HomeMy WebLinkAboutPermit EL15-0395 - KEITHLY BARBER - CIRCUITS AND LIGHTINGI :4A m 0 0 ow I" 60Y41 ilk] ol m 10
565 ANDOVER PARK W
SUITE 101
EL15-0395
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.Rov
ELECTRICAL OTC PERMIT -
Parcel No: 2623049144
Permit Number: EL15-0395
Address: 565 ANDOVER PARK W 101
Issue Date: 5/1/2015
Permit Expires On: 10/28/2015
Project Name: KEITHLY BARBER
Owner:
Name: SOUTHCENTER CORPORATE SQUAR
Address: 150 CALIFORNIA ST, SAN FRANCISCO,
WA, 94111
Contact Person:
Name: BILL MAHONEY
Phone: (206) 679-7579
Address: 13550 39TH AVE NE, SEATTLE, WA,
98125
Contractor:
Name: AMERICAN ELECTRICAL CONTRACTOR
Phone: (206) 679-7579
Address: 13550 39TH AVE NE, SEATTLE, WA,
98125-3808
License No: AMERIEC923KF
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
RELOCATE EXISTING CIRCUITS AND LIGHTS
Valuation of single family: $0.00
Fees Collected: $378.32
Valuation of mf/comm: $14,800.00
Type of Work: TENANT IMP
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
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 per 4t and agree to the conditions attached to this permit.
Signature
Print Name:
Date �� J
This permit shall become null and void if the kvois not commenced within 180 days for the date of issuance, or if
the work is suspended or abandoned for a pen d 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 I
Ab
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www,TukwilaWA. ov
SITE LOCATION
Site Address:
Tenant Nam
Electrical Permit No. fV J - n)q G
Project No.
Date Application Accepted:
Date Application Expires: _
use
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"
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address:
City: S�- State ZiIQ ��
ll
Phon&bC, l �� Fax:
Email: ! d��
/ r�J rr ^ .
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed inform
r
Will service be altered? ❑ Yes No
Type of Use: '0,a2 m e,
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator Fire Alarm
PropeM Served by
Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July2013
bh
or's Tax No.:
Number:16L Floor:
New Tenant: ....Yes No
ELECTRICAL CONTRACTOR INFORMATION
Co ame: r
�
>-
Addres��
City:�l x/aJ':' I�
!�
Phone- Fax:
Contr Reg No.
It
Tukwila Business License No.;
/RCyi%T
Adding more than 50 amps? ❑ Yes � No
❑ Remodel Tenant Improvement
El Telecommunication /❑ Temporary Service
14(
Page l 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)
PERMIT APPLICATION NOTES -
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
***EFFECTIVE JANUARY 1, 2014
EACH PERMIT WILL BE ASSESSED A
5% TECHNOLOGY FEE***
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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Date:
Print Name: Day Telephone:
Mailing Address:
City State Zip
H:\Applicatiom\Foams-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
PAID
$378.32
EL15-0395 Address: 565 ANDOVER PARK W 101
Apn: 2623049144
$378.32
ELECTRICAL
$360.30
PERMIT FEE MULTI-FAM/COMM
11000.322.101.00.00
0.00
$360.30
TECHNOLOGY FEE
$18.02
TECHNOLOGY FEE
TOTALPAID BY RECEIPT: R5190
R000.322.900.04.00 0.00
$18.02
$378.32
Date Paid: Friday, May 01, 2015
Paid By: AMERICAN ELECTRICAL CONTRACTOR
Pay Method: CREDIT CARD 06022G
Printed: Friday, May 01, 2015 11:25 AM 1 of 1
CN?WY57EM5
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
FNII
Project
Type Of Ins t� n:
Address:
5ate gaffed:
Special Instructions:
Date Wanted: 5A7 ?g-M.
Requester:
Prone -No�.
......... . 4
W Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
r
�,L-,f I.Af —(077L
I � It—�f4 At-,--
Inspector: 6� I Date: I It :C-1
REINSPECTION FEE REQUIREb. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Catt to schedule reinspection.
INSPECTION -RECORD
2- --J Retain a copy with permit
INSPECTION NO. PERMIT NO,
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367OW
Permit Inspection Request Line (206) 438-9350
Project:
Type of nspection'
Address:
'J 4F- (0 l
Hate balled;
special instructions:
Date Wanted:
512-0
Reque-st-e-r-'-
P one No: 677
F-I 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.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
Type of lnspecticrr#:
Address;
irate Called:
Special instructions;
Date Wante& a;
/ p,rrs.
Requester. -
Phone No:
11 Approved per applicable codes. 1-1 Corrections required prior to approval.
" paid at 6300 Southeenter Blvd.. Suite 100. Call to schedule reinspection.
AMERICAN ELECTRICAL CONTRA INC
Page I of 2
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AMERICAN ELECTRICAL CONTRA INC
Owner or tradesperson 13550 39TH AVE NE
MAHONEY, WILLIAM P SEATTLE, WA98126
206-679-7579
Principals KING County
MAHONEY, WILLIAM P, PRESIDENT
KLEPPER,KAREN,AGENT
Doing business as
AMERICAN ELECTRICAL CONTRA INC
WA UBI No. Business type
602 827 788 Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
...............................................................
Meets current requirements.
License specialties
GENERAL
License no.
AMERIEC923KF
Effective — expiration
05/06/2008— 06/22/2016
Designated administrator
Active.
MAHONEY, TAYLA B
Meets current requirements.
License type
License no.
Electrical Administrator
MAHONTB912M1
Bond
................
WESTERN SURETY CO
$4,000.00
Bond account no.
70506425
Received by L&I
Effective date
05/06/2008
05/03/2008
Expiration date
Until Canceled
Savings
....................
No savings accounts during the previous 6 year period.
License Violations
.._...................................................
Infraction no.
EOKAD01765
Satisfied
..........................
Issue date
RCW/WAC
01/29/2010
19.28.161(6) RCW
Violation city
Violation amount
Seattle
$250.00
Type of violation
ELECTRICAL CITATION
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602827788&LIC=AMERIEC923KF&SAW= 5/ 1 /2015