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HomeMy WebLinkAboutPermit EL12-0808 - CITY OF TUKWILA - TODD BOULEVARD / CASCADE AVENUE SOUTHCITY OF TUKWJLA TODD BL & CASCADE AV S EL1 2-0808 Parcel No.: Address: City offrukwila 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 7888900160 Project Name: CITY OF TUKWILA ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL12 -0808 08/27/2012 02/23/2013 Owner: Name: Address: Contact Person: Name: Address: EPROPERTY TAX INC DEPT 207 PO BOX 4900 , SCOTTSDALE AZ 85261 GORDON WAGSTER PO BOX 428 , DUVALL WA, 98019 Contractor: Name: OMEGA CONTRACTORS INC Address: PO BOX 430 , DUVALL WA 98019 Contractor License No: OMEGACI299J6 Phone: 425 881 -1697 Phone: 425 881 -1697 Expiration Date: 03/31/2013 DESCRIPTION OF WORK: NW CORNER/SEWER PUMPING STATION: RELOCATE EXISTING 3 -PHASE MANUAL TRANSFER SWITCH, 480V. RELOCATE EXISTING 120V AREA LIGHT CIRCUIT. Value of Electrical: NRES: $2,500.00 Fees Collected: 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 The granting of this permit does not p construction or th erformance of work. Signature: National Electrical Code Edition: Date: $136.50 2008 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating am authorized to sign and obtain this electrical permit. Print Name: CI ape_,11)ai■J Date: 5 _Z 7- 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 -0808 Printed: 08 -27 -2012 • * *ELECTRICAL ** PERMIT CONDITIONS Permit No. EL 12 -0808 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 -0808 Printed: 08 -27 -2012 CITY OF TUKWIL Development Department 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 Ass ssor's Tax No.: N O O 7 o-o L Site Address: k 0 V 1) LA/0 eAh0`-4V 6 • '�W C0 urte Number: Floor: Tenant Name: Address: City: State: Zip: Address: -Po /igj}'�� � �� City: ��-/� State: l , / _ Zip: 9y6/' Phone: 4a.; ggs( ' V' Fax 3 410' Email: Qm Ca, 3-T eAO g,.,s c 0. 01- C r1� New Tenant: ❑ Yes ❑.. No Company Name: vh 1,G. k- Ccv. r eAke rc j2 Address: a_0-)o City: `rte / A � / /�(; State� Zip:986/2 Phone art ( ll9Q 7 Fax: 4 . 47( 6, Contr Reg No.: ( 2211 -L4 ZC - l� Tukwila Business License No.; apl,:l 3 - sit 62. Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): • 6 P'?4 &- 14m-pvv gL TR4 1j5 F L4 (-P7 C-C „ueT Will service be altered? ❑ Yes% No Adding Lmoe than 50 amps? ❑ Yes No Type of Use: 5 r UJ 4j t � v"IM N Cs1 'Z1) mot✓ Type of work: ❑ New ❑ Addition ❑ Service Change [I Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: 5] Puget Sound Energy ❑ Seattle City Light H:\Applications \Forms - Applications On Line\201 I Applications\Electrical Permit Application Revised 8 -9 -11 .docx Revised: August 2011 bh Page 1 of 2 vCt 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 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 TRACTOR: Signature: Print Name: Mailing Address: e 4 Date: 4-Gt S�Q Day Telephone: - 5 4- t C 9S- 3 ctY ' l? State Zip H:Wpplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh City Page 2 of 2 • 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.TukwilaWA.gov Parcel No.: 7888900160 Address: Suite No: Applicant: CITY OF TUKWILA RECEIPT Permit Number: EL12 -0808 Status: PENDING Applied Date: 08/27/2012 Issue Date: Receipt No.: R12 -02450 Payment Amount: $136.50 Initials: JEM Payment Date: 08/27/2012 08:53 AM User ID: 1165 Balance: $0.00 Payee: OMEGA CONTRACTORS, INC. TRANSACTION LIST: Type Method Descriptio Amount Payment Check 36086 136.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receiot -06 Printed: 08 -27 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (trZ4aY PERMIT NO. CITY OF TUKWILA BUILDING DIVISION. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 73670 Permit Inspection Request Line (206) 431 -2451 Project: f /+, Type of Inspection: pito Address: f Date Called: Special Instructions: C04/ / Si IAA . kV :0 "i,' 1) Date Wanted:. p fj a.m • p'm Requester: Phone No: . Approved per applicable codes. Corrections required. prior to approval. COMMENTS: Inspector: Date: dq f(7 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee 'muet`be` paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection., Sul -oBog INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 . (206) 431 -3670 Permit Inspection quest Line (206) 431 -2451 ti,_ 1 Project: ./�{ i� (vvfil r V� Type of Inspection: �tJaS � , Address' Date Called: Special Instructions: Date Wanted:. r ia :m. Requester: / Phone No: vc] Approved per applicable codes. El Corrections required prior to approval. COMMENTS: e OAI D15) i-o-A P Co/by/7- IJP %ot.6 &A-56 Inspector: 6K aos, ft2._ ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pri. Friendly Page • Electrical Contractor 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company OMEGA CONTRACTORS INC 4258811697 Po Box 430 Duvall WA 98019 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 600364333 Active OMEGACI299J6 Electrical Contractor 4/26/1971 3/31/2013 General Unused Business Owner Information Name Role Effective Date Expiration Date WAGSTER, GORDON T Cancel Date 01/01/1980 Bond Amount WAGSTER, NATHAN M 2 01/01/1980 0571931 WAGSTER, GORDON Agent 01/11/1980 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 INTERNATIONAL FIDELITY INSURANCE COMPANY 0571931 01/01/2012 Until Cancelled $4,000.00 12/27/2011 1 FIDELITY Et DEPOSIT INS CO 9082382 01/01/1978 Until Cancelled $4,000.00 01/01/1978 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 08/17/2012