HomeMy WebLinkAboutPermit EL13-0092 - CITY OF TUKWILA / MUNICIPAL COURT - REMODELCITY OF TUKWILA
COURT
6200 SOUTHCENTER BL
EXPIRED
12-03-13
EL1 3-0092
City o4ukwila
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.: 3597000282
Address: 6200 SOUTHCENTER BL TUKW
Project Name: CITY OF TUKWILA - COURT
ELECTRICAL PERMIT
Permit Number: EL13-0092
Issue Date: 01/28/2013
Permit Expires On: 07/27/2013
Owner:
Name: TUKWILA CITY OF
Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188
Contact Person:
Name: DEAN HUMPHRIES
Address:
Contractor:
Name: QUALITY ELECTRICAL CONT LLC
Address: 2018 BLAINE AV NE , RENTON WA 98056
Contractor License No: QUALIEC915JN
Phone: 425-207-8866
Phone: 425 207-8866
Expiration Date: 04/15/2013
DESCRIPTION OF WORK:
INSTALL 5 TV'S IN THE COURT HOUSE. ADD 2 CIRCUITS FOR NEW TRACK LIGHT
Value of Electrical: NRES: $2,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND RGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
Date:
$115.50
2008
I hereby certify that I have read and examined this p it 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 pre e to give authority to violate or cancel the provisions of any other state or local laws regulating
constructiof or t ►e a formance of wI am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: //24/73
This permit shall become null ad 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
EL13-0092 Printed: 01-28-2013
1110 10
PERMIT CONDITIONS
Permit No. EL13-0092
**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
EL13-0092 Printed: 01-28-2013
CITY OF TUKWI.
Community Developmenrrepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Peri No. (1--a
Project No.
Date Application Accepted:
Date Application Expires:. _ _.
(For ofce 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 Address:
Tenant Name:
6200 Sot., ,- 'RV
('L 7 H411
PROPERTY -OWNER .
Name: -e0 go L✓" -PJ
/
Address: � "� �/
`,0i k `3(a".IL-...e_ /"g
Name:
Phone: /-S 207 ti'G6 Fax: vzs 2_07 pew
City: tate:
Address:
Phone:L
In2 -M M-44 Fax:
City:
State:
Zip:
CONTACTPERSON .= person•receiving all project
cornrnunication _
Name: -e0 go L✓" -PJ
/
Address: � "� �/
`,0i k `3(a".IL-...e_ /"g
Address: 2,0'd0�jS- %�z /J ,Ve-
!u
Phone: /-S 207 ti'G6 Fax: vzs 2_07 pew
City: tate:
Zip: q&�
Phone:L
In2 -M M-44 Fax:
Email: „,4.� L 0 ,t r,,at i.,, .ett
/2„,4,,,‘L
�C
‘d(c.. cnk.,
r i
King Co Assessor's Tax No.:
Suite Number: -- Floor:
New Tenant: ❑ Yes GEC. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: /1 _ / ih cS (
Cslt.t/.�y �7 c�UyS
/
Address: � "� �/
`,0i k `3(a".IL-...e_ /"g
City: n State: (,),4 Zip:y, ,
KR IA
Phone: /-S 207 ti'G6 Fax: vzs 2_07 pew
Contr Reg No.: 0„ Date:
„N 9/SfArxp
,(7413
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 20C c
Scope of Work (please provide
proovide detailed information):
4t
c�,r f --Apr- l -c✓ 40
Will
service be altered? ❑ Yes Adding more than 50 amps? ❑ Yes No
Type of Use: Lim. f C;Ci
Type of work:
❑ New 0 Addition ❑ Service Change
O Low Voltage 0 Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:'Applications\Forms-Applications On Lme\20l 1 Applications\Electncal Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
❑ Remodel
❑ Telecommunication
—qEr-Tenant Improvement
0 Temporary Service
Page I 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)
El 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 OWNER OR ELECTRICALSyONTRACTOR:
Signature: ( —
Print Name:
S
Mailing Address: ZO 12 24,4t -a, ,4/
I-1 \ Applications \Forms -Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docs
Revised August 2011
bh
Day Telephone:
City
Date:
- ,- eirc'
GtJf4
JL6
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.: 3597000282
Address: 6200 SOUTHCENTER BL TUKW
Suite No:
Applicant: CITY OF TUKWILA - COURT
RECEIPT
Permit Number: EL13-0092
Status: APPROVED
Applied Date: 01/28/2013
Issue Date:
Receipt No.: R13-00582
Payment Amount: $115.50
Initials: TLS Payment Date: 01/28/2013 10:13 AM
User ID: 1670 Balance: $0.00
Payee: QUALITY ELECTRICAL DEAN HUMPHRIES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 021121
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
Mr. RAI -pint -OR
Printed: 01-28-2013
I
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 .. 1206) 431-3670
Permit Inspection Request Line (206) 431-2451
tti3�o92<
Project: 6, t-ukr
�/
- "kl--6 t - K
Type of tnspection:0®
F'D ik. '1 Jtill t4( fLe (51.1"/ +:� n46.1r
Address: ./77////�•"///"////���/1�
[//%
Date Called:
Special Instructions:
Date Wanted:r 04
.m.
P.m +
Requester: tttt
Phone No:
DApproved per applicable codes.
Corrections required prior to approval.
COMMENTS: 1
- "kl--6 t - K
o. (A4 -4D 116 k(- J 1 s�
F'D ik. '1 Jtill t4( fLe (51.1"/ +:� n46.1r
CACAiri,
Inspector: I „ //i
Date: eyeIAA,
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
11-01-2013
•
City of Tukwila
Jinn Haggerton, Mayor
Department of Community Development Jack Pace, Director
DEAN HUMPHRIES
2018 BLAINE AV NE
RENTON, WA 98056
RE: Permit No. EL13-0092
CITY OF TUKWILA - COURT
6200 SOUTHCENTER BL TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 12/03/2013.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 12/03/2013, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL13-0092
6300 Southcenter Boulevard Suite 4100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Paz 206-431-3665
06-03-2013
DEAN HUMPHRIES
2018 BLAINE AV NE
RENTON WA 98056
•
City of Tukwila
Jim Haggerton, Mayor
Department of -Community Development Jack Pace, Director
RE: Permit No. EL13-0092
CITY OF TUKWILA - COURT
6200 SOUTHCENTER BL TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 07/27/2013.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 07/27/2013, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. ELI3-0092
6300 Southcenter Boulevard, Suite # 100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
Contractors or Tradespeople Pr, 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
QUALITY ELECTRICAL CONT LLC
4252078866
2018 Blaine Ave Ne
Renton
WA
98056
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602906582
Active
QUALIEC915JN
Electrical Contractor
4/15/2009
4/15/2013
General
Unused
Electrical Administrator INFORMATION
License HUMPHDM918BR
Name HUMPHRIES, DEAN M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUMPHRIES, DEAN M
Partner/Member
04/15/2009
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
American Contractors
Indem CO
100117956
04/02/2010
Until Cancelled
$4,000.0003/22/2010
1
WESTERN SURETY CO
70702057
04/14/2009
Until Cancelled
04/02/2010
$4,000.0004/15/2009
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 No records found for the previous 6 year period
httns://fortress.wa.gov/lni/bbin/Print.asnx 01/28/2013