HomeMy WebLinkAboutPermit EL12-0937 - CITY OF TUKWILA / PUBLIC WORKSCITY OF TUKWILA
PUBLIC WORKS
6300 SOUTHCENTER BL
EL1 2-0937
City #fukwila
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.: 0003200005
Address: 6300 SOUTHCENTER BL TUKW
Project Name: CITY OFT'UKWILA PUBLIC WORKS
Permit Number: EL12 -0937
Issue Date: 10/05/2012
Permit Expires On: 04/03/2013
Owner:
Name: TUKWILA CITY OF
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188
Contact Person:
Name: DEAN HUMPHRIES
Address: 2018 BLAINE 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:
REISSUANCE OF EXPIRED PERMIT EL12 -0047
RUN NEW CIRCUITS FOR MICROWAVE IN LOUNGE AREA ON FIRST FLOOR
Value of Electrical:
NRES: $400.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $71.40
National Electrical Code Edition: 2008
LuS,
Date: 1 0 —
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 pres e to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or t pe o •• ance of wo / I am authorized to sign and obtain this electrical permit.
Signature: _�4. Date: /49/S-/ 2
Print Name: k 14 M rN0J
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 -0937 Printed: 10 -05 -2012
• PERMIT CONDITIONS •
Permit No. EL12 -0937
* *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 -0937 Printed: 10 -05 -2012
CITY OF TUKWI
Community DevelopmWepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.gov
Electrical Petit No:
ProjectNo.
Date Application Accepted:
Date. Application Expires:
(For"_ofce 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:
Tenant Name:
Of--4lA Lao-
PROPERTY 'OWNER-_
Name:
g,,t.trAP-1
Address:
2,0 ( , R A _ ". —
Name:
Phone: Fax:
Email: ,// {) ( /� 0 / ( //
o ..QQ h (A -!y,( ai ,(Aev . c `l�' 4 -e l -ecA -- c_ ` 1 C • W W'r
Address:
City:
State:
Zip:
CONTACT: PERSON'— person receiving all project
communication y _
Name:
g,,t.trAP-1
Address:
2,0 ( , R A _ ". —
City: ' State: 1.A44 Zip: lm
Phone: Fax:
Email: ,// {) ( /� 0 / ( //
o ..QQ h (A -!y,( ai ,(Aev . c `l�' 4 -e l -ecA -- c_ ` 1 C • W W'r
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes '`O.. No
ELECTRICAL CONTRACTOR. INFORMATION .
Company Name: & , { rteari,ra 6.84 ai,/ s
Address: X 18- OR:tt..A- /J&-
City: / State: k/A- Zip: 9 43Osto
Phone: ` it ZO? Ht,(4. Fax: t-n S '2�7 /
Contr Reg No.: Exp Date:
DutAITE-c_ 9/..M1 Y/(..1"//3
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
b y °owe
v..0
C�:rtti.ifS
;2 �a,, �.� e 04.0.ect o l � 11180,r.
a�N vvt ▪ LA/*pcch
Will service be altered? ❑ Yes —E' No
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
Adding more than 50 amps? ❑ Yes No
❑ Service Change
❑ Fire Alarm
H:Wpplications \Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8 -9 -I 1.docx
Revised: August 2011
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❑ Remodel
❑ Telecommunication
,=.1a-- Tenant Improvement
❑ Temporary Service
Page 1 of 2
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)
❑ 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: r%
Print Name: ('[M 1 P�
Mailing Address: 2018" (ciit.,- ✓ .i_&
H:\Applications \Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx
Revised: August 2011
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Day Telephone:
City
Date: /1/4--//7
yzr 2t7 Hoc
c'tiA"
State
Zip
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
RECEIPT
Parcel No.: 0003200005 Permit Number: EL12 -0937
Address: 6300 SOUTHCENTER BL TUKW Status: PENDING
Suite No: Applied Date: 10/05/2012
Applicant: CITY OF TUKWILA PUBLIC WORKS Issue Date:
Receipt No.: R12 -02781
Payment Amount: $71.40
Initials: WER Payment Date: 10/05/2012 10:03 AM
User ID: 1655 Balance: $0.00
Payee: QUALITY ELECTRIC CONTRACTORS LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1143 71.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 71.40
Total: $71.40
doc: Receipt-06 Printed: 10 -05 -2012
INSPECTION RECORD a, , 437
Retain a copy with permit t�'t�
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
'.6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431 -3670
Permit'lnspectidnKequest Line (206) 431 -2451
Project: ". U�1. BW
t
Type of Inspection:
POO
Address:
Date Called:
Special Instructions:
•
Date Wanted:.
10 0 (�
d
/a.m.
Requester:
Phone No:
Approved per-applicable codes. Corrections required prior to approval. /6
COMMENTS:
Inspector: /tr3416
Date: fo(0
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
�. paid at -6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer Friendly Page
•
Electrical Contractor
A business licensed by L81 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
QUALITY ELECTRICAL CONT LLC
4252078866
2018 Blaine Ave Ne
Renton
WA
98056
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602906582
Active
QUALIEC915JN
Electrical Contractor
4/15/2009
4/15/2013
General
Unused
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 Amount
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
Infractions /Citations Information No records found for the previous 6 year period
https: // fortress .wa.gov /lni/bbip/Print.aspx 10/05/2012