HomeMy WebLinkAboutPermit EL12-0376 - CITY OF TUKWILA - 4021 SOUTH 144TH STREETCITY OF TUKWILA
4021 S 144 ST
EL1 2-0376
City oitI'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
Parcel No.: 0040000191
Address: 4021 S 144 ST TUKW
Project Name: CITY OF TUKWILA
ELECTRICAL PERMIT
Permit Number: EL12 -0376
Issue Date: 04/23/2012
Permit Expires On: 10/20/2012
Owner:
Name: TUKWILA CITY OF
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA
Contact Person:
Name: BRIGET CAUDILL
Address: PO BOX BOX 338 , KENT WA
Contractor:
Name: HOLMES ELECTRIC CO
Address: PO BOX 338 , RENTON WA
Contractor License No: HOLMEEC549BH
Phone: 253 234 -2842
Phone: (253)479 -4000
Expiration Date: 10/31/2012
DESCRIPTION OF WORK:
RECONNECT SECONDARY POWER LINE DAMAGED BY TOW TRUCK
Value of Electrical: NRES: $1,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected: $96.60
National Electrical Code Edition: 2008
Date:
0i-{I7_1 Iz
I hereby certify that I have read and amin d this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied ith, hether specified herein or not.
The granting of this permit does not prey a to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the p rforman a of work. I am authorized to sign and obtain this electrical permit.
Signature: i� —4/ Date: o?c 2 R
heri/ - 4.25,e7
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.
Print Name:
doc: EL -4/10
EL12 -0376 Printed: 04 -23 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0376
* *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 -0376 Printed: 04 -23 -2012
S
CITY OF TUKWIL•
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
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.:
Site Address: 1(- 1 S 11- K141'
Tenant Name: (,47t1 l9f 11YW.c9I(Act
Property Owners Name: eA 114 Of
Q
Mailing Address: y i
Qa 1 \� vv,vit t� 1,(�IN 94 n
Suite Number:
Floor:
New Tenant: 0 Yes - No
City
hio_do we contact when your permit is ready.to be Issued
State
Zip
Name: t \ef1[. tlertztc, \U L LQ iUb1Lt Day Telephone: 03L1 0- 10
Mailing Address: P 0 56'x .3. r'l g:k7%/ L' 2A ? qC�S
City State Zip
E -Mail Address` LL ((.l . 0 Di L L.!)1\eU 1I\6. (1 all Fax Number: .624.5 3Lp9 S
ECTRICALCONTR`ACTOR -•IN
RMA'I
Company Name: irn eS' L/ i77 / c`
Mailing Address: • 0 • ZOiC 33 .
Contact Person: ;1)V,..\(1i1 er ONO D111:-1_,
E -Mail Address: >,
Contractor Registration Number: I-10L i Er .5 -(147 g 7�
City State
Day Telephone: 0253 e 3V
Fax Number: t5 23L( al
Expiration Date: 10 -31 ,i' J
Zip
Valuation of Project (contractor's bid price): $ /a
Scope of Work (please provide detailed information): 517X V 1 LL "V_ LJ,Ur"
. ill fQ -rtaz
Will service be altered? ❑ Yes
Type of Use: tiVkl 11 67∎14'.
Adding more than 50 amps? ❑ Yes
Type of work:x�
❑ New �"1�� ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
Puget Sound Energy
Seattle City Ligh
❑ Service Change
❑ Fire Alann
H:WpplicationsWomn- Applications On Line \I -2009 - Electrical Pemiit Application.doc
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❑ Remodel ❑ Tenant Improvement
❑ Telecommunication 0 Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE •
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
•
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuits) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
MULTI -ILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 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:
‘1611)6-ar
e7famTlFh1Jkw
LW 10491iz722k>iaUE5
Date Application Accepted:
H:Wpplications\Forms- Applications On Line \1.2009 - .Electrical Permit Application.doc
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Date Application Expires:
Date:
9123h
Day Telephone: 0753 a e2istp
10A 5'e
State Zip
City
Staff Initials:
Pagc 2 of 2
(�fI�A wq�, City of Tukwila
' � .r ��2 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.: 0040000191
Address: 4021 S 144 ST TUKW
Suite No:
Applicant: CITY OF TUKWILA
RECEIPT
Permit Number: EL12 -0376
Status: PENDING
Applied Date: 04/23/2012
Issue Date:
Receipt No.: R12 -01392
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $96.60
Payment Date: 04/23/2012 12:48 PM
Balance: $0.00
HOLMES ELECTRIC CO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 41328G
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: 04 -23 -2012
INSPECTION RECORD
Retain a copy with permit
INSP.ECTION,NO., PERMIT NO.
CITY OF' TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 It (206) 431 -3670
.Permit Inspection Request Line (206) 431 -2451
114Z -o3)6
Project:.
rii‹.
Type of Inspection:
2/007
Address:
' 1 1 ,S • /yy
Date Called:
4,
Special Instructions:
Date Wanted:.
2 y
aim.
Requester:
Phone No:
NIApproved per applicable codes. a Corrections required prior to approval. c
COMMENTS:
1/
Inspector: -�"� brijdost‘
C REINSPECTION FEE REQUIRED. Prior to
paid of 6300 Southcenter Blvd.. Suite 100.
1
Date: Di/ �Z� j'
next inspection. fee must be
Call to schedule reinspection.
Contractors or Tradespeople Peer 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
HOLMES ELECTRIC CO
2534794000
Po Box 338
Kent
WA
98035
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
177003752
Active
HOLMEEC549BH
Electrical Contractor
1/8/1946
10/31/2012
General
Unused
Master Electrician INFORMATION
License HILLME *973KR
Name HILLMAN, ED
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOLMES, JERAY A
Agent
01/01/1980
Bond Amount
HOLMES, MICHAEL J
President
01/01/1980
52BSBFB9243
RICHARDS, MICHAEL W
Secretary
01/01/1980
RICHARDS, EUGENEM
12/09/2008
01/01/1980
10/15/2010
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
CAORTFORD FIRE INS
52BSBFB9243
12/08/2008
Until Cancelled
$4,000.00
12/09/2008
2
AM CASUALTY
9239830
12/08/1984
Until Cancelled
02/09/2009
$4,000.0009/14/2008
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
EREEB00495
10/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 04/23/2012