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Home My WebLink AboutPermit EL13-0722 - DEPARTMENT OF LABOR AND INDUSTRIES - REMODELDEPARTMENT OF L&I 12806 GATEWAY DR ELi 3-0722 City oietukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No.: 2716000050 Address: 12806 GATEWAY DR TUKW Project Name: DEPARTMENT OF LABOR AND INDUSTRIES Permit Number: EL13-0722 Issue Date: 07/31/2013 Permit Expires On: 01/27/2014 Owner: Name: EPROPERTY TAX INC DEPT #207 Address: PO BOX 4900 , SCOTTSDALE AZ 85261 Contact Person: Name: TONY ARBICOR Address: 16909 SE 321ST PL , AUBURN WA, 98092 Contractor: Name: SES INC Address: 1402 AUBURN WY N PMB 371 , AUBURN WA 98002 Contractor License No: SESIN**990RA Phone: (206) 714-3686 Phone: 206 715-2964 Expiration Date: 12/01/2013 DESCRIPTION OF WORK: RECONFIGURE MODULAR FURNITURE USING EXISTING CIRCUITS AND FURNITURE COMPONENTS. Value of Electrical: NRES: $350.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN Washington Cities Electrical Code: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signatur $69.30 2011 Date: 07/2/ //3 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 does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the p rformance of work. I am authorized to sign and obtain this electrical permit. Signature: a - Date: 773//// Print Name: 7Z4Af y'(• //e4/Gore 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 EL13-0722 Printed: 07-31-2013 PERMIT CONDITIONS • Permit No. EL13-0722 **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 EL13-0722 Printed: 07-31-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. G�_ h 13-97? 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: 12806 Gateway Dr. S. King Co Assessor's Tax No.: Suite Number: 100 Floor: 1 Tenant Name: W.S. Department of Labor and Industries New Tenant: 0 Yes ®..No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Tony Arbicor Address: 16909 SE 321st Pl. City: Auburn State: WA Zip: 98092 Phone: (206) 714-3686 Fax: (253) 520-0636 Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: SES, Inc. Address: PMB 371--1402 Auburn Way N. City: Auburn State: WA Zip: 98002 Phone: (206) 715-2964 Fax: (253) 520-0636 Contr Reg No.: SESIN**990RA Exp Date: 12/01/2013 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 350 Scope of Work (please provide detailed information): Reconfigure modular furniture using existing circuits and furniture components. Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No Type of Use: Commercial Type of work: ❑ New 0 Addition 0 Service Change Pi Remodel 0 Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:Wppiications\Forms-Applications On Lme12013 Appltcations\Electrtcal 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 ❑ 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 ❑ 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: Date: 07/31/2013 Print Name: Anthony C. Arbicor Day Telephone: (206) 714-3686 Mailing Address: PMB 371--1402 Auburn Way N. Auburn WA 98002 City State Zip H:Upphcattons'Fonns-Apphcations On Line\2013 Apphcattons\Etectncal Permit Application Revised 7-1-13.docx Revised: July2013 bh 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.: 2716000050 Permit Number: EL13-0722 Address: 12806 GATEWAY DR TUKW Status: PENDING Suite No: Applied Date: 07/31/2013 Applicant: DEPARTMENT OF LABOR AND INDUSTRIES Issue Date: Receipt No.: R13-02255 Payment Amount: $69.30 Initials: LAW Payment Date: 07/31/2013 02:43 PM User ID: 1632 Balance: $0.00 Payee: SES INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 07624G ACCOUNT ITEM LIST: Description 69.30 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 69.30 Total: $69.30 Inc• Raraint-r1R Printed: 07-31-2013 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 of Inspection: 2j0 0 Address: /2 0(26 JAI Date Called: Special Instructions: CAI W/ ri^E • 1 Date Wanted: // �f r% p.m. Requester: �6- /y Phone No: 7/y 36g/ LJ Approved per applicable codes. Corrections required prior to approval. COMMENTS: - k4/1-1.- jr/ Date: oOz3 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 Pri r Friendly Page I 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 SES INC 2067152964 Pmb 371 1402 Auburn Way N Auburn WA 98002 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602103851 Active SESIN""990RA Electrical Contractor 12/1/2001 12/1/2013 General Unused Master Electrician INFORMATION License ARBICAC971 NF Name ARBICOR, ANTHONY C Status Active Business Owner Information Name Role Effective Date Expiration Date WILLIAMS, MICHAEL E Agent 12/01/2001 WILLIAMS, MICHAEL E President 12/01/2001 ARBICOR, ANTHONY C Secretary 12/01/2001 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 SE0672 12/01/2001 Until Cancelled $4,000.00 12/01/2001 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 EMOMJ00562 5/21/2013 RCW Code 19.28.101 RCW Type ELECTRICAL CITATION Status Satisfied Violation Amount $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 07/31/2013