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Home My WebLink AboutPermit EL13-0109 - L A FITNESS - REMODELL A FITNESS 350 BAKER BL EXPIRED 07-31-13 EL13-0109 City 4A0Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Fax: 206-431-3665 Web site: http: //www.Tukwila WA .gov Parcel No.: 0223100010 Address: 350 BAKER BL TIIKW Project Name: L A FITNESS ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL13-0109 01/29/2013 07/28/2013 Owner: Name: Address: Contact Person: Name: Address: OPEN FRAME LLC PO BOX 654 , KIRIU,AND WA 98083 MARK KNAUTZ Phone: 425 750-9776 23626 112 PL W , WOODWAY WA, 98020 Contractor: Name: DIVERSIFIED ELECTRIC SERVICE Address: 23626 112TH PL W , EDMONDS WA 98020 Contractor License No: DIVERES946L1 Phone: (206)715-8918 Expiration Date: 06/12/2014 DESCRIPTION OF WORK: BOND AN ANCHOR FOR AN ADA LIFT AT SPA Value of Electrical: NRES: $200.00 RES: $0.00 Type of Fire Protection: UNKNOWN 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 The grantin o this pe t does t p e constructio Signatur Print Name: perfo ance f Fees Collected: National Electrical Code Edition: $63.00 2008 Date: bO !,`► I J ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. to give authority to violate or cancel the provisions of any other state or local laws regulating orized to sign and obtain this electrical permit. Nric Date: 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 EL13-0109 Printed: 01-29-2013 PERMIT CONDITIONS Permit No. EL13-0109 **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 TO - 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 EL13-0109 Printed: 01-29-2013 CITY OF TUKAIL Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 1 11 Electrical Permit No. .eLl Project No. Date Application Accepted: Ot, ZA I'3 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: King Co Assessor's Tax No.: 0223 V 0 -00[0 Suite Number: Floor: Tenant Name: L-A New Tenant: Lf Yes ❑ ..No PROPERTY OWNER Name: --VAGI r'L, t/. Out . Name: ( A -..1" s (bMt l' irl C Address: 0 (1)(4,k �NI, City: V1v I(/l a State: Ki - Zip: 90 CONTACT PERSON — person receiving all project communication Name: --VAGI r'L, t/. Out . City:"yy•/A11'State:("A-Z Zip: 9ii! "X�r Address: Contr Reg No.urAge,g4Exp Date: Tukwila Business License No.: cr 4. v21 V_' City: State: Zip: Phone: (-1' 5 -g l Fax: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name:Si_ Address: X34 zit, ' Lz �L_> City:"yy•/A11'State:("A-Z Zip: 9ii! "X�r Phone:Fax: Contr Reg No.urAge,g4Exp Date: Tukwila Business License No.: cr 4. v21 V_' Valuation of Project (contractor's bid price): $ 2o 0 Scope of Work (please provide detailed information): \--0-ACJI‘'/\5 OGAQinC�or � A&11\ LTi a+ 513cv Will service be altered? ❑ Yes Et No Adding more than 50 amps? ❑ YesNo Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ RemodelVant Improvement ❑ Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service Pro a ed b : Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh 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 O 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) O Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $68.25 O Low voltage systems $59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 O Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Camivals $78.75 Number of concessions $10.50 ea PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. Day Telephone: Date: 010 7'5$`?I Mailing Address: 2--5(0.z._ t (Z7' (..-427Z- .41Ar° City H:\ApplimtionsWorms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8-9-11.docx Revised: August 2011 bh 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.: 0223100010 Address: 350 BAKER BL TUKW Suite No: Applicant: L A FITNESS RECEIPT Permit Number: EL13-0109 Status: PENDING Applied Date: 01/29/2013 Issue Date: Receipt No.: R13-00630 Payment Amount: $63.00 Initials: JEM Payment Date: 01/29/2013 03:13 PM User ID: 1165 Balance: $0.00 Payee: DIVERSIFIED ELECTRIC SERVICE TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2847 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 D.inted• Al_7a_9n11 INSPECTION RECORD Retain a copy with permit INSPECTION NO: . -CITY OF TUKWILA BUILDING DIVISION L 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit. Inspection Request Line (206) 431-2451 PERMIT NO. Project: . p-- ., sn\,,, Type of Inspection: /061 Address: 356 Date Called: 10 Special Instructions: _ . = 1Date Wanted:. I.m. f p. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: 001 P6+1(11AL gtA, s // Inspector'. Date:v.210 03 3 f , n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 4300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 06-03-2013 City of Tukwila • • Jim Haggerlon, Mayor Department of Community Development Jack Pace, Director MARK KNAUTZ 23626 112 PL W WOODWAY WA 98020 RE: Permit No. EL13-0109 L A FITNESS 350 BAKER 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 07/31/2013. 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 07/31/2013, 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. ELI3-0109 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople Pr;ier Friendly Page • Electrical Contractor A business licensed by LEtI 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 DIVERSIFIED ELECTRIC SERVICE 2067158918 23626 112Th Pl W Edmonds WA 98020 Snohomish Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601745579 Active DIVERES946L1 Electrical Contractor 6/21/2006 6/21/2014 General Unused Electrical Administrator INFORMATION License MORGAMT941 LG Name MORGAN, MICHAEL T Status Active Business Owner Information Name Role Effective Date Expiration Date MORGAN, MICHAEL T Owner 06/21/2006 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 RLI INS CO LSM0095400 06/19/2009 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0006/18/2009 $250.00 2 AMERICAN CONTRACTORS INDEM CO 100026221 06/19/2007 Until Cancelled 08/10/2009 $4,000.0006/18/2007 1 PLATTE RIVER INS CO 41066905 06/19/2006 Until Cancelled 08/06/2007 $4,000.0006/21/2006 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 ENEL000229 9/12/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJONM00659 10/25/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 01/29/2013