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HomeMy WebLinkAboutPermit EL13-0715 - CITY OF TUKWILA / OLD LIBRARY - LOW VOLTAGECITY OF TUKWILA OLD LIBRARY 14475 59 AV S EL13-0715 City ogukwila 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 ELECTRICAL PERMIT Parcel No.: 3365901275 Address: 14475 59 AV S TUKW Project Name: CITY OF TUKWILA (OLD LIBRARY) Permit Number: EL13-0715 Issue Date: 07/29/2013 Permit Expires On: 01/25/2014 Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD , TUKWILA WA 98188 Contact Person: Name: DEAN HUMPHRIES Address: 2018 BLAINE AV NE , RENTON WA , 98056 Contractor: Name: QUALITY ELECTRICAL CONT LLC Address: 2018 BLAINE AV NE , RENTON WA 98056 Contractor License No: QUALIEC915JN Phone: Phone: 425 207-8866 Expiration Date: 04/15/2015 DESCRIPTION OF WORK: EXTEND CIRCUIT FOR SECURITY SYSTEM Value of Electrical: NRES: $250.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SO Permit Center Authorized Signatur ENERGY I hereby certify that I have read and examined this governing this work will be complied with, whether pecified herein or not. The granting of this permit does not pres e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or th e o ance of wo . I am authorized to sign and obtain this electrical permit. Fees Collected: Washington Cities Electrical Code: if A Dat rmit and know the same to be true and correct. All provi ions of law and ordinances $65.00 2011 Signature: Print Name: j/tea 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 EL13-0715 Printed: 07-29-2013 • PERMIT CONDITIONS • Permit No. EL13-0715 **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 EL13-0715 Printed: 07-29-2013 CITY OF TUKWilki Community DevelopmfflrDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Peet No. ( L- /. 3 -(.)--) IS 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: P/1/7f '/%tom S. Tenant Name: C4,7 p¢ T'.W„.t PROPERTY OWNER Name: // t -I/v..44 Il/ ZD I F, a/fit,4 A(( Name: Phone:5165- -2.'07 C Fax: Email: d.eG d (� c1i,:4e ek 4:16-,-G /lt, c-awt Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: // t -I/v..44 Il/ ZD I F, a/fit,4 A(( City: �Q Stater Zip:9.FOlL Phone:5165- -2.'07 C Fax: Email: d.eG d (� c1i,:4e ek 4:16-,-G /lt, c-awt King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ Yes G] .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: 4-7 Address: 2-49 1 �t t - ,,,( ,4`,,e NE ��A: City:h State: 4A4 Zip: 9elta Phone: ya 20 FP4G Fax: liar 20n Bf9 Contr Reg No.: Q{A 4 C ?c C itC3A1 xp Date: y //r//S / Tukwila Business License No.; 0 99 2 93 2 Valuation of Project (contractor's bid price): $ 2.$j. Scope of Work (please provide detailed information): -Cts-ki.4 Livc�,v -�e 5� ,,,�y S�s�r•,ti Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes aNo Type of Use: Type of work: ❑ New • 0 Addition ❑ Service Change 0 Remodel R. Tenant Improvement ❑ Low Voltage ,❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Appltcations\Forms-Applications On Lme\2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh 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 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) O 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 O 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 ❑ 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 rER OR ELE RICAL CO " CTOR: Signature Print Name: /J..�+ i.�.,nt-0J Mailing Address: '2-0 6 2iet.6, „4 It"( //C AB.JFv Date: 72 9/i3 Day Telephone: Ye f ZO? L H:\Applications\Forms-Applications On Lme\2013 Applications'Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 bh City 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.: 3365901275 Permit Number: EL13-0715 Address: 14475 59 AV S TUKW Status: PENDING Suite No: Applied Date: 07/29/2013 Applicant: CITY OF TUKWILA (OLD LIBRARY) Issue Date: Receipt No.: R13-02227 Payment Amount: $65.00 Initials: TLS Payment Date: 07/29/2013 11:20 AM User ID: 1670 Balance: $0.00 Payee: QUALITY ELECTRICAL CONTRACTORS LLC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3385 65.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 65.00 Total: $65.00 Ant- Pa inf_!1R pain+ori• f17 -9Q -9f114 z INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-367 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 Project: s/liii*-�k Type of Inspection: ,2140 Address: r Date Called:Special Iristf cs: i Date Wanted: f a.m Requester: Phone No: • Approved per applicable codes. O Corrections required prior to approval. cld ;COMMENTS; Inspector: /16 (A/462 Date: 1045 REINSPECTION FEE REQUIRED. Prior to next inspec ion. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. .•••,,•• INSPEC11014 RECORD Retain,a-eOpy with permit INSPECTION NO. "PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, TulOni,i1a. WA 98188 Permit Inspection Request Line (206) 431-2451 (206) 431-3670 Project: , Orr p 711'. ri k IAA LA Type, of Inspection: ''' c71 beil 0 it'dTh /1(eGgsS ') tgAlarb aw-r,ef c-7%, Aqdress:Date .7.1" /1/VN' . cl,45 -7r Called: /ff./it Special Instructions: Date Wanted: a.m. p.m. Requester: Phone No: EjApproved per applicable codes. ElSorrections required prior to approval. COMMENTS: it'dTh /1(eGgsS ') tgAlarb aw-r,ef c-7%, ',/erSC/1014(4.-,er— /ff./it 6-^" 49/1, k b- Mfr LA g/PO4Al5; s,4,167>P"'S" , . Inspector: Date:ge 42 'P r--1 REINSPtCTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pr er 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 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 $4,000.0003/22/2010 1 WESTERN SURETY CO 70702057 04/14/2009 Until Cancelled 04/02/2010 $4,000.00 04/15/2009 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 https://fortress.wa.gov/lni/bbip/Print.aspx 07/29/2013