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
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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
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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