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Home My WebLink AboutPermit EL12-0543 - CITY OF TUKWILA / POLICE DEPARTMENTTUKWILA POLICE DEPARTMENT 6200 SOUTHCENTER BL EL12-0543 City okukwila 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 ELECTRICAL PERMIT Parcel No.: 3597000282 Address: 6200 SOUTHCENTER BL TUKW Project Name: TUKWILA POLICE DEPARTMENT Permit Number: EL12 -0543 Issue Date: 06/14/2012 Permit Expires On: 12/11/2012 Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUKWILA WA Contact Person: Name: DEAN HUMPHRIES Address: 2018 BLAINE AVE NE , RENTON WA Contractor: Name: QUALITY ELECTRICAL CONT LLC Address: 2018 BLAINE AV NE , RENTON WA Contractor License No: QUALIEC915JN Phone: 425 - 207 -886 Phone: 425 207 -8866 Expiration Date: 04/15/2013 DESCRIPTION OF WORK: INSTALL (4) NEW CIRCUITS FOR OFFICE CUBICLES Value of Electrical: NRES: $400.00 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: Date: $71.40 2008 I hereby certify that I have read and examined this 'ermit 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 no 'presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction orthe pe o ance ; work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: 6/1-110 2.- 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 -0543 Printed: 06 -14 -2012 • r PERMIT CONDITIONS Permit No. EL12 -0543 * *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 -0543 Printed: 06 -14 -2012 Site Address: CITY OF TUKWJ4 Community Developme. Jepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: //www.TukwiIaW 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 ** ( 20 0 So Cwt J-c✓ [� Le Tenant Name: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): ._1 T/v.S Q a Li �.:;i%c}1. 7 ✓0.4iu�e Li p° ._ King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes No t�`� SAiA':aa� n E nid bF Yw'�}%# tlthpY"'}t L4 64 Name: C try Of 7I-‘14,....; (c, Contr Reg No.: Exp Date: Qu /�! Tic 9 (5_ TA/ y/ (-5/0 Address: Phone:4ZS ZcG7 8+6.(0 Fax: City: State: Zip: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): ._1 T/v.S Q a Li �.:;i%c}1. 7 ✓0.4iu�e Li p° ._ King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes No Company Name: Name: City: , ci .4 Zip: ctfa,, Rewkt Address: 76 1 at ' f�I , w� 4.�- -e ( J l Contr Reg No.: Exp Date: Qu /�! Tic 9 (5_ TA/ y/ (-5/0 State: Zip: 95� City: ln '` Phone:4ZS ZcG7 8+6.(0 Fax: Email: c(ec„... L L 99-c -& 'C c e4 c ,nic /(c. eo Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): ._1 T/v.S Q a Li �.:;i%c}1. 7 ✓0.4iu�e Li p° ._ King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes No Will service be altered? ❑ Yes Type of Use: (-ow.w e✓c Type of work: Adding more than 50 amps? ❑ Yes 4fQ. No ❑ New ❑ Addition ❑ Service Change ❑ Remodel IQ 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\201 I Applications\Electrical Permit Application Revised 8- 9- 11 .docx Revised: August 2011 bh Page 1 of 2 Company Name: Address: i0 ig, ,R(Gv.„k.t -4,, AfE City: , ci .4 Zip: ctfa,, Rewkt Phone: Fax y 25 207 8.86,t, �is- 2497 -er Contr Reg No.: Exp Date: Qu /�! Tic 9 (5_ TA/ y/ (-5/0 Tukwila Business License No.; Will service be altered? ❑ Yes Type of Use: (-ow.w e✓c Type of work: Adding more than 50 amps? ❑ Yes 4fQ. No ❑ New ❑ Addition ❑ Service Change ❑ Remodel IQ 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\201 I 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 (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL $152.85 Fees are based on the valuation of the electrical contract. $81.90 ea $59.85 ea 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 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) 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 ELECTRICAI,CO RACTOR: • Signatur Print Name: Mailing Address: 2 U (E.-- ,O. H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised August 2011 bh Date: (0 / / //2 Day Telephone: L(Z S Z-o 7 k4 City C✓%9 State 9 /ex Zip Page 2 of 2 w \qs 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 RECEIPT Parcel No.: 3597000282 Permit Number: EL12 -0543 Address: 6200 SOUTHCENTER BL TUKW Status: PENDING Suite No: Applied Date: 06/14/2012 Applicant: TUKWILA POLICE DEPARTMENT Issue Date: Receipt No.: R12 -01871 Initials: TLS User ID: 1670 Payment Amount: $71.40 Payment Date: 06/14/2012 01:19 PM Balance: $0.00 Payee: QUALITY ELECTRICAL CONTRACTORS LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1142 71.40 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 71.40 Total: $71.40 doc: Receipt -06 Printed: 06 -14 -2012 INSPECTION'RECORD (�r, Retain a copy with permit (.,L.(� INSPECTION NO. PERMIT Nt CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project �K. W� (,4- 11) Type of Inspection: w Address: 624o ,5e .gt. Date Called: Special Instructions: : Date Wanted:. 6 � ern. y: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. 'COMMENTS: Inspector: ii6kkeic ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: a INSPECTION RECORD Retain a copy with permit 6t' 2 -05 INSPECTION NO.:: PERMIT NO. (CITY ::OF!`TUKWILA BUILDING DIVISION 6300.Southcenter Blvd., #100, Tukwila. WA 98188 R. (206) 431 -367 Permii Inspection Request Line (206) 431 -2451 Project -D. Type of Inspection: 2.100 Address: :.' _ DO sz. k.. Date Called: . _ Special Instructions.. �6V`�f ;t Date Wanted:. t m\ Requester: Phone No: Approved perapplicable codes. Corrections required prior to approval. COMMENTS: Inspector: Akcc Date: REINSPECTION FEE REQUIRED. Prior to next inspection fee must be J paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Per 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 Electrical Administrator INFORMATION License HUMPHDM918BR Name HUMPHRIES, DEAN M Status Active 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 06/14/2012