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Home My WebLink AboutPermit EL12-0380 - EXTENDED STAYEXTENDED STAY 1545153 AV S EL12-0380 City oiI'ukwila • 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 Parcel No.: 1157200031 Address: 15451 53 AV S TUKW Project Name: EXTENDED STAY ELECTRICAL PERMIT Permit Number: EL12 -0380 Issue Date: 04/24/2012 Permit Expires On: 10/21/2012 Owner: Name: BRE /ESA PROPERTIES Address: ATTEN: FRANCES PARKER , 100 DUNBAR ST Contact Person: Name: GREG BJORNENID Address: PO BOX 3322 , VANCOUVER WA Contractor: Name: SIGNATURE SECURITY INC Address: 2917 WASHINGTON ST STE 104 , VANCOUVER WA Contractor License No: SIGNASI990BJ Phone: 360 989 -6571 Phone: 360 - 750 -6000 Expiration Date: 01/21/2013 DESCRIPTION OF WORK: CCTV WITH AUDIO Value of Electrical: NRES: $5,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Autho - • Signature. Fees Collected: National Electrical Code Edition: Date: $178.50 2008 I hereby c y that I have read and e i amin: d this permit and know the same to be true and correct. All provisions of law and ordinances govern • this work will be complies ith, hether specified herein or not. The gra ting o this permit d give authority to violate or cancel the provisions of any other st or loc. 1 laws regulating constru do ,o .he• -gf �;Li;� •f •ss m thorized to sign and obtain this electrical permit. 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 -0380 Printed: 04 -24 -2012 PERMIT CONDITIONS • Permit No. EL12 -0380 * *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 -0380 Printed: 04 -24 -2012 CITY OF TUKWi Community Developm Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov 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 ** a Site Address: ) 5/45( 52_12}..{,C- 'n 3, Tenant Name: � � SI V 's a) a � s r,� x/.'��pk�e. ' �'� . Name: nic �� 1(i ieru ip Name: ��.�K0 C 3,,,,i I i�"� State: Address: l c: C i • I 1 631V ,1 LK az , /, 57( Fax: !! (� City i LA Stage: A Zip: 's a) a � s r,� x/.'��pk�e. ' �'� . Name: nic �� 1(i ieru ip Address: City: State: Zip: Phone az , /, 57( Fax: !! (� Email: Valuation of Project (contractor's bid price): $ .� Scope of Work (please provide detailed information): . RA-714 QVl O�C King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes.. No 11C-11,o _off( Will service be altered? ❑ Yes >Q. No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ 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 bh Page 1 of 2 Company Name: 51 c_orr c7 sotaz r i Addres s: -po eiyx 3 32Z City: v" Nov- State: j Zip: 1� Phone :3 7 a Fax: j NA Contr Reg No.:5( eio.\si rp0b iExp Date: 1(2.i (; / Tukwila Business License No.; 0e656,22, Will service be altered? ❑ Yes >Q. No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ 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 bh 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 8e s3rstems $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 NOT 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 AWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING(OVIVER OR E TRI L CONTRACTOR: Signature. Print Name: Mailing Address: FO ei: 3 32Z., Day 'telephone: avektv City H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9.11.docx Revised: August 2011 bh 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.gov Parcel No.: 1157200031 Address: 15451 53 AV S TUKW Suite No: Applicant: EXTENDED STAY RECEIPT Permit Number: EL12 -0380 Status: PENDING Applied Date: 04/24/2012 Issue Date: Receipt No.: R12 -01401 Initials: User ID: Payee: JEM 1165 Payment Amount: $178.50 Payment Date: 04/24/2012 10:02 AM Balance: $0.00 SIGNATURE SECURITY INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 120426 ACCOUNT ITEM LIST: Description 178.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 178.50 Total: $178.50 doc: Receiot -06 Printed: 04 -24 -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 -36 Permit Inspection Request Line (206) 431 -2451 Project:. //"-- ,(� ,,',,/ v . i�l`Y ST`1 Type of Inspection: �/w c. Address: O. j'� 1 Date Called: Special.lnstructi ns: C Date Wanted:. ep..m Requester: Phone No: 0 Approved per applicable codes. E Corrections required prior to approval. COMMENTS: Inspector: 11 51Aleic Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be .. paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pry ter 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 SIGNATURE SECURITY INC 3607506000 Po Box 3322 Vancouver WA 98668 Clark Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601989460 Active SIGNASI99OBJ Electrical Contractor 1/11/2001 1/21/2013 Limited Energy Hvac /Rfrg Ltd Energy Master Electrician INFORMATION License RUSSEJC967M2 Name RUSSELL, JAMES C Status Active Business Owner Information Name Role Effective Date Expiration Date RUSSELL, CONNIE R Violation Amount 01/01/1980 2/10/2012 HAMBERT, JOHN 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 1 DEVELOPERS SURETY & INDEMNITY 845944C 01/11/2001 Until Cancelled $4,000.00 01/11/2001 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 EROMA00716 2/10/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMEHU01432 10/4/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 04/24/2012