HomeMy WebLinkAboutPermit EL12-1061 - INTERLINE19o1-gT,Ta
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City okukwila
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 TIIKW
Project Name: INTERLINE
ELECTRICAL PERMIT
Permit Number: EL12 -1061
Issue Date: 11/08/2012
Permit Expires On: 05/07/2013
Owner:
Name: WALTON CWWA SOUTHCENTER 4 L
Address: C/0 CTMT - WALTON RE TAX , 4678 WORLD PARKWAY CIR 63134
Contact Person:
Name: SAM ALMO
Address: PO BOX 33370 , SEATTLE WA, 98133
Contractor:
Name: PRO -STAFF MECHANICAL INC
Address: PO BOX 33370 , SEATTLE, WA 98133 -8031
Contractor License No: PROSTMI006C8
Phone: 206 - 361 -0071
Phone: 206 - 361 -0071
Expiration Date: 03/30/2014
DESCRIPTION OF WORK:
SUPPLY & INSTALL (1) NEW THERMOSTAT AND ASSOCIATED LOW VOLTAGE WIRING.
Value of Electrical: NRES: $225.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
Date:
$63.00
2008
I hereby certify that I have read and ex • ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be compli d
The granting of thi s
construction or th
Signature:
Print Name:
ermi
pe
oes n
ce o
.r�
o k.
, whether specified herein or not.
sume to give authority to violate or cancel the provisions of any other state or local laws regulating
authorized to sign and obtain this electrical permit.
Atim
Date:
12-
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 -1061 Printed: 11 -08 -2012
• PERMIT CONDITIONS •
Permit No. EL12 -1061
* *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 -1061 Printed: 11 -08 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http: / /www.TukwilaWA.gov
/N70/2.1. -itkiE
//553
Electrical Permit No. —1 0 ( (
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
(� '7 /� King Co Assessor's Tax No.:
Site Address: /1 / / r7NT>l71/r i? /34-rat �f 'r Suite Number: (_ Floor:
Tenant Name: aTr�2u� (,Oi.c [.tr- New Tenant: ❑ Yes
gy3295774-
PROPERTY OWNER
Name: - ikrrrg- _.1 N15
Address: /I 97 /174DoVe-42- 94-i241_ W 65-5
City: 74tcv t L.A' State: I ,A__.. Zip: ?oft
f
CONTACT PERSON - person receiving all project
communication
Name:G w
Address: ,Ro , .30, 3.5.x70
Address: p0,
rg'j370
City:
State: - Zip: ?Rim
Phone: 706_361_007 I
Fax: 2,06_31, _04, 1r
V�
Email: e czo,s-
N44.1J11 CA-(_,,'I
1`�mK cji m
0
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
o-51 F n eA4.44Nr cAL'tNc
Address: ,Ro , .30, 3.5.x70
City: Sa i_s State: Zip:eE,t-s3
Phone:20b _361_0_0-7 ) Fax:, 206-'561 —o - 2 4-
Contr Reg No.: 5 -rw2136xp Date: 6/0/ l If
Tukwila Business License No.: gii5_0 9i, 3S r 7
Valuation of Project (contractor's bid price): $ 2-2-5,00
Scope of Work (please provide detailed information):
cPPLy p, J 5TPAA -- 19 N►^) T-S r,4-r 3 4-56x' ry tot,— VOL-TAG e
w )12 -11..)
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
XLow Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light Ut%'°
H:Upplications\Forms- Applications On Line&2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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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
Signature:
CTRICAL CONTRACTOR:
Print Name:
Mailing Address: 13 a 33776
H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Date: 1I1ed, �Z
Day Telephone: Zob -30--(707
1A✓11- ctUl
City State Zip
Page 2 of 2
r •
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
RECEIPT
Parcel No.: 3523049098 Permit Number: EL12 -1061
Address: 1147 ANDOVER PK W TUKW Status: PENDING
Suite No: Applied Date: 11/08/2012
Applicant: INTERLINE Issue Date:
Receipt No.: R12 -03076
Payment Amount: $63.00
Initials: WER Payment Date: 11/08/2012 02:16 PM
User ID: 1655 Balance: $0.00
Payee: PRO - STAFF MECHANICAL INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 13697 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
rinr: RPraint_f1R
Printarl• 11 -f1R -9819
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter "Blvd., #100, Tukwila. WA 98188 R., (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
[142-1041:.
Project: „yQ e
Type of Inspection:
Address: - a
/
Date Called:
Special Instructions:
Date Wanted:.
mom,
p.m.
Requester:
•
Phone No:
pproved per applicable codes. El Corrections required prior to approval.
OMMENTS:
Inspector: """
`�.! ���G"�t Date: 61 di t i
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople P;1i er Friendly Page
•
Electrical Contractor
A business licensed by LAI 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
PRO -STAFF MECHANICAL INC
2063610071
Po Box 33370
Seattle
WA
981330370
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601038859
Active
PROSTMI006C8
Electrical Contractor
2/28/2000
3/30/2014
Hvac /Rfrg Ltd Energy
Unused
Electrical Administrator INFORMATION
License HUGHEJ'008C8
Name HUGHES, JEFF
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DAVIDSON, KENNETH H
Agent
04 /09/2012
Bond Amount
ALMO, LEONARD
President
01/01/1980
799714C
ALMO, PENNY H
Secretary
04/09/2012
ALMO, PENNY H
Treasurer
04/09/2012
TRAVELERS CAS &
SURETY CO
ALMO, PENNY H
Vice President
01/01/1980
02/28/2009
DAVIDSON, CZEISLER
$4,000.0002/01/2001
01/01/1980
04/09 /2012
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
DEVELOPERS SURETY
£t INDEM CO
799714C
02/28/2009
Until Cancelled
$4,000.0001/26/2009
2
TRAVELERS CAS &
SURETY CO
081S103552784BCM
02/02/2001
Until Cancelled
02/28/2009
$4,000.0002/01/2001
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
EHRAL01087
9/11/2012
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 11/08/2012