HomeMy WebLinkAboutPermit EL12-0189 - CONTINENTAL MILLS - NORTH ANNEXCONTINENTAL MILLS
NORTH ANNEX
18000 ANDOVER PK W
EL12 -0189
City oftukwila
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
ELECTRICAL PERMIT
Parcel No.: 3523049018
Address: 18000 ANDOVER PK W TUKW
Project Name: CONTINENTAL MILLS - NORTH ANNEX
Permit Number: EL12 -0189
Issue Date: 02/27/2012
Permit Expires On: 08/25/2012
Owner:
Name: SEGALE PROPERTIES LLC
Address: PO BOX 88028 , TUKWILA WA
Contact Person:
Name: RANDY DREYER
Address: 11816 NE 116 ST , KIRKLAND WA
Contractor:
Name: JOHNSON ELECTRIC INC
Address: 11816 NE 116TH ST , KIRKLAND WA
Contractor License No: JOHNSEI384RU
Phone: 425 821 -8226
Phone: (425) 821 -8226
Expiration Date: 11/30/2012
DESCRIPTION OF WORK:
INSTALL POWER SUPPLIES AT (4) EXTERIOR DOORS
Value of Electrical:
NRES: $1,200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date: u2-121 I k Z
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
The granting of this perms does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the pe ance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: 27/ 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
EL12 -0189 Printed: 02 -27 -2012
PERMIT CONDITIONS
Permit No. EL 12 -0189
* *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 -0189 Printed: 02 -27 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httc://www.ci.tukwila.wa.us
Electrical Permit No. _FL 2-
Project No.
(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: (8G0 4111)0 Mg- 774tek L) 5T"
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Tenant Name: CPA Tikiet YAL KW (5 - No141•f
Property Owners Name: CO/.(T(NEkt rAt.. V1'li I ( 5
23c—�lol�
Floor:
❑ Yes
Mailing Address: 117.5 i41C(AOV4IZ.
City State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
7.44.()y .3ue-rca --
Mailing Address. /15((0 Ate_ //41%. 5t-
E -Mail Address: CAA 4,1 d e Joga53( act : w —
Day Telephone: 140-$Z1- ZZ6
ki!?'<c4 e9 cdiel- 91307
City Zip
tY State Zi
Fax Number: 4/75-• -87,(-
ELECTRICAL CONTRACTOR INFORMATION
MAC- Cji 1 9ML/2-1/
Company Name: (I/7144150a
Mailing Address: �, / //a /47 it (141- 5
Contact Person: J CiyLo `( -Dge-)• ----
E -Mail Address: rapt el y Gt ∎Te I 7
Contractor Registration Number: 391wi u -1.
rern Lu� 961 3y
City State Zip
Day Telephone: ''5 - p Z(- gzz
Fax Number: YZ5 —BZi� Yo 3�
Expiration Date: 11-1271112-
Valuation of Project (contractor's bid price): $ 1,200.°v
, Zoo °v
Scope of Work (please provide detailed information): r44%rA ll 'iOk1*L- scor cs (1 J 44reje Ole
Teri t rug. �ts.5�
Will service be altered? ❑ Yes (Z No
Type of Use: C4714.4.1/1-4. LAC? 4 L—
Adding more than 50 amps? ❑ Yes [ No
Type of work:
❑ New
❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
Puget Sound Energy
❑ Seattle City Light
HAApplicatiau\Fonm- Applimtions On Line\2010 Applicauaa \7 -2010 - Electrical Pent Applicauoadoc
bh
Page 1 of 2
❑ Remodel ® Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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.: 3523049018 Permit Number: EL12 -0189
Address: 18000 ANDOVER PK W TUKW Status: PENDING
Suite No: Applied Date: 02/27/2012
Applicant: CONTINENTAL MILLS - NORTH ANNEX Issue Date:
Receipt No.: R12 -00813
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $115.50
Payment Date: 02/27/2012 12:16 PM
Balance: $0.00
JOHNSON ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 042944 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: Receiot -06 Printed: 02 -27 -2012
INSPECTION RECORD 642-0N7
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
Project: / /
/v t fru4
Type of Inspection:
Address: S'6C 1A t40 !
V
Date Called:
Special Instructions:
Date Wanted:.
3 o
(((
am:
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
s
✓' 4. . 1
Inspector:
ANC
'Date: 03
REINSPECTION FEE REQUIREb. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD �, i
Retain a copy with permit '
1 PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: COAIr-
1�5 /jJD2
Type of Inspection: 1/0
Address: 14 opo
Jjt
Date Called:
Special Instructions:
(Mi v /
• f iutcik
Date Wanted:.
m.
Requester:
iSkk �5
Phone No:
2S3' 731
2 2.
aApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
— Ifm)f, &3 •6J1 rj∎ 1 60.a, pip
-- i1(. titakipleaa \ tsldr- tvti4 k1
(6J
r Prc)T WIilk r,Jc o5J
Inspector:
Date:
ol-. z8
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Piper Friendly Page
•
Electrical Contractor
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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
JOHNSON ELECTRIC INC
4258218226
11816 Ne 116Th St
Kirkland
WA
980347105
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600361519
Active
JOHNSEI384RU
Electrical Contractor
12/31/1962
11/30/2012
General
Unused
Electrical Administrator INFORMATION
License JOHNSDB250MT
Name JOHNSON, DANIEL B
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOHNSON, DANIEL B JR
Violation Amount
01/01/1980
8/12/2009
JOHNSON, DANIEL B SR
ELECTRICAL CITATION
01/01/1980
$250.00
JOHNSON, JEFFREY J
8/12/2009
01/01/1980
ELECTRICAL CITATION
JOHNSON JR, DANIEL B
Agent
01/25/1980
4/20/2011
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
HARTFORD INS
GROUP
RN5038112
11/20/1980
Until Cancelled
$4,000.00
11/20/1980
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
EMABQ03047
8/12/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMABQ03046
8/12/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ESWAT00272
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
ESWAT00273
4/20/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 02/27/2012