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Home My WebLink AboutPermit EL13-0222 - SURFACE ART - REMODELSURFACE ART 18323 ANDOVER PK W EL1 3-0222 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.: 3523049018 Address: 18323 ANDOVER PK W TIIKW Project Name: SURFACE ART ELECTRICAL PERMIT Permit Number: EL13-0222 Issue Date: 03/07/2013 Permit Expires On: 09/03/2013 Owner: Name: SEGALE PROPERTIES LLC Address: PO BOX 88028 , TUKVVILA WA 98138 Contact Person: Name: BRIGET CAUDELL Address: PO BOX 338 , KENT WA, 98035 Contractor: Name: HOLMES ELECTRIC CO Address: PO BOX 338 , RENTON WA 98035 Contractor License No: HOLMEEC549BH Phone: 253-234-2842 Phone: (253)479-4000 Expiration Date: 10/31/2014 DESCRIPTION OF WORK: INSTALL ONE 20 AMP 480 VOLT DEDICATED CIRCUIT FROM ELECTRICAL PANEL TO CHARGER LOCATION ON WALL. INSTALL ONE 20 AMP 480 VOLT FOUR -PRONG RECEPTACLE Value of Electrical: NRES: $1,000.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $96.60 2008 a_ Date: 3— —7"" 3 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 thep�rformanncce of work. I am authorized to sign and obtain this electrical permit. Signature: i G� / Date: .5/ /i £u 044ei Print Name: 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 EL13-0222 Printed: 03-07-2013 • • PERMIT CONDITIONS Permit No. EL13-0222 **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 EL13-0222 Printed: 03-07-2013 CITY OF TUKWIL! Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci.tukwila.wa.us 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: 1023 n R1 Qve, f, Peuik 1,0 Tenant Name: t 1/I,Q-� UICe, t pp Property Owners Name:2Su2�aee let Mailing Address: 1(632 J n I l it AVtI PALL IA) King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: 0 Yes No -r 1uo t i. City 1)01 q 9)IV?) State Zip Name: 1312.1 7 Jth I I1 Day Telephone:(Z 3) L 34 20/11 P 0 • 5c� 3.3 2i.;;;A/7-- L J'.� ' ffe33- Mailing Address: dim City Q y /) (� n State Zip C E -Mail Address: I�I o��• IUIi 11& Rol n,�.s. co Mn. Fax Number: l,(i�/2 3j 321. V125 - TRACTOR INN Company Name: Mailing Address: Q'• 0 • �CiIC 33 Si Contact Person: BP..11 pi"b C/ d l l/�l E -Mail Address: 16 JI (O , C d�/�+ Contractor Registration Number: #06011 E EC .5 '7i%/ m es / c - e,14/ GAJ ! d/0-5) S^ City State ' ` Zip Day Telephone: (253, 23'7.22 Fax Number: £05) 234 2825 Expiration Date: /1) —3/ 1O Valuation of Project (contractor's bid price): $ % % L /� M L Scope of Work (please prov' detailed information): r1S7 , DKi Z pup 4'il flV id e1LUta Cit Cil T ttost 21� fti (mi 'act nz Ioc,ow-ior► rn) 'ALTA. ��5� on.�. 2argirn L4q)@v , c a r� an, ger a -tuft. Will service be altered? 0 YesNo Type of Use: IttcuI Type of work: ❑ New 0 Addition ❑ Low Voltage 0 Generator Property Served by: Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? 0 Yes S—No ❑ Service Change ❑ Fire Alarm H:Applications\Fom s -Applications On Line \I-2009 - Electrical Permit Application.doc bh incRemodel Eto Tenant Improvement 0 Telecommunication 0 Temporary Service Page l of 2 VL 1 RESIDENTIAL • ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea NEW RESIDENTIAL SERVICE RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $11.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter/mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) MULTI ILLY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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: Signature: L%�/A'/4 r 1 L A, Q.I t 1O f �Dl W S E It 6 C Date: 3/6 /13 Print Name: V W �1 kLi2 • /� b �. Yf V I g Ej 1 eC'JI J e Day Telephone: (263)!.5 I . Zf341 Mailing Address: PD I? 13t C 1' , f J P'1 ' [AM- 61f Zip City State Date Application Accepted: Date Application Expires: Staff Initials: H:\Applications\Ponns•Apphcauons On Lme\I-2009 • Electrical Pem,it Appltcauon.doc bh Pagc 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.: 3523049018 Address: 18323 ANDOVER PK W TUKW Suite No: Applicant: SURFACE ART RECEIPT Permit Number: EL13-0222 Status: PENDING Applied Date: 03/07/2013 Issue Date: Receipt No.: R13-00976 Payment Amount: $96.60 Initials: WER Payment Date: 03/07/2013 11:38 AM User ID: 1655 Balance: $0.00 Payee: BRIGET CAUDILL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 317073 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 96.60 Total: $96.60 Ann• Dnnein4_AR Printarl• NI -f17-7013 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION: 6300 Southcenter Blvd., #100, Tukwila: WA 98188 1 (206) 431`-3670 Permit Inspection Request Line (206) 431-2451 - 0,13-ozn- Project: �� a �� K.aC Type of Inspection:. O NO Address: I)g2.3A / Date Called: Special Instr ctions': J Date Wanted:. is l p.m. Requester: Phone No: NiApproved per applicable codes. El Corrections required prior to approval:, r COMMENTS: h • Inspector: -7 Date: " 03.1,113 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection..• Contractors or Tradespeople iii iter Friendly Page Electrical Contractor A business licensed by Lal 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 HOLMES ELECTRIC CO 2534794000 Po Box 338 Kent WA 98035 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 177003752 Active HOLMEEC549BH Electrical Contractor 1/8/1946 10/31/2014 General Unused Master Electrician INFORMATION License HILLME'973KR Name HILLMAN, ED Status Active Business Owner Information Name Role Effective Date Expiration Date HOLMES, JERAY A Agent 01/01/1980 Bond Amount HOLMES, MICHAEL J President 01/01/1980 929558590 RICHARDS, MICHAEL W Secretary 01/01/1980 ELECTRICAL CITATION RICHARDS, EUGENE M 11 /08/2012 01/01/1980 10/15/2010 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 4 Western Surety Co 929558590 12/08/2012 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.00 11 /08/2012 3 COARTFORD FIRE INS 52BSBFB9243 12/08/2008 Until Cancelled 12/08/2012 $4,000.0012/09/2008 2 AMCASUALTY 9239830 12/08/1984 Until Cancelled 02/09/2009 $4,000.0009/14/2008 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 EREEB00495 10/8/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESHA000715 7/25/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 https://fortress.wa.gov/lni/bbip/Print.aspx 03/07/2013