HomeMy WebLinkAboutPermit EL13-0605 - KIDDER MATTHEWS - REMODELKIDDER MATTHEWS
1145 ANDOVER PK W
ELi 3-0605
City ofTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206-431-3665
Web site: http://www.Tukwila WA .gov
Parcel No.: 3523049098
Address: 1145 ANDOVER PK W TUKW
Project Name: KIDDER MATTHEWS
ELECTRICAL PERMIT
Permit Number: EL13-0605
Issue Date: 06/24/2013
Permit Expires On: 12/21/2013
Owner:
Name: CWWA SOUTHCENTER 4 LLC
Address: C/O EQUITY OFFICE MGMT LLC , PO BOX A-3879 60690
Contact Person:
Name: KIRSTEN FAUSKO
Address: 1221 2 AV N , KENT WA, 98032
Contractor:
Name: HERMANSON COMPANY LLP
Address: 1221 2 AV N , KENT WA 98032
Contractor License No: HERMACL995DK
Phone: 253 796-5892
Phone: 206 575-9700
Expiration Date: 03/12/2015
DESCRIPTION OF WORK:
ELECTRICAL FOR RTU HEAT PUMP REPLACEMENT
Value of Electrical: NRES: $500.00
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:
Date:
$75.60
2008
I hereby certify that I have read and xanmikied this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie with, whether specified herein or not.
The granting of this permit does not pre to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perf mince of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
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
EL13-0605 Printed: 06-24-2013
• •
PERMIT CONDITIONS
Permit No. EL13-0605
**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
EL13-0605 Printed: 06-24-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
hap:. www.TukwilaW'A.gok
Electrical Permit No. Z. LkIf- b LIDS -
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: II 5 r park- W-
Tenant Name: V- ( .ataxr f'VU !' $
PROPERTY OWNER
Name: 141lesi.e.frt.Eau se-t�
Name: L'"'(RGl1� e (!/1 n��-s-
Kt_ City: „- �,,� State: Zip: e'� �7
Address:ffs�`6Ti ��9-1-114 v(2_ IV
5t. 2-y06
City: 6tvevia. State: kivil
Zip:q y
CONTACT PERSON — person receiving all project
communication
Name: 141lesi.e.frt.Eau se-t�
Address: i 2,2„ t !�,� �(%�' _/ /41,4
Kt_ City: „- �,,� State: Zip: e'� �7
Phone: ZS3.lcyb. 5b 12 Fax:
Email: 1.4t'au s I= -o Co?..lt l2
ke rektco i4. C-tri1
King Co Assessor's Tax No.: '' 2 3O C
Suite Number: Floor: P001
New Tenant: ❑ Yes [r..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 1.1,.e r Nat'l s U
Address: 11,2. 1 � ,, J �� A) ,
�-+ w`
City: n, f.
