HomeMy WebLinkAboutPermit EL12-0894 - CENTER PLACE BUILDINGCENTER PLACE
BUILDING
17005 SOUThCENTELR PY
EL1 2-0894
City oPfukwila
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.: 2623049069
Address: 17005 SOUTHCENTER PY TUKW
Project Name: CENTER PLACE BUILDING
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0894
09/21/2012
03/20/2013
Owner:
Name: KTM GROUP LLC
Address: 635 HIGH SCHOOL RD NE , BAINBRIDGE ISLAND WA 98110
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
PATRICK HALL Phone: 206 391 -6527
19936 BALLINGER WY NE , SEATTLE WA, 98155
TENANT ELECTRICAL SERVICES LLC Phone: 206 391 -7856
19909 BALLINGER WY NE STE 101 , SEATTLE WA 98155
Contractor License No: TENANES931K5 Expiration Date: 05/25/2013
DESCRIPTION OF WORK:
REPLACE GROUNDING ELECTRODE CONDUCTORS ON BUILDING. ALL WERE CUT BY VANDALS.
Value of Electrical:
NRES: $2,488.00 Fees Collected:
RES: $0.00
$136.50
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
amin
th,
Date:
d this permit and know the same to be true and correct. All provisions of law and ordinances
ether specified herein or not.
The granting of this permit does not pres . = to give authority to violate or cancel the provisions of any other state or local laws regulating
constructioypr the anc� of work. I am authorized to sign and obtain this electrical permit.
Signature: j RZ.C.0 Date:
Print Name: Vvir't C.. K- & 1(
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 -0894 Printed: 09 -21 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0894
* *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.
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doc: EL -4/10
EL12 -0894 Printed: 09 -21 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite !00
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. it114
Project No. ,
Date Application Accepted: tu�h
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 nail or by fax.
* *Please Print **
h U.\ \ ,� King Co Assessor's Tax No.:
Site Address: ROOS SbGe.t1-1^eflT &I Suite Number:
Tenant Name: Cen }ter 9\aG• 150 144n7
PROPERTY OWNER
L
Name'QTv,-(L� ` Ta k1 •
Address: 3(e 8a1C\nyer Way NE
Name:
V� AA
Emai'4 +f ►GK � �nanfelu�rtcal
, flat
Address:
crk.
tr]„e/
Od� 0.
City: K4ct. Stat : k
l VV
Zip: th�p
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CONTACT PERSON — person receiving all project
communication
L
Name'QTv,-(L� ` Ta k1 •
Address: 3(e 8a1C\nyer Way NE
City:5e4 `L , State:
State :(,\' h
Zip: i� B SS
Phone:206,391,65 �7 Fax: AV One
Emai'4 +f ►GK � �nanfelu�rtcal
, flat
New Tenant:
Floor:
❑ Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: enan T t'GG `hrZGG,1 SeY1ii
Address:' gel 36, ?a'I in9-Cr 1,\)4‘i NE
City: ce4 f+ (K State: ", \A Zip18I5•5
Phone: ZO(D 3GJ•2 y Fax: Ak,n'e
Contr Reg No. rl.0'Sg31 gs Exp Date: �^ c —(tl
I/
Tukwila Business License No.: Q .e� -0119 32(eS
Valuation of Project (contractor's bid price): $ e9) LI gS?j
Scope of Work (please provide detailed information):
ela« SKeu(1di()
IandaIS
e) ee- f � E Cenci r c-}or.
e$
On h; Idi nq . al ! 1AJere C K4-
Will service be altered? ❑ Yes ®. No Adding more than 50 amps'? ❑ Yes Q] No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Pro el S-rved b :
Puget Sound Energy ❑ Seattle City Light
H: \Application. I mn . -Appl i..at ions On Lint \201 1 Appli,ation. \Iileeuical Pcnuit Application Revised 0 -9 -1 Ldoex
Revised: August 2011
bI
El Tenant Improvement
❑ Temporary Service
Page I 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 ca
RESIDENTIAL REMODEL AND SERVICE CHANGES
XService 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 $10.50 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
\76-iWo}k
Date:
Print Name: —Fa r a K 114 t' Day Telephone: .20G, 39/-(4)5 Z 7
Mailing Address: ITi3% paIltn c (i%4v ne.., IAA Ct 8)C$
City State
\Appliudan> Ibnim,Appf,alion. On Lin.. \201 1 P..,n ii Rcvi.,,d F -9 -I I.Jucs
Revised: August 2(111
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Zip
Page 2 of 2
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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
RECEIPT
Parcel No.: 2623049069 Permit Number: EL12 -0894
Address: 17005 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/21/2012
Applicant: CENTER PLACE BUILDING Issue Date:
Receipt No.: R12 -02672
Payment Amount: $136.50
Initials: JEM Payment Date: 09/21/2012 03:36 PM
User ID: 1165 Balance: $0.00
Payee: PATRICK HALL, TENANT ELECTRICAL SERVICE
TRANSACTION LIST: •
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 918650
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
doc: Receiot -06 Printed: 09 -21 -2012
1-
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION.
6300 Southcenter Blvd., #100, Tukwila. WA 98188 l_, (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: L 6011 -
Type of Inspection:
1100
Address:
Date Called:
Special Instructions:
Date Wanted:.
Q (oil
p m
Requester:
Phone No:
EApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
- - 4.7
Inspector:
Date:
toll* 11(2._
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
,f
INSPECTION RECORD
Retain a copy with permit
eta M.
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 i -Q- (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: Wire4
Type of Inspection:
c+
, ;(00
Address: 1100 6.t. P1.
Date Called:
Special Instructions: 1
Date Wanted:
1/92, '
(rap...m
Requester:
Phone No:
Approved per applicable codes.
EJCorrections required prior to approval.
COMMENTS:
lkt c, G4 JJi IIJC3 Eyck? r
So urti Se
Inspector:
14664,1
Date: 0112.511 2,,,
1
n REINSPECTION FEE REQUIR D. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prr 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
TENANT ELECTRICAL SERVICES LLC
2063612989
19936 Ballinger Way Ne
Shoreline
WA
98155
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602722372
Active
TENANES931K5
Electrical Contractor
5/25/2007
5/25/2013
General
Unused
Electrical Administrator INFORMATION
License HALL *PD883MC
Name HALL, PATRICK DWAYNE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
ANDERSON, QUINN
Agent
05/25/2007
Bond Amount
DODSON, WILLIAM
Partner /Member
05/25/2007
792918C
WHINIHAN, BRIAN E
Partner /Member
05/25/2007
ELECTRICAL CITATION
ANDERSON, QUINN
Partner /Member
05/25/2007
CBIC
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
DEVELOPERS SURETY
& INDEM CO
792918C
05/14/2008
Until Cancelled
19.28.161 RCW
ELECTRICAL CITATION
$4,000.0005/13/2008
$250.00
1
CBIC
SH3343
05/14/2007
Until Cancelled
07/06/2008
$4,000.0005/25/2007
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
EBERA00380
11/28/2011
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBERA00379
11/28/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHOUD00701
2/6/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 09/21/2012