HomeMy WebLinkAboutPermit EL12-0301 - CONTINENTAL MILLSN MILLS
18000 ANDOVER PK W
EL1 2-0301
City ofkukwila
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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.: 3523049018
Address: 18000 ANDOVER PK W TUKW
Project Name: CONTINENTAL MILLS
ELECTRICAL PERMIT
Permit Number: EL12 -0301
Issue Date: 03/29/2012
Permit Expires On: 09/25/2012
Owner:
Name: SEGALE PROPERTIES LLC
Address: PO BOX 88028 , TUKWILA WA
Contact Person:
Name: JANET STEBBINS Phone: 206 - 291 -1468
Address: 9520 10 AV S, SUITE 100 , SEATTLE WA
Contractor:
Name: SIMPLEXGRINNELL LP
Address: 9520 10 AV S #100 , SEATTLE WA
Contractor License No: SIMPLL *981St
Phone: 206 291 -1400
Expiration Date: 01/11/2014
DESCRIPTION OF WORK:
TERMINATION AT HEAD -END SECURITY CONTROL PANEL
Value of Electrical: NRES: $1,000.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
$96.60
2008
Date: d-�'►— �`
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 performa e of work. I am authorized to sign and obtain this electrical permit.
Signatur - " ,v�1E�� Date: 3/2-1//..._
Print Name: G'k( f
„yea..,5
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 -0301 Printed: 03 -29 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0301
* *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 -0301 Printed: 03 -29 -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:
Date Application 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 **
SITE LOCATION
Site Address: 18000 Andover Pk W Tukwila
Tenant Name: Continental Mills North Annex
PROPERTY OWNER
Name: Janet Stebbins - SimplexGrinnell
Name: Segale Properties LLC
City: Seattle State: WA Zip: 98108
Address: PO Box 88028
Email: jastebbins @simplexgrinnell.com
City: Tukwila State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Janet Stebbins - SimplexGrinnell
Address: 9520 10th Ave S, Suite 100
City: Seattle State: WA Zip: 98108
Phone: (206) 291 -1468 Fax: (206) 291 -1500
Email: jastebbins @simplexgrinnell.com
King Co Assessor's Tax No.: 3523049018
Suite Number: Floor:
New Tenant: ❑ Yes J ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SimplexGrinnell
Address: 9520 10th Ave S. Suite 100
City: Seattle State: WA Zip: 98108
Phone: (206) 291 -1400 Fax: (206) 291 -1500
Contr Reg No.: SIMPLL *981 SG Exp Date: 01/11/2014
Tukwila Business License No.: BUS- 0100606
Valuation of Project (contractor's bid price): $ 1,000
Scope of Work (please provide detailed information):
Termination at head -end Security Control Panel.
Will service be altered? ❑ Yes I1 No Adding more than 50 amps? ❑ Yes IZI No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
VI Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
m Puget Sound Energy ❑ Seattle City Light
H:\ApplicationsWorms- Applications On Line \2011 Applicationalectncal 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 $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 $59.85
(alarm, furnace thermostat)
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.
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: ?Cr S./ r1" �.. sr if
Print Name: Janet Stebbins - SimplexGrinnell
Date:_
03/29/2012
Day Telephone: (206) 291 -1468
Mailing Address: SimplexGrinnell 9520 10th Ave S. Suite 100 Seattle WA 98108
City
H:Wpplications\Forms- Applications On Line'2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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State Zip
Page 2 of 2
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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
Parcel No.: 3523049018
Address: 18000 ANDOVER PK W TUKW
Suite No:
Applicant: CONTINENTAL MILLS
RECEIPT
Permit Number: EL12 -0301
Status: PENDING
Applied Date: 03/29/2012
Issue Date:
Receipt No.: R12 -01171
Payment Amount: $96.60
Initials: WER Payment Date: 03/29/2012 11:40 AM
User ID: 1655 Balance: $0.00
Payee: JANET STEBBINS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 042670
ACCOUNT ITEM LIST:
Description
96.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 96.60
Total: $96.60
doc: Receiot -06 Printed: 03 -29 -2012
INSPECTION NO.
INSPECTION.RECORD
Retain a copy with permit
PERMIT
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: jam,"
TYPe of Inspection:
`
2100
Address: ,Q
1 WOOD /
DnV6c 14
Date Called:
,
Special Instructions:
Date Wanted:
W/3
Requester:
/
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector: 7
Date: v / /I3 !Z
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pr;, er Friendly Page
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Page 1 of 2
Electrical Contractor
A business licensed by LEtI 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
SIMPLEXGRINNELL LP
2062911400
9520 10Th Ave S #100
Seattle
WA
98108
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602113334
Active
SIMPLL "981 SG
Electrical Contractor
1/7/2002
1/11/2014
Limited Energy
Hvac /Rfrg Ltd Energy
her Associated Licenses
License
Name
Type
Specialty
Specialty 2
Effective
Ex Date on
Status
SIMPLL*977LE
SIMPLEXGRINNELL LP
Electrical
Contractor
Limited
Energy
Unused
6/5/2003
6/6/2013
Active
SIMPLL *999KG
SIMPLEXGRINNELL LP
Electrical
Contractor
Limited
Energy
Hvac /Rfrg
Ltd Energy
5/7/2001
5/7/2013
Active
SIMPLTR051M6
SIMPLEX TIME
RECORDER CO 458
Electrical
Contractor
Limited
Energy
Unused
7/26/1995.
8/8/2003
Archived
SIMPLTR055LE
SIMPLEX TIME
RECORDER 479
Electrical
Contractor
Limited
Energy
Hvac /Rfrg
Ltd Energy
6/5/1995
6/5/2003
Archived
SIMPLTR055JF
SIMPLEX TIME
RECORDER CO 448
Electrical
Contractor
Limited
Energy
Unused
4/6/1995
4/6/2001
Archived
SIMPLTR124N5
SIMPLEX TIME
RECORDER CO
Electrical
Contractor
Limited
Energy
Unused
8/25/1988
8/25/1994
Archived
Master Electrician INFORMATION
License MANSFR *9730K
Name MANSFIELD, RONALD
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
C T CORPORATION SYSTEM
Agent
12/28/2011
CHAUVIN, ROBERT F JR
Partner /Member
12/28/2011
https://fortress.wa.gov/lni/bbip/Print.aspx
03/29/2012