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HomeMy WebLinkAboutPermit EL13-0943 - WASHINGTON AUDIOLOGY - TENANT IMPROVEMENTWASHINGTON AUDIOLOGY 635 ANDOVER PK E EL13-0943 City okukwila • 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 Parcel No.: 2623049143 Address: 635 ANDOVER PK W TUKW Project Name: WASHINGTON AUDIOLOGY ELECTRICAL PERMIT Permit Number: EL13-0943 Issue Date: 09/26/2013 Permit Expires On: 03/25/2014 Owner: Name: SOUTHCENTER CORPORATE SQUAR Address: 150 CALIFORNIA ST , SAN FRANCISCO CA 94111 Contact Person: Name: BILL MOHONEY Address: 13550 39 AV NE , SEATTLE WA, 98125 Contractor: Name: AMERICAN ELECTRICAL CONTRA INC Address: 13550 39 AV NE , SEATTLE WA 98125 Contractor License No: AMERIEC923KF Phone: 206 679-7579 Phone: 206-679-7579 Expiration Date: 05/21/2014 DESCRIPTION OF WORK: SUITE 111: TENANT IMPROVMENT WORK, ADD OUTLETS FOR (3) NEW OFFICES Value of Electrical: NRES: $4,800.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied ami 'th, Fees Collected: $183.40 Washington Cities Electrical Code: 2011 ed this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this • ermit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constructionM • - form orkam authorized to sign and obtain this electrical permit. Signature. Print Name: e This permit shall become null and void if th work is n or abandoned for a period of 180 days from e last in Date: commenced within 180 days from the date of issuance, or if the work is suspended ection. doc: EL -7/13 EL13-0943 Printed: 09-26-2013 PERMIT CONDITIONS Permit No. EL13-0943 **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 EL13-0943 Printed: 09-26-2013 CITY OF TUKW Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. j l A, 27 .—''1q J Project No. Date Application Accepted: 8'I 22(( 13 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 �% 4R201C-7.--- King Co Assessor's Tax No.: Site Address: 1ST T7 Q, Tenant Name: g/Cf(clod of PROPERTY OWNER Name:• ,,(� k `0 r}� Address/ /t' t, Name: Phone: y4.6.-W!'%� 7 Fax:02c€,rr�_ 6-70 c 6/� Email::zl-ll� y0n eA-i P a%.A2c4i7 7.Ife--i Address: Phon o 7ci 7/ Fax: .� Q` b Contr Reg N r / �Et' l�cg43&-� xp Date: 6 -%y City: State: Zip: CONTACT PERSON — person receiving all project communication Name:• ,,(� k `0 r}� Address/ /t' t, City: k_ State:// jf � Zip:et?"' Phone: y4.6.-W!'%� 7 Fax:02c€,rr�_ 6-70 c 6/� Email::zl-ll� y0n eA-i P a%.A2c4i7 7.Ife--i New Tenant: ❑ Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name f1''leS\IC �r Ai .ElecA..1_, �,Wx) c -Sc Address �77 f /9-1,4e, /Ve, City: cS,9... State:WA Zip: Few Phon o 7ci 7/ Fax: .� Q` b Contr Reg N r / �Et' l�cg43&-� xp Date: 6 -%y Tukwila Business License No.; 0(3C7 02 F62 �/ oc) , Valuation of Project (contractor's bid price): $ "T �0C)` Scope of Work (please providee detailed ' ormation): 2e3 /4 f'7 /.- �D�D D c,//sTS Q / ?bi) Will service be altered? ❑ Yes PINNo Adding more than 50 amps? ❑ Yes ,E...Zlo Type of Use: Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel Tenant Improvement O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served bv: ❑ Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-I-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. Print Name: L/// /414' Mailing Address: 1"/,-3S—SO 't! ‘1 71/e. . H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Date: Day Telephone: (',?6t 4 7, �tf 7p 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 Parcel No.: 2623049143 Address: 635 ANDOVER PK W TUKW Suite No: Applicant: WASHINGTON AUDIOLOGY RECEIPT Permit Number: EL13-0943 Status: APPROVED Applied Date: 09/26/2013 Issue Date: Receipt No.: R13-02745 Initials: User ID: JEM 1165 Payment Amount: $183.40 Payment Date: 09/26/2013 02:00 PM Balance: $0.00 Payee: BILL P MAHONEY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 005254 ACCOUNT ITEM LIST: Description 183.40 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 183.40 Total: $183.40 Printed: 09-26-2013 INSPECTION RECORD 643-of,Retain. a copy with permit INSPEC ION NO. PERMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project:61A ` ,pto W� �/ Type of Inspection: ,/' /, �(/`/ Address: 63S" �-P�J Date Called: Special Instructions: Date Wanted:.r r I 3 p.m. Requester: Phone No: app Ft* VIApproved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Date: (3/13 REINSPECTION. 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 PERM N9 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project( WA. 4 Ib( c Type of Inspection: z ,©� Address: tD J S AA/ Date Called: Special Instructions: Date Wanted: l f a p.m. Requester: Phone No: ElApproved per applicable codes. COMMENTS: FlCorrections required prior to approval. (-cotIA.A-ForEk kveLa /5.1FT.-- att. LE 6i puoJt /C5 rtu fists\t ck iZoosi Date: r1►oK 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. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 INSPECTION RECORD Retain a copy with permit PERMIT Project: , }A - . M yk O W !O I 0 47 r' ,/ Type of Inspection: 'i00 Address: u4 Date Called: Special Instructions: Date Wanted: /O Zg P•/1 Requester: Phone No: FOper applicable codes. Corrections required prior to approval. Ot__ J MMENTS: o ept,( axµ 1"I evyPth.f Date: /0/24/13 I I REINSPECTION EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedulereinspection. Inspector: INSPECTION RECORD Retain a copy with permit M-01113 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: h ' w KS . l NO10k � Type of Inspection: 74003 63SA)Address: Date Called: Special Instructions: - Date Wanted: frO h sf a:m Requester: r Phone No: LJApproved per applicable codes. Corrections required prior to approval. COMMENTS: Yk fl . Inspector: Date: /0//11/1 I I REINSPECTION FEE REQUI ED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Prir Friendly Page • Electrical Contractor A business licensed by LEI 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 AMERICAN ELECTRICAL CONTRA INC 2066797579 13550 39Th Ave Ne Seattle WA 98125 King Corporation UBI No. 'Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602827788 Active AMERIEC923KF Electrical Contractor 5/6/2008 5/21/2014 General Unused Electrical Administrator INFORMATION License MAHONTB912M1 Name MAHONEY, TAYLA B Status Active Business Owner Information Name Role Effective Date Expiration Date KLEPPER, KAREN Agent 04/30/2008 1/29/2010 MAHONEY, WILLIAM P President 05/06/2008 $250.00 Bond Information Bond Company Name WESTERN SURETY CO Bond 1 Page 1 of 1 Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 70506425 05/03/2008 Until Cancelled $4,000.00 05/06/2008 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 Infraction / Citation Date RCW Code Type Status Violation Amount E0KAD01765 1/29/2010 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 EOKAD01766 1/29/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 09/26/2013