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Home My WebLink AboutPermit EL12-1057 - ALLEGIANCE STAFFINGALLEGIANCE STAFFING 400 INDUSTRY DR EL12 -1057 City (It 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.: 0223400010 Address: 400 INDUSTRY DR TIIKW Project Name: ALLEGIANCE STAFFING ELECTRICAL PERMIT Permit Number: EL12 -1057 Issue Date: 11/07/2012 Permit Expires On: 05/06/2013 Owner: Name: BLUE DOG PROPERTIES TRUST Address: C/O THOMSON REUTERS PTS , PO BOX 847 92018 Contact Person: Name: JOHN WARE Phone: 206 - 786 -8278 Address: 109 WASHINGTON BL, SUITE B , ALGONA WA, 98001 Contractor: Name: FIVE STAR MECHANICAL Address: 4210 B ST NW SUITE F , AUBURN WA 98001 Contractor License No: FIVESM *006C3 Phone: 253 - 833 -8284 Expiration Date: 02/23/2014 DESCRIPTION OF WORK: RELOCATE (2) THERMOSTATS Value of Electrical: NRES: $300.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $67.20 National Electrical Code Edition: 2008 Date: U \.` -7"" 1 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 this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction o he pe o ce o work. I am authorized to sign and obtain this electrical permit. `% Signature: Date: / /— / Print Name: 6-Qrl'l )J Lr be qi-e v r 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 -1057 Printed: 11 -07 -2012 • PERMIT CONDITIONS • Permit No. EL 12 -1057 * *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 -1057 Printed: 11 -07 -2012 CITY OF TUKW - Community Developnilll Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Pee/it No.. �= ProjectNo. 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: 1/GO Tnd I.i�� L rive. Sa de I( Tenant Name: A- J/,eiar e 471.(,'r'nD King Co Assessor's Tax No.: Suite Number: /gi) Floor: PROPERTY OWNER Name: 'STD hn p , 1q, Name. • A' EH- /%% &rrc.i e Melt I'esea zJ1_1c ddress: �r ,I7 Tndaa Lr I Email o11nOD FiVL'SkriMlecAt COw City: -7-4 L14.) /eL State( ZipIg /ff CONTACT.PERSON - person receiving -all project'" communication .. Name: 'STD hn p , 1q, Address: JD9 wash; 14.0 elU O Sle.CE City: o VIA State Zip9sz,o) Phone:26 /, _7g() _g ,27gFax: Email o11nOD FiVL'SkriMlecAt COw New Tenant: l— Yes ❑.. No ELECTRICAL, CONTRACTOR- INFOR1ViATION . Company Narr}gt,�e `k ` McC 1 Q� [�1Si-e 11 tc�� ,Q/U n Address: /D9 lwJ�17� n Y� Gl' Ci : State /I zoiet) Z438.6 6 Phoneas3- 8rS;).._8.7 giLf Fax: a...3._ 85 a_ Sa 8S Contr Reg No. : y; v6j yi T Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 3 OD Scope of Work (please provide detailed information): re ) 6( ) ) l l e r 1'V! oS TC Will service be altered? ❑ Yes ❑ 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 ❑ Seattle City Light � , /�"J H:\Applications \Forms- Applications On Line \2011 Applications\Electrical 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 $1 1.55 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) PERMIT APPLICATION NOTES - 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 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: �- Print Name: (' er.t / /� / a &O� f P `j T Mailing Address: / 0 9 G(J ac h r •ioq Ai(7g 1,0 A City State Zip Date: 1/ /c2.. Day Telephone: 020-,7e b' 03 r-Z-.), -1 \Applications \Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised: August 2011 bh Page 2 of 2 ID • n 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.: 0223400010 Address: 400 INDUSTRY DR TUKW Suite No: Applicant: ALLEGIANCE STAFFING RECEIPT Permit Number: EL12 -1057 Status: PENDING Applied Date: 11/07/2012 Issue Date: Receipt No.: R12 -03068 Payment Amount: $67.20 Initials: WER Payment Date: 11/07/2012 04:16 PM User ID: 1655 Balance: $0.00 Payee: GERALD WARE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 021519 ACCOUNT ITEM LIST: Description 67.20 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 67.20 Total: $67.20 rinc• Rareint_nR Printari. 11-n7-7n.19 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: ha."( i.,,q 4., $flTZe of Inspection:. _ ' • Address: 00 biNSI1 Date Called: Special Instructions: / T Date Wanted:. t.i P _ ' a. m. Requester: Phone No 1rApproved per applicable codes. COMMENTS: Inspector: Corrections required prior to approval. R � n I t n REINSPECTI0 FEE REQUIRE[. Prior to next inspection .,fee must be. paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.' Contractors or Tradespeople ` ri ter Friendly Page • Electrical Contractor A business licensed by L£xl 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 FIVE STAR MECHANICAL 2538528284 109 Washington Blvd Ste B Algona WA 98001 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601937083 Active FIVESM'006C3 Electrical Contractor 2/23/2000 2/23/2014 Hvac /Rfrg Ltd Energy Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status FIVESM'009MA FIVE STAR MECHANICAL Electrical Contractor General Unused 7/1/2000 7/1/2004 Archived Master Electrician INFORMATION License WARE'JE953KW Name WARE, JOHN E Status Active Business Owner Information Name Role Effective Date Expiration Date ALLEN, ANGELA R Agent 01/01/1980 Bond Amount WARE, JOHN E E President 01/01/1980 9864312 WARE, BETTY JEAN Secretary 02/13/2004 WARE, GERALD L JR Treasurer 01/01/1980 CBIC WARE, GERALD L Agent 01/01/1980 05/28/2002 WARE, GERALD L Treasurer 01/01/1980 05/28/2002 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 FEDERATED MUTUAL INS CO 9864312 06/20/2005 Until Cancelled $4,000.00 06/06/2005 1 CBIC SC6014 02/18/2000 Until Cancelled 04/02/2007 $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 EWINP00465 10/8/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 11/07/2012