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Permit EL19-0543 - CONTINENTAL MILLS / BREAK ROOM - ADD 20 AMP CIRCUITS FOR REFRIGERATOR AND FREEZER
CONTINENTAL MILLS 18200 ANDOVER PARK FN ELI 9-0543 Parcel No: Address: City of Tukwila a Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431'3670 Inspection Request Line: ZOG'43B'93SO Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 7689900020 18200 ANDOVER PARK W Project Name: CONTINENTAL MILLS Permit Number: Issue Date: Permit Expires On: EL19-0543 7/1/2019 12/28/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: ,,WA, BRIGET CAUDILL 6OUWASHINGTON AVE 5,KENT, WA, 98032 HOLMES ELECTRIC CO POBOX 338'KENT, WA, 98035 HOLMEEC549BH ''' Phone: (253) 234-2842 Phone: (253) 479-4000 Expiration Date: 10/31/2020 DESCRIPTION OF WORK: INSTALL (2) 20 AMP CIRCUITS FOR REFRIGERATOR AND FREEZER IN BREAK ROOM Valuation ufsingle family: $0.00 Valuation of mf/comm: $2'000.00 Type of Work: TENANT IMP Fees Collected: $130.83 Electrical Service Provided by: Water District: Sewer District: Current Codes adopted by the City of Tukwila: International BuHding Code Edition: Internatiorial Residential Code Edition: Internatiori& Mechanical Code Edition: Uniform Plumbing Code Edition: International FueI Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cites Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Date: 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 Iocal laws regulating construction or the performance of work. 1 am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: 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: **~ELE[TR|[ALPERMIT [ONDFOON5~*~ 2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical lnspector 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 requirementfor electrical instaHations, Chapter Z9646gWAC and the Washington Cities Electrical Code. 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 3100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKW. Community DevelopmNveDepartment Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://vvww.TukwilaWA.gov Du' Electrical Pe r4 t No: 4 j '©,'j'LI 3 Project No. Date Application Accepted: Date Application Expires: (For aace,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** King Co Assessor's Tax No.: Site Address: MOO A DWOL, AU --G3 Tenant Name: e-CWIWCAZAL Aft t LL PROPERTY OWNER Name: Name: City: if T Statewik Zip: q eo-5.Z Address: t,��� Contr Reg No.: Lt.. c.oie4xp Date: / % i City: . �1o1 ,/�J State: ZipD ,bli CONTACT PERSON - - person receiving all project communication Name: Address: (oO wiesiit.x.ircco 1 4 5 City: if T Statewik Zip: q eo-5.Z Address: � Aa 1►.x Contr Reg No.: Lt.. c.oie4xp Date: / % i , u 111. ►i 44 City: State: Zip: Phone: 953 d34 24. Fax: p o G ?vim S Email: IDYLL/per, P num u. 1 ilec.mn_s (i Suite Number: Floor: New Tenant: JJ .....Yes 90..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Houni6crL Address: (oO wiesiit.x.ircco 1 4 5 City: if T Statewik Zip: q eo-5.Z Phone V ✓ 234 2 Fax: a3,-,1 d i aS Contr Reg No.: Lt.. c.oie4xp Date: / % i Tukwila Business License No.; /305�� ©! 7 Valuation of Project (contractor's bid price): $ ,° 0 Scope of Work (please provide detailed information): IZh2it- 9) `61,19 &W/O/VS Will service be altered? LJ Yes Adding more than 50 amps? [J Yes 1E5 No Type of Use: Type of work: ❑ New 0 Addition ❑ Service Change 0 Remodel `®' Tenant Improvement ❑ Low Voltage 0 Generator❑ Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: uget Sound Energy ❑ Seattle City Light W:\Permit Center\Applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-17-19.doca Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings (including an attached garage) O Garages, pools, spas and outbuildings 0 Low voltage systems (alarm) $180.00 $120.00 ea $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $120.00 (no added/altered circuits