HomeMy WebLinkAboutPermit EL13-0990 - WASHINGTON AUDIOLOGY - LOW VOLTAGEWASHINGTON
AUDIOLOGY
635 ANDOVER PK W
EL1 3-0990
City oifikukwila
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
Project Name: WASHINGTON AUDIOLOGY
ELECTRICAL PERMIT
Permit Number: EL13-0990
Issue Date: 10/10/2013
Permit Expires On: 04/08/2014
Owner:
Name: SOUTHCENTER CORPORATE SQUAR
Address: 150 CALIFORNIA ST , SAN FRANCISCO CA 94111
Contact Person:
Name: BILL MAHONEY
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:
INSTALL FIRE ALARM - HORN STROBES
Value of Electrical:
NRES: $500.00
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 ex mine
governing this work will be complied th, w
Fees Collected: $77.90
Washington Cities Electrical Code: 2011
Date: 1(1i(9[1'
this permit and know the same to be true and correct. All provisions of law and ordinances
ether specified herein or not.
The granting of this permit does not presux e'to give authority to violate or cancel the provisions of any other state or local laws regulating
constructio ,the erfor ... r.: . f work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
\Date:
This permit shall become null and oid if the worrc'i not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 d s from the las inspection.
doc: EL -7/13
EL13-0990 Printed: 10-10-2013
PERMIT CONDITIONS
Permit No. EL13-0990
**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
EL13-0990 Printed: 10-10-2013
CITY OF TUKWilit
Community DevelopmairDepartment
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. T / U 0
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
fS A4eVereil/Mt
King Co Assessor's Tax No.:Site Address:(/ // �V����
Tenant Name: /�f/ q /i gitd, O/
PROPERTY OWNER
ame:61 ./.—iik,its,,,,,,,,,6___
Name:../
Address:7367. - ) 7 xvie,
Name:
Phone: Fax:
City:
Address:
Zip:
Phone:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
-
ame:61 ./.—iik,its,,,,,,,,,6___
Name:../
Address:7367. - ) 7 xvie,
Address/
Phone: Fax:
City:
State:
Zip:
Phone:
Fax:
Email:
New Tenant: 1 Yes .. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: /rnPrcC-^4 2-°`-' GA174—
Address:7367. - ) 7 xvie,
City: Sea' State: Zif f/2r
Phone: Fax:
Contr Reg No.:Am ecq y//TExp Date: / _ /c/
Y� (�
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): �/kf-T$`l �� " ,)
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes 2kNo
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator fEL Fire Alarm 0 Telecommunication 0 Temporary Service
Pronertv Served bv:
Puget Sound Energy ❑ Seattle City Light
H:Wpplications\Forms-Applications On Line \2013 Applications\Electncal 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
❑ 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:
Mailing Address:
Date:
Day Telephone:
City
H:Applications\Forms-Applications On Lme\2013 Applrcatrons\Electncal Permit Application Revised 7-I-13.docx
Revised: July 2013
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State Zip
Page 2 of 2
• •
J���I.A wq�, City of Tukwila
0O � �
1908
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188 •
Phone: 206-431-3670
Fax: 206-431-3665
Web site: http://www.Tukwila WA.gov
RECEIPT
Parcel No.: 2623049143 Permit Number: EL13-0990
Address: 635 ANDOVER PK W TUKW Status: APPROVED
Suite No: Applied Date: 10/10/2013
Applicant: WASHINGTON AUDIOLOGY Issue Date:
Receipt No.: R13-02853
Initials:
User ID:
JEM
1165
Payment Amount: $77.90
Payment Date: 10/10/2013 12:44 PM
Balance: $0.00
Payee: BILL P MAHONEY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 045887
ACCOUNT ITEM LIST:
Description
77.90
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 77.90
Total: $77.90
rinr- Rat -taint -CA
Printed: 10-10-2013
INSP CTION NO.
INSPECTION RECORD
Retain a copy with permit
6-‘3-cwo
PERMIT NO.
•
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451 tl
Project: _ f� �, O I
)"n"('_I
Type of Inspection: /i
"_1TLit1
Address:(//22
tPJ� o�
Date Called:
Special Instructions:
flk
Date Wanted:
, t 1
3
an.
Requester:
Phone No:
377 'Palo
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
n REINSPECTION F E REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
3
INS'PECTION 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
f- 3
vno
Project:
Type of Inspection:
Address: Apt,Date
Called:
Special Instructions: .
r(k
Date Wanted:
t 41P•
Requester:
Phone No:
ElApproved per applicable codes. 1-70 Corrections required prior to approval.
COMMENTS:
.-r
A -PP /
?kosisc lKnc - s TO FA CP
Inspector:
Date:
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 b
INSPECTION NO. PERMIT 0. ...
CITY OF TUKWILA BUILDING DIVISION.-
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 3670
Permit Inspection Request Line (206) 431-2451
Project:, t���v : �
I-. WG
Type of Inspection:
�� - ',
Address: 63cApo jDate
Called:
Special Instructions:
Date Wanted:
(Q
p.m
Requester:
Phone No:
pCOApproved per applicable codes. Corrections required prior to approval.
!__�JMMEN
t/f41 CPA/61)
,
Inspector:
r
Date:
0/7-03
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
r
INSPECTION RECORD3-�0
Retain a copy with permit VW
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:
X164.0)01_0(.1
Type of Inspection:
Date Called:
7015
3
Address:
6 3 c AAIDa tkl\(A)
Special Instructions:
FA
Date Wanted: /
a
Requester:
q
Phone No:
ElApproved per applicable codes. EJ Corrections required prior to approval. S
COMMENTS:
bdiktit/ CA/6\
Inspector:
Date:
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 Prior Friendly Page
•
Electrical Contractor
A business licensed by L&I 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
\v%
t7
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
EOKAD01765
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
httns. //fortress.wa. gov/lni/bbin/Print.as1Dx 10/10/2013