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Home My WebLink AboutPermit EL13-1094 - H & R BLOCK - TENANT IMPROVEMENTH & R BLOCK 17115 SOUTHCENTER PY EL1 3-1094 City oftukwila • 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.: 2623049069 Address: 17115 SOUTHCENTER PY TUKW Project Name: H & R BLOCK ELECTRICAL PERMIT Permit Number: EL13-1094 Issue Date: 10/30/2013 Permit Expires On: 04/28/2014 Owner: Name: KTM GROUP LLC Address: 635 ANDOVER PARK W STE 107 , TUKWILA WA 98188 Contact Person: Name: DUANE RIDDING Phone: 425 508-6745 Address: 104 148 PL SW , LYNNWOOD WA, 98087 Contractor: Name: D RIDDING ELECTRIC Address: 104 148 PL SW , LYNNWOOD, WA 98037 Contractor License No: DRIDDE*061B7 Phone: 425 778-1064 Expiration Date: 01/27/2014 DESCRIPTION OF WORK: ADD (8) SURFACE MOUNTED RECEPTACLES FOR NEW WORK STATIONS Value of Electrical: NRES: $1,600.00 RES: $0.00 Type of Fire Protection: SPRINKLERS/AFA Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied amin th, Fees Collected: $118.60 Washington Cities Electrical Code: 2011 Date: b d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting • ' j/grermit/ es,not presu e to give authority to violate or cancel the provisions of any other state or local laws regulating constructio or perfo `/• . nc»'• f work. I am authorized to sign and obtain this electrical permit. / / Signature: Print Name: 6-u4w /2ta1D,N6 Date: l6 3 6 • ZO/3 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 EL13-1094 Printed: 10-30-2013 • PERMIT CONDITIONS Permit No. EL13-1094 **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. loc: EL -7/13 EL13-1094 Printed: 10-30-2013 CITY OF TUK Community DovelopolPDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pe, No. [ r I tm ti Project No. Date Application Accepted: to Date Application Expires: (For office use only) 3 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 , 1 1 1 5 SOU ?N CEN rER PARKWAY /� n King Co Assessor's Tax No.: Site Address: 17//.S ,S Dorf/e6A4Z navy _ Suite Number: Floor: Tenant Name: Hos R f3Lo ek New Tenant: ❑ Yes PROPERTY OWNER Name: pvithvegi Domie Address: Name: 2r /s Fax: Phone: 4'cb, �'r 77 J 7 Email: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: pvithvegi Domie Address: City: State: Zip: 2r /s Fax: Phone: 4'cb, �'r 77 J 7 Email: N.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: p. RID.DiNG ELECT/!IG Address: /6 y /07*Pie :iv City: z./NN0,0,40 State: wA Zip: f%i% Phone: fzs fog 6' Fax: Contr Reg No.: 0R/0E4100$7 Exp Date: al ZO/S Tukwila Business License No.; cA „q— 4. u'_u i I fat 101&9113 Valuation of Project (contractor's bid price): $ /6 ob • GU Scope of Work (please provide detailed information): *0P ,8.3t(2FACE A1 !L/FTEIP ACeEP O EJ F0/2 z. NEG✓ wOIZ/c ,S'747-014 Will service be altered? ❑ Yes kl No Adding more than 50 amps? ❑ Yes ter No Type of Use: COrnOt /lC / NZ.. Type of work: ❑ New 0 Addition 0 Service Change 0 Remodel 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication Property Served by: gPuget Sound Energy 0 Seattle City Light H:Wpphcations\Fors-Applications On Lme\2013 Applicanons\Electncal Permit Application Revised 7-I-13.docx Revised: July 2013 bh Tenant Improvement 0 Temporary Service Page 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/magi repair'" ❑ Low voltage systems • (alarm, furnace thermostat) $68.25 • $59.85 MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $65.00 ❑ Temporary service (generator) $80.90 , .0. 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.dernonstrated.4 . ' , ,. y ", 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: bate: Day Telephone: City H:Wppltcattons\Forms-Applications On Line t2013 Applications\Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 bh 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 RECEIPT Parcel No.: 2623049069 Permit Number: EL13-1094 Address: 17115 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 10/30/2013 Applicant: H & R BLOCK Issue Date: Receipt No.: R13-03021 Initials: User ID: JEW' 1165 Payment Amount: $118.60 Payment Date: 10/30/2013 03:51 PM Balance: $0.00 Payee: DUANE RIDDING TRANSACTION LIST: Type Method Descriptio Amount Payment Check 7176 118.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 118.60 Total: $118.60 .dnn• Dencinf_fR Printed 10-30-2013 INSPECTION RECORD Retain a copy with permit 364 tot t 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: (4.44k A Type of Inspection: 6 , w4t, Address: 1 115.— — ) Date Called: 11 �j __ Special Instructions: 5.640 (A"Vek01-P Date Wanted: a.m Requester: �./ �� `� Phone No: q2 S 563 47'15 Approved per applicable codes. Corrections required prior to approval. COMMENTS: K Inspector: :j/et f. J ,iJek Date: (t 'la 11 �j 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 Peter Friendly Page 1 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 D RIDDING ELECTRIC 4257781064 104 148Th Pl Sw Lynnwood WA 98087 Snohomish Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601519578 Active DRIDDE"06167 Electrical Contractor 1/27/1994 1/27/2014 General Unused Master Electrician INFORMATION License RIDDIDI972M4 Name RIDDING, DUANE IAN Status Active Business Owner Information Name Role Effective Date Expiration Date RIDDING, DUANE IAN Owner 01/01/1980 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 3 CBIC SB2783 01/27/1998 Until Cancelled $4,000.00 04/10/2003 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 10/30/2013