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Home My WebLink AboutPermit EL13-0277 - HOME DEPOT - REMODELHOME DEPOT 6810 S 180 ST EL13-0277 City oiTukwila 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.: 3623049074 Address: 6810 S 180 ST TUKW Project Name: HOME DEPOT ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: EL13-0277 03/19/2013 09/15/2013 Owner: Name: HD DEVELOPMENT OF MARYLAND Address: PROPERTY TAX DEPT #4705 , PO BOX 105842 30339 Contact Person: Name: Address: Contractor: Name: STEVE PHARIS 2100E WALNUT AV , FULLERTON CA, 98231 ANDERSON AIR CONDITIONING LP (714) 888-6800 Address: 2100 EAST WALNUT AV , FULLERTON CA 92831 Contractor License No: ANDERAC901P9 Phone: 714 888-6800 Phone: Expiration Date: 10/29/2014 DESCRIPTION OF WORK: FINAL ELECTRICAL HOOK UP TO (8) UNITS HEATERS. FINAL ELECTRICAL HOOK UP TO (6) PACKAGE UNITS. ALL A/C UNITS UNDER 5 -TONS. Value of Electrical: NRES: $500.00 Fees Collected: $75.60 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: o4 t i 1 J I hereby certify that I have read and : ami ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be o ' • lied th, hether specified herein or not. The granting of this p t • oes n •t pr s e to give authority to violate or cancel the provisions of any other state or local laws regulating constructionor the p am authorized to sign and obtain this electrical permit. Signature: Date: r-3119 \261S Print Name: biy4s--7 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. Toeiftace- doc: EL -4/10 EL13-0277 Printed: 03-19-2013 4111 PERMIT CONDITIONS al Permit No. EL13-0277 **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 EL13-0277 Printed: 03-19-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. -CU--o9,-,'11 Project No. Date Application Accepted: 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: Tenant Name: 14.b Me- aepo T King Co Assessor's Tax No.: 'Ail' Suite Number: Floor: New Tenant: ❑ Yes PROPERTY OWNER Name: Se_ pyo lS Name: i j'Y'a l0-epo r City: Zip: 9,4 7/ I1e� L w State: G 4 Address: ?o Bo?, 1n 55 73 Email: /q/witictfilf year, I,co,', State City: ,A i LMA1iY- Zip: ZIp3033y CONTACT PERSON — person receiving all project communication Name: Se_ pyo lS Address: 0/0 0 ,f` G,,A-L-NUT City: Zip: 9,4 7/ I1e� L w State: G 4 -/7--W p Phone:"71y1111p� Fax: 7/Y dfa.�6L7 ISQ Email: /q/witictfilf year, I,co,', ELECTRICAL CONTRACTOR INFORMATION Company Name:f r1 NOPrlsow r1 A (0 1,4. Cto Address: a /00 r WoL/Vvr'/t-✓-e City: Fa f(e,,, ta,, State: (4... Zip: 9dd. t Phone: 7ivii ii g 6100 Fax: 7 `I/ n�(177 Contr Reg/N7o. oo , q DtelExp Date: I0I Zcl I1 11 l/71 Tukwila Business License No.: /1�J1_ h 7 '3 U [J ! 7 • Valuation of Project (contractor's bid price): $ 500 `00 Scope of Work (please provide detailed information): Will service be altered? ❑ Yes ❑ No lU+z, .�u Ft NI�� iu c kook LP lb 8 ON ir PI 14 P1-- Sigartl CAL_ op To 6 PAekAet� Arc Ut ' opera,. s s- Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ , Temporary Service Pro Served b : Puget Sound Energy ❑ Seattle City Light H:1Applications\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 ❑ 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 O Manufactured/mobile home service $84.00 (excluding garage or outbuilding) O 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 OWNE, dR EL1\ Signature: RICAL CONTRACTOR: Date: 16 M� "o i s Print Name: `1---tr�Z4I24 (V e� 'l �j Day Telephone: IL1\-) CA_ 92�37 State Zip Mailing Address: 2.I (Iii e . H:1Applications\Forms-Applications On Line12011 Applications\Electrical Permit Application Revised 8-9-11.docx 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.: 3623049074 Address: 6810 S 180 ST TUKW Suite No: Applicant: HOME DEPOT RECEIPT Permit Number: EL13-0277 Status: PENDING Applied Date: 03/19/2013 Issue Date: Receipt No.: R13-01086 Payment Amount: $75.60 Initials: JEM Payment Date: 03/19/2013 12:16 PM User ID: 1165 Balance: $0.00 Payee: TERRENCE L BIXBY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 067488 ACCOUNT ITEM LIST: Description 75.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 Drinfnrl• AZ_1 �_9MZ 2_ INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 X2+3-477 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 Project: 40 t .e\ o Type of Inspection: LAC) Address: / 4`O 5 ` f\0 Sr Date Called: Special Instructions: /`�,,_u�r, ii/'nof FAA/ ' v� Date Wanted:. 3/2e p.m. Requester: i Phone No: Approved per applicable codes. ElCorrections required prior to approval. COMMENTS: fi, 0/ uoicktiv045, 14.01, U`ri - • j Inspector: 1iritlyi t Date: 6312z/13 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 tz- (206) 431-3670 Permit Inspection Request Line (206) 431-2451 V Project: le ak--Pbr tin Type of Inspection: 2 100 — CA OdAO )01PR, . A16.4". Address: &31° S ./S0 sr - Date Called: r/ Jc (viJt/VG) i Special Instructions: Date Wanted:. 2—v ei....;:mn; Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ` ,+ _- / 60--0014J /AI hKCO/si i&C 4 — CA OdAO )01PR, . A16.4". -- 6i c-, dor 6Q0J,0 r/ Jc (viJt/VG) A-111 (Z5 Inspector: Date: 03/4+3 REINSPECTION FEE REQUIRE13. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople enter Friendly Page 40 Page l of l General/Specialty Contractor A business registered as a construction contractor with Lai to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name Phone Address Suite/Apt. City State Zip County Business Type Parent Company ANDERSON AIR CONDITIONING LP 7148886800 2100 East Walnut Ave Fullerton CA 92831 Out Of State Partnership DAC ACQUISITION CO LLC UBI No. 603055391 Status Active License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 ANDERAC901P9 Construction Contractor 10/29/2010 10/29/2014 Heating/Vent/Air-Conditioning And Refrig (Hvac/R) Unused Business Owner Information Name Role Effective Date Expiration Date HAYNAM, MITCHELL JAY (VP) Partner 10/26/2012 KNIGHT, CHARLES STERLING (VP) Partner 10/26/2012 DUNN, EDWARD MICHAEL (CEO) Partner 10/26/2012 SHELLHARDT, DAVID JOSEPH (PRE Partner 10/26/2012 HILTON, PATRICIA ANN (TREAS) Partner 10/26/2012 MCCROSSAN, ANDREW JOSEPH (VP) Partner 10/26/2012 HORNFECK, LANE CHRISTINE (VP) Partner 10/26/2012 AMS AMERICA INC Partner 10/29/2010 BECK, TODD ALAN Partner 10/29/2010 10/26/2012 Bond Information Bond 1 Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date FEDERAL INS CO 82189659 10/26/2010 Until Cancelled $6,000.00 10/29/2010 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 1 Hartford Fire Ins Co 01UEN0C1240 03/01/2010 03/01/2014 $1,000,000.00 03/05/2013 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period httns://fortress.wa.2ov/lni/bbip/Print.aspx 03/19/2013