HomeMy WebLinkAboutPermit EL13-1228 - PROVIDENCE - TENANT IMPROVEMENTPROVIDENCE
3355 S 120 PL
EL1 3-1228
Parcel No:
Address:
Project Name:
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
1023049082 Permit Number: EL13-1228
3355 S 120 PL
PROVIDENCE
Issue Date: 12/4/2013
Permit Expires On: 6/2/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SABEY CORPORATION
4TH FLOOR , SEATTLE, WA, 98168
CRAIG RAMSDEN
600 WASHINGTON AV S , KENT, WA,
98035
HOLMES ELECTRIC CO
PO BOX 338, RENTON, WA, 98035
HOLMEEC549BH
Phone: (206) 650-9741
Phone: (253) 479-4000
Expiration Date: 10/31/2014
DESCRIPTION OF WORK:
INSTALL 100 AMP FEEDER, POWER DEVICES AND ASSOCIATED BRANCH CIRCUITS
Valuation of single family: $0.00
Valuation of mf/comm: $10,000.00
Type of Work: TENANT IMP
Fees Collected: $271.80
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer Distric: VALLEY VIEW SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
Date: \")---' -i
I hearby 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 the performance of work. I am authorized to sign and obtain this
development permit and agree too� the/� conditions attached to this permit.
Signature: . --l/V`-- Date:
I
Print Name: 1 \ Vv D.�t;
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
•
Electrical Permit No. raV-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
Site Address:
Q King Co Assessor's Tax No.:
33 55 30%. Tti (2.0 t7I.• .L.)1SEP uiteNumber:
Tenant Name: 1�
ov���r(,�-C
'181 lo5S
PROPERTY OWNER
Name:3pt-e.t4C.0 (,c5.r.
fit .
Address: l 2201 c L.KLOL -Ac tl< �L 5 Wbi i —t'
City:p State: w k Zip:1.8l i$
CONTACT PERSON - person receiving all project
communication
NameN.1 ---...,�/� f r
Address:teOU mV r �IV(' kif 6 s •
`►
City: -t(... -0l
State Zip9 03E
Phone:q,l -655)_ 1h1.{rax: 253_23`C 2 Lx
Email:, C& i Q . C0•-VNde&) IRDt.ivte54 M
Floor: 1
New Tenant: ❑ Yes E -:i o
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
bL A E T Q.
Address: r Np
`
to` 1� kk `1�q.� .
IJV
State: 1 i' k Zipi D2 p
City: t G14
Phone: 2. 2 4-1/- / ax: 55 _2 4,21 t C
�Cp Date:
Contr Reg No.:4D
KE C5 i I OI 3 l (14
Tukwila Business License No.; -tiL.k. ,1),4q 02
Valuation of Project (contractor's bid price): $ p) ow -
Scope of Work (please provide detailed information): I M,LtIDO 1-t �DIZ-- 1 ?av1/45v-'be .e. �
Fr-ti� tc- b4• C,Ccr- -CS
Will service be altered? ❑ Yes
IErNo
Adding more than 50 amps? ❑Yes 0 No
Type of Use:
Type of work:
❑ New IIKAddition 0 Service Change 0 Remodel 0 Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
0 Puget Sound Energy [� Seattle City Light
H:\Applications\Forms-Applicattons On Line \2013 Applications\Electrical Permit Application Revised 7-I-13.docx
Revised: July 2013
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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)
-77
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:
Signa
Print Name: leu
Mailing Address: DO -t- IDT'( iNtr
Date: 1 Z l 1 1
Day Telephone: 25 3 - 234 -2S-to
V\. 9 3S
•
'tom C_N t
City
H:\Applications\Forms-Applications On Lme\2013 Applications \Electrical Permit Application Revised 7-I-13.docx
Revised: July 2013
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY PAID
$271.80
EL13-1228 Address: 3355 S 120 PL Apn: 1023049082
$271.80
ELECTRICAL
$271.80
PERMIT FEE MULTI-FAM/COMM
TOTAL FEES PAID BY RECEIPT: R253
R000.322.101.00.00
$271.80
$271.80
Date Paid: Wednesday, December 04, 2013
Paid By: GEORGE RAMSDEN HOLMES ELECTRIC
Pay Method: CREDIT CARD 122479
Printed: Wednesday, December 04, 2013 2:07 PM 1 of 1
RWSYSTEMS
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.
Project:f{
p / �� j/
ct
Type of Inspection:• /
Address:
Date Called:
Special Instructions:.
ij
Date Wanted:
�/
2/®'j'
ff j
aam.�m.
•
Requester:
�--�—
Phone No:
ny 2.1 li 7
pproved per applicable codes: El Correctionsrequired prior to approval.
COMMENTS:
Inspector:
r
Date; la 08fify
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.
6u3 -p2`8
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 _ (206) 431-3670
Permit Inspection Request Line (206) 431-2451_
Project: G_'_ L
IkOkhr>
Type of Inspection:
Address:
33ss�
Pc_ •
Da Called:
Date
Special Instructions:
•
Date Wanted:
`
f 2-12-0
rant
Requester:
Phone No:
jApproved.per applicable.codes.
Corrections requiredprior to approval.
COM M ENTS:
a
J.-1-1 w kfrtz. X21.
g -0)v
Date:
r213
T REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be-
paid
epaid at 6300.Southcenter Blvd.. Suite 100. Call to schedule reinspection.
r
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
643- ia8
Project:
Rar o)enic k
Type of Inspection: /
at1G,0 Ili
Address:Date
335" s. 12.4) Pc-.
Called:
.--,
Special Instructions:
CiMe i:41\
Date Wanted:
f
121
6...0-n07 p.m.
Requester:
t h
C�
Phone No:
&so Y71/
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
A/
_ ea/64\
Inspector: Date: 1210,7h
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Per 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
HOLMES ELECTRIC CO
2534794000
Po Box 338
Kent
WA
98035
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
177003752
Active
HOLMEEC549BH
Electrical Contractor
1/8/1946
10/31/2014
General
Unused
Master Electrician INFORMATION
License HILLME*973KR
Name HILLMAN, ED
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOLMES, JERAY A
Agent
01/01/1980
Bond Amount
HOLMES, MICHAEL J
President
01/01/1980
929558590
RICHARDS, MICHAEL W
Secretary
01/01/1980
HARTFORD FIRE INS
RICHARDS, EUGENE M
12/08/2008
01/01/1980
10/15/2010
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
12/08/2012
Expiration Date
Until Cancelled
Cancel Date
Impaired Date
Bond Amount
Received Date
4
Western Surety Co
929558590
$4,000.00
11/08/2012
3
HARTFORD FIRE INS
52BSBFB9243
12/08/2008
Until Cancelled
12/08/2012
$4,000.00
12/09/2008
2
AMERICAN CASUALTY
9239830
12/08/1984
Until Cancelled
02/09/2009
$4,000.0009/14/2008
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
ESHA000715
7/25/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EREEB00495
10/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns://fortress.wa. aov/lni/bbip/Print.aspx 12/04/2013