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Home My WebLink AboutPermit EL12-0641 - CITY OF TUKWILA / POLICE - NEIGHBORHOOD RESOURCE CENTERCITY OF TIJKWILA POLICE 14862 TUKWILA INTERNATIONAL BL EL1 2-0641 City oftukwila 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.: 0041000329 Permit Number: EL12 -0641 Address: 14862 TUKWILA INTERNATIONAL BL TUKW Issue Date: 07/10/2012 Permit Expires On: 01/06/2013 Project Name: CITY OF TUKWILA POLICE Owner: Name: WEST MICHAEL J +DONNA F Address: 18047 MILITARY RD S , SEATTLE WA 98188 Contact Person: Name: DEAN HUMPHRIES Address: 2018BLAINE AV NE , RENTON WA, 98056 Contractor: Name: QUALITY ELECTRICAL CONT LLC Address: 2018 BLAINE AV NE , RENTON WA 98056 Contractor License No: QUALIEC915JN Phone: 425- 207 -8866 Phone: 425 207 -8866 Expiration Date: 04/15/2013 DESCRIPTION OF WORK: INSTALL (3) NEW CIRCUITS FOR TELEVISION AND SIGN Value of Electrical: NRES: $500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $75.60 National Electrical Code Edition: 2008 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 • ,give authority to violate or cancel the provisions of any other state or local laws regulating construction or the p= nce of work. m-authorized to sign and obtain this electrical permit. Signature: Print Name: Date: 7/4b0Z 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 -0641 Printed: 07 -10 -2012 • • PERMIT CONDITIONS Permit No. EL 12 -0641 * *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 -0641 Printed: 07 -10 -2012 CITY OF TUKWIj4 Community Developme .)epartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:!`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: /f &(L Suite Number: Tenant Name: (4., pt 1—(44.144( pp� Company Name: 06..4.04(-(i ,p 44 c.c./2 (- t_ S Address: �t 'LCJI g I0lc nzniz 4+.a-_ i4g. Name: Name: Contr Reg No.: Exp Date: Q,(�4L�ECt r Sti1 q / /S // 3 Address: Address: 201$ 3la.t,,,x City: State: Zip: pp� Company Name: 06..4.04(-(i ,p 44 c.c./2 (- t_ S Address: �t 'LCJI g I0lc nzniz 4+.a-_ i4g. City: 4,:m State: tA.14 Zip: 9 S GSZ Name: Contr Reg No.: Exp Date: Q,(�4L�ECt r Sti1 q / /S // 3 Tukwila Business License No.; Address: 201$ 3la.t,,,x . id City: IZ�ut , State: ta Zip:Q Phone: �(2 S zo -7 Se(..40 Fax: Email: Floor: New Tenant: ...Yes ❑.. No Valuation of Project (contractor's bid price): $ of Work (please provide detailed information): M Ora.Q2 3 � w � A; f7, , -7v Will service be altered? ❑ Yes El No Adding more than 50 amps? ❑ Yes No Type of Use: T pe of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel /® Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H\ApplicationsWorms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 Company Name: 06..4.04(-(i ,p 44 c.c./2 (- t_ S Address: �t 'LCJI g I0lc nzniz 4+.a-_ i4g. City: 4,:m State: tA.14 Zip: 9 S GSZ Phone: Fax: Lf 2-T '2-07 4P- ‘42-.5- 2.i)? re'? l Contr Reg No.: Exp Date: Q,(�4L�ECt r Sti1 q / /S // 3 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ of Work (please provide detailed information): M Ora.Q2 3 � w � A; f7, , -7v Will service be altered? ❑ Yes El No Adding more than 50 amps? ❑ Yes No Type of Use: T pe of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel /® Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H\ApplicationsWorms- 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 ONTRACTOR: Signature: Print Name: p_.Qk Yk�r(�J Mailing Address: 21)1E- 77/6 :(1, e .4-e N6. H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised. August 2011 bh Day Telephone: City Date: 7/ X2 LfZ- 2-07 — (SI(G State Zip Page 2 of 2 • City of Tukwila �yZ 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.: 0041000329 Permit Number: EL12 -0641 Address: 14862 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 07/10/2012 Applicant: CITY OF TUKWILA POLICE Issue Date: Receipt No.: R12 -02076 Initials: WER User ID: 1655 Payment Amount: $75.60 Payment Date: 07/10/2012 08:56 AM Balance: $0.00 Payee: QUALITY ELECTRCIAL CONTRACTORS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3272 75.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receiot -06 Printed: 07 -10 -2012 INSPECTION. RECORD Retain a copy with ?;permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ;,.1 . (206) 431 -367 Permit Inspection Request Line (206) 431 -2451 642_-(gm Project: ,/j� Ce Type of Inspection: 0, Address:Itt 6 -r' ,,6 ' Date Called: t Special Instructions: Date Wanted:. 7/11 'm p.m Requester: Phone No: 0 pproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: V / f l l REINSPECTION FEE REQUIRE J. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 1 Date: 67 f i IZ.- -- Contractors or Tradespeople Peter 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 QUALITY ELECTRICAL CONT LLC UBI No. 602906582 Phone 4252078866 Status Active Address 2018 Blaine Ave Ne License No. QUALIEC915JN Suite /Apt. License Type Electrical Contractor City Renton Effective Date 4/15/2009 State WA Expiration Date 4/15/2013 Zip 98056 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company 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 07/10/2012