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HomeMy WebLinkAboutPermit EL13-0014 - LTS - REMODELLTS 12720 GATEWAY DR EL13-0014 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.: 2716000070 Address: 12720 GATEWAY DR TUKW Project Name: LTS ELECTRICAL PERMIT Permit Number: EL13-0014 Issue Date: 01/07/2013 Permit Expires On: 07/06/2013 Owner: Name: EPROPERTY TAX INC DEPT #207 Address: PO BOX 4900 , SCOTTSDALE AZ 85261 Contact Person: Name: TRAVIS BRADFORD Address: 16621 SMOKEY POINT BL PMB 241 , ARLINGTON WA, 98223 Phone: 360-657-0777 Contractor: Name: ULTRA ELECTRIC Phone: 360 657-0777 Address: 16821 SMOKEY PNT BL PMB 241 , ARLINGTON WA 98223 Contractor License No: ULTRAEL961NT Expiration Date: 08/30/2014 DESCRIPTION OF WORK: PROVIDE ELECTRICAL FOR NEW OFFICES, INCLUDING LIGHT RELOCATES, SWITCHES AND RECEPTACLES. Value of Electrical: NRES: $3,200.00 Fees Collected: $157.50 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: National Electrical Code Edition: 2008 (AO Date: 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 o this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructio o • he perf.. • ance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: -` 0 -D Fav, Date: (/1 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 EL13-0014 Printed: 01-07-2013 III • PERMIT CONDITIONS Permit No. EL13-0014 **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 EL13-0014 Printed: 01-07-2013 APACITY OF TUK Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. C L j Z— QD ily 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 Site Address:1 t" ��TFv�'1 i2 ' Gom Tenant Name: Lis PROPERTY OWNER Name:-.1-czAV1S.Ofb1O Address: U 0 .si '3 4 4 e - 4 t Name: Phone:26 (2s-) 0111 Fax: 3474 (n 1tib Email:IVA43f� U L,C;A,Aei [ten (,,,c. , A ci Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name:-.1-czAV1S.Ofb1O Address: U 0 .si '3 4 4 e - 4 t City:R(144N L v ej State: 6, J?. Zip: •j,'L3 Phone:26 (2s-) 0111 Fax: 3474 (n 1tib Email:IVA43f� U L,C;A,Aei [ten (,,,c. , A ci King Co Assessor's Tax No.: Suite Number: 204 Floor: 2 New Tenant:; Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: u 0-04Elie!�T01 Address: l(DOA S!Np .1.1 pc. %t- q ?frAlli'L4% City: pat ,Ni. j State: Zip: 4,6.14,7 Phone:Apo (osi 0111 Fax: j (osi I ke6to Contr Reg No.:' 104 E1,4Ii1 N r Exp Date: iI 14. Tukwila Business License No.: Valuation of Project (contractor's bid price): $ 3I2411> Scope of Work (please provide detailed information):rt t.-�. C. (1't 4I. Fp�' N(:••-1 CSVinlr �►v(.�u� tN L Ll C.Ific- -C�,cyc,�s>rs s,.l.itrvthes /r,� Ge ()-Z141- '0' (4J1 v FC-iu;>1 Will service be altered? 0 YesNo Adding more than 50 amps? ❑ Yes JQ No Type of Use: Tvae of work: /' ❑ New 0 Addition 0 Service Change] Remodel 0 Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm /� 0 Telecommunication 0 Temporary Service Property Served by: O Puget Sound Energy Seattle City Light H:\Applcanons\Foma-Applications On Line 12011 ApphcanonslElectncal Permit Application Revised 8-9-11.docx Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $152.85 $81.90 ea $59.85 ea RESIDENTIAL REMODEL ANA 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, fumace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $63.00 O Temporary service (generator) $78.75 O 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 OWNER OR ELECTRICAL CONTRACTOR: Signatur Print Name: —C"\ --2A � AiltZ /) Day Telephone: 6 LIS -1 6111 Mailing Address:Wa t Si‘‘81"11 'LV eNZ AA A (i( - AI Livb J-' L 'l€1.)3 city State Zip Date: \` + 13 H:\Appbcattom\Fornts-Applicatoons On Iane\2011 Apphcauons\Electncal Pewit Application Revised 8-9-11.doot Revised: August 2011 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.: 2716000070 Address: 12720 GATEWAY DR TUKW Suite No: Applicant: LTS RECEIPT Permit Number: EL13-0014 Status: PENDING Applied Date: 01/07/2013 Issue Date: Receipt No.: R13-00044 Payment Amount: $157.50 Initials: WER Payment Date: 01/07/2013 09:22 AM User ID: 1655 Balance: $0.00 Payee: TRAVIS BRADFORD TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 064453 ACCOUNT ITEM LIST: Description 157.