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Home My WebLink AboutPermit EL12-0551 - AMERICAN MEDICAL RESPONSE (AMR)AMR 13075 GATEWAY DR EL1 2-0551 City 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.: 0004800010 Address: 13075 GATEWAY DR TUKW Project Name: AMR ELECTRICAL PERMIT Permit Number: EL12 -0551 Issue Date: 06/18/2012 Permit Expires On: 12/15/2012 Owner: Name: GATEWAY BLDG 10 LLC Address: C/O COAST REAL ESTATE SVCS , 2829 RUCKER AVE STE 100 Contact Person: Name: SHANNON BUCKINGHAM Phone: 253 872 -5665 Address: 5108 D ST NW , AUBURN WA Contractor: Name: EMERALD AIRE INC Address: 5108 D ST NW , AUBURN WA Contractor License No: EMERAAI991KG Phone: 253 - 872 -5665 Expiration Date: 05/07/2013 DESCRIPTION OF WORK: LOW VOLTAGE THERMOSTAT Value of Electrical: NRES: $800.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and € governing this work will be complie Date: $88.20 2008 xami ed this permit and know the same to be true and correct. All provisions of law and ordinances with, hether specified herein or not. The granting of this permit does not pr- .0 e to give authority to violate or cancel the provisions of any other state or local laws regulating construction • r t - performan e of work. I am authorized to sign and obtain this electrical permit. /, Q Signature: / , // �/,; � Date: 46! /g412 f Print Name: 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. doc: EL -4/10 EL12 -0551 Printed: 06 -18 -2012 0 PERMIT CONDITIONS 0 Permit No. EL 12 -0551 * *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 -0551 Printed: 06 -18 -2012 ID CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci tukwila. wa. us Project No • (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 ** King Co Assessor's Tax No.: C)CJD(4SC> Site Address: 0164- JCt tN lr Suite Number: j 00 Floor: New Tenant: ❑ Yes Tenant Name: (- Property Owners Name: Pyi4iLA.. v �Ca to ` L..l� Mailing Address: OBIC\ Ps-ve St- \c City State CONTACT PERSON - Who do we contact when your permit is ready to be issue • Name: Mailing Address: p E -Mail Address:�S ELECTRICAL CONTRACTOR INFORMATION Company Name: :rr\OARi QLl cLL& 1° Mailing Address. ((Ds 'D Contact Person: YI nrbi' E -Mail Address:3 non _ r) Contractor Registration Number: eAV.P. -1 JCJ°I 146—) Day Telephone: O5- el SCAB n uS's 9 K ity State Zip Fax Number: a-. S---7 �i: LJv c t 9no l City State Zip Day Telephone: o�3a3 ) L LI Fax Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information):��j./ 1. }, ' � O(]`��1. Will service be altered? ❑ Yes p.--ivo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑/Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: 9get Sound Energy ❑ Seattle City Light H:\Applications\Porms- Applications On Line \I-2009 - Electrical Permit Application.doc bh Adding more than 50 amps? ❑ Yes 03i4o ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ 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 number of added circuits ❑ Circuits added/altered without service change (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) $78.00 $11.00 ea $52.00 MULTI - FAMILY 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- / 7/1 I ,) Mailing Address:.S/ 0 Z) S' /V IDate Application Accepted: v1 Date Application Expires: Date: &/% ')/ c2 - Day Telephone: ¶3 5 5-7/(/)-- C/, olti -� ht).) "'SO()) City State Zip alit/112 H:\Applications\Fonns- Applications On line \I -2009 - Electrical Permit Application.doc bh Staff Initials: . Page 2 of 2 Ciik 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. ci. tukwila. wa. us SET RECEIPT RECEIPT NO: R12 -01893 Initials: JEM Payment Date: 06/18/2012 User ID: 1165 Total Payment: 161.66 Payee: EMERALD AIRE INC. SET ID: S000001762 SET NAME: Tmp set/Initialized Activities SET TRANSACTIONS: Set Member Amount EL12 -0551 M12 -097 TOTAL 88.20 73.46 8.20 TRANSACTION LIST: Type Method Description Amount Payment Check 1587 161.66 TOTAL: 161.66 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 PLAN CHECK - NONRES 000.345.830 88.20 73.46 TOTAL: 161.66 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. eg--)557 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 oF.. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 1 Type of Inspection: 2 Address: ? ��1A,�/ Date Called: Special Instructions: Date Wanted:. a:m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. //y COMMENTS: f rivm. Inspector: _J , Date: D7/725 (P'?,' n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople�nter 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 EMERALD AIRE INC UBI No. 600591552 Phone 2538725665 Status Active Address 5108 D St Nw License No. EMERAAI991 KG Suite /Apt. License Type Electrical Contractor City Auburn Effective Date 5/7/2001 State WA Expiration Date 5/7/2013 Zip 98001 Suspend Date County King Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status EMERAAI0120T EMERALD AIRE INC Electrical Contractor Hvac /Rfrg Ltd Energy Unused 9/30/1999 9/30/2001 Archived Electrical Administrator INFORMATION License LEIPHMK913LS Name LEIPHART, MICHAEL K Status Active Business Owner Information Name Role Effective Date Expiration Date DENT, CHARLES Agent 05/07/2001 Bond Amount HAPPE, DOUGLAS, A President 05/07/2001 1959050 RIDGE, JOHN P Vice President 05/07/2001 ELECTRICAL CITATION 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 HANOVER INSURANCE COMPANY 1959050 05/02/2011 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0004/22/2011 $2,000.00 1 INS CO OF THE WEST 1839774 05/02/2001 Until Cancelled 05/02/2011 EJURT00441 $4,000.00 05/07/2001 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 EVERT00059 8/11/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 ECHAE00757 2/27/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EGUDA00372 12/14/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJURT00441 12/8/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 https: // fortress .wa.gov /lni /bbip /Print.aspx 06/18/2012