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HomeMy WebLinkAboutPermit EL13-0842 - TCMS - REMODELTCMS 12646 INTERURBAN AV S ELi 3-0842 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 Parcel No.: 2716000030 Address: 12646 INTERURBAN AV S TUKW Project Name: TCMS ELECTRICAL PERMIT Permit Number: EL13-0842 Issue Date: 09/04/2013 Permit Expires On: 03/03/2014 Owner: Name: EPROPERTYTAX INC DEPT #207 . Address: PO BOX 4900 , SCOTTSDALE AZ 85261 Contact Person: Name: DAN PETERSEN Address: 922 66 AV S , TACOMA WA, 98424 Contractor: Name: KODIAK ELECTRIC LLC Address: 922 66 AV E , TACOMA WA 98424 Contractor License No: KODIAEL928O5 Phone: 253-722-4739 Phone: 253-722-4739 Expiration Date: 09/25/2014 DESCRIPTION OF WORK: ADD NEW CAT5 CABLE AT 32 LOCATIONS. ADD 3 DUPLEX RECEPTACLES 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: $183.40 Washington Cities Electrical Code: 2011 Date: q%""1-4--- r 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 presum construction th performance of wo Signature: Print Name: to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit. L (r�� __...... Date: F- ( ) 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 EL13-0842 Printed: 09-04-2013 PERMIT CONDITIONS • Permit No. EL13-0842 **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 EL13-0842 Printed: 09-04-2013 CITY OF TUKW09 Community Developm7ff Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pelit No. 0 S 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 -Am V • 3 King Co Assessor's Tax No.: Site Address: f 2.. (o N 4 . tett re tit,. IJ f}. se S Suite Number: Floor: Tenant Name: TC wl 5 New Tenant: Lg.. Yes ❑ .. No PROPERTY OWNER Name: P. ' e s' 7,./9 N Name: G47wd y Co rie City:T4 L State: W A Zip:p8 y Address: Email: Odi,74E/.ecrtc 49 AO- 41! .Ca.' City: State: Zip: CONTACT PERSON — person receiving all project communication Name: P. ' e s' 7,./9 N Address: 12_1._ Cr ea d4 v e C City:T4 L State: W A Zip:p8 y Fa Phone2S3 7 2'Z Y73 ix: X t3 1.22 -coil Email: Odi,74E/.ecrtc 49 AO- 41! .Ca.' ELECTRICAL CONTRACTOR INFORMATION Company Name: f°' 0'04;4 kieC ti t LL,. Address: eI 2 Z (eta )1-vC c City 11State:�4 Zip: p &7•2 I - l a Phone:�.. ax: 3 -y7jq 2.51 42.2. SoS3 Contr Reg No. d El , 2s0 Ftp Date: p /2Siy )O Tukwila Business License No.; O O co 2 c. s'O Valuation of Project (contractor's bid price): $ 00 L Scope of Work (please provide detailed information): /4 1>B, Ore w CAT S "74. 3 2 `- CIL, A 1.' 'b. v R ec,.ce r Will service be altered? ❑ Yes Ng No Adding more than 50 amps? ❑ Yes S/ No Type of Use: Type of work: ' ',New* ' ' 0 Addition 0 Service Change 0 . Remodel . 0 Tenant Improvement Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication . 0 Temporary Service Property Served by: 0 Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\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 ❑ 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/mas`t'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 O Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 • • . " Ndmbef 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 1'80 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 Signature: R OR ELECTRICAL CONTRACTOR: CtitAAA 1/1 Print Name: T N / Z "iti (le MailingAddress: 9 Z 2 Ct 4 .¢ tit e Day Telephone: City H:\Applications\Forms-Applications On Line\2013 Applcations\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Date: fi f,(ill 2S3 722 ' 7 • tate Zip Page 2 of 2 • J��i�a wq 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 RECEIPT • Parcel No.: 2716000030 Permit Number: EL13-0842 Address: 12646 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 09/04/2013 Applicant: TCMS Issue Date: Receipt No.: R13-02538 Initials: User ID: WER 1655 Payment Amount: $183.40 Payment Date: 09/04/2013 11:28 AM Balance: $0.00 Payee: DANIEL PETERSEN TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 846146 ACCOUNT ITEM LIST: Description 183.40 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 183.40 Total: $183.40 desr• Parnin4-nR Printed 09-04-7013 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6,15-0Pft- PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 1' Project: ^i t t�7 Type of Inspection: zr f Address:/4tk f r i e Date Called: Special Instructions: Date Wanted: 3 a.m: Requester: Phone No: Approved per applicable codes. ri LJ Corrections required prior to approval. COMMENTS: l'qc.r(0/45 pilot 0 ;--Almtv Inspector: r Date: Qq (3 r n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA88188 (206) 431-3670 Permit Inspection Request Line (206)431-2451 INSPECTION RECORD Retain a copy with permit th3-� 2- PERMIT NO. Project: I -cm 5 Type. of Inspection: 7 5. Address: 1241 b C rthS6 Date. Called: Special Instructions: Date Wanted: Y (2.- a. P -m• Requester: Phone No: jApproved per applicable codes. glCorrections required prior to approval. COMMENTS: i Cf«I.g1cPrc4 amtn+ Asir' Want 4 -- OPP f3c» Co/INPi $ PPaOf ,S na, ,iar D a Inspector: f 1 Date: 0,7/1 n 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 INSPE TION 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 .112, . 613-oK Project: „....ra1 5 Type of Inspection: 2_100 Address: a(041(0 4/71/%4 Date Called: Special Instructions: Date Wanted: a.m. : Requester: Phone No: Approved per applicable codes. I2jCorrections required prior to approval. COMMENTS: ANI> Coli)), r TAN1E-t s 0 ko a ktbitrrc-y Inspector: ( Date: ;yl I, ' (J] 1 REINSPECTION FEE REQU1 ED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. k Contractors or Tradespeople Per Friendly Page I Electrical Contractor A business licensed by Lal 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 KODIAK ELECTRIC LLC 2537224739 922 66Th Ave E Tacoma WA 98424 Pierce Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602850202 Active KODIAEL92805 Electrical Contractor 9/25/2008 9/25/2014 General Unused Electrical Administrator INFORMATION License PETERDR924MJ Name PETERSEN, DANIEL R Status Active Business Owner Information Name Role Effective Date Expiration Date PETERSEN, DANIEL R Partner/Member 09/25/2008 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 STATE FARM FIRE & CAS CO 98bag1206 09/05/2008 Until Cancelled $4,000.00 09/25/2008 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 No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 09/04/2013