The URL can be used to link to this page

Home My WebLink AboutPermit EL12-0616 - CITY OF TUKWILA - 6300 BUILDINGCITY OF TUKWILA 6300 SOTJTHCENTER BL EL12 -0616 City ofiltukwila 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.: 0003200005 Address: 6300 SOUTHCENTER BL TUKW Project Name: CITY OF TUKWILA ELECTRICAL PERMIT Permit Number: EL12 -0616 Issue Date: 07/02/2012 Permit Expires On: 12/29/2012 Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188 Contact Person: Name: DEAN HUMPHRIES Address: 2018 BLAINE AV NE , RENTON WA, 98056 Phone: 425 - 207 -8866 Contractor: Name: QUALITY ELECTRICAL CONT LLC Phone: 425 207 -8866 Address: 2018 BLAINE AV NE , RENTON WA 98056 Contractor License No: QUALIEC915JN Expiration Date: 04/15/2013 DESCRIPTION OF WORK: INSTALL (3) NEW CIRCUITS IN BREAK ROOM Value of Electrical: NRES: $700.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $84.00 2008 Date: 7 _ I Z 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 t construction or Signature: ermit does not mance of sume to give authority to violate or cancel the provisions of any other state or local laws regulating k. I am authorized to sign and obtain this electrical permit. Date: 7///Z Print Name: J-Cp / kih v/ J9,-) 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 -0616 Printed: 07 -02 -2012 PERMIT CONDITIONS Permit No. EL12 -0616 * *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 -0616 Printed: 07 -02 -2012 CITY OF TUKWI Community Developmen a artment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 hitp: /'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 ** King Co Assessor's Tax No.: Site Address: 103 0 O .Su u r- 3 f id £ --20S Suite Number: 2.1),S" Floor: 2 Tenant Name: A.A F 4 ®"1 $•d 8 f L gSiS �tr�3E . ! %s ,� ?; i ��,+ �` �,.� e R , t a z 'a- t M e 1M %..c9' Y� - Name: la's` 14-t pL' 2 Address: I 2,01a- "g Ict:.."-Q- A- -we N �- City: ;;�j State: Zip: 980,5-6 Phone: 4-12-5" 2-6,) $Cx(0 Fax: Name: C t. of ku,1e,, Address: 62300 S'D L .. -- D l,D City:` City: rz e State: Zip: A.A F 4 ®"1 $•d 8 f L gSiS �tr�3E . ! %s ,� ?; i ��,+ �` �,.� e R , t a z 'a- t M e 1M %..c9' Y� - Name: la's` 14-t pL' 2 Address: I 2,01a- "g Ict:.."-Q- A- -we N �- City: ;;�j State: Zip: 980,5-6 Phone: 4-12-5" 2-6,) $Cx(0 Fax: Email: t ect,,, In o ; -L., .P t e Lt.,- 'd ee • c.,),,,, New Tenant: ❑ Yes E.. No Valuation of Project (contractor's bid price): $ 700 — Scope of Work (please provide detailed information): . s v.-4a Will service be altered? ❑ Yes ---No Type of Use: Cxrm��ov Lire Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light HAApplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Adding more than 50 amps? ❑ Yes .4 No ❑ Remodel -1=1--) Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 Company Name: 41 Address: City: rz e State: Zip: 93oz Phone: iiis- ez? (D Fax: y ZS 2_07 &-r` I Contr Reg No.: Q�t4 j,, 91s� Exp Date: � h//•s 3 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 700 — Scope of Work (please provide detailed information): . s v.-4a Will service be altered? ❑ Yes ---No Type of Use: Cxrm��ov Lire Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light HAApplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Adding more than 50 amps? ❑ Yes .4 No ❑ Remodel -1=1--) Tenant Improvement ❑ Telecommunication ❑ 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) ❑ 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 CO ► ,itACTOR: Signature: Print Name: ��,,�Pl�t ✓t e4 Mailing Address: 2- )i [? k- ,4 1.(E H: Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Day Telephone: City Date: 72 /i z Lj1S 2-7 rM -L (0 CAAA State Zip Page 2 of 2 (4::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 .gov Parcel No.: 0003200005 Address: 6300 SOUTHCENTER BL TUKW Suite No: Applicant: CITY OF TUKWILA RECEIPT Permit Number: EL12 -0616 Status: PENDING Applied Date: 07/02/2012 Issue Date: Receipt No.: R12 -02032 Initials: WER User ID: 1655 Payment Amount: $84.00 Payment Date: 07/02/2012 02:09 PM Balance: $0.00 Payee: QUALITY ELECTRICAL CONTRACTORS LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3268 84.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 84.00 Total: $84.00 doc: Receiot -06 Printed: 07 -02 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. s/L CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: �` ; <tit j1- (/(� 1 Type of Inspection: DD Address:(/'2� Date Called: 1 ...,..e., Special Instructions: Date Wanted:. �% /0 a.m. Requester: Phone No: p ,.. Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: I Date: o 7 1-60, �/L REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople De+ '1 Washington State Department of Labor & Industries Contractors or Tradespeople Detail Return to List > Start a New Search > Printer friendly Verify Workers' Comp Premium Status Check for Dept. of Revenue Account About Electrical Contractor Page 1 of 2 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 QUALITY ELECTRICAL CONT LLC Phone No. (425) 207 -8866 Address 2018 Blaine Ave Ne Suite /Apt. City Renton State WA Zip 98056 County King Business Type Limited Liability Company Parent Company UBI No. 602906582 Status j Active License No. QUALIEC91 SJN License Type ji Electrical Contractor Effective Date 4/15/2009 Expiration Date 4/15/2013 Suspend Date Specialty 1 la General Specialty 2 Unused Electrical Administrator INFORMATION License HUMPHDM918BR Name HUMPHRIES, DEAN M Status Active Q Business Owner Information J Hide All Name Role Effective Date Expiration Date HUMPHRIES, DEAN M�,� Bond Information '�:.% Partner /Member I I 04/15/2009 Bond Bond Company Bond Account Effective Expiration Cancel Date Impaired Bond Received Name Number Date Date Date Amount Date https://fortress.wa.gov/lni/bbip/Result.aspx 07/02/2012