HomeMy WebLinkAboutPermit EL12-0244 - KING COUNTY HOUSING AUTHORITYKING COUNTY
HOUSING AUTHORITY
700 ANDOVER PK W
EL1 2-0244
City Ai'ukwila
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
Parcel No.: 2623049124
Address: 700 ANDOVER PK W TUKW
Project Name: KING COUNTY HOUSING AUTHORITY
Permit Number: EL12 -0244
Issue Date: 03/13/2012
Permit Expires On: 09/09/2012
Owner:
Name: KC HOUSING AUTH
Address: 600 ANDOVER PARK W , SEATTLE WA
Contact Person:
Name: BRAD BURNHAM
Address: 21312 30 DR SE, SUITE 103 , BOTHELL WA
Contractor:
Name: CHUBB FIRE & SECURITY (CA) INC
Address: 21312 30 DR SE, SUITE 103 , BOTHELL WA
Contractor License No: CHUBBFS890KF
Phone: 425 - 486 -2600
Phone: 425 - 486 -2600
Expiration Date: 05/10/2013
DESCRIPTION OF WORK:
NEW FIRE ALARM SYSTEM. PERFORMING CENTRAL TRIM, PROGRAMMING & TESTING DEVICES
Value of Electrical: NRES: $4,616.00 Fees Collected: $178.50
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
Date: ` J'
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:
-grold5ufvoAcarfN
Date:
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 -0244 Printed: 03 -13 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0244
* *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 -0244 Printed: 03 -13 -2012
CITY OF TUKWI•
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit
Project No.
Date Application Accepted
Date Application Expires.
(For office use on
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
�,, f ! King Co Assessor's Tax No.:
Site Address: And�9-P� �C��- (1)-C Suite Number:9Z
Tenant Name:
PROPERTY OWNER
Company Name: U-'-
l J . `^ - Sep n
Name: 1/1 /'+ • .14 . A.
City: tO Ll ` State:w� Zip:QA
�1
Address: An l ^'
0
�
0_4
CitY:l_ r-4.0 (a
State:, . \p
Zip:Gr per`
CONTACT PERSON - person receiving all project
communication
Name: (brad 6L.(
Address: a4,01 a ' old 1 ✓r. ept 44105
City: 9::3�
State: pc. Zip: cooal
Phone:ci J)146 ax. Cue i
Email:
Brad • Ar r,hox„ C4-frs • . uon,
New Tenant:
loor:
Yes .. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: U-'-
l J . `^ - Sep n
Address: n' 2 i - ?j .-rin 1 b3
City: tO Ll ` State:w� Zip:QA
�1
Phone:(LA)5)14up._,A2S : l5-tp WM0
( i
Contr Reg No.: 6 kr Date: 61/0//3
Tukwila Business License No.: �S - --bi e l
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Vei-cosccni nc - Q al -fin m (t '(O ■ n9.4 -rc..s�;
Will service be altered? ❑ Yes ❑ No
Type of Use:
Adding more than 50 amps? ❑ Yes ❑ No
Type of work:
EK■ew ❑ Addition ❑ Service Change
g( Low Voltage ❑ Generator Er,Fire Alarm
Prole .erved b :
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 • ❑ Tenant'Improvement
❑ Telecommunication ❑ 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 :S i 1 $59.85
(alarm, furnace thermostat)
t :
PERMIT APPLICATION NOTES -
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. 1
I HEREBY CERTIFY. THAT LHAyE RBAD 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:
gd4
tcbb r(L vi
Mailing Address: al 3 1 a - ' ' f . a. 10
Date: 2.101/1"--
Day Telephone: a j cf 2)G2'% c O
c 1
H:.Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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City State Zip
Page 2 of 2
• 1
C 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.: 2623049124 Permit Number: EL12 -0244
Address: 700 ANDOVER PK W TUKW Status: PENDING
Suite No: Applied Date: 03/13/2012
Applicant: KING COUNTY HOUSING AUTHORITY Issue Date:
Receipt No.: R12 -01034
Payment Amount: $178.50
Initials: WER Payment Date: 03/13/2012 01:15 PM
User ID: 1655 Balance: $0.00
Payee: CHUBB FIRE & SECURITY INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3061 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: Receiot -06 Printed: 03 -13 -2012
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 ;12— (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
tzgatitt
Project t $
Type of Inspection:.
,
:
Address.
j�
i - �
Date Called:
,
Special I. structions:
`
Date Wanted:.
a..rnm.
Requester:
Phone No:
lydApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
` � E r IAJAV
Inspector:
j/qI)E4Iet
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date:
08 -01 -2012
•
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
BRAD BURNHAM
21312 30 DR SE, SUITE 103
BOTHELL WA 98021
RE: Permit No. EL12 -0244
KING COUNTY HOUSING AUTHORITY
700 ANDOVER PK W 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 09/09/2012.
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 fmal inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
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 09/09/2012, 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.
File: Permit File No. EL12 -0244
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206 -431 -3665
Contractors or Tradespeople P ter Friendly Page
Electrical Contractor
A business licensed by Lal 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
CHUBB FIRE & SECURITY (CA) INC
4254862600
21312 30Th Dr Se Ste 103
Bothell
WA
98021
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602685851
Active
CHUBBFS890KF
Electrical Contractor
5/10/2011
5/10/2013
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
DETECLF933CLDETECTION LOGIC
FIRE PROTECTN
Electrical
Contractor
Limited
Energy
Unused
2/13/2007
2/13/2013
Re-
Licensed
Electrical Administrator INFORMATION
License CUNNIJM206BZ
Name CUNNINGHAM, JAMES M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
C T CORPORATION SYSTEM
Agent
05/06/2011
FLINT, SEAN
President
05/06/2011
SMITH, TOBY
Secretary
05/06/2011
DOUGHERTY, EUGENE
Treasurer
05/06/2011
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
1
Federal Ins Co
82192749
03/31/2011
Until Cancelled
$4,000.00
05/06/2011
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 03/13/2012