HomeMy WebLinkAboutPermit EL12-0589 - FORT DENT II - SILAFORT DENT II - SILA
6840 FORT DENT WY
EL12-0589
City oilliTukwila
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.Tukwila WA .gov
Parcel No.: 2954900425
Address: 6840 FORT DENT WY TUKW
Project Name: FORT DENT II - SILA
ELECTRICAL PERMIT
Permit Number: EL12 -0589
Issue Date: 06/25/2012
Permit Expires On: 12/22/2012
Owner:
Name: PEPPERWOOD HOLDINGS LLC
Address: 2835 82ND AVE SE #300 , MERCER ISLAND WA 98040
Contact Person:
Name: DARLA DOLL
Address: 7717 DETROIT AVE SW , SEATTLE WA, 98106
Contractor:
Name: MACDONALD MILLER FAC SOL INC
Address: PO BOX 47983 , SEATTLE WA 98106
Contractor License No: MACDOMF972BF
Phone: (206)768 -4278
Phone: 206 763 -9400
Expiration Date: 01/06/2013
DESCRIPTION OF WORK:
ADD (2) NEW T -STATS
Value of Electrical:
NRES: $800.00
RES: $0.00
Fees Collected:
$88.20
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature: /.�,t�i/i�%ific;
Date:
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 or the performance of work. I am authorized to sign and obtain this electrical permit.
Signature: ( Date: W2-51/ 2—
Print Name:
/21 ILL 5.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 -0589 Printed: 06 -25 -2012
PERMIT CONDITIONS
Permit No. EL 12 -0589
* *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 -0589 Printed: 06 -25 -2012
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
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:
Tenant Name:
King Co Assessor's Tax No.: 2954900440
6840 Fort Dent Way Tukwila, WA 98188 Suite Number: Floor: 3
FORT DENT II - SILA New Tenant: ❑ Yes m..No
PROPERTY OWNER
Name: DARLA DOLL
Name: JC RADOVICH
City: SEATTLE State: WA Zip: 98106
Address: 2000 124TH AVE NE #B103
Email: DARLA.DOLL @MACMILLER.COM
City: MERCER ISLAND State: WA
Zip: 98040
CONTACT,PERSON — person receiving' all project
communication
Name: DARLA DOLL
Address: 7717 DETROIT AVE SW
City: SEATTLE State: WA Zip: 98106
Phone: (206) 768 -4278 Fax: (206) 768 -4279
Email: DARLA.DOLL @MACMILLER.COM
ELECTRICAL CONTRACTOR INFORMATION
Company Name: MACDONALD MILLER
Address: 7717 DETROIT AVE SW
City: SEATTLE State: WA Zip: 98106
Phone: (206) 768 -4278 Fax: (206) 768 -4279
Contr Reg No.: MACDOMF972BF Exp Date: 01/06/2013
Tukwila Business License No.: BUS- 0100868
Valuation of Project (contractor's bid price): $ 800
Scope of Work (please provide detailed information):
ADD (2) NEW T -STATS
Will service be altered? ❑ Yes 0 No
Type of Use: COMMERICAL
Adding more than 50 amps? ❑ Yes No
Type of work:
❑ New ❑ Addition ❑ Service Change
VI Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
LEI Puget Sound Energy ❑ Seattle City Light
H:Wpplications\Forrns- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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❑ 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)
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)
❑ Camivals $78.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTES -!
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:
Date: 06/25/2012
Print Name: DARLA P OLL Day Telephone: (206) 768 -4278
Mailing Address: 7717 DETROIT AVE SW SEATTLE WA 98106
City State Zip
H:\Applications \Forms - Applications On Line12011 Applications\Electrical Permit Application Revised 8 -9.1 I.docx
Revised: August 2011
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Page 2 of 2
s �
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.Tukwila WA.2,ov
Parcel No.: 2954900425
Address: 6840 FORT DENT WY TUKW
Suite No:
Applicant: FORT DENT II - SILA
RECEIPT
Permit Number: EL12 -0589
Status: PENDING
Applied Date: 06/25/2012
Issue Date:
Receipt No.: R12 -01979
Initials:
User ID:
Payee:
LAW
1632
Payment Amount: $88.20
Payment Date: 06/25/2012 02:32 PM
Balance: $0.00
MACDONALD- MILLER FACILITY SOLUTIONS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3352 88.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 88.20
Total: $88.20
doc: Receiot -06 Printed: 06 -25 -2012
INSPECTION NO.
INSPECTIONa,RECORD
Retain a copy with permit
61(2 -fl
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431 -3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project: 6Ft0 m
Type of Inspection:
�,,2i o
Address:
. ,Drijr. -IL - 5 MA
Date Called:
Special Instructions:
Date Wanted:.
illY
p.m.
Requester:
1
Phone No:
10 Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
Inspector:
//
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Date: vq 1 g/
r 1l r
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 Peer Friendly Page
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Page 1 of 2
Electrical Contractor
A business licensed by LEt1 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
MACDONALD MILLER FAC SOL INC
2067639400
Po Box 47983
Seattle
WA
98106
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602254260
Active
MACDOMF972BF
Electrical Contractor
1/6/2003
1/6/2013
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty 2
Effective
Date
Expiration
Date
Status
ENCOMMS981JP
ENCOMPASS
MECHANICAL
SERVICES
Electrical
Contractor
Hvac /Rfrg Ltd
Energy
Unused
4/17/2002
4/17/2004
Archived
ENCOMMS984JP
ENCOMPASS
MECHANICAL
SERVICES
Electrical
Contractor
Maintenance
Hvac /Rfrg
Ltd Energy
4/17/2002
4/17/2004
Archived
MACDOMS982BM
MACDONALD
MILLER SERVICE
INC
Electrical
Contractor
Maintenance
Unused
1/14/2002
1/14/2004
Archived
MACDOMS011RS
MACDONALD
MILLER SERVICE
INC
Electrical
Contractor
Hvac /Rfrg Ltd
Energy
Unused
12/10/1999
12/10/2003
Archived
MACDOMC329B5
MACDONALD
MILLER CO INC
Electrical
Contractor
General
Unused
1/25/1968
1/31/2003
Archived
Master Electrician INFORMATION
License ZEHNER *962CJ
Name ZEHNER, RICK A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HACK, RICHARD R
Agent
01/06/2003
https: / /fortress.wa.gov /lni/bbip /Print.aspx
06/25/2012