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Permit EL13-0168 - ONE SOURCE TALENT - REMODEL
ONE SOURCE TALENT 12720 GATEWAY DR EL13-0168 City ofi'ukwila • 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: ONE SOURCE TALENT ELECTRICAL PERMIT Permit Number: EL13-0168 Issue Date: 02/22/2013 Permit Expires On: 08/21/2013 Owner: Name: EPROPERTY TAX INC DEPT #207 Address: PO BOX 4900 , SCOTTSDALE AZ 85261 Contact Person: Name: DAVID KEHLE Address: 1916 BONAIR DR SW , SEATTLE WA, 98116 Contractor: Name: RAIN CITY ELECTRIC INC Address: PO BOX 80564 , SEATTLE WA 98108-0564 Contractor License No: RAINCCE965L4 Phone: 206-433-8997 Phone: 206 335-4444 Expiration Date: 06/24/2014 DESCRIPTION OF WORK: ADD (8) OUTLETS, (6) MR & PS, (4) SWITCHES, (2) 2X4 LIGHTS RELOCATE (1) CAN LIGHT, RELOCATE (6) 2X4 LIGHTS Value of Electrical: NRES: $4,181.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LI HT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $178.50 2008 I hereby certify that I have read and examined this p 8" 't 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 th - )• erfo !J a of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Pg-) VV Date: 2/ -- /f 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 EL13-0168 Printed: 02-22-2013 • • PERMIT CONDITIONS Permit No. EL 13-0168 **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 EL13-0168 Printed: 02-22-2013 CITY OF TUKW141) Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov i Electrical Permit No. l�3 _-QICa g" Project No. _ Date Application Accepted: _ Date Application Expires: (For officeuse 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: /1—r2-0 r 4lAmeyPrat Tenant Name: OME- 50u2 King Co Assessor's Tax No.: 2,7 1,Cv 05,00 7-0 Suite Number: 9-00 Floor: PROPERTY OWNER Name: /,Avo a Name: ep�0�ll ii ,,,.,1,/ r✓; `WC, x.700 ,` 07_ Address: p, ©.0.9x 4. Email: City:cear504 State: ik., Zip: 5 20,i CONTACT PERSON = person receiving all project communication Name: /,Avo a Address: / GI l 0 0ov4j . 0 ie. %, City: 55. State: wk- Ziip.ei8gr , Phone:() 4�2��„9Fax: N/4 7T��lv// �r/4 Email: New Tenant: g Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: ajiv&i s/ n1/4/6Address: �`"�-+a,.cW p, v C g05-6eb State: Zip:/ K`® City: �!'�� Phoned.„rO) 335 Fax)5/7,-q€ca Contr Reg No.: mcgq,65-2 Exp Date:6/24/z+ �l Tukwila Business License No.; O, 9 vi �2 Valuation of Project (contractor's bid price): $ 4 1 9i Scope of Work (please provide detailed information): `l—e4g) 2, SYq c.>r s J kti.o ce t r✓ I) c-‘44.-beerktk a�uf21x`�o) MR 1 PS ! 4-) 5140120Sc 1-�.c��J✓,/V 6) 7-A02P. t 5 a Will service be altered? ❑ Yes No Adding more than 50 amps? Type of Use: f FPt(> i4- Type of work: D New ❑ Low Voltage Property Served by: ❑ Addition ❑ Generator ❑ Service Change ❑ Fire Alarm tic Puget Sound Energy 0 Seattle City Light H:Wpplications\Forms-Apphcattons On Line12011 Applications\Electncal Permit Application Revised 8-9-11.docx Revised: August 2011 bh ›fs ❑ Yes No Remodel Tenant Improvement 0 Telecommunication 0 Temporary Service 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 PER T 0.0 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: Signature: bilAwk Print Name: Mailing Address: � o, gea' go 5-61 Date: 242-2-1 l 3 Day Telephone:206) .33 5 J44 44-- qypig State Zip H \Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docs Revised August 2011 bh City 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: ONE SOURCE TALENT RECEIPT Permit Number: EL13-0168 Status: APPROVED Applied Date: 02/22/2013 Issue Date: Receipt No.: R13-00868 Payment Amount: $178.50 Initials: TLS Payment Date: 02/22/2013 07:59 AM User ID: 1670 Balance: $0.00 Payee: BRENT A BOLOMEY RAIN CITY ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 055810 ACCOUNT ITEM LIST: Description 178.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 178.50 Total: $178.50 dec. Receipt -06 Print d m_97_9n11 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 eu p10 Project: Soac‘7 Type of Inspection:NO Address:! 2,720 / , kit Date Called: Special Instructions: Date Wanted:. 3/0F a.m. Requester: - - - Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: r Inspector: • Date:.®' / 0? n REINSPECTION FEE REQUIRED. Prior to next inspection,:fee.;must be':. paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 3 INSPECTION RECORD Retain a copy with permit ft(' 3" OM' INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDIN DIVISION 6300 Southcenter Blvd.; #100, Tukwila. WA 98188 3' (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: Type of Inspection: 200 Address:127 � Date Called: Instructions: Date Wanted:. 367 ca.m.mSpecial Requester: t Phone No: JApproved per applicable codes. JJCorrections required prior to approval. COMMENTS: -Alit ?wet, 6-c4r-pdi.,65 rok atAkic ,SID 1,41,0-1-0441 t ?t) �l6&t e'— L� �S Inspector: �/, Date: 19 7 i 3 F-7 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. 64 -01613 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project -046504\a rAvoi1 Type of Inspection: 00 3 Address: 1232_0 �MW1t Date Called: - / 1.1/ Special Instructions: Date Wanted:. 2-21 e.....\ M, Requester: jj Phone No: 4U414 tAj co/WU-a Approved per applicable codes. Corrections required prior to approval. COMMENTS: - / 1.1/ rA /J 4U414 tAj co/WU-a A Inspector: t/��F}c41E4 Date: n2 Z3(i5 ❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 613-v la PERMIT NO. CITY OF TUKWILA BUILDING DIVISION thcenter Blvd. #100 Tukwila: WA 98188 (206) 431-36 6300 Sou Permit Inspection Request Line (206) 431-2451 It— Projectocie " _ `,// Type of Inspection: do 3 Address:% Z 1W trf i "` � 1 Date Called: .'�,. Special Instructions: ! 1p.m. Date Wanted:. 7.5-- rr Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: -194( o //66'1") Date: 00 c / ) I I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Contractors or Tradespeople Prrer 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 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 EALLM00239 10/2/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 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.>?ov/lni/bbin/Print.aspx 02/22/2013