HomeMy WebLinkAboutPermit EL12-0939 - CITY OF TUKWILA / FIRE DEPARTMENT - FIRE STATION 5CITY OF TIJKWILA
FIRE STATION 51
444 ANDOVER PK E
EL1 2-0939
City cog/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
ELECTRICAL PERMIT
Parcel No.: 0223400080
Address: 444 ANDOVER PK E TUKW
Project Name: CITY OF TUKWILA FIRE STATION 51
Permit Number: EL12 -0939
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:
INSTALL NEW CIRCUIT FOR SERVER EQUIPMENT
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:
National Electrical Code Edition:
Date:
$71.40
2008
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 t - • ermit does not pres
construction or t • e pe ance of w
Signature:
Print Name:
e to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to sign and obtain this electrical permit.
i
Deat,4 04/011/71-e5
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.
Date: /c /S—A•
doc: EL -4/10
EL12 -0939 Printed: 10 -05 -2012
•
PERMIT CONDITIONS •
Permit No. EL 12 -0939
* *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 -0939 Printed: 10 -05 -2012
CITY OF TUKW
Community DeveiopmWIDepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.Tu kw i la W A. gov
Electrical Pe'
Project No:
Date Application Accepted: .
Date Application Expires:
(Fof` fee u §eonly)
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 Address:
Tenant Name:
IAN E
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes No
• PROPERTY- OWNER -'
Name: c-
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Name:
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d( 74,,L
Email:
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Address:
City:
State:
Zip:
CONTACT; PERSON — person receiving all project
Name: c-
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Address: /6
City: n State: G Zip:, 2
l�.ewrs.,
Phone: LIU- 247 PeGG Fax: q2-S- UP I
Email:
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ELECTRtcAL CONTRACToit NFORM`AT10N' :.
Company Name: 0 r -0 -
Q�I.0 Icy l�(.e G{�t`rc� v d'Lck/S
Address: ZD It (3 ^,! A AI&
L� •� wState:
Zips
City: �e�
Phone: N as_ 249...? Z.o7 �4 yL.S = ZOO iv/
Contr Reg No.:0,t4trei Is_374 Exp Date: y/t s //3
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
S'OV
Scope of Work (please provide detailed information):
":E.54,69 h c.. Z' , e .SQL. -e..- ektiO k+..e .7,
Will service be altered? ❑ Yes .7S-- No Adding more than 50 amps? ❑ Yes A3' No
Type of Use: mac". •Pv-C,;.C.S
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ 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
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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, fumace 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:
Signatur
Print Name: L
Mailing Address: 2 01 t
H. \Applications \Forms- Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -I I.docx
Revised. August 2011
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Date: /0/3//2.
Day Telephone: VZ-S- t) 7 f1 66,
City
ci 91or6
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.: 0223400080 Permit Number: EL12 -0939
Address: 444 ANDOVER PK E TUKW Status: PENDING
Suite No: Applied Date: 10/05/2012
Applicant: CITY OF TUKWILA FIRE STATION 51 Issue Date:
Receipt No.: R12 -02781 Payment Amount: $71.40
Initials: WER
User ID: 1655
Payment Date: 10/05/2012 10:03 AM
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: Receiot -06 Printed: 10 -05 -2012
INSPECTION RECORD
- Retain" a copy with permit
INSPECTION, NO. PERMIT NO.
CITY OF`TUKWILA BUILDING DIVISION
L300 Southcenter. Blvd., #100, Tukwila. WA 98188 (206) 431 3670
Permit Inspection Request Line (206) 431 -2451 •
ail-0131
Project:6 f . (_u *57
Type of Inspection: 2,.(Ov
Address J 41
Date Called:
Speciatinstructipns:: ' 1
=
Date Wanted:.
/0
0?
A.m.
(p 1
Requester:
Phone No
Approved.per applicable codes. D Corrections required prior to approval.
COMMENTS:
Inspector:
Date: 1
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
Paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople P ter 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
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 HUMPHDM9186R
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