j� State: wi4 Zip: leO3
phone:, -2A,10. s-75_171)6 Fax:
Contr Reg No.: F o.1/w. L am s Dv...Exp Date: N J 2/ is
Tukwila Business License No.: _
a' ,
b i ( 5-
Valuation of Project (contractor's bid price): $ tJ
Scope of Work (please provide detailed information):
114 ai� 11 -63 r t 16
-ePLrLc inj `P ---7(k
Will service be altered? ❑ Yes ..No Adding more than 50 amps? ❑ Yes [ No
Type of Use: � +
Type of work: GLI 5 CA VI ✓LL e'- / r -e C O 1/1 VL..C.. C
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
[Puget Sound Energy ❑ Seattle City Light
H \Applmauons\Forms-Apphcanons On Line \201 I Apphcanons\Electncal Permit Application Revised 8-9-I I docx
Revised August 2011
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Page I of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages. pools, spas and outbuildings $81.90 ea
O Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O 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)
O 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
O Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
O Carnivals $78.75
Number o f 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:, `2/! eyL Date: 6/Z e7/ 3
Print Name: V" --t
Mailing Address: 12-2---/ Ze��C AV'e- /v
n \ApphcauonsTorms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx
Revised August 2011
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Day Telephone: LS -3 7 % S J `7 2
kut-
City
State Zip
Page 2 al
SET RECEIPT
RECEIPT NO: R13-01951
Initials: JEM Payment Date: 06/24/2013
User ID: 1165 Total Payment: 381.66
Payee: KIRSTEN FAUSKO, HERMANSON COMPANY LLP
SET ID: S000002007 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
EL13-0605
M13-115
TOTAL:
75.60
306.06
75.60
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 381.66
TOTAL: 381.66
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
MECHANICAL - NONRES
PLAN CHECK - NONRES
000.322.101.00.0
000.322.102.00.0
000.345.830
75.60
244.85
61.21
TOTAL: 381.66
I INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: . /111)
`� ���
Type of Inspection:
�l0(7
Address: .-
g),A)
Date Called:
Special Instructions:
C��,, � � p
� tet/ ` � t�
Date Wanted:
y(17
agl,
m�
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
OMMENTS:
61W, fl::;(1045 r\Att,oA
Qpr
Date: 01/11/13
1 ,a 13
REINSPECT! e N FEE REQUIRED. Prior to nextinspection, fee must be
paid at 6300 Southcenter Blvd.,: Suite 100. Call to schedule reinspection.
INSPECTION RECORDa
Retain a copy with permit l
INSPECTION NO. PERMIT NO.
. CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
X tWe
tik114.M15
Type of Inspection:
,JAIt (rS'Mf) Be Wrixam IV
(dcfI P ta,., 5(1-1(700-6), _spliktt.
Address:Date
11 115-
1 A—P (Ai
Called:
Special Instructions:
•
Date Wanted:
if1 /_
L•�1
•
ate_
rr
Requester:
Phone No:
6,1I ,,1
56
Approved per applicable codes. IjCorrections required prior to approval.
COMMENTS: f---
'V^
mAx. 25- A P 1Js( R,0I�
- LA16L by c i J4&1' viITr tia.!'r
,JAIt (rS'Mf) Be Wrixam IV
(dcfI P ta,., 5(1-1(700-6), _spliktt.
P kL A4J 4.ec h r.
- -6t15 LA h_ 1O L66, L C A hal Piff lou c 1
t f E 'Awful i4-l""� c: k4 9
Inspector:
Qate:o7 % �i 3
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Callao schedule reinspection.
Contractors or Tradespeople P ter Friendly Page
s
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
HERMANSON COMPANY LLP
2065759700
1221 2Nd Ave N
Kent
WA
98032
King
Limited Liability Partnership
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602004844
Active
HERMACL995DK
Electrical Contractor
3/12/2001
3/12/2015
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
HERMAC'01303
HERMANSON
CORPORATION
Electrical
Contractor
Hvac/Rfrg Ltd
Energy
Unused
9/23/1999
9/23/2001
Archived
HERMAC"066QQHERMANSON
CORPORATION
Electrical
Contractor
Limited
Energy
Unused
11/18/1994
11/18/2000
Archived
Electrical Administrator INFORMATION
License REINHJS956RK
Name REINHARDT, JEFFREY S
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HENGL, STEPHEN
Partner/Member
03/14/2011
DYCKMAN, KENNETH
Partner/Member
03/14/2011
ROBINETT, PAUL
Partner/Member
03/14/2011
NICOLAISEN, KNUT
Partner/Member
03/14/2011
BROCK, DANIEL
Partner/Member
03/14/2011
FOX, DEAN
Partner/Member
03/14/2011
HERMANSON, RICHARD L
Partner/Member
01/01/1980
ALMON, KEVIN L
Partner/Member
01/01/1980
03/14/2011
MACDONALD, JAMES A
Partner/Member
01/01/1980
03/14/2011
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
2
WESTERN SURETY CO
929352307
03/09/2005
Until Cancelled
$4,000.00
03/11/2005
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
httns://fortress.wa. s? ov/lni/bbin/Print.aspx
06/24/2013