HomeMy WebLinkAboutPermit EL13-0672 - FOSTER HIGH SCHOOL - REMODELFOSTER HIGH SCHOOL
4242 S 144 ST
ELi 3-0672
City (*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.Tukwila WA .gov
Parcel No.: 1523049108
Address: 4242 S 144 ST TUKW
Project Name: FOSTER HIGH SCHOOL
ELECTRICAL PERMIT
Permit Number: EL13-0672
Issue Date: 07/11/2013
Permit Expires On: 01/07/2014
Owner:
Name: TUKWILA SCHOOL DISTRICT
Address: 4640 S 144TH ST , TUKWILA WA 98168
Contact Person:
Name: PATTY FULLER
Address: 1220 S 356 ST, A-5 , FEDERAL WAY WA, 98003
Contractor:
Name: FULLER ELECTRIC CO
Address: 37107 12 AV S , FEDERAL WAY WA 98003
Contractor License No: FULLEEI027BK
Phone: 253 661-7181
Phone:
Expiration Date: 01/12/2014
DESCRIPTION OF WORK:
INSTALL (3) 20 AMP CIRCUITS FOR THE MDF ROOM
Value of Electrical: NRES: $5,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
Washington Cities Electrical Code:
I hereby certify that I have read and examined this permit and know
governing this work will be complied with, whether specified herein
he sa
•r no
$183.40
2011
Date: ?—
e to be true and correct. All provisions of law and ordinances
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 perforjnance 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 -7/13
EL13-0672 Printed: 07-11-2013
PERMIT CONDITIONS •
Permit No. EL13-0672
**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 -7/13
EL13-0672 Printed: 07-11-2013
CITY OF TUKA
Community Developn WI Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Plitt No. L21 6 (ti 1
Project No. ^
Date Application Accepted: Inl $ 3
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 41 2 q a, .5,4'171.'4'
,4/'1. 5'7L, e el< foS I'r /4; 9'4 ,56400 (
King Co Assessor's Tax No.: S-237 —1 `° t
Site Address: II 2 YZ % S . / 5/ Suite Number: Floor:
Fos -lc,- (.; y4 Sc 0 /
Tenant Name:
PROPERTY OWNER
Company Name: Fwd/er-/7 /,e' C
X54
Name: Q .../ , ey-
Q
S 4 -('c / / _ s
Name:
7t -'-/C w; / et
S `-` Oo /
a
S
Address:
Email: f',C y Q FGc.! lege k . Com
3
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Company Name: Fwd/er-/7 /,e' C
X54
Name: Q .../ , ey-
Q
S 4 -('c / / _ s
Address: / 2 ,...0 S. 3 S 6- s 7Z 4 -S
State:LA) Zip:/9 0
City: Fe /J L State: too cgoe
3
/Zip:
Phone: 2,53 _66/ _.2 /�/ Fax: ZS3 -6b l-6,56
Tukwila Business License No.;
Email: f',C y Q FGc.! lege k . Com
3
New Tenant: ❑ Yes ,®.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Fwd/er-/7 /,e' C
X54
Address: � 2 2 0 ,S , .3
Q
S 4 -('c / / _ s
City: Fe clef a wC�
State:LA) Zip:/9 0
Phone:2 -3 _6 0_213/1
Fax: x,53 _Gr SC /-,:...SC
Contr Reg No.: Fes//e e ; 02_) 6t Exp Date:! _42 _/ y
Tukwila Business License No.;
yl tA�� D11 q (1'1
3
Valuation of Project (contractor's bid price): $ Sj OtO 0 . oc�
2nsfc,_l/ ,3 a•o `qr,.o C;ccct,`fs -Foy'
Scope of Work (please provide detailed information):
Yh.e Al OF xoor-'
Will service be altered? ❑ Yes No
Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
O New ❑ Addition ❑ Service Change ❑ Remodel ,g] Tenant Improvement
❑ Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line\2013 Applicattons\Electncal Permit Application Revised 7-1-13.docx
Revised: July 2013
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
o 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) $65.00
❑ Temporary service (generator) $80.90
O Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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:
Print Name: Pair; c .- LDay Telephone: 25 3 -a/ ,/)/
Mailing Address: 0:1—° 5. 35 6 t 57L —S Fe ole/al kJa 6-47 9100-3
City
6�G
Date:
H:Wpplications\Forms-Applications On Line \2013 Appbcattons\Electncal Permit Application Revised 7-1-13.docx
Revised: July 2013
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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.Qov
Parcel No.: 1523049108
Address: 4242 S 144 ST TUKW
Suite No:
Applicant: FOSTER HIGH SCHOOL
RECEIPT
Permit Number: EL13-0672
Status: PENDING
Applied Date: 07/11/2013
Issue Date:
Receipt No.: R13-02109
Initials: JEM
User ID: 1165
Payment Amount: $183.40
Payment Date: 07/11/2013 12:28 PM
Balance: $0.00
Payee: FULLER ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1034 183.40
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 183.40
Total: $183.40
rinr• Ppraint-nR
Printed: 07-11-2013
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
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:,Or�`!
Type of Inspection:
K
,/
du
Address:II1Y1._ .5- Piiir.
Date Called:
Special Instructions:
Date Wanted:
1 Z
a:m
m.
Requester:
Phone No: , l2
7G0 Izi 3
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date: o7/i3 (3
•. f l
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 f_. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
M-04 71-r
Project:
657-6kf1101
Type of Inspection:
2100
Address:
i/o`! Z- 5 •
Sr.
Date Called:
m
.
Special Instructions:
CAW FP\Ir
5
Date Wanted:a
r�-
Requester:
Phone No:
Approved per applicable codes.
ZCorrections required prior to approval.
COMMENTS:
AllOr R6P1-7
Inspector:
Date: d 'I
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople enter 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
FULLER ELECTRIC INC
2536617181
1220 S. 356Th Street A-5
Federal Way
WA
98003
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601840365
Active
FULLEEI027BK
Electrical Contractor
1/12/1998
1/12/2014
General
Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
FULLEEI96260
FULLER
ELECTRIC, INC.
Construction
Contractor
General
Unused
1/20/2004
1/20/2014
Active
FULLEE*088NE
FULLER ELECTRIC
Electrical
Contractor
General
Unused
8/5/1992
8/5/1998
Archived
FULLEE*105NL
FULLER ELECTRIC
Electrical
Contractor
General
Unused
8/13/1990
8/13/1992
Archived
Electrical Administrator INFORMATION
License FULLEPA035NZ
Name FULLER, PATRICIA ANN
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
AHLERS CRESSMAN PLLC, PAUL CRE
Agent
12/23/2011
3/9/2012
FULLER, PATRICIA ANN
President
01/01/1980
$250.00
FULLER, GREGORY C
Member
01/01/1980
12/23/2011
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
1
CBIC
SB2906
01/01/1998
Until Cancelled
$4,000.00
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
EOXFJ01380
3/9/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EHOSJ00357
5/4/2009
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https://fortress.wa.gov/lni/bbin/Print.aspx 07/11/2013