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Home My WebLink AboutPermit EL12-1086 - G-FORE ASSOCIATESG.FORE ASSOCIATES 1101 ANDOVER PK W EL12 -1086 Parcel No.: Address: City *?fukwila • Department of Community, Development 6300 Southenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.TukwilaWA.gov 8836500110 1101 ANDOVER PK W TIIKW Project Name: G -FORE ASSOCIATES ELECTRICAL PERMIT Permit Number: EL12 -1086 Issue Date: 11/16/2012 Permit Expires On: 05/15/2013 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: G -FORE ASSOCIATES LLC 5906 MONT BLANC PL NW , ISSAQUAH WA 98027 BOB WORLEY 287 SE 41 ST , RENfON WA, 98057 CAPITAL LIGHTING COMPANY INC 287 SW 41 ST , RENTON WA 98055 Contractor License No: CAPITLC964RN Phone: 425 251 -0244 Phone: 425 251 -0244 Expiration Date: 12/15/2012 DESCRIPTION OF WORK: LIGHTING RETROFIT Value of Electrical: NRES: $9,504.75 Fees Collected: $264.50 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied )(Ct � di Date: t l t� ld I l d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. granting of t pe. it does n• •re to give authority to violate or cancel the provisions of any other state or loc law regulating e o or am authorized to sign and obtain this electrical permit. Date: The grants construction or Signature: Print Name: This permit shall become null and void if the or abandoned for a period of 180 days from t s not commenced within 180 days from the date of issuance, or if the work is suspended t inspection. doc: EL -4/10 EL12 -1086 Printed: 11 -16 -2012 PERMIT CONDITIONS Permit No. EL12 -1086 * *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 -1086 Printed: 11 -16 -2012 CITY OF TUK{ Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 1 Electrical Permit No. Project No. (For office use only) Cue — t0.1(O 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 A /King Co Assessor's Tax No.: i - ' OO I, 0 Site Address: /.1 D / At' 6 P/4-de e4-e-)& tom/ . Suite Number: /05-5.x Tenant Name: Property Owners Name: r0/Liy New Tenant: Floor: ❑ Yes S. No Mailing Address: 41 /$ eA /d h-.116 - 2e 'D City State Zip CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: 6„-,1 mop Mailing Address: 24 7 'i 1 U 4%% 57 ed ,t/ToA/ Day Telephone: Q • City E-Mail Address: 8.d.B1,-.1 ®G', i /7,9- , L/ G /dr) >+/ c 4!%A Cal x Number: 25f-L(/ /- `,0.. r 7 State ZiP yes- z s°— / -- e 3 ELECTRICAL CONTRACTOR INFORMATION Company Name: e/9 P 1--6 N 7-//G26 ZcF 7 f1,1 (71/07-4:7.- Mailing Address: Contact Person: gA,v7t 4- h E -Mail Address: Contractor Registration Number: e/3P /TGe 9GyAA/ City Day Telephone: Fax Number: Expiration Date: /-% /2- /5- / dfr 9 fd 5 7 State Zip Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): Will service be altered? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Low Voltage D Generator ❑ Fire Alarm ❑ Telecommunication Adding more than 50 amps? ❑ Yes Fr No Property Served by: WPuget Sound Energy ❑ Seattle City Light H: AppiicationsTonnsApplieatiais On Line \4 -2007 - Elecmcal Permit Applicanoadoc bh ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 RESIDENTl� NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $140.00 575.00 ea $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter/mast repair $65.00 ❑ Low voltage systems S55.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ 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 - Valve 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 PE ' BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWN "' O r LECT AL Ci RACTOR: • Signature: Print Name: .te e . Mailing Address: 22 7 5:14i_ 44/ ` S ,& ')7)i/ City state Zip Date: / i/ Co /2/ Day Telephone: 4/2-X" 42-S-7 d 2 SL� JA- q Date Application Accepted: Date Application Expires: Staff Initials: H:Applic ons\Fonns- Applications On Line14-2007 - Electrical Permit Applicaaao.doc bb Page 2 of 2 1 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.: 8836500110 Address: 1101 ANDOVER PK W TUKW Suite No: Applicant: G -FORE ASSOCIATES RECEIPT Permit Number: EL12 -1086 Status: PENDING Applied Date: 11/16/2012 Issue Date: Receipt No.: R12 -03144 Initials: JEM User ID: 1165 Payment Amount: $264.50 Payment Date: 11/16/2012 11:55 AM Balance: $0.00 Payee: ROBERT C WORLEY, CAPITAL LIGHTING CO. TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 68734Z ACCOUNT ITEM LIST: Description 264.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 264.50 Total: $264.50 rinr: RPraint_f1R Printarl• 11- 1R -7f112 ,non INSPECTION. RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IL (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 0/11-tAl Project: ` �4‘f �� . (Ill''' Type of Inspection: 2,064 S Address: i �o � � �� Date Called: Special Instructions: • (4 11(4 Date Wanted:. t a.m` p.m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Date: /2/64 1 mspeavr.� _ 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 *nter Friendly Page 1 Electrical Contractor A business licensed by LEI 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 CAPITAL LIGHTING COMPANY INC 4252510244 287 Sw 41St St Renton WA 98055 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601004603 Active CAPITLC964RN Electrical Contractor 12/15/2004 12/15/2014 Maintenance Unused Master Electrician INFORMATION License LITTLD'963QP Name LITTLE, DAVID Status Active Business Owner Information Name Role Effective Date Expiration Date CALDWELL, C. MICHAEL Agent 12/15/2004 11/15/2011 CALDWELL, C. MICHAEL President 12/15/2004 $1,500.00 WORLEY, ROBERT C Secretary 12/15/2004 ELECTRICAL CITATION WORLEY, ROBERT C Vice President 12/15/2004 11/15/2011 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 1 CBIC SF9198 12/08/2004 Until Cancelled $4,000.00 12/15/2004 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 EBOES00642 11/15/2011 19.28.041 RCW ELECTRICAL CITATION Satisfied $1,500.00 EBOES00644 11/15/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EBOES00645 11/15/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EBOES00649 11/15/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EJORP02878 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02874 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02879 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02880 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02877 4/23/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 11/16/2012