HomeMy WebLinkAboutPermit EL13-0307 - VERIZON WIRELESS - REMODELLOgO- jrj3
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City oPI'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.: 7888920020
Address: 17100 SOUTHCENTER PY TUKW
Project Name: VERIZON WIRELESS
ELECTRICAL PERMIT
Permit Number: EL13-0307
Issue Date: 03/28/2013
Permit Expires On: 09/24/2013
Owner:
Name: WIG PROPERTIES LLC -SS
Address: 4811 134TH PL SE , BELLEVUE WA 98006
Contact Person:
Name: ROD FUKUMA
Address: 18133 NE 68 ST, SUITE D120 , REDMOND WA, 98052
Contractor:
Name: PRIDE ELECTRIC INC
Address: 3984 150 AV NE , REDMOND WA 98052
Contractor License No: PRIDEEI077DR
Phone: 425-454-3665
Phone: 425 454-3665
Expiration Date: 03/19/2015
DESCRIPTION OF WORK:
SUITE 116: INSTALL (1) 120 VOLT 20 AMP CIRCUIT FOR EXTERIOR SIGN
Value of Electrical: NRES: $900.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $92.40
National Electrical Code Edition: 2008
q,1
Date:
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. performance of work. I am authorized to sign and obtain this electrical permit.
Signature: � Date: 3! Z g 13
Print Name: 12-C1D/VL>' FU V.0 NI A.
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
EL13-0307 Printed: 03-28-2013
• •
PERMIT CONDITIONS
Permit No. EL13-0307
**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
EL13-0307 Printed: 03-28-2013
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
•
Electrical Permit No.
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: 17100 Southcenter Parkway
Tenant Name: Verizon
PROPERTY OWNER
Name: Rod Fukuma
Address: 18133 NE 68th St. #D120
Name:
Phone: (425) 454-3665 Fax: (425) 497-8700
Email: rfukuma@pride-elec.com
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Rod Fukuma
Address: 18133 NE 68th St. #D120
City: Redmond State: WA Zip: 98052
Phone: (425) 454-3665 Fax: (425) 497-8700
Email: rfukuma@pride-elec.com
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes J ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Pride Electric
Address: 18133 NE 68th St #D120
City: Redmond State: WA Zip: 98052
Phone: (425) 454-3665 Fax: (425) 497-8700
Contr Reg No.: PrideeI077DR Exp Date: 12/13/2013
Tukwila Business License No.: BUS -0101350
Valuation of Project (contractor's bid price): $ 900
Scope of Work (please provide detailed information):
Install (1) 120V 20A circuit for exterior sign
Will service be altered? ❑ Yes ® No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change
❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
0 Temporary Service
Adding more than 50 amps? ❑ Yes No
0 Remodel Tenant Improvement
Property Served by:
0 Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line \2011 Applications'Electrical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
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SCD
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $152.85
(including an attached garage)
O Garages, pools, spas and outbuildings $81.90 ea
O 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
O 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:`7�j�/
Date:
03/28/2013
Print Name: Rod Fukuma Day Telephone: (425) 466-6233
Mailing Address: 18133 NE 68th St. #D120 Redmond WA 98052
City
H:Wpplications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8.9-1 I.docx
Revised: August 2011
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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
RECEIPT
Parcel No.: 7888920020 Permit Number: EL13-0307
Address: 17100 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 03/28/2013
Applicant: VERIZON WIRELESS Issue Date:
Receipt No.: R13-01157
Payment Amount: $92.40
Initials: WER Payment Date: 03/28/2013 12:17 PM
User ID: 1655 Balance: $0.00
Payee: ROD FUKUMA
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 004418
ACCOUNT ITEM LIST:
Description
92.40
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 92.40
Total: $92.40
a.,r• Rnruin}_nR
Printed: 03-28-2013
INSPECTION RECORD
Retain a copy with permit,
INSPECTION NO. • PERMIT NO.
CITY OF TUKWILA BUILDING piVIsioN
6300 Southcenter Blvd., #100, Tukwila. WA 98188 s. (206)-431-3670
Permit Inspection Request Line (206) 431-2451
Project: ir 7J 4
rikk04 1 Pkftt5
Type of Inspection:. ,
Address:
1-7100 S. . H.•
Date Called:
--s-
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-
Special Instructions:
(-30-L
5r(- Me
CA44°' (VS 1-1(--
Date Wanted:
•:
-S',
'
:m •
Requester:
Phone No:
.
,
MIApproved per applicable codes.
Corrections required prior -lb approvai:
COMMENTS:
•,,:. ,
- , •
Inspector:
/16c
REINSPECTION FEE REQUIRED. Prior to next inspettiO6-;:fee,niutt be
paid at 6300 Southcenter Blvd., Suite 100. Call to.sChedule::rein'tpection::
•
• • .
Contractors or Tradespeople Peter Friendly Page
•
Electrical Contractor
A business licensed by LW 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
PRIDE ELECTRIC INC
4254543665
18133 Ne 68Th St D120
Redmond
WA
98052
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601451700
Active
PRIDEEI077DR
Electrical Contractor
3/19/1993
3/19/2015
General
Unused
Master Electrician INFORMATION
License GOAD"CJ955DG
Name GOAD, CHRISTOPHER J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GOAD, CHRISTOPHER J
Agent
03/15/2005
3/11/2010
GOAD, CHRISTOPHER J
President
03/15/2005
$250.00
GOAD, KIRKA
Secretary
03/15/2005
ELECTRICAL CITATION
GOAD, ROBERT L
Vice President
03/15/2005
7/27/2011
SEELEY, ROBERT M
Agent
01/01/1980
03/15/2005
SEELEY, ROBERT M
President
01/01/1980
03/15/2005
SEELEY, KAROLYN J
Secretary
01/01/1980
03/15/2005
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
TRAVELERS CAS
SURETY CO
103366931
03/17/2005
Until Cancelled
$4,000.00
04/01/2005
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
EHULR00252
3/11/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHULR00251
3/11/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
EAARG00426
7/27/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
EREYT00332
11/21/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EREYT00331
11/21/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns://fortress.wa.gov/lni/bbin/Print.asnx
03/28/2013