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