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 157.50 Total: $157.50 O.i..le.el• Al !17 )Al) G INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 g, (206) 431-3670 Permit Inspection Request Line (206) 431-2451 eus ooi/ Project: Type of Inspection:�� 1 !,. Address: /Z71,0 / ,� , fA1 Date Called: Special Instructions: 0 ` 0 f Date Wanted:./ a, .m.. f Requester: 1 Phone No: ® Approved per applicable codes. Corrections required prior to approval. COMMENTS: (4.40,00-104s r elf -r\ f Inspector: dt#Cy-Aiitif Date: n 43 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD 3� Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request •Line (206) 431-2451 Project: �T5 Type of Inspection: Address: 1231_0 Aftritto j Date Called: Special Instructions: Date Wanted:. �1 p.m. Requester: r Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 41c.ea-i) (Nitric/ Kesco-ti)aa Inspector: �''`rf,�� _ )K Date: ®s /24/13 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. t INSPECTION RECORD Retain a opy with permit INSP TION NO. V Wedoitt PERMIT NO.' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 c. (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: 5 Type of Inspection: .0r Address: i 27i0 6 1Z / Date Called: /AR c; roil .ePF o 2.or�i 3 Special Instructions: 7 Date Wanted:'. } P.m. Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. i y COMMENTS: 900 1— tit, Os,, Ab� 60461 e'er 5 ociel-TIAtti /AcVC A1t,friik) 1/s-05 adr il R,614Srer57©4l PitE3/16„15 /AR c; roil .ePF o 2.or�i 3 � Date: /.3 r7 REINSPECTION FEE REQUIRED. Prior to next inspection; fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection:' INSPECTION RECORD rid, Retain a copy with permit INSPECTION NO. MIT NO. I CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 fr. (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: Type of Inspection: Zro0 Address: 1 �72..0 / rdif (�1� Date Called: Special Instructions: Date Wanted:. L!^ o.::;) Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: finrbkr tic, ,'&A%i.k) F3& -4 a & J n ,Z14ra- ri 4 --L6:006 (ruAJ CJD Q i/JsPCc-iioAi Inspector: a Date: 011243 2 (3 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO: INSPECTION RECORD :Retain a copy with permit 6r3-ootl PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 ge,(206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: -- tr5 Type of Inspection: /00 Address: 12-7 2,0 Date Called: Special Instructions: Date Wanted:. t n A. m. AV Requester: 44.0" Irl efleGertt Phone No: VAApproved per applicable codes. D Corrections required prior to approval. COMMENTS: i hi. 66.... . (IA/4cl60�r 44.0" Irl efleGertt rA/ficic Date: � 1 /v t/ Inspector:\.��5717 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy permit ermit 6/13-0© 11 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION = 6300:Southcenter. Blvd., #100, Tukwila. WA 98188 Ica (206) 431-3670 Permit Inspection;Request Line (206) 431-2451 Project: Type of Inspection, 7003 - estiJrr/get)a. e Jori s J FPok. f, Address: /2`�i1 (►1 1p 12,0 Ner � Date Called: ..-- Special Uistructigns: Special Date Wanted:. 1 3, .m. Requester: Phone No: • aApproved per applicable codes. Corrections required prior to approval. COMMENTS: - alMML-IJtt&9,1 C iuAk (A/s%n�-t� - estiJrr/get)a. e Jori s J FPok. --.:..,PM-t etC. E,.r Ii - 4 /Z-" of (3-0,4 /1-44 . Im'1 t o !'1 (1 J1 gt.-Tiele61/ - 1461.14 4 tAi(as )6 rte& i tJ(DPo&rr ra fits 5au Re> iD s .JC,r QAe Ar1P 6 f -'RDA f (S T4 g ( 4J t a uIt-3 SC—iSriiC. GL. --i P5. Inspector: faJec Date: O/ 131/15 n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. : INSPECTION RECORD :Retain a copy with permit INSPECTION NO: . , PERMIT NO. `CITY..OF.TUKWILA BUILDING DIVISION 6300`Southcenter•Blvd:,:#100, Tukwila. WA 98188 (206) 431-3 Permit Inspection Request Line (206) 431-2451 Project: Type of Inspection: 70©3 Address: 7;6- icti Special Instructions: Date Called: Date Wanted: Requester: Phone No: Approved per applicable codes. fJ Corrections required prior to approval. COMMENTS: (A/ n ' 1.1 ti- GJA/t/t cc)de-{c\ Inspector: Date:/ n REINSPECTIONFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr ter Friendly Page • 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 ULTRA ELECTRIC LLC 3606570777 16821 Smokey Pnt Blvd Pmb Arlington WA 98223 Snohomish Limited Liability Company UBI No. Status 241 License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602422204 Active ULTRAEL961NT Electrical Contractor 8/30/2004 8/30/2014 General Unused Master Electrician INFORMATION License BRADFTJ963JG Name BRADFORD, TRAVIS J Status Active Business Owner Information Name Role Effective Date Expiration Date SOUTHARD, MARK Agent 08/30/2004 Bond Amount BRADFORD, TRAVIS J President 08/30/2004 9852714 9852714 SOUTHARD, MARK Vice President 08/30/2004 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 Mutual Ins Fe2 Co 9852714 9852714 08/30/2011 Until Cancelled $4,000.00 08/30/2011 1 AMERICAN STATES INS CO 6304945 08/30/2004 Until Cancelled $4,000.0008/30/2004 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 EJONV02840 12/20/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 01/07/2013