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HomeMy WebLinkAboutPermit EL12-1041 - HUSKY INTERNATIONALHUSKY INTERNATIONAL 13123 48 AV S EL12 -1041 City oikukwila 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.: 0003000116 Address: 13123 48 AV S TUKW Project Name: HUSKY INTERNATIONAL ELECTRICAL PERMIT Permit Number: EL12 -1041 Issue Date: 11/01/2012 Permit Expires On: 04/30/2013 Owner: Name: DEM L L C Address: ATTN: MCDEVITT M D , 13123 48TH AVE S 98168 Contact Person: Name: KEN KANG Address: 15008 35 AV W #C , LYNNWOOD WA, 98087 Contractor: Name: ENERGY MANAGEMENT SERVICES INC Address: 15008 35TH AV W STE C , LYNNWOOD WA 98087 Contractor License No: ENERGMS913B6 Phone: 425 741 -3526 Phone: 425 - 741 -3526 Expiration Date: 01/26/2013 DESCRIPTION OF WORK: LIGHTING UPGRADE (400W MH CANOPY LIGHT TO 125W LED CANOPY LIGHT RETROFIT ONLY). SCL REBATE PROGRAM. Value of Electrical: NRES: $8,000.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT $230.10 2008 Permit Center Authorized Signature: \A 7 �� �/"� Date: 11 1 01 ( it.. J I hereby certify that I have read and 4amiaed 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 presume 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 auth`; ed to sign and obtain this electrical permit. Signature:�� Print Name: .41.-1//45 Datey / /d0 Y �3✓� 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 -1041 Printed: 11 -01 -2012 • PERMIT CONDITIONS • Permit No. EL12 -1041 * *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 -1041 Printed: 11 -01 -2012 CITY OF TUKWI10 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov • r Electrical Permit No. L4 n L \1° l ( Project No. Date Application Accepted: t 01 1 ti 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: 13123 48th Ave S Tenant Name: Husky International King Co Assessor's Tax No.: Suite Number: PROPERTY OWNER Name: Ken Kang Name: Husky International City: Lynnwood State: WA Zip: 98087 Address: 13123 48th Ave S Email: ken @emsiwa.com City: seett4e. -'r��a, ,A 5 State: WA Zip: 98168 CONTACT PERSON — person receiving all project communication Name: Ken Kang Address: 15008 35th Ave W #C City: Lynnwood State: WA Zip: 98087 Phone: (425) 741 -3526 Fax: (425) 741 -3521 Email: ken @emsiwa.com noo�OO -01L(.o Floor: New Tenant: ❑ Yes O.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Energy Management Services, Inc. Address: 15008 35th Ave W #C City: Lynnwood State: WA Zip: 98087 Phone: (425) 741 -3526 Fax: (425) 741 -3521 Contr Reg No.: ENERGMS913B6 Exp Date: 01/26/2013 Tukwila Business License No.: I'"e.).._ D14.,2 7 n IJ� Valuation of Project (contractor's bid price): $ 8,000 Scope of Work (please provide detailed information): Lighting Upgrade (400W MH Canopy Light to 125W LED Canopy Light retrofit only) - SCL Rebate program Will service be altered? ❑ Yes in No Adding more than 50 amps? ❑ Yes © 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 0 Seattle City Light H :\Applications \Forms-Applicattons On L,neQOI I Apphcauons \Electncul Permn Application Revised 8 -9 -1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL (CONTRACTOR: Signature: .64f Date: 11/01/2012 Print Name: Edward B. Davis Day Telephone: (425) 879 -2795 Mailing Address: 15008 35th Ave W #C Lynnwood WA 98087 City H:\Applications \Forms - Applications On Line201 I Applications \Electrical Permit Application Revised 8.9 -1 I.docx Revised: August 2011 bh 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.: 0003000116 Address: 13123 48 AD S TUKW Suite No: Applicant: HUSKY INTERNATIONAL RECEIPT Permit Number: EL12 -1041 Status: PENDING Applied Date: 11/01/2012 Issue Date: Receipt No.: R12 -03019 Payment Amount: $230.10 Initials: JEM Payment Date: 11/01/2012 10:07 AM User ID: 1165 Balance: $0.00 Payee: EMS INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 100875 ACCOUNT ITEM LIST: Description 230.10 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 230.10 Total: $230.10 rdnr.• RPrpint_fl PrintMrh 11 -M -71119 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 Permit Inspection Request Line (206) 431 -2451 Project. t�� ��rJS t .. Type of Inspection:- 1p. Address: 1 s (A qg l- Date Called: Special Instructions: Date Wanted:. + t � . p.rn- Requester: Phone No: IdApproved per applicable codes. COMMENTS: EJCorrections required prior to approval,' • Inspector: '"" \. E4/ \I6S F1 REINSPECTION FEE REQUIRED. Prior to next inspection; fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule_ reinspection. . Date: U Contractors or Tradespeople Pr 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 ENERGY MANAGEMENT SERVICES INC 4257413526 15008 35Th Ave W Ste C Lynnwood WA 98087 Snohomish Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602881485 Active ENERGMS913B6 Electrical Contractor 1/26/2009 1/26/2013 General Unused Electrical Administrator INFORMATION License DAVISEB961 B8 Name DAVIS, EDWARD B Status Active Business Owner Information Name Role Effective Date Expiration Date NAM, SANG Agent 07/13/2009 Bond Amount NAM, SANG President 07/13/2009 325174952 LEE, KYUNG T Agent 01/26/2009 07/13/2009 KIM, DAVID T President 01/26/2009 07/13/2009 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 ELECTRICAL CITATION American States Insurance Co 325174952 04/20/2012 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0005/15/2012 $250.00 2 American States Insurance Co 6664485 08/20/2009 05/15/2012 $500.00 EJONV01359 $4,000.0010/21/2009 19.28.161 RCW 1 STATE FARM FIRE & CAS CO 98bas1616 01/20/2009 Until Cancelled 10/18/2009 ELECTRICAL CITATION $4,000.0001/26/2009 $500.00 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 EBEAK00271 1/13/2010 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EAARG00401 2/15/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV01581 3/16/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EJONV01359 10/18/2010 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EJONV01469 1/26/2011 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 11/01/2012