HomeMy WebLinkAboutPermit EL12-0275 - SEATTLE METROPOLITAN CREDIT UNIONSEATTLE METROPOLITAN
CREDIT UNION
120 ANDOVER PK E
EL1 2-0275
City oilDI'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.: 0223000062
Address: 120 ANDOVER PK E TUKW
Project Name: SEATTLE METROPOLITAN CREDIT UNION
Permit Number: EL12 -0275
Issue Date: 03/22/2012
Permit Expires On: 09/18/2012
Owner:
Name: HOME ELECTRIC COMPANY
Address: 3414 NE 55TH , SEATTLE WA
Contact Person:
Name: JEFF SELLERS Phone: 425 508 -1451
Address: 6811 , S 204 ST #350
Contractor:
Name: DIEBOLD INCORPORATED
Address: PO BOX 3077 C/0 9 -C -26 , NORTH CANTON OH
Contractor License No: DIEBOI* 179J5
Phone: 206 510 -2558
Expiration Date: 07/02/2012
DESCRIPTION OF WORK:
CAMERA EQUIPMENT UPGRADE
Value of Electrical:
NRES: $2,200.00
RES: $0.00
Fees Collected:
$136.50
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: Date:
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 per
construction or th pe
Signature:
Print Name:
does not esume to
ance of work. I am
e authority to violate or cancel the provisions of any other state or local laws regulating
thorized to sign and obtain this electrical permit.
Date: 3/2- L// 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 -0275 Printed: 03 -22 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0275
* *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 -0275 Printed: 03 -22 -2012
CITY OF TUKWI
Community Developmentlipartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
&Electrical Per o.
Project No
Date Application Accepted.,
Date Apphcatoen Expires
„';'•
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**
King Co Assessor's Tax No.: 022_0-Cc49 2-
Site Address: /2-0 4/Acie'0•4-4-- tk Suite Number: Floor:
Tenant Name: ..a.er.-74._ Airrop• f,7rd rtedev (4V/j., New Tenant: 0 Yes 0.. No
PROPERTY:
Name:
1-k•olilf■ ttdcwit, Go
Address: yy4 I ti
City: Ovik.R.t
State: wpr Zip: On Lg'
- --- -alilki4PIit:
coN1*-, 7 ii:1*eelY9
cOm "ifuivaitiO ,-
Name:
7A11( feller 3 •
Address: 811 6 8 11 r . 2 . f, .4 5 t f 1 rc,
Address: 6811 41 f-e
0 ti.ro
City: tee... ?" sttty:
ziw7y,/ le_
Phone:vi)�' ...5?) it ../ fst Fax:
Email:
EIA.0.. -1-,' CONTRA'r - '
Company Name: 2
1 te4 ° 4-•
Address: 811 6 8 11 r . 2 . f, .4 5 t f 1 rc,
City: K.e.,./ State. Zipirv3L
Phone: irs - 27 f , ‘ 3 • *Fax:
Contr Reg No.: - Exp Date: 0--)
: pa b 01 * t 7915--- (
Tukwila Business License No.; j2kC, '0011S1 i
4--
Valuation of Project (contractor's bid price): $ 2.100 .
Scope of Work (please provide detailed information): 10/J411.1.4.46- Itsfr"14/1T- 14/01,44.4.4-
Will service be altered? 0 Yes 0 No Adding more than 50 amps? 0 Yes 0 No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
'Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Pro .e S rved b :
Puget Sound Energy 0 Seattle City Light
HAApplicationsTorms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 .docx
Revised: August 2011
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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)
ANN
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 ELECTRIC .L- EANTRACTOR:
Signature: Date: (..3 I 741
Print Name: i9�6 • f Day Telephone: 206 r/ 0
72/1 J 20 r .�' 5t 3'ir-v
Mailing Address:
H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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City
Coi4A— PP)
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.aov
RECEIPT
Parcel No.: 0223000062 Permit Number: EL12 -0275
Address: 120 ANDOVER PK E TUKW Status: PENDING
Suite No: Applied Date: 03/22/2012
Applicant: SEATTLE METROPOLITAN CREDIT UNION Issue Date:
Receipt No.: R12 -01117
Initials: JEM
User ID: 1165
Payment Amount: $136.50
Payment Date: 03/22/2012 12:45 PM
Balance: $0.00
Payee: DAVID W TSO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 036567
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receiot -06 Printed: 03 -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 -3
Permit Inspection Request Line (206) 431 -2451
eLf1,-07(
Projecti`— f �;
LX r
C
Type of Inspection:
f
Address: (
2d 4�
•
Date Called:
Special Instructions:
Date Wanted:.
3
23
m.'
p.m
Requester:
Phone No:
Approved per applicable codes. a Corrections required prior to approval.
OMMENTS:
Date Z3 %�
1 REINSPECTION FEE REQUIRED. Prior to next inspection. f e must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prinr Friendly Page
1
Electrical Contractor
A business licensed by LBJ 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
DIEBOLD INCORPORATED
4255081451
Po Box 3077 C/O 9 -C -26
North Canton
01-1
44720
Out Of State
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
409004313
Active
DIEBOI'179J5
Electrical Contractor
4/25/1983
7/2/2012
Limited Energy
Unused
Electrical Administrator INFORMATION
License SELLEJW930DL
Name SELLERS, JEFF W
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
O'DELL, WALSEN W
Violation Amount
01/01/1980
9/13/2007
GESWEIN, GREGORY T
ELECTRICAL CITATION
01/01/1980
$1,000.00
WARF, ALBEN W
7/12/2006
01/01/1980
ELECTRICAL CITATION
BUCCI, DAVID
$1,000.00
01/01/1980
1/5/2009
C T CORPORATION SYSTEM
Agent
01/01/1980
$250.00
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
3
FEDERAL INS CO
81446163
01/01/1997
Until Cancelled
$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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EHOLX00311
9/13/2007
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EMOSR00251
7/12/2006
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
ESTJB00292
1/5/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMUTR00379
3/18/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBERA00229
2/25/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 03/22/2012