HomeMy WebLinkAboutPermit EL12-0354 - LAM REAL ESTATELAM REAL ESTATE
9100 EAST MARGINAL WY S
EL1 2-0354
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.: 5422600150
Address: 9100 EAST MARGINAL WY S TUKW
Project Name: LAM REAL ESTATE
Permit Number: EL12 -0354
Issue Date: 04/17/2012
Permit Expires On: 10/14/2012
Owner:
Name: WOOD MEADOWS LLC
Address: PO BOX 654 , KIRKLAND WA
Contact Person:
Name: KATIE KOUTNIK
Address: PO BOX 654 , KIRKLAND WA
Contractor:
Name: ASSOCIATED ELECTRIC COMPANY
Address: PO BOX 280 , SNOHOMISH WA
Contractor License No: ASSOCEC088NL
Phone: 425 296 -5526
Phone: 425 741 -9110
Expiration Date: 08/13/2012
DESCRIPTION OF WORK:
INSTALL 20 AMP 120V CIRCUIT TO HOT BOX UNIT
Value of Electrical:
NRES: $1,980.00
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date:
ekqkfl,12
I hereby certify that I have read and -xami ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie • with, hether specified herein or not.
The granting of this permit does not pre . - e 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.
g MU,-,4 44 C� o % (// / "2_
Signature: nn._.� Date:
Print Name: / -eGC L 4.)d1,945.0(-)
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 -0354 Printed: 04 -17 -2012
•
PERMIT CONDITIONS
Permit No. EL12 -0354
* *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 -0354 Printed: 04 -17 -2012
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. - Cr) ,
Project No.
Date Application Accepted: " 1 �ti I 2
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
King Co Assessor's Tax No.: tM 2 2L! "t) 1g)
Site Address: qi 00 C. 444yI4.4( s Ssr,K, l.� /�, Suite Number: Floor:
Tenant Name: G._, A %v( q-1 - ES f /1-1<< New Tenant: ❑ Yes
PROPERTY OWNER
Name: KA T re KO 4 /4"-J; IC
Address: 77, J 6 0 k ‘ S Y
City: A - %e k Q State: wx Zip: ye033
Name: L A,til ,
(
/
L` S 7tq rG
Address: Lc). Ok
y
City: itlIR k1 ,f., I
State: , lA
Zip: siv3 $ j
CONTACT PERSON — person receiving all project
communication
Name: KA T re KO 4 /4"-J; IC
Address: 77, J 6 0 k ‘ S Y
City: A - %e k Q State: wx Zip: ye033
Phone: 'Z5- L5 , _ S atax: i/LS- 2..R. - 5 o/
Email: /< /re �c e f.4 c r>a / . C o w
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
4SSd I AV 5-(t. 4 AI /c.,
Address: 3, 2�k 2 c9,�
City: State: 8Qt�r
� OG�sGt CJ✓/�' Zip: c
SK�/ a
Phone: 4/4 333y lFSS Fax:a4S - 33Y- /5 L
Contr Reg l No:
Exp Date: �(l ��
A- SSOCrC d Htk-
Tukwila Business License No.: f/ a 0 L i6 1_
✓o�tl�� , oczc''tc-12_
Valuation of Project (contractor's bid price): $ ' / b 0
Scope of Work (please provide detailed information):
Will sery a be altered? ❑ Yes [3] No Adding more than 50 amps? ❑ Yes 1E No
Type of Us 20s�.,.,,�o X23 CfFcw !J /4/0 Y- &Ak 4e)fl
Type of work:
ErNew ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy �"--- Seattle City Light
H:\Applicauons\Forms- Applications On Lme12011 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 $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)
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
PERMIT APPLICATION NOTES -
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: / fl T Lc / 4,) P4S a
Date: V/4// Z
Day Telephone: V2-S-- 3 STS -
Mailing Address: % 3k 2
City
H:Wpplications\Forms- Applications On Line \2011 Applications\Electncal Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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LJA-
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.ov
RECEIPT
Parcel No.: 5422600150 Permit Number: EL12 -0354
Address: 9100 EAST MARGINAL WY S TUKW Status: APPROVED
Suite No: Applied Date: 04/17/2012
Applicant: LAM REAL ESTATE Issue Date:
Receipt No.: R12 -01345
Initials: JEM
User ID: 1165
Payment Amount: $115.50
Payment Date: 04/17/2012 12:28 PM
Balance: $0.00
Payee: ASSOCIATED ELECTRIC COMPANY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 15306 .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: 04 -17 -2012
gINSPECTION RECORD ��S etain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: k 6 mit
Type of Inspection:
100
Address: A
No K. rbo.
Date Called:
Special Instructions:
Date Wanted:.
2-
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes.
/COMMENTS:
Corrections required prior to approval.
Inspector:
1/
Date: 057z
I I REINSPECTION FEE REQUIRRD. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 V. (206) 431 -36 k
Permit Inspection Request Line (206) 431 -2451
Project: 614 celt.„.(
Type of Inspection:
Address: t
Date Called:
Special Instructions: : "�
Date Wanted:.
7
a.m.
PO
Requester:
Phone No:
';Approved per applicable codes. a Corrections required prior to approval.
COMMENTS:
04)-(-100JA!P CodDorr
Inspector:
Date: 0,43/12..._
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION'
Retain a copy with permit
INSPECTION NO. - PERMIT NO.
CITY.OF:;TUKWILA BUILDING DIVISION
- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: _
Project:
Type of Inspection:
n
Address:
( 0 L • t'1
(A.
Date Called:
dddd
Special Instructions':
k1001 4
.
Date Wanted:
( } m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
- A r&er poi GJe-cr
-17> 6461"
Inspector:
%1
MI .
Date:
rw
t
REINSPECTIONFEE REQUIRED. Prior to next inspection, fee mist be
paid at 6300•Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pr ter Friendly Page
•
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
ASSOCIATED ELECTRIC COMPANY
4257419110
Po Box 280
Snohomish
WA
98291
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601371784
Active
ASSOCEC088NL
Electrical Contractor
8/13/1992
8/13/2012
General
Unused
Master Electrician INFORMATION
License JOHNSD *970KH
Name JOHNSON, DIRK A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOHNSON, DIRK A
Agent
01/01/1980
8/4/2009
JOHNSON, DIRK ALLEN
Member
01/01/1980
$250.00
JOHNSON, DEBORAH ANN
Member
01/01/1980
ELECTRICAL CITATION
ANDERSON, MARK LOUIS
Member
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
2
CBIC
636813
02/11/1994
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
EHOUD00485
8/4/2009
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBERA00320
1/12/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 04/17/2012