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Permit EL13-0069 - SGI USA - REMODEL
SGI - USA 3438 S 148 ST EL1 3-0069 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.: 0040001025 Address: 3438 S 148 ST TUKW Project Name: SGI -USA ELECTRICAL PERMIT Permit Number: EL13-0069 Issue Date: 01/22/2013 Permit Expires On: 07/21/2013 Owner: Name: SOKA GAKKAI INTERNATIONAL Address: 3438 S 148TH , SEATTLE WA 98168 Contact Person: Name: TODD HARTMANN Address: PO BOX 27089 , SEATTLE WA, 98125 Contractor: Name: RAIN CITY ELECTRIC INC Address: PO BOX 80564 , SEATTLE WA 98108-0564 Contractor License No: RAINCCE965L4 Phone: 206-362-7227 Phone: 206 335-4444 Expiration Date: 06/24/2014 DESCRIPTION OF WORK: REMOVE EXISTING 4 X 4 LIGHTS, INSTALL (10) RECESSED 2 X 4 LIGHTS, (2) 4 FT WRAPS, (5) SWITCHES, (12) DUPLEX RECEPTACLES, (2) DEDICATED 20 AMP CIRCUITS, (7) MUD RINGS AND PULL STRINGS FOR LOW VOLTAGE CABLING. Value of Electrical: NRES: $10,432.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $281.70 2008 Date: 1-4,1o)- 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 or t perfgrmAnce of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: / )//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 EL13-0069 Printed: 01-22-2013 • PERMIT CONDITIONS • Permit No. EL13-0069 **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 andshall be readily available to the Electrical Inspector. 3: AB 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 EL13-0069 Printed: 01-22-2013 CITY OF TUKW T A Community Develop Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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 Address: 9y -fie 6 , (4174-1 I''T , King Co Assessor's Tax No.: 004400 IO Z'5 Tenant Name: SC -1 1 — //t.e+ Suite Number: PROPERTYiOWNER; .:° 'g A' ` Address: p , 0 , 2 1-0 g1 _ Name: Gictoc ( 4 1 1 A/7". Address: #204;3,3 S, 14,34-r. -` City:tAv_wit iv* State: Zip:el, 91,6 g 'CONPACTPERSO *. .. ; 'eiiii:al'ploj. ;.. . .., „,,ri;receiving•alfproject” : y.i,si, _,,,,,,,,,,,--:y .'commurucati°1074 :',...'1;-:.::.:* ; r1 ' ` ''.. . �ry�-"i? , ' , <;R ,. . Name: Toad _t -et 0-vha vl to Address: p , 0 , 2 1-0 g1 City: C►4.State: Wr Zip:et g( , Phone:, , 16 7,_ 24ax: Email: +od d v . or zA ) o-eiv9 k1 iktfiri5 , c gt,v) New Tenant: Floor: 1' ❑ Yes JR.. No ';ELECTRICAL QN,.TRAGTOR ~INFORM;ATION:`µr:. Company Name: N 44eogr)r .c/ 1,A76, Address: p,� t ,Z Ov �6 I /� City: State:/m4„. Zip: q8)0? PhortS0& 13 6'444 Fax(u ` Z--.14teg Contr Reg No.:1a54(,6'(, d. Exp Date: x 7 6/ l/,1, Tukwila Business License No.; 0Q9q 5-_7.7, Valuation of Project (contractor's bid price): $ /0 / + 3 2 Scope of Work (please provide detailed information): Q`GwtQz1L .er >ai4 47-41'3 t 3-(454' z.41 10) el&A4141 /--,041`S / 2-) l{' GIA /051 G‘)swlrf-dk-4, I2) a1 V 29/4-. , 7-) Kn. 1125 , L✓ cis ksiAj , Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: ©l=r--1-0E._ / l�C� Type of work: ❑ New 0 Addition 0 Service Change ` %� Remodel Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\201 I Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh f):6\-1° 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 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: Mailing Address: (7.0 Cwt, 1 Date: //22-1 7.0 /3 Day Telephone(] () 33 5- 4444 o0 Qg H \Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised. August 2011 bh City 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.: 0040001025 Address: 3438 S 148 ST TUKW Suite No: Applicant: SGI -USA RECEIPT Permit Number: EL13-0069 Status: PENDING Applied Date: 01/22/2013 Issue Date: Receipt No.: R13-00482 Payment Amount: $281.70 Initials: WER Payment Date: 01/22/2013 08:46 AM User ID: 1655 Balance: $0.00 Payee: BRENT BOLOMEY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 094511 281.70 ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 281.70 Total: $281.70 al22-ociel INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION .� 1 6300 Southcenter Blvd:, #100, Tukwila, WA 98188 (206)431 3670 Project: s(r� ! , Type of Inspection: cr: Address: ". c,t tittike. Date Called: Special Instructions: Date Wanted: It a.m. P.m. Requester: Phone No: �c� ol, tt ,2:76 Approved per applicable codes. ❑ Corrections required prior to approval. S COMMENTS: 70°3 ,C6LTioki5 - C6-wAiq 69i/K - ikoaof 2wo Inspector:s1 Date: s l� ozf9 13 El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 'Y eic Receipt No.: Date: INSPECTIONRECORD Retain a copy with permit 6U3- Dp(91 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 {z. (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: I �•r Set U Type of Inspection: - Do Ada L Address: f{�r/\�� 5 Date Called: Special Instructions: Date Wanted:. , a.n ., p.m. Requester: 1 4an[DJt Cr SJ(PwLr Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: - Do Ada L (I,JNDJiT l (s kr - 14t s stAi ,Si'&..o'i' 3r1LM 5 - co a 6 4aNP ` DJ'lc: toil i tAhrtr(-4.4 4an[DJt Cr SJ(PwLr CJI � Date: 2/57J.(5 -- r7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD Retain a copy with permit INSPECTION NO.. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300:5outhcenter Blvd.,#100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection. Request Line (206) 431-2451 Project:Type s� of Inspection: 7003 Address: ' % _ . -// 3g LS-PfS ST. Date Called: Special Instructions'; - . .. ' Date Wanted:. l 0z3 Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: utintA 41\0 A4-01-41? f Inspector: .....:71.4644.p.40 Date: 1)/h 3/3 j3 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 Pinter 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 RAIN CITY ELECTRIC INC 2063354444 Po Box 80564 Seattle WA 981080564 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602381609 Active RAINCCE965L4 Electrical Contractor 6/24/2004 6/24/2014 General Unused Master Electrician INFORMATION License BOLOMB*9620G Name BOLOMEY, BRENT A Status Active Business Owner Information Name Role Effective Date Expiration Date BOLOMEY, BRENT A Agent 06/24/2004 Bond Amount BOLOMEY, BRENT A President 06/24/2004 9813792 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 3 Lexon Ins Co 9813792 07/31/2012 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 07/31/2012 2 American Contractors Indem CO 100166337 07/15/2011 Until Cancelled 09/01/2012 EOXFJ00516 $4,000.0006/20/2011 19.28.101 RCW 1 CBIC SF6300 06/21/2004 Until Cancelled 07/15/2011 ELECTRICAL CITATION $4,000.00 06/24/2004 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 EALLM00239 10/2/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHRAL01077 9/5/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EBERA00298 6/14/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EOXFJ00516 8/27/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00517 8/27/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00515 8/27/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00509 8/27/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EOXFJ00512 8/27/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa. Rov/lni/bbin/Print.aspx 01/22/2013