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Home My WebLink AboutPermit EL12-0968 - H & R BLOCKH & R BLOCK 652 STRANDER BL EL1 2-0968 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.: 0005800037 Address: 652 STRANDER BL TUKW Project Name: H & R BLOCK ELECTRICAL PERMIT Permit Number: EL12 -0968 Issue Date: 10/11/2012 Permit Expires On: 04/09/2013 Owner: Name: BC PARTNERS LLC Address: C/O MK PROPERTY SVC LLC , PO BOX 997 98065 Contact. Person: Name: AL MITCHELL Address: 5836 S 228 ST , KENT WA, 98032 Contractor: Name: TANDEM ELECTRIC INC Address: 5836 S 228 ST , KENT WA 98032 Contractor License No: TANDEEI044DF Phone: 253 - 395 -8806 Phone: 253 - 395 -8806 Expiration Date: 03/06/2014 DESCRIPTION OF WORK: REMODEL OF OFFICE SPACE Value of Electrical: NRES: $5,750.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: ■ Fees Collected: $195.70 National Electrical Code Edition: 2008 Date: (0-11-1.Z 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 tlpa permit does no 've authority to violate or cancel the provisions of any other state or local laws regulating construction or t14eJuierformance Signature: Print Name: orized to sign and obtain this electrical permit. 'brie (A Date: 10 -1/ '1 2' 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 -0968 Printed: 10 -11 -2012 41 • PERMIT CONDITIONS Permit No. EL12 -0968 * *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 -0968 Printed: 10 -11 -2012 • • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 1 ) -- 0C((.+� Project No. Date Application :Accepted: 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 mail or by fax. * *Please Print ** SITE LOCATION Site Address: (16.- �� t3l `i Tenant Name: Hie 5101%T_ King Co Assessor's Tax No.: Suite Number: Floor: /2a) New Tenant: ❑ Yes ❑..No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project conununication Name: 7/ A/t f,taI Address: �(/j1 (. -7 - City: State: {„ a Zip:q , Phone: V3 . Jam. UIDFax:'l61 • 151 V Email: 06 ) Y 0 .a ELECTRICAL CONTRACTOR INFORMATION. Company Name: % 2d& �J pc/E is iivc . �1/(. Address:5 v$. 7 ffm.[ -wvl City: or State: pa Zip :q 73i_ Phone.&.j_ �/%5-�'(�%i/J Fax: 73°t-mS- Db/Oto D' Contr Reg No. n o /jj,,`/Df Exp Date: / /(,� Tukwila Business License No.: ,1 _ aqq q 7 Valuation of Project (contractor's bid price): $ '7 Scope of Work (please provide detailed information): Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes [ No i Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change j . . Remodel .;g...... Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: �( Puget Sound Energy ❑ Seattle City Light ‘C(Sild T H:\ Applications \Forms- Applications On Line \2011 Applications\ Electrical Permit Application Revised 0 -9 -I I.docx Revised: August 2011 bh 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 OW%NLI1 QR ELECTRICAL CO T ; TOR: Signature: Print Name: Mailing Address:/01, W677/1 J Tj Applications Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9-1 l.docx Revised: August 2011 bh Date: / j'/' / > //j Day Telephone: 7b1 -(�q . $(9( City 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 Parcel No.: 0005800037 Address: 652 STRANDER BL TUKW Suite No: Applicant: H & R BLOCK RECEIPT Permit Number: EL12 -0968 Status: PENDING Applied Date: 10/11/2012 Issue Date: Receipt No.: R12 -02842 Payment Amount: $195.70 Initials: WER Payment Date: 10/11/2012 11:57 AM User ID: 1655 Balance: $0.00 Payee: ALBERT MITCHELL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 05562D ACCOUNT ITEM LIST: Description 195.70 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 195.70 Total: $195.70 doc: Receipt -06 Printed: 10 -11 -2012 INSPECTION:RECORD Retain a copy with permit INSPECTION NO. PERMITNO.:: CITY OF TUKWILA BUILDING DIVISION :. • 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431- 3670 Permit Inspection Request Line (206) 431 -2451 Project: Type of Inspection: ...) Address: / � �( D ate Called: - . Special Instructions: ' Date Wanted:. ��^^�� ' �U 4th ' . a.m. - In Requester: Phone No: pApproved per applicable codes. 'COMMENTS: Corrections required prior to approval. 1 Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee: must be paid at 6300 Southcenter Blvd., Suite 100. Callao schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO: PERMIT NO. ' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 l os (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: ,, `` i) Type of Inspection: 7003 Address: � - �JF: ^ iikA't Date Called: Special Instructions: Date Wanted: . / D 1 / (ip (a.,,,n. .m Requester: Phone No Approved per applicable codes. COMMENTS: ElCorrections required prior to approval. tiAtu eAlt-Q\ 11 Inspector: litO[rlikic Date: 4160— REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr er 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 TANDEM ELECTRIC INC 2533958806 5836 S 228Th St Kent WA 98032 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601595200 Active TANDEEI044DF Electrical Contractor 3/6/1996 3/6/2014 General Unused ated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CHUTIE "10009 CHUTICH ELECTRIC Electrical Contractor General Unused 11/29/1990 11/29/1996 Archived Master Electrician INFORMATION License MITCHAL951 KB Name MITCHELL, ALBERT L Status Active Business Owner Information Name Role Effective Date Expiration Date CHUTICH, ALAN M Violation Amount 01/01/1980 4/1/2011 MITCHELL, ALBERT L ELECTRICAL CITATION 01/01/1980 $250.00 CHUTICH, ALAN M Agent 01/01/1980 ELECTRICAL CITATION Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC SA1392 02/13/1996 Until Cancelled $4,000.00 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 EPAUC00433 4/1/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EPAUC00432 4/1/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EPAUC00405 4/1/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EPAUC00404 4/1/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EPAUC00408 4/1/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EPAUC00409 4/1/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 10/11/2012