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HomeMy WebLinkAboutPermit EL12-1040 - CITY OF TUKWILA / FIRE DEPARTMENTTUKWIIA FIRE DEPARTMENT 444 ANDOVER PK E EL12 -1040 City okkukwila 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.: 0223400080 Address: 444 ANDOVER PK E TUKW Project Name: TUKWILA FIRE DEPARTMENT ELECTRICAL PERMIT Permit Number: EL12 -1040 Issue Date: 11/01/2012 Permit Expires On: 04/30/2013 Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUKVVILA WA 98188 Contact Person: Name: MIKE SEELEY Address: 18133 NE 68 , REDMOND WA, 98052 Contractor: Name: PRIDE ELECTRIC INC Address: 3984 150 AV NE , REDMOND WA 98052 Contractor License No: PRIDEEI077DR Phone: 206 817 -6760 Phone: 425 454 -3665 Expiration Date: 03/19/2013 DESCRIPTION OF WORK: WIRE NEW DOOR OPERATOR ON WEST SIDE OF DOOR Value of Electrical: NRES: $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: \.Jtvk Date: $88.20 2008 I hereby certify that I have read and e . amin d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied 'th, hether specified herein or not. The granting of this permit does not pre = to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. am authorized to sign and obtain this electrical permit. Signature: ‘*\\ Nom\ Print Name: - \∎ 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. Date: )1- \-' doc: EL -4/10 EL12 -1040 Printed: 11 -01 -2012 PERMIT CONDITIONS Permit No. EL 12 -1040 * *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 -1040 Printed: 11 -01 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us ' SITE LOCATION Electrical Permit No. t l La,-- ID Project No. 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 Address: i nL/t/ ANpo✓,r(Z PAR1c, -E/ Suite Number: Floor: isr Tenant Name: (-_ J TY oP I (.4 few (L/4 Fl 1 P New Tenant: ❑ Yes ,0)..No Property Owners Name: CITY OF- T(,i, r w t t„ ). Mailing Address: King Co Assessor's Tax No.: ©-t' O --OA() City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: M ►K� r u =y Mailing Address: 1 5( 3 3 JJ . _ Day Telephone: o9 04 — $17 76 a 12FaktCM3 4)A- City State Zip E -Mail Address: tv.s fit} t izy x21012 - ELF.- C , CA^'lfax Number: /,Y, '- '9 7- 17 DD ELECTRICAL CONTRACTOR INFORMATION cijAg R(n E FLFr -le- =AI g i 3,3 Ab (jrif I pmat) Company Name: Mailing Address: AA _ 2_- 7 / State Zip Contact Person: W\ t K_ � S L Day Telephone: /s'- Lau _3 446 E -Mail Address: Fax Number: 1/.26— y9 % - B 7oz, Contractor Registration Number: PR n O% 7 DR Expiration Date: — / q — 2et3 Valuation of Project (contractor's bid price): $ Boo. Scope of Work (please provide detailed information): W i(21' A/act) £ (o(2 0 pegii- it. ON CthhsT or i. ooR. Will service be altered? ❑ Yes EirNo Adding more than 50 amps? ❑ Yes gi)'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\Pon - Applications On Line \I -2009 - Electrical Permit Application.doc bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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 1 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 CONTRAC OR: Signature: Print Name: Mailing Address: Date: /6—.3/---/.2 Day Telephone: 1/25-- zisy -24/4A-- Arafree940 le* &67-- City i r State Zip IDate Application Accepted: 11 ! o 4I 1 L Date Application Expires: _ Staff Initials: �(! H: Applications\Forras- Applications On Line \J -2009 - Electrical Permit Application.doc bh 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.: 0223400080 Address: 444 ANDOVER PK E TUKW Suite No: Applicant: TUKWILA FIRE DEPARTMENT RECEIPT Permit Number: EL12 -1040 Status: PENDING Applied Date: 11/01/2012 Issue Date: Receipt No.: R12 -03018 Payment Amount: $88.20 Initials: JEM Payment Date: 11/01/2012 09:33 AM User ID: 1165 Balance: $0.00 Payee: PRIDE ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 6654 88.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 88.20 Total: $88.20 rinr: PArpint -OR PrinfM 11_M -9f119 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO CITY OF TUKWILA BUILDING DIVISI.ON� 6300 Southcenter Blvd., #100, Tukwila. WA 98188 p" (206).431 - 3670.,• Permit Inspection Request Line (206) 431 -2451 . Project: },,JJ r-, s( N-Pr. Type of Inspection: Address: 1411 14 A- P( Date Called: Special Instructions: Date Wanted.. ; Requester: Phone No: VI Approved per applicable codes. 0 Corrections required. prior to,approval COMMENTS: 1 Inspector: \./ 6J,k4( Date: n 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 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 PRIDE ELECTRIC INC 4254543665 18133 Ne 68Th St D120 Redmond WA 98052 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601451700 Active PRIDEEI077DR Electrical Contractor 3/19/1993 3/19/2013 General Unused Master Electrician INFORMATION License GOAD'CJ955DG Name GOAD, CHRISTOPHER J Status Active Business Owner Information Name Role Effective Date Expiration Date GOAD, CHRISTOPHER J Agent 03/15/2005 3/11/2010 GOAD, CHRISTOPHER J President 03/15/2005 $250.00 GOAD, KIRK A Secretary 03/15/2005 ELECTRICAL CITATION GOAD, ROBERT L Vice President 03/15/2005 7/27/2011 SEELEY, ROBERT M Agent 01/01/1980 03/15/2005 SEELEY, ROBERT M President 01/01/1980 03/15/2005 SEELEY, KAROLYN J Secretary 01/01/1980 03/15/2005 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 3 TRAVELERS CAS & SURETY CO 103366931 03/17/2005 Until Cancelled $4,000.00 04/01/2005 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 EHULR00252 3/11/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHULR00251 3/11/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EAAR000426 7/27/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EREYT00332 11/21/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EREYT00331 11/21/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 11/01/2012