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HomeMy WebLinkAboutPermit EL12-0411 - CITY OF TUKWILA - 6300 BUILDINGCITY OF TUKWILA 6300 SOUTHCENTER BL EL12-0411 City ATukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206 - 431 -36 65 Web site: http: / /www.TukwilaWA.gov Parcel No.: 0003200005 Address: 6300 SOUTHCENTER BL TUKW Project Name: CITY OF TUKWILA ELECTRICAL PERMIT Permit Number: EL12 -0411 Issue Date: 05/03/2012 Permit Expires On: 10/30/2012 Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUKWILA WA Contact Person: Name: DEAN HUMPHRIES Address: 2018 BALINE AV NE , RENTON WA Contractor: Name: QUALITY ELECTRICAL CONT LLC Address: 2018 BLAINE AV NE , RENTON WA Contractor License No: QUALIEC915JN Phone: 425 - 200 -8866 Phone: 425 207 -8866 Expiration Date: 04/15/2013 DESCRIPTION OF WORK: INSTALL (1) CIRCUIT IN MAIN ELECTRICAL ROOM Value of Electrical: NRES: $200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: -3 -- (,Z 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 presu ` ,h /i2 Signature: _ �_ � Date: � Print Name: C `r"^-61,-)`e/ 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. give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit. construction o e pe •• • nce of work. doc: EL -4/10 EL12 -0411 Printed: 05 -03 -2012 PERMIT CONDITIONS Permit No. EL12 -0411 * *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 -0411 Printed: 05 -03 -2012 CITY OF TUKWi Community Developme,.. Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 h ttp: / /www. Tukw ilaW A.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 ** Site Address: 63©0 So 7(,,o Tenant Name: LL ai T � . .. . {. ... : Y.�. v,: Name: c`4-,7 c4_ Th L, ,,1 c, Address: i_ T314.,:;.,,,k :4-4-%-1 11 t City: State: i„.4.71. State: Zip: C"4i s .� a s arse �7 ixw v,: Name: Contr Reg No.: Exp Date: i 6ta �_ 4' G h.C37J `i'l s I \3 Tukwila Business License No.; Q 9 9 25)52_ Address: i_ T314.,:;.,,,k :4-4-%-1 11 t City: State: i„.4.71. Z: ipy n Phone: Fax 42.S_Z 1- ��te(� Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: Cl Yes K. No Valuation of Project (contractor's bid price): $ 2-0c Scope of Work (please provide detailed information): / G. v`o,,., }„� /AAA) " et-et-iv-I, ed ��• , Will service be altered? ❑ Yes -No Adding more than 50 amps? ❑ Yes ---No Type of Use: yr, .- Q Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ___I2t<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 tp1 Page 1 of 2 Company Name: LA-c�` t y d d Co >^' s Address: ZO ifs V (cLiKIL . NE City: .rz.e State: 4 Zip:9ko Phone: Fax ? yzs_ Zki7 - 6 `-(2S 2.67 ).9/ Contr Reg No.: Exp Date: i 6ta �_ 4' G h.C37J `i'l s I \3 Tukwila Business License No.; Q 9 9 25)52_ Valuation of Project (contractor's bid price): $ 2-0c Scope of Work (please provide detailed information): / G. v`o,,., }„� /AAA) " et-et-iv-I, ed ��• , Will service be altered? ❑ Yes -No Adding more than 50 amps? ❑ Yes ---No Type of Use: yr, .- Q Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ___I2t<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 tp1 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) 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 ELECTRICA •CONTRACTOR: Signature: Date: 5/3//Z- Print Name: (7-e/20, Day Telephone: tfZS` 2? C Mailing Address: 2 vi J City H. \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 .docx Revised' August 2011 bh State 9 Zip Page 2 of 2 • • City of Tukwila i 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.: 0003200005 Address: 6300 SOUTHCENTER BL TUKW Suite No: Applicant: CITY OF TUKWILA RECEIPT Permit Number: EL12 -0411 Status: PENDING Applied Date: 05/03/2012 Issue Date: Receipt No.: R12 -01484 Initials: WER User ID: 1655 Payment Amount: $63.00 Payment Date: 05/03/2012 10:52 AM Balance: $0.00 Payee: QUALITY ELECTRICAL CONTRACTORS TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 025141 ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 05 -03 -2012 INSPECTION RECORD m Retain a copy with permit 1-'1)1( INSPECTION NO, :'= PERMIT NO. CITY OF TUKWILA BUILDING DIVISION -6300 Southcenter Blvd., #100, Tukwila. WA 98188 R., (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: (tkhitI Type of Inspection: 2-100 Address: 3 ..C., . g L. Date Called: .--Th. Special o ns 0� ,%,m.} p Requester: Phone No Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: i REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople PPter 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 QUALITY ELECTRICAL CONT LLC 4252078866 2018 Blaine Ave Ne Renton WA 98056 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602906582 Active QUALIEC915JN Electrical Contractor 4/15/2009 4/15/2013 General Unused Business Owner Information Name Role Effective Date Expiration Date HUMPHRIES, DEAN M Partner /Member 04/15/2009 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 American Contractors Indem CO 100117956 04/02/2010 Until Cancelled $4,000.0003/22/2010 1 WESTERN SURETY CO 70702057 04/14/2009 Until Cancelled 04/02/2010 $4,000.0004/15/2009 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 https: // fortress .wa.gov /lni /bbip /Print.aspx 05/03/2012