Loading...
HomeMy WebLinkAboutPermit EL12-0975 - INTERLINE BRANDINTERLINE BRAND 11477 ANDOVER PK W EL1 2-0975 City oitukwila 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.: 3523049098 Address: 1147 ANDOVER PK W TUKW Project Name: INTERLINE BRAND ELECTRICAL PERMIT Permit Number: EL12 -0975 Issue Date: 10/15/2012 Permit Expires On: 04/13/2013 Owner: Name: WALTON CWWA SOUTHCENTER 4 L Address: C/O CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134 Contact Person: Name: SEAN ACKER Address: 22024 260 AV SE , MAPLE VALLEY WA, 98038 Contractor: Name: ACKER ELECTRIC Address: 22024 260 AV SE , MAPLE VALLEY WA 98038 Contractor License No: ACKERE *077PM Phone: 206 - 396 -3867 Phone: 425 432 -7973 Expiration Date: 10/14/2013 DESCRIPTION OF WORK: TENANT IMPROVEMENT IN EXISTING OFFICE SPACE Value of Electrical: NRES: $2,800.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and ex governing this work will be complied th, Date: $136.50 2008 d this permit and know the same to be true and correct. All provisions of law and ordinances hether 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 construction or the performance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: /C.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 -0975 Printed: 10 -15 -2012 PERMIT CONDITIONS Permit No. EL12 -0975 * *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 -0975 Printed: 10 -15 -2012 CITY OF TUKWII Community Developme partment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:Iiwww.TukwilaWA.gov - Electrical Per Project:No. 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 ** King Co Assessor's Tax No.: Site Address: Ng 7 gizdo' v P2 - Y £t $ T Tenant Name: '�/ j 7'�Y !! �^ e PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: r Address:OZVO V 26c•-77-2- eve d - City: State: Zip: 772,90e. 4,4.p/4107 4-,29 ° 'G3Sr Phone 39Z 3sd "7- Fax: Email: 5-dgia. -i - dc&.-- (07GO/7___-' 7- I-2.2 d- -1o1? Suite Number: Floor: New Tenant: ❑ Yes `L. No ' ELECTRICAL' .CONTRACTOR .INFORMATION Company Name: A z s i/ 0„.._ 6 b %6 nrvG- 6 City_ .. .rfzi(.,..7 Std i��3� Phone:2,� 3?l,-3g67ax: Co Reg No.: Exp Date: !�� 4.777.0416. / 0-13 Tukwila Business License No.; (/ l,p, ( b. , t ( I Valuation of Project (contractor's bid price): $ 2�'6e. Scope of Work (please provide detailed information): %*-_,e?4z,,,1 .-JZ d7i4 6c°.5e fl7 �J7Jzie " 7 7,4 Will service be altered? ❑ Yes ft& No Adding more than 50 amps? ❑ Yes TX No Type of Use: 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 \2011 Applications\Electncal Permit Application Revised 8- 9- 11.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. - 1 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: Date: Print Name: Day Telephone: Mailing Address: City State Zip H:Wpplications\Forms- Applications On Line \201 I Applications\Electrical Permit Application Revised 8 -9 -I I.docx Revised: August 201 I bh Page 2 of 2 Parcel No.: Address: Suite No: Applicant: 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 3523049098 1147 ANDOVER PK W TUKW INTERLINE BRAND RECEIPT Permit Number: Status: Applied Date: Issue Date: EL12 -0975 ISSUED 10/15/2012 10/15/2012 Receipt No.: R12 -02857 Initials: TLS User ID: 1670 Payment Amount: Payment Date: Balance: $136.50 10/15/2012 11:21 AM $0.00 Payee: ACKER ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Check Authorization No. ACCOUNT ITEM LIST: Description 8886 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 Total: $136.50 136.50 doc: Receipt -06 Printed: 10 -15 -2012 INSPEfTION NO. INSPECTION RECORD Retain a copy with permit PERMIT CITY OF TUKWILA BUILDING DIVISION., 6300 Southcenter Blvd., #100, Tukwila: WA 98188. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 I Project: fdrep\a i�/ Type of Inspection: Address: j Date Called: Special Instructions: Date Wanted:. �) a. Requester: Phone No: 0 Approved per applicable codes. COMMENTS: EJCorrections required prior to approval. (fiktp-r(oAs oDfx Inspector: n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be° ;` paid at 6300 Southcenter Blvd.. Suite 100. Call to.schedule reinspection. 3 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION. 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451' Project: fJJrL'r ' Type of Inspection: -;. Address: ' 1�� 1 Date Called: Special Instructio s: Date Wanted:. a.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: - 401.11) aor e.04 p k LI) `Isca Ji ' d E . - P 1'1 r ( J 14.k0 REOVerAl , c6 . - DEA° fr Lyvie, a eff zi 6‘71-fec 4Qi A/ it 2._ Inspector: n REINSPECTION FEE REQUIR D. Prior to next inspection fee must. tie paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 2 INSPECTIONRECORD �' 1) 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 Request Line (206) 431 -2451 /Gov Project: jitriez, LANF' " TYPe of Inspection: r f)P S r JV-. m U►(_ CA -%�/ ti - M o J ) CPQ �. AO k f i Address: Date Called: - H I (t a ikzpic> v,-au ►o- kr Iwre-9\‘ / &lb %(sco,J kcr Special Instructions: Date Wanted:. �(((y a.m. p. Requester: Phone No: JApproved per applicable codes. Corrections required prior to approval. COMMENTS: I -- V t6PThu $S t/i (fl4 ni 6 k---Er ©( r f)P S r JV-. m U►(_ CA -%�/ ti - M o J ) CPQ �. AO k f i - aoki (r 4- 35 I.JATe ,- - H I (t a ikzpic> v,-au ►o- kr Iwre-9\‘ / &lb %(sco,J kcr Inspector: �JtJ�\ n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: (tirti 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 6/12-MC Permit Inspection Request Line (206) 431 -2451 Project: b tf ln�� � � Type of Inspection: Address: i i t kpo Date Called: Special Instructions: jj1/ NA/ j / -nil( Date Wanted:. a. m. Requester: i f. Phone No: 0 Approved per applicable codes. 0 Corrections, required rprior:to•approval: COMMENTS: J. Inspector: l 1d�'� i tl7 W=A..• /ELI - kokAA (Ai Co P tic n REINSPECTION FEE REQUIRED. Prior to next inspection,',feemust.be'- paid at 6300 Southcenter Blvd.. Suite 100. Canto :schedute;reinspection:_.. — ef._n5:�bcSt'l. r.f'�.e�`^st:�. �rw_c d::-ti .�M��•'� ^c tr <C._�... : et "yid L,, .i^�"e • Contractors or Tradespeople Pre Friendly Page • Electrical Contractor A business licensed by Llil 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 ACKER ELECTRIC 4254327973 22024 260Th Ave Se Maple Valley WA 98038 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601493691 Active ACKERE'077PM Electrical Contractor 10/14/1993 10/14/2013 General Unused Master Electrician INFORMATION License ACKERSD962LS Name ACKER, SEAN DENNIS Status Active Business Owner Information Name Role Effective Date Expiration Date ACKER, SEAN Owner 01/01/1980 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 3 American Contractors Indem CO 100172293 08/13/2011 Until Cancelled $4,000.0009/09/2011 2 AMERICAN STATES INS 6175737 08/13/2002 Until Cancelled 08/13/2011 $4,000.0008/02/2002 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 /Ini /bbip /Print.aspx 10/15/2012