HomeMy WebLinkAboutPermit EL13-0553 - CITY OF TUKWILA / FIRE STATION - REMODELCITY OF TUKWIIA
FIRE STATION
5900 S 147 ST
EL1 3-0553
Parcel No.:
Address:
City oi•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
3365901275
5900 S 147 ST TUKW
ELECTRICAL PERMIT
Project Name: CITY OF TUKWILA FIRE STATION
Permit Number:
Issue Date:
Permit Expires On:
EL13-0553
06/05/2013
12/02/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
TUKWILA CITY OF
6200 SOUTHCENTER BLVD , TUKVVILA WA 98188
DEAN HUMPHRIES
2018 BLAINE AV NE , RENTON WA, 98056
QUALITY ELECTRICAL CONT LLC
Address: 2018 BLAINE AV NE , RENTON WA 98056
Contractor License No: QUALIEC915JN
Phone: 425 207-8866
Phone: 425 207-8866
Expiration Date: 04/15/2015
DESCRIPTION OF WORK:
INSTALL ANTENNA CONDUITS WITH GROUNDING PLATE
Value of Electrical:
NRES: $1,000.00 Fees Collected:
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie
x -
with,
The granting of thisp - does not pre
construction or ie perform ce of w
Signature:
Print Name:
I
National Electrical Code Edition:
Date:
$96.60
2008
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit.
to
Date:
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
EL13-0553 Printed: 06-05-2013
• PERMIT CONDITIONS
Permit No. EL 13-0553
**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
EL13-0553 Printed: 06-05-2013
CITY OF TUKi44
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical PWiitNo.
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 Address:
Tenant Name:
-5'Do S 14,114 t
PROPERTY OWNER
Name: Pi /
I h YII�Wt,(i K.Yp,
J
Name:
C
City: 2.6.0D___
� State: WitZip:
9e0
6 Fax:
Phone: gas... to.) ski
Address:
19
ct P I
! l'-
Tukwila Business License No.; 0992,32
City:
9, c State: IO-
Zip:
f �q
TM
D�
CONTACT:PERSON. - person receiving all project
communication : .
Name: Pi /
I h YII�Wt,(i K.Yp,
J
Address: Z191- 3I mo/ ilt., AL:-
City: 2.6.0D___
� State: WitZip:
9e0
6 Fax:
Phone: gas... to.) ski
Email:
y 45_
King Co Assessor's Tax No.:L' - 1 j, 2_1 S
Suite Number: Floor:
New Tenant: ❑ Yes. No
ELECTRICAL CONTRACTOR` INFORMATION
Company Name: Ft[n cj
J
Address:
201 10 td, :;. --k. "'- /1t E
City:�� State: (.....v),Zip:
9��b
Phone: tar 107 6 Fax:
Contr Reg No.:Exp Date:
G2litil-LTEC91SSN
y 45_
Tukwila Business License No.; 0992,32
Valuation of Project (contractor's bid price): $
(odd -0 a
Scope of Work (please provide detailed information):
.�.s
Will service be altered? ❑ Yes
Type of Use:
Type of work:
O New 0 Addition
0 Low Voltage ❑ Generator
Property Served by:
O Puget Sound Energy 0 Seattle City Light
❑ Service Change
O Fire Alarm
H:\Applications\Forms-Applications On Line \2011 Applications\Electncal Permit Application Revised 8-9-1 I.docx
Revised: August 2011
bh
Adding more than 50 amps? ❑ Yes qFji No
❑ Remodel
O Telecommunication
Tenant Improvement
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 $1 1.55 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 OWN1R-AR ELECTRICAL 'ONTRACTOR:
Signature: j
Print Name: '/`tea `L ,t 1, »
?A,rF 7_74-4‘,4 Ag
Mailing Address:
Date:
6703
Day Telephone: 9'2J Z4)7 fcl 6
1-1 ,Applications\Forms-Applsations On Line\2011 Applications\Electrical Permit Application Revised 8-0-11 doc3
Revised August 2011
hh
City
L4*
State
fOSZ
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.: 3365901275 Permit Number: EL13-0553
Address: 5900 S 147 ST TUKW Status: PENDING
Suite No: Applied Date: 06/05/2013
Applicant: CITY OF TUKWILA FIRE STATION Issue Date:
Receipt No.: R13-01819 Payment Amount: $96.60
Initials: JEM Payment Date: 06/05/2013 03:08 PM
User ID: 1165 Balance: $0.00
Payee: QUALITY ELECTRICAL CONTRACTORS LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 3373 96.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 96.60
Total: $96.60
a.i„for• na_nc_9n1�
INSPECTION NO.
INSPECTION RECORD ��P����
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 s (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:/,ti14- .1144
r
Type of Inspection:
(00
Address: 700 .5 J
Date Called:
Special Instructions:
Date Wanted:
4/04/
(P:, )1 :
Requester:
Phone No:
i ' 1
Approved per applicable codes. Corrections required prior to approval.
icgi
COMMENTS:
1.
it
ir-whtv
Inspector:
et
Date: 06it* /, 3
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeopleeinter Friendly Page
Electrical Contractor
A business licensed by LftI 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
QUALITY ELECTRICAL CONT LLC
4252078866
2018 Blaine Ave Ne
Renton
WA
98056
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602906582
Active
QUALIEC915JN
Electrical Contractor
4/15/2009
4/15/2015
General
Unused
Electrical Administrator INFORMATION
License HUMPHDM918BR
Name HUMPHRIES, DEAN M
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HUMPHRIES, DEAN M
Partner/Member
04/15/2009
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
2
American Contractors
Indem CO
100117956
04/02/2010
Until Cancelled
$4,000.00
03/22/2010
1
WESTERN SURETY CO
70702057
04/14/2009
Until Cancelled
04/02/2010
$4,000.0004/15/2009
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 No records found for the previous 6 year period
httns://fortress.wa.gov/lni/bbin/Print.asnx 06/05/2013