HomeMy WebLinkAboutPermit EL12-0556 - OFFICE DEPOTOFFICE DEPOT
300 ANDOVER PK W
EXPIRED
01 -31 -13
EL1 2-0556
Parcel No.:
Address:
City oilkukwila
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
2623049001
300 ANDOVER PK W TUKW
Project Name: OFFICE DEPOT
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0556
06/19/2012
12/16/2012
Owner:
Name:
Address: •
SEGALE PROPERTIES LLC
PO BOX 88028 , TUKWILA WA
Contact Person:
Name: LONG MAI
Address: 5947 MARTIN LUTHER KING JR WY S , SEATTLE WA
Contractor:
Name: CEDAR GROVE ELECTRIC INC
Address: 1819 CENTRAL AVE S SP 71 , KENT WA
Contractor License No: CEDARGE955BC
Phone: 206 228 -6434
Phone: 253 - 373 -0056
Expiration Date: 01/21/2013
DESCRIPTION OF WORK:
ELECTRICAL FOR NEW SIGN
Value of Electrical:
NRES: $50.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
Fees Collected: $63.00
National Electrical Code Edition: 2008
Date:
ned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not pre
construction perform ce of work.
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized 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 -0556 Printed: 06 -19 -2012
•
PERMIT CONDITIONS •
Permit No. EL 12 -0556
* *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 -0556 Printed: 06 -19 -2012
CITY OF TUKWI4
Community Developm Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
htip://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 **
Site Address: 3 67r) /Ce14Vr7,{ r kA'i✓3
Tenant Name:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes .. No
Company Name:
aARf mare Mecj
Address:
City:
State: Zip:
Phone:
Fax:
Contr Reg No.: Exp Date:
C• C r Y1T
l '}� (7
Tukwila Busiifess License No.;
vc.— o` /g31zic<
Valuation of Project (contractor's bid price): $
D
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes No
Adding more than 50 amps?
Type of Use: (cn x'4'2,1 /i e-r
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Yes
❑ Tenant Improvement
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
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Page 1 of 2
Name:
eM
_`_.�
AY L
a— iti C (6,
Address:
.
Y.0 ,
Zip:
City:
I.
State:
Zip:
P/` .
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes .. No
Company Name:
aARf mare Mecj
Address:
City:
State: Zip:
Phone:
Fax:
Contr Reg No.: Exp Date:
C• C r Y1T
l '}� (7
Tukwila Busiifess License No.;
vc.— o` /g31zic<
Valuation of Project (contractor's bid price): $
D
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes No
Adding more than 50 amps?
Type of Use: (cn x'4'2,1 /i e-r
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Yes
❑ Tenant Improvement
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
Name:
eM
Address:
'
a— iti C (6,
w it,
City:
State:
Zip:
Phone:
, Fax:
Email:
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes .. No
Company Name:
aARf mare Mecj
Address:
City:
State: Zip:
Phone:
Fax:
Contr Reg No.: Exp Date:
C• C r Y1T
l '}� (7
Tukwila Busiifess License No.;
vc.— o` /g31zic<
Valuation of Project (contractor's bid price): $
D
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes No
Adding more than 50 amps?
Type of Use: (cn x'4'2,1 /i e-r
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Yes
❑ Tenant Improvement
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
(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 ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address:
rq.0 -- M C
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
TAN
Da Telephone:
City
Date: (6V/2..
2r6 —
State Zip
Page 2 of 2
CAP 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. tukw ila. wa. us
SET RECEIPT
RECEIPT NO: R12 -01913
Initials: JEM
Payment Date: 06/19/2012
User ID: 1165 Total Payment: 285.00
Payee: JONES SIGN CO., INC.
SET ID: S000001763 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member
EL12 -0556
S12 -040
TOTAL:
Amount
63.00
222.00
63.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 093991 285.00
TOTAL: 285.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR 000.322.101.00.0
SIGN PERMIT 000.322.100
63.00
222.00
TOTAL: 285.00
11 -01 -2012
City of Tukwila
Jim Haggerton, Mayor
Department of Corm unity Development Jack Pace, Director
LONG MAI
5947 MARTIN LUTHER KING JR WY S
SEATTLE WA 98118
RE: Permit No. EL12 -0556
OFFICE DEPOT
300 ANDOVER PK W TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 12/16/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 12/16/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
i1L()
File: Permit File No. ELI2 -0556
6300 Southcenter Boulevard, Suite 4100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206-431-3665
Contractors or Tradespeople Prri ter Friendly Page
Electrical Contractor
A business licensed by Lal 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
CEDAR GROVE ELECTRIC INC
4254279218
16825 230Th Ave Se
Maple Valley
WA
98038
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602254353
Active
CEDARGE955BC
Electrical Contractor
1/21/2005
1/21/2013
General
Unused
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
CEDARGE995DW
CEDAR GROVE
ELECTRIC
Electrical
Contractor
General
Unused
3/16/2001
3/16/2005
Archived
Master Electrician INFORMATION
License BATTEJT967C5
Name BATTERSON, J T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BATTERSON,J T
Agent
01/03/2005
Bond Amount
BATTERSON, J T
President
01/03/2005
9805393
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
3
Lexon Ins Co
9805393
04/29/2011
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
04/20/2011
2
COLONIAL AM CAS Et
SURETY OF
MARYLAND
LPM4068727
04/29/2005
Until Cancelled
06/03/2011
$4,000.0005/09/2005
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
EHOUD00355
3/22/2008
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMABQ03686
10/22/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip/Print.aspx 06/19/2012