant: ❑ Yes ELECTRICAL CONTRACTOR INFORMATION Company Name:'f c� \' 1 qA 1 t 1`jC �1�c= Address: t t-76 �vGu! � ol. City: - �J State: . (t Zip: Q �r Phone: c�6-� Ns- Fax: 16k76_y7g4 . Contr Reg No.:('p,i , eo Exp Date: c /4/ ► 3 Tukwila Business License No.: of Project (contractor's bid price): $ 6-1 CSLII . 1D Scope of Work (please provide detailed information): Pen cal s N'Jo Ft ftr> f \ Sc%.^ M\ )'J M , czmmuMut,' P AL-lk&L (J R6010 iz/k 4 rAkINI mk+cuo Wnnl \ 4 ■A Q/ 'J vJ Will service be altered? ❑ Yes [1No Adding more than 50 amps? ❑ Yes ErNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change 11 Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator Er Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H 1Applicalions \Forms - Applications On Line12011 Applications \Electrical Permit Application Revised 8 -9-11 dock Revised' August 2011 bb 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 IR( 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 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. 1 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 OWN Signature: O' ELECTRICAL CONTRACTOR: Print Name: 1�) PIT L&S Mailing Address: (0'70 C H \ Applications \Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -1 I.doc, Revised: August 2011 bh Day Telephone: City Date: z 121- �2 Zdt, 761- 1 14-311) (at 9i 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 Parcel No.: 2613200133 Address: 4385 S 133 ST TUKW Suite No: Applicant: FOSTORIA PARK RECEIPT Permit Number: EL12 -0173 Status: PENDING Applied Date: 02/22/2012 Issue Date: Receipt No.: R12 -00754 Initials: LAW User ID: 1632 Payment Amount: $63.00 Payment Date: 02/22/2012 12:41 PM Balance: $0.00 Payee: THE SAFETY TEAM INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 007881 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -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 FU2 -o�13 Project: /' SToR.t/k LAC Type of Inspection: Address: /335j Special Instructions: Date Called: . 4 Jh J AP\ «15 Date Wanted:. 7%z._ Requester: Phone No: Approved per applicable codes. COMMENTS: DCorrections required prior to approval. 0 / Inspector: r/ Date: V 'i� tali / ?� REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 07 -02 -2012 STEVEN PARIS 670 S LUCILE ST SEATTLE WA 98108 • City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL12 -0173 FOSTORIA PARK 4385 S 133 ST TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a fmal 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 08/20/2012. 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 final 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 08/20/2012, 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, Bill Rambo Permit Technician File: Permit File No. EL12 -0173 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 - 431 -3665 Contractors or Tradespeople ell 0 Washington State Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > ral Printer friendly • Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About Electrical Contractor Page 1 of 2 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 SAFETY TEAM INC, THE Phone No. (206) 762 -1450 Address Po Box 81246 Suite /Apt. City Seattle State WA Zip 98108 County King Business Type Corporation Parent Company UBI No. I) 600496910 Status Active License No. SAFET* *169MF License Type Electrical Contractor Effective Date 7/6/1984 Expiration Date 8/4/2013 Suspend Date Specialty 1 J Limited Energy Specialty 2 Unused 7,1 Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status WERLIP *1 79NN WERLINK, PAUL Electrical Contractor Limited Energy Unused 8/15/1983 12/31/1984 Archived Electrical Administrator INFORMATION License OROZCGA913LP Name OROZCO - BLANCO, GABRI EL A Status Active Business Owner Information = Hide All Name Role Effective Date Expiration Date RODRIGUEZ, RONALD Agent RODRIGUEZ, RONALD President https://fortress.wa.gov/lni/bbip/Result.aspx 09/27/2005 06/15/2004 02/22/2012