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Permit EL13-0861 - LEAVITT MACHINERY - TENANT IMPROVEMENT
I 9801? ITT AH AUTIVA .LMA VgoLT A2P3NIHOdYX LLIAVTI City oilltukwila 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.: 2523049049 Address: 17024 WEST VALLEY Hy TUKW Project Name: LEAVITT MACHINERY ELECTRICAL PERMIT Permit Number: EL13-0861 Issue Date: 09/09/2013 Permit Expires On: 03/08/2014 Owner: Name: ANMARCO Address: 9125 10TH AVE S , SEATTLE WA 98108 Contact Person: Name: MELISA DAVIS Address: 17300 WEST VALLEY HY , TUKWILA WA, 98188 Contractor: Name: NORTHWEST ELCT SRV HVAC LLC Address: PO BOX 1313 , SPANAWAY WA 98387 Contractor License No: NORTHES878TK Phone: 425 251-0600 Phone: 253 880-0817 Expiration Date: 02/12/2015 DESCRIPTION OF WORK: INSTALL 480V POWER TO OUTBUILDING WHICH INCLUDES A NEW 480V PANEL. Value of Electrical: NRES: $2,850.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signatur Fees Collected: $140.20 Washington Cities Electrical Code: 2011 Date: I hereby certify that I have read an exa ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie wit 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 performance of y . I am authorized to sign and obtain this electrical permit. Signature: Print Name: NC c: X QAi 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 EL13-0861 Printed: 09-09-2013 PERMIT CONDITIONS Permit No. EL13-0861 **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 EL13-0861 Printed: 09-09-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Project No. 101 � �� Date Application Accepted: 01 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: l `W, W. VIVA/.OtAl \ �i� K WAA Tenant Name: Lck.\ T ctadv.e PROPERTY OWNER `- Name: 1�Qif'i' 1 e l i MQ,h &V i S Name: I t j vj l City: 1 LlL...AN. State: Zip'elgg Address: Email:tAjeliSO�xtl\--•C,0. Phone: , ., I ...6 City: State: Zip: CONTACT PERSON — person receiving all project communication `- Name: 1�Qif'i' 1 e l i MQ,h &V i S Address: W 1 V ; I t j vj l City: 1 LlL...AN. State: Zip'elgg Phone:1 ki Go Fax: 25-26i -O e / Email:tAjeliSO�xtl\--•C,0. King Co Assessor's Tax No.: '9-6 Suite Number: Floor: New Tenant: a] Yes ID „No ELECTRICAL CONTRACTOR INFORMATION Company Name: /t 0 4 e5{, Ete l ck 1� V Address: I� a. f 1315 City:5 „ , / 1� State: � ?r `1�,iFl Zip9g3 7 Phone: , ., I ...6 Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; • Valuation of Project (contractor's bid price):����, 1-121' I f f _ OilScope of Work (please provide detailed information) 4-v' ���K..\\CU V pouie..i 'f Z� �� t -I-6, 1 Will service be altered? ❑ Yes 174. No Adding more than 50 amps? ❑ Yes Type of Use: G.-,'R2_!eplAe. UQ Type of work: New ❑ Addition 0 Service Change 0 Remodel 0 Tenant Improvement 0 Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service • No Property Served by: Vit Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line 12013 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/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 O Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) O 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. 1 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: Signatu `•� Print Name: V\e-\\ yx.' y \ Mailing Address: V1 W V Cl-\\"e-'7\� H:\Apphcanons\Fonns-Applications On Lme2013 Apphcattons\Electncal Permit Application Revised 7-I-13.docx Revised: July 2013 bh Date: 9Iq12c3 Day Telephone: 2-5 '0.5 I CL006 W' l8<6 City State Zip Page 2 of 2 • City of Tukwila 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.Qov Parcel No.: 2523049049 Address: 17024 WEST VALLEY HY TUKW Suite No: Applicant: LEAVITT MACHINERY RECEIPT Permit Number: EL13-0861 Status: PENDING Applied Date: 09/09/2013 Issue Date: Receipt No.: R13-02574 Initials: User ID: JEM 1165 Payment Amount: $140.20 Payment Date: 09/09/2013 01:29 PM Balance: $0.00 Payee: JODY R HART TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 414349 ACCOUNT ITEM LIST: Description 140.20 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 140.20 Total: $140.20 dnr• Ronoint_nR Printers• na_na-9ni INSPECTION RECORD INSPECTION NO. Retain a copy with permit64,-4(PMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: , (� 11('1 Type of Inspection: AM..' Address: L.4) Date Called: -- Special Instructions: Date Wanted: r o� a. Ca...;.,Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. OMMENTS: afi‘i(cirtor)5 nAof P Date: tar f4/ REINSPECTIO FEE REQUIRED. Prior to next inspection, fee mut be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retai'h 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 643-M0( Project: „tat fu-,/ Type of Inspection: 6-40...... Address: nopy _Alai Date Called: Special Instructions: Date Wanted: + 1� �� m. Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. COMMENTS: f--- — /NFSID() W I UJILt.— /JOT- uSt-r � f(NiefsE Q'Ji i,p tki of i $ccoNI - t €>er 2.c..` C"A-cL,e5 nl oY vicaxt14,1 - i.lcvi -4 do -r trFakk1rNic A Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retainva copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 [6(3-1*( 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 431-2451 Project: .j / `r `Rc�� ,tL Type of Inspection: _ `7 2. zT�(ao Address: 70 • dM A , Date Called: ' — kirala Special Instruction : Date Wanted: 1 0. J0 :m: Requester: ► o'er, `- Phone No: . Nt.Tt vi t GEKCJ t 1-S m Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: ' — kirala ► o'er, `- - . Nt.Tt vi t GEKCJ t 1-S m & G,(LoJP v7 trl QA4E1✓ - TAJcT-I w te.. r eAc)(3 6Z,‘ Jte-E- 0\ tAntAlb Le, ert0 - t,J Tkt L sua-tJf i ur r&L DJPu U-cIP1 Cc -E yog-E,5 - S&J $mar� .secimJbAki fi-elf 64PPokr Inspector: l Date: /0034//1 REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit (OA( PERMIT NO. CITY OF TUKW.ILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 431-2451 Project: � rn i &did tod Type of Inspection: Zt'©v Address: (�41 / `� ( l., / v11 Date Called: �'� Special Instructions: I05f Date Wanted: /OATP m. Requester: do 03 U -6k1 hem Phone No: c b .?D R ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: DIf j9 LAIV R&J S 1Mfh skt, - 515 , 1,Jt,_7rt �' (A/ br,scDAS4Ecr I05f . do 03 U -6k1 hem a . -: t Df c b .?D R CJI o (Lw L 4 i � �f QoNti G�Jt) 9b rrik der it-: � Tb LAJp Da ?ir.lv\IDti%1 4‘ 5 1 tickv40 Sis( !EOvt&k5 4wAk A(& (ice-'ri E SYS( - '41( frJS�i kR�. dna 6t re [� 6) Wsi c.- t c 4 Inspector: Date: (o0 /i3 (v 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 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 64 3- Project: Lev 7 rieww —'G, Type of Inspection: �� Address: t Oa/ (Al- VAtiAl Date Called: cdibrtEA, 4RC.- V-Vp _ -Its j J A -`r R 31 Special Instructions. Date Wanted: Q ( a.m. P Requester: - L00( cite tJD lrsi 712044Srok'j es 6- LOAD S, iX cr t tom. n>br rti, iE Phone No: EiApproved per applicable codes. Corrections required prior to approval. COMMENTS:,, i,f60.0r,• /C\F: \ )i — eki� ezAW(rs fri+s 3FeL t)nikperta . 6E, 4e eo4Jca oqs i bse> To bOtikelf Tb OSE ScN4 i).To cdibrtEA, 4RC.- V-Vp _ -Its j J A -`r R 31 gile,thik4k1/5tb? t 1, t5col`kT MiQiit - ?t-WSE Coto .-S is li( b k 17tCfee641 'Isit-4-1, A41) IA -V.0, -. SPSc c -Tao an c..� A,J -ro mgyiiip6, - L00( cite tJD lrsi 712044Srok'j es 6- LOAD S, iX cr t tom. n>br rti, iE Inspector: Date: QT /o (3 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter lvd.. Suite 100. Call to chedule reinstion. 11/64 nod ��! 0100 itx) ' LAST Contractors or Tradespeople Peter Friendly Page I General/Specialty Contractor A business registered as a construction contractor with L tl to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name NORTHWEST ELECT SRV HVAC LLC UBI No. 603274769 Phone 2538800817 Status Active Address Po Box 1313 License No. NORTHES878TK Suite/Apt. License Type Construction Contractor City Spanaway Effective Date 2/12/2013 State WA Expiration Date 2/12/2015 Zip 98387 Suspend Date County Pierce Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Business Owner Information Name Role Effective Date Expiration Date BLACK, NATHAN A Partner/Member 02/12/2013 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 Wesco Insurance Co 46WB016462 02/12/2013 Until Cancelled $12,000.00 02/12/2013 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number BKS55654712 Effective Date 07/16/2013 Expiration Date Cancel Date Impaired Date Amount Received Date 2 Ohio Security Ins Co 07/16/2014 $1,000,000.0007/12/2013 1 Farmers Ins Exchange 605118904 02/11/2013 02/11/2014 $1,000,000.0002/12/2013 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 09/09/2013