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Home My WebLink AboutPermit EL13-0300 - SURFACE ART - REMODELSURFACE ART 18285 ANDOVER PK W EXPIRED 09-22-13 EL1 3-0300 City orrukwila 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.: 3523049104 Address: 18285 ANDOVER PK W TUKW Project Name: SURFACE ART ELECTRICAL PERMIT Permit Number: EL13-0300 Issue Date: 03/26/2013 Permit Expires On: 09/22/2013 Owner: Name: SEGALE PROPERTIES LLC Address: PO BOX 88028 , TURVVILA WA 98138 Contact Person: Name: BRIGET CAUDILL Address: PO BOX 338 , KENT WA, 98035 Contractor: Name: HOLMES ELECTRIC CO Address: PO BOX 338 , RENTON WA 98035 Contractor License No: HOLMEEC549BH Phone: 25-234-2842 Phone: (253)479-4000 Expiration Date: 10/31/2014 DESCRIPTION OF WORK: INSTALL (2) 20 AMP CIRCUITS TO EQUIPMENT Value of Electrical: NRES: $2,800.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: $136.50 2008 W c Date: 13 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 the perform • qe of work. I am authorized to sign and obtain this electrical permit. / `� I Signature: � i tJ _ Date: v1°�\,1- 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 EL13-0300 Printed: 03-26-2013 411/ li PERMIT CONDITIONS Permit No. EL13-0300 **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 EL13-0300 Printed: 03-26-2013 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. E L1 3— 0 300 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** King Co Assessor's Tax No.: Site Address: \(x 9zs' PAI:xxouixaD Suite Number:4 j33 Floor: Tenant Name: a wA(` 'pr- Ise 60Lc Aly--)irv)t,r New Tenant: ❑ Yes PROPERTY OWNER' . :.. � Nr, State:l/U/3 . Zip:ilt�, tog, i-5.3,37 Address: 15 joov_o1T,n,1L 0 City:.v\L\o1u up‘ xe. � StaA Zipgx-1.-5C6 - CONTACT PERSON=person'receiving all project.:,`' communication Name:•(? i noloMop‘,�_ Address:O, ,6eX 30e l'' Nr, State:l/U/3 . Zip:ilt�, tog, i-5.3,37 Ph 4ya Fax: a Day 0/--D.S Email:. M10 i . MOD i Gl(k)MilnLcD M ELECTRICAL: CONTRACTORINFORMATION Company Name: ilobuisy f1e (LR /cr 7 Address: /9a 'x 65g ✓ UState: l / I q Zip:ge City: 1� Gil TU W /, 7/ /`- 35 Phone: Fax: Contr Reg No.:k, MEet 64,m fi xp Date: /e3!/!il Tukwila Business License No.: Valuation of Project (contractor's bid price): $ Oma Scope of Work (please provide detailed information): /Avs c,c -c2orm' p 6tRwirs erD Will service be altered? ❑ Yes KNo Adding more than 50 amps? ❑ Yes ,No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel /LJ Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Pro.er ,nerved b : Puget Sound Energy 0 Seattle City Light H:\Appl : 'ons\Porms-Applications On Line\201 I Applications\Electrtcal Permit Application Revised 8-9-I I.docx Revised: August 2011 bh \-)0(49 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 -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 ELECTRICAL CONTRACTOR: Signature: �" q Print Name:' n ' t�.,Cep� OND Mailing Address: OW u11 E I 067-0-4—) j7-0-4—) `kjiE 5 H: Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-I I.docx Revised: August 2011 bh Day Telephone: tty Date: 3b3 -I( 3 .253 g3ci DO tate ' 13z_ Page 2 of 2 1 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.: 3523049104 Address: 18285 ANDOVER PK W TUKW Suite No: Applicant: SURFACE ART RECEIPT Permit Number: EL13-0300 Status: PENDING Applied Date: 03/26/2013 Issue Date: Receipt No.: R13-01136 Payment Amount: $136.50 Initials: WER Payment Date: 03/26/2013 01:28 PM User ID: 1655 Balance: $0.00 Payee: BRIGET CAUDILL TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 516272 ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 a..... Onnninf_na Dri.sa• nq_la_on, z 08-01-2013 BRIGET CAUDILL PO BOX 338 KENT WA 98035 City of Tukwila Jim Jlaggerton. Mayor Department of Community Development Jack Pace, Director RE: Permit No. EL13-0300 SURFACE ART 18285 ANDOVER PK W 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 09/22/2013. 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 09/22/2013, 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. EL13-0300 6300 Soulhcenler Boulevard, Suite 11100 • Tukwila. Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople iter 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 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 AMERICAN CASUALTY 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 httns J/fortress_wa. rov/lni/bbin/Print.asnx 03/26/2013