HomeMy WebLinkAboutPermit EL12-0232 - SEEMSEEM
9100 EAST MARGINAL
wys
EL1 2-0232
Parcel No.:
Address:
City ofiliTukwila
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
ELECTRICAL PERMIT
5422600150
9100 EAST MARGINAL WY S TUKW
Project Name: SEEM
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0232
03/12/2012
09/08/2012
Owner:
Name:
Address:
Contact Person:
Name:
Address:
WOOD MEADOWS LLC
PO BOX 654 , KIRKLAND WA
CHRIS HURLESS
PO BOX 59504 , RENTON WA
Contractor:
Name: PARAGON ELECTRICAL CONTRACTING
Address: PO BOX 59504 , RENTON WA
Contractor License No: PARAGEC054C 1
Phone: 206 - 261 -5700
Phone: 206 - 261 -5700
Expiration Date: 03/03/2013
DESCRIPTION OF WORK:
INSTALL PIPE AND WIRING FOR APPROXIMATLEY 10 EQUIPMENT LOCATIONS ON NW WALLS OF
SHOP. ADD SUB -PANEL FOR SINGLE PHASE LOADS
Value of Electrical:
NRES: $4,800.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
Date:
$178.50
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 , ' b = complied with, whether specified herein or not.
The granting of
construction
Signature:
Print Name:
's permit
the perfor
t presu
of work.
e authority to violate or cancel the provisions of any other state or local laws regulating
orized to sign and obtain this electrical permit.
Ci.442--1 5 PL)(1___Le____q6
Date: ''G 2-- (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
EL1 2-0232
Printed: 03 -12 -2012
0 PERMIT CONDITIONS •
Permit No. EL 12 -0232
* *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 -0232 Printed: 03 -12 -2012
CITY OF TUKWIJ
Community Developme : 3partment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
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 **
0 King Co Assessor's Tax No: 5L0-7-- 6 0 ` 0 (5t
Site Address: ++ t9 (. . ( 14►'
11:i 11c4-. p
I
I JA 5 . Suite Number: -1 t 1.0 Floor:
New Tenant: ❑ Yes ❑.. No
Tenant Name:
Name:
Address:
City:
State:
Zip:
Company Name: ' r ti r
&zo ,l L le,c4s, c-
Address: - ., Box ? -c :co L
Name: (1_1.1 p A)12
65� $
Address:
Tukwila Business License No.;
City:
State:
Zip:
/
Phone: d 06,, c)6 j- 5`70
.
Email:
Company Name: ' r ti r
&zo ,l L le,c4s, c-
Address: - ., Box ? -c :co L
City: ' 4k & /1 State: 1 i.. Zip:W0
Phone: 1f t9C ) -6-7i-ea' 11Z�S- 0,5- .1'd5:3
Contr Reg No .:--pIttvel&c 0 J Grxp Date: .
r3 /3
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
00
Scope of Work (please provide detailed information):
/ ;13 74/1 PI�� ) `/2irl �fl
i 1�
) p Yo y i me l it) ' ei e l% r rv► vl T (D en-Ty Gv,+'I
LD 19-0-5
Will service be altered?
Type of Use:
T se of ork:
es ❑ No
MMC,tal
Adding more than 50 amps? ❑ Yes
❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy Seattle City Light
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -11 docx
Revised August 2011
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❑; Remodel
❑ Telecommunication
itt-Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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:
Signature:
Print Name:
Mailing Address:
City
Date:
Day Telephone:
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
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.: 5422600150 Permit Number: EL12 -0232
Address: 9100 EAST MARGINAL WY S TUKW Status: APPROVED
Suite No: Applied Date: 03/12/2012
Applicant: SEEM Issue Date:
Receipt No.: R12 -01023
Initials:
User ID:
WER
1655
Payment Amount: $178.50
Payment Date: 03/12/2012 04:33 PM
Balance: $0.00
Payee: PARAGON ELECTRICAL CONTRACTORS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 8044 178.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 178.50
Total: $178.50
doc: Receipt -06 Printed: 03 -12 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 le- (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
6.12,-632-
Project: ���
Type of Inspection:
�P `
�/
V
Address:
Date Called:
Special Instructions:
Date Wanted:
f7
Requester:
1
Phone No:
•
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
fkitSi
ri REINSPECTION FEE REQUIREb. Prior to next inspection . fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: O`ill',7 `t2
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188r_, (206) 43.1 - 3670
Permit Inspection Request Line (206) 431 -2451 '
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Project: t5tet 1
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Type of Inspection:
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Address: D
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Date Called:
Date Wanted:.
P•
Special Instructions: •
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Requester:
%DI M toCkar tVCSP g•Fk C' 5501
Phone No:
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS: 1
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Inspector:
d[414/t1\
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: ry 33/21 1L-
Contractors or Tradespeople P eer 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
PARAGON ELECTRICAL CONTRACTING
2062615700
Po Box 59504
Renton
WA
98058
King
Corporation
MALTBY INC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601437651
Active
PARAGEC054C1
Electrical Contractor
2/21/1995
3/3/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
MALT61,0776MMALTBY
INC
Electrical
Contractor
Residential
Unused
1/14/1993
1/14/1995
Archived
Electrical Administrator INFORMATION
License HURLEC'066NL
Name HURLESS, CHRIS
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HURLESS, CHRIS M
Cancel Date
01/01/1980
Bond Amount
HURLESS, JAQUELINE F
4
01/01/1980
790286532225
HURLESS, JACKIE
Agent
01/01/1980
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
4
Great American Ins
Co of NY
790286532225
01/03/2012
Until Cancelled
$4,000.0001
/09/2012
3
AMERICAN NATIONAL
FIRE INS CO
790286532225
02/16/1998
01/03/2012
$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
https: // fortress .wa.gov /lni /bbip /Print.aspx 03/12/2012