HomeMy WebLinkAboutPermit EL12-0684 - 3 POINT ALLIANCE3 POINT ALLIANCE
11621 EAST MARGINAL WY S
EXPIRED 01-21-13
EL1 2-0684
City c*Tukwila
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.TukwilaWA.gov
ELECTRICAL PERMIT
Parcel No.: 1023049044
Address: 11621 EAST MARGINAL WY S TUKW
Project Name: 3 POINT ALLIANCE
Permit Number: EL12 -0684
Issue Date: 07/25/2012
Permit Expires On: 01/21/2013
Owner:
Name: CHATHAM COMPANY LLC
Address: 0/0 JSH PROPERTIES INC , 14900 INTERURBAN AVE S #130 98168
Contact Person:
Name: RICH GRAY
Address: 13301 SE 26 ST , BELLEVUE WA, 98005
Contractor:
Name: PRIME ELECTRIC INC
Address: 13301 SE 26 ST , BELLEVUE WA 98005
Contractor License No: PRIMEEI134BT Expiration Date: 01/30/2013
Phone: 425 - 864 -9401
Phone: 425 747 -5200
DESCRIPTION OF WORK:
INSTALL (18) CUSTOMER PROVIDED CCTV CAMERAS & (1) 120V CIRCUIT FOR POWER
SUPPLIES
Value of Electrical: NRES: $5,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$195.70
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
construction or
Signature:
Print Name:
of • resu - e • give autho 'ty to violate or cancel the provisions of any other state or local laws regulating
k. I :► orized • 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 -0684 Printed: 07 -25 -2012
PERMIT CONDITIONS
Permit No. EL 12 -0684
* *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 -0684 Printed: 07 -25 -2012
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: 11(221 elkSr ?AiltomV-10141 S
Tenant Name: 3 t* C4-.
PROPERTY OWNER
Name: '3
L.Cgg-6)
Address: a,fl ,
City: Tai State 1� 1r Zi
/g tab'
CONTACT PERSON — person receiving all project.
communication
Name: 19 G3n'.,,
Address: 1 3o
State: tIt . W1 Zip9tObS
City: Edo eVJG
Phon L2.5)8 ft Fax:
Email: e6 rAti @fri (G'(n
dv
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes lg]...No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 46 me._ Cjl ithr 1 CI
Address: I 27D\ D(46-* S-k
J� 1
City:
State: w A Zip:9206
Phon 79
'/ 1
e x1
#. Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.: Qt 6 091 aOtOt--T
Valuation of Project (contractor's bid price): $ 5DC-1
Scot rt,5. ort k (please p i vide detailed information): / ^�, L� 4+
0) �'J .cV' - s .s
Will service be altered?
❑ Yes
Adding more than 50 amps? ❑ Yes AZ No
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change ❑ Remodel
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:Applications'Forms- Applications On Line\201 I Applications\Elecirical Permit Application Revised 8 -9 -I I.docx
Revised: August 2011
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❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
-16
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
$152.85
$81.90 ea
$59.85 ea
Low voltage systems
(alarm, furnace thermostat)
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
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 0 _ CTRICAL CONT
Signature:
TOR:
Print Name: •
Mailing Address:
135 i s�1—
H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 Ldocx
Revised: August 2011
bh
Day Telephone:
Date: -7(9-5(1?,
427-1 —Ca—n
01,W.05
City State
Zip
Page 2 of 2
•
City of Tukwila
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.TukwilaWA.gov
RECEIPT
Parcel No.: 1023049044 Permit Number: EL12 -0684
Address: 11621 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 07/25/2012
Applicant: 3 POINT ALLIANCE Issue Date:
Receipt No.: R12 -02191
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $195.70
Payment Date: 07/25/2012 09:30 AM
Balance: $0.00
MICHAEL S BROBERG (PHONE)
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 02591D
ACCOUNT ITEM LIST:
Description
195.70
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 195.70
Total: $195.70
doc: Receiot -06 Printed: 07 -25 -2012
12 -03 -2012
City �f Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RICH GRAY
13301 SE 26 ST
BELLEVUE WA 98005
RE: Permit No. EL12 -0684
3 POINT ALLIANCE
11621 EAST MARGINAL WY S 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 01/21/2013.
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 01/21/2013, 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,
er Marshall
it Technician
File: Permit File No. ELI2 -0684
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 -431 -3670 • Fax 206-431 -3665
Contractors or Tradespeople Pinter Friendly Page
•
•
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 PRIME ELECTRIC INC UBI No. 601004783
Phone 4257475200 Status Active
Address 13301 Se 26Th St License No. PRIMEEI134BT
Suite /Apt. License Type Electrical Contractor
City Bellevue Effective Date 1/30/1987
State WA Expiration Date 1/30/2013
Zip 98005 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Master Electrician INFORMATION
License WOODEDT970K8
Name WOODEY, DAVE T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
REICHANADTER, ERIC
President
05/26/2011
Bond Amount
BROBERG, MICHAEL S
Secretary
05/26/2011
0128653
TYRELL, WAYNE
Agent
01/01/1980
05/26/2011
TYRRELL, WAYNE F
Member
01/01/1980
05/26/2011
TYRELL, NANCY
Member
01/01/1980
05/26/2011
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
4
Ceorkley Regional Ins
0128653
01/30/2011
Until Cancelled
19.28.271 RCW
ELECTRICAL CITATION
$4,000.00
01/30/2011
3
INS CO OF THE WEST
1200697
01/30/1992
Until Cancelled
01/30/2011
EHAGR00280
54,000.00
WAC 296 -46B- 901(15)
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
EHOUD00390
1/6/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ESHA000492
9/2/2011
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMOMJ00411
11/29/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5250.00
EHAGR00280
1/14/2009
WAC 296 -46B- 901(15)
ELECTRICAL CITATION
Satisfied
5250.00
EHAGR00281
1/14/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
5250.00
EJURT00483
5/14/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni /bbip /Print.aspx 07/25/2012