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HomeMy WebLinkAboutPermit EL13-0945 - ADECCO - TENANT IMPROVEMENTADECCO 12720 GATEWAY DR EL1 3-0945 City oftukwila • 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.: 2716000070 Address: 12720 GATEWAY DR TUKW Project Name: ADECCO ELECTRICAL PERMIT Permit Number: EL13-0945 Issue Date: 09/27/2013 Permit Expires On: 03/26/2014 Owner: Name: EPROPERTY TAX INC DEPT #207 Address: PO BOX 4900 , SCOTTSDALE AZ 85261 Contact Person: Name: BRAD JIIRVIKINAN Phone: 425-345-6500 Address: 811 87 AV SE , LAKE STEVENS WA, 98258 Contractor: Name: RAIN CITY ELECTRIC INC Address: PO BOX 80564 , SEATTLE WA 98108-0564 Contractor License No: RAINCCE965L4 Phone: 206 335-4444 Expiration Date: 06/24/2014 DESCRIPTION OF WORK: CONVERT EXISTING DEDICATED OUTLET TO FURNITURE FEED. INSTALL WHIP & FURNITURE POWER. Value of Electrical: NRES: $250.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $65.00 Washington Cities Electrical Code: 2011 Date: i 13 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 th- •erfo, ance of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: Date: 9/ i073 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 EL13-0945 Printed: 09-27-2013 • • PERMIT CONDITIONS Permit No. EL13-0945 **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 EL13-0945 Printed: 09-27-2013 CITY OF TUKWail Community DevelopmMrDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Petit No. lam 3-�__q__1115.--- Project :14O. q_111,Project:lNo. Date Application Accepted: Date Application Expires: • (For ofceuse 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** OP 013 Z51 SITE LOCATION Site Address: 121-20 CkIWIW l/6 - Tenant Name: pf.GO King Co Assessor's Tax No.: 2�-1 60 OOO Suite Number:/ 0, Floor: PROPERTY OWNER Name: tip j r (isio(.a M�j�1�2 7 ) Name: a Pzepeexy 1720 ha. werTT20i Address: P o 4-9 00 Phone: 12145" 6500 Fax: 4x25 City: mrsDil,g._ Stater Zip:R ( CONTACT PERSON — person receiving all project communication Name: tip j r (isio(.a M�j�1�2 7 ) Address: cs i' yi..„.+,., x_ 5.6____ City: l i „ *vials s State: I/4 t't'I" Zip:182, "! Phone: 12145" 6500 Fax: 4x25 Email: i / ("ICY al4cL_,, _Qh'1cOYVP-14 , ttni New Tenant: ,gr Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION. Company Name: pdA,/W c4rJWP Address: -1), 01 d D -- 6 4. State: Zip:t38lOg City: :✓(4061 Phone( >3?5 ,�Fax(v6)592,_9� Contr Reg N/o. n(( gq 5L4. Exp Date: 41241/ /¢ /7 Tukwila Business License No.; D A 7 _c kiiActyi Valuation of Project (contractor's bid price): $ v ✓� Scope of Work (please provide detailed information): C ,v'W7 / rIn pkapitArep Otvr /e,7 - 7a F-frItu ruo. Per P. iwwyha V PI 71,0-vihnt. "wwxii Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No 1 _ Type of Use: Type of work: 0 New 0 Addition 0 Service Change 0 Remodel ❑ Low Voltage 0 Generator ❑ Fire Alarm ❑ Telecommunication Property Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-1 l.docx Revised: August 2011 bh Pgr Tenant Improvement ❑ Temporary Service Lts- 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) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 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 1 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: I3-2tATT 'r3a Mailing Address: I b 512 cf H \Applications\Forms-Applications On Line\2011 Apphcations\Electncal Permit Application Revised 8-9-11 docx Revised August 2011 bh Day Telephone: City Date: / 790 ( �krtiy 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.: 2716000070 Address: 12720 GATEWAY DR TUKW Suite No: Applicant: ADECCO RECEIPT Permit Number: EL13-0945 Status: PENDING Applied Date: 09/27/2013 Issue Date: Receipt No.: R13-02747 Initials: User ID: WER 1655 Payment Amount: $65.00 Payment Date: 09/27/2013 08:52 AM Balance: $0.00 Payee: BRENT BOLOMEY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 953346 ACCOUNT ITEM LIST: Description 65.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 65.00 Total: $65.00 Printed: 09-27-2013 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. af3-074<' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: Aix .loo Type of Inspection: �6 Address: 117 / lSpecial Date Called: Instructions: Date Wanted: +©fo(Requestr: Phone No: NApproved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: 1:16"11"it'sk Date: (o of I3 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 P ter Friendly Page • Electrical Contractor A business licensed by LEtI 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 RAIN CITY ELECTRIC INC 2063354444 Po Box 80564 Seattle WA 981080564 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602381609 Active RAINCCE965L4 Electrical Contractor 6/24/2004 6/24/2014 General Unused Master Electrician INFORMATION License BOLOMB*9620G Name BOLOMEY, BRENT A Status Active Business Owner Information Name Role Effective Date Expiration Date BOLOMEY, BRENT A Agent 06/24/2004 Bond Amount BOLOMEY, BRENT A President 06/24/2004 9813792 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 Lexon Ins Co 9813792 07/31/2012 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0007/31/2012 $250.00 2 American Contractors Indem CO 100166337 07/15/2011 Until Cancelled 09/01/2012 EOXFJ00515 $4,000.0006/20/2011 19.28.101 RCW 1 CBIC SF6300 06/21/2004 Until Cancelled 07/15/2011 ELECTRICAL CITATION $4,000.0006/24/2004 $500.00 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 EALLM00239 10/2/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00516 8/27/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00517 8/27/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00515 8/27/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied 5250.00 EOXFJ00509 8/27/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EOXFJ00512 8/27/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00485 8/27/2010 19.28.271 RCW ELECTRICAL CITATION Satisfied $500.00 EOXFJ00513 8/27/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa.gov/lni/bbip/Print.aspx 09/27/2013