HomeMy WebLinkAboutPermit EL13-0641 - USSCO - REMODELUSSCO
18351 CASCADE AV S
ELi 3-0641
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.TukwilaWA.gov
Parcel No.: 7888900160
Address: 18351 CASCADE AV S TUKW
Project Name: USSCO
ELECTRICAL PERMIT
Permit Number: EL13-0641
Issue Date: 06/28/2013
Permit Expires On: 12/25/2013
Owner:
Name: EPROPERTY TAX INC DEPT 207
Address: PO BOX 4900 , SCOTTSDALE AZ 85261
Contact Person:
Name: BRIGET CAUDILL
Address: 600 WASHINGTON AV S , KENT WA, 98032
Contractor:
Name: HOLMES ELECTRIC CO
Address: PO BOX 338 , RENTON WA 98035
Contractor License No: HOLMEEC549BH
Phone: 253-234-2842
Phone: (253)479-4000
Expiration Date: 10/31/2014
DESCRIPTION OF WORK:
INSTALL (1) 20 AMP CIRCUIT & RECEPTACLE TO SHRINK WRAPPER
Value of Electrical:
NRES: $2,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date: l(J` )U (
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 d -s not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction the performce of work. 'authorized to sign and obtain this electrical permit.
Signature:iI 1 �r �G � /' Date:•
Print Name .ctrt7
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
EL13-0641 Printed: 06-28-2013
•
• PERMIT CONDITIONS
Permit No. EL13-0641
**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
EL13-0641 Printed: 06-28-2013
CITY OF ruxwilli
Community Developmer7rDepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
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: 51 01
Tenant Name: (P60,0
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ye. No
PROPERTY OWNER
Name: vsano
Address:) g3 ( 06 Ai,s
City: `rVik,iitA I
State:it9 Zip: exo_
o
ONTACT-PEILSONµ=:per'son receiiiigail project
communication:•, ....__ -.. ., _ .,. ,.� .
-¢.: ..::.,
Name:Ty mo:- ,r y/
telco L &6 Ave S
,
Address:(,l/64/� 614 )) Ayes
Phone:55 /� Fax: 5
City: `` State:k, Zip: niraz
Phone: a..3y2 Fax: a31
, ,L/I,vl, )Q1L �'�" )1101.1n
Email, 13i(
. !9n
:,ELECTRICAL.CONTRACTOR INFORMATION''; ; .:, ::';-
Company Name: i'ietta f/Lr `C
Address:
telco L &6 Ave S
City: % State:!' , N a g Zip:9
/ U
Phone:55 /� Fax: 5
Contr Reg No.:Noti Exp Date: //!
Tukwila Business License No.;
C71"931.€19.V
Valuation of Project (contractor's bid price): $OE
Scope of Work (please provide detailed information): /495ihu, % - 020
2 iJ duL&)ir °-
Will service be altered? ❑ Yes
Type of Use: G�
Type of work:
❑ New 0 Addition ❑ Service Change 0 Remodel Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ YesNo
Pro.e S ed b :
Puget Sound Energy 0 Seattle City Light
H.\Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8.9-I I.docx
Revised: August 2011
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 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
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.
1 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: n , ,�
Print Name L rC 4 , 1I(.
Mailing Address: &CZ Z ///t,ri,jeg) n//' 5
H:Wpplications\Forms-Applications On Line \2011 Applications'Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Date: isibedt
Day Telephone:
6f374-
"ke
City
State Zip
Page 2 of 2
• i
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.: 7888900160
Address: 18351 CASCADE AV S TUKW
Suite No:
Applicant: USSCO
RECEIPT
Permit Number: EL13-0641
Status: PENDING
Applied Date: 06/28/2013
Issue Date:
Receipt No.: R13-02027
Payment Amount: $115.50
Initials: WER Payment Date: 06/28/2013 11:47 AM
User ID: 1655 Balance: $0.00
Payee: BRIGET CAUDILL
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 577406
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
orinto,l• 1-1a_Ia_)n1z
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:
Type ofjnspection:
Da�'Called:
Address:
�/r�
I.Cl." -3 ---C '} C .f S ^%s iL.— 1
Special Instructions:
Date Wanted:
6.::,._/.j
a.m.
p.m.
Requester:
Phone No:
Approved per applicable codes. 0Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople /liter Friendly Page
•
Electrical Contractor
A business licensed by LEI 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
HARTFORD FIRE INS
52BSBFB9243
12/08/2008
Until Cancelled
12/08/2012
$4,000.00
12/09/2008
2
AMCASUALTY
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://fortress.wa.gov/lni/bbin/Print.asnx
06/28/2013