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HomeMy WebLinkAboutPermit EL12-0446 - FAIRWAY CENTERFAIRWAY CENTER 14220 INTERURBAN AV S EL12-0446 City ol.i'ukwila • Deparrinent of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.Tukwila WA .gov Parcel No.: 3365901881 Address: 14220 INTERURBAN AV S TUKW Project Name: FAIRWAY CENTER ELECTRICAL PERMIT Permit Number: EL12 -0446 Issue Date: 05/14/2012 Permit Expires On: 11/10/2012 Owner: Name: BELLTOWN INVESTMENT PARTNER Address: 2505 2ND AVE #520 , SEATTLE WA Contact Person: Name: PAUL GOTO Address: 3132 NE 133 ST , SEATTLE WA Contractor: Name: PSR -HVAC & MECHANICAL SERVICES Address: PO BOX 27073 , SEATTLE WA Contractor License No: PSRHVMS922NJ Phone: 206 - 367 -2520 Phone: 206 - 367 -2500 Expiration Date: 04/21/2014 DESCRIPTION OF WORK: NEW DDC CONTROLS FOR BUILDING - FLOOR 1 Value of Electrical: NRES: $27,928.21 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $574.10 2008 Date: S'_‘ 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 • th ; •erfo aanc; •, work. I am authorized to sign and obtain this electrical permit. Signature: Date: Print Name: 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 -0446 Printed: 05 -14 -2012 i • PERMIT CONDITIONS Permit No. EL 12 -0446 * *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 -0446 Printed: 05 -14 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Permit No. E Li d 01141 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: 11(2-20 fyie"ti02 7 Ave 5. Tenant Name: King Co Assessor's Tax No.: 3365'o t 3'31 Suite Number: Ail Floor: �- PROPERTY OWNER Name: p.fifit_ 6von" Name: Nei/ Awarnewr lbe nlvL -zzetegtq Address: S 2n47 Ave- •r 1-5-20 Email: gAuL. eary af) PS eit, eel', 444,60e ' cam, City: 5i_erne State: Zip:q ( ( CONTACT PERSON — person receiving all project communication Name: p.fifit_ 6von" Address: : '3Z tie t33ap sr- City: SC�TlG State: 4 Zip:4872s Phone: �oe) 367-- 287ib Fax: (,) 36$- (83z- Email: gAuL. eary af) PS eit, eel', 444,60e ' cam, New Tenant: ❑ Yes Er..No ELECTRICAL CONTRACTOR INFORMATION Company Name: p5R tineettentoolt. Address: 3032- tom t332i sr City: s tPZe State: t Zip:g87� Phone: (20c") 3 0- Zsw Fax: O 368= 6issa Contr Reg No.:?$Q,t{ vim S 12z4.13 Exp Date: My/4 Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 27, • Z Scope of Work (please provide detailed information): ((fa,/ DPC (L,5 ' '' 13tril.Dt- Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: [�cdTi.CC Type of work: ❑ New ❑ Addition ❑ Service Change igr Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H: \Applications\ Forms- Applications On Line \2011 Applications\F.lectrical Permit Application Revised 8.9- 1'1.docx Revised: August 2011 bh ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service 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: r Date: 57 /lit. Print Name: 7 QL 6era Day Telephone: (v6) 367 -Z % V0 Mailing Address: 7(72 tad r3.34-p 5f H:Wpplications\Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised8- 9- 1I.docx Revised: August 2011 bh r- Sege City . State Zip Page 2 of 2 City of Tukwila 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.: 3365901881 Address: 14220 INTERURBAN AV S TUKW Suite No: Applicant: FAIRWAY CENTER RECEIPT Permit Number: EL12 -0446 Status: PENDING Applied Date: 05/14/2012 Issue Date: Receipt No.: R12 -01584 Payment Amount: $574.10 Initials: WER Payment Date: 05/14/2012 02:58 PM User ID: 1655 Balance: $0.00 Payee: PSR HVAC & MECHANICAL SERVICES TRANSACTION LIST: Type Method Descriptio Amount Payment Check 011763 574.10 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 574.10 Total: $574.10 doc: Receiot -06 Printed: 05 -14 -2012 INSPECTION !RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IA...., (206) 431 -3 Permit Inspection Request Line (206) 431 -2451 6-17-ckm Project: rAiktir_kdrek Type of Inspection: wh vJ Address: j�f/ J -j 2l �l� w Date Called: �, Special Inst uctions: Date Wanted:. 01/77 :m: Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. /COMMENTS: 0 Inspector: Date: n REINSPECTION FEE REQUIRED. Prior to next inspectio , fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pter Friendly Page VP 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 PSR -HVAC Et MECHANICAL SERVICES 2063672500 Po Box 27073 Seattle WA 98165 King Corporation PUGET SOUND REFRIGERATION INC UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602811195 Active PSRHVMS922NJ Electrical Contractor 4/21/2008 4/21/2014 Maintenance Hvac /Rfrg Ltd Energy Other Associated Licenses License Name yp Type Specialty 1 p y Specialty 2 p y Effective Date Expiration Date Status PUGETSR077KA PUGET SOUND REFRIGERATION INC Electrical Contractor General Unused 5/1/1993 5/1/1999 Archived PSRHVMS9225J PSR-HVAC Et MECHANICAL SERVICES Electrical Contractor Maintenance Unused 4/21/2008 4/21/2012 Out Of Business PUGETSR951KS PUGET SOUND REFRIGERATION INC Electrical Contractor Maintenance Unused 5/10/2005 5/10/2009 Out Of Business PUGETSR016BN PUGET SOUND REFRIGERATION INC Electrical Contractor Limited Energy Hvac /Rfrg Ltd Energy 1/15/1999 5/10/2009 Out Of Business Electrical Administrator INFORMATION License JACKSWR8970W Name JACKSON, WILLIAM R Status Active Business Owner Information Name Role Effective Date Expiration Date CT CORPORATION SYSTEM Agent 04/21 /2008 HINTON, BRIAN WILLIS Chief Financial Officer 04/23/2012 MILLER, ROBERT J JR President 04/21 /2008 O'MALLEY, JAMES J Secretary 04/21/2008 04/23/2012 HOGERTY, REAGEN P Vice President 04/21/2008 04/23/2012 https://fortress.wa.gov/lni/bbip/Print.aspx 05/14/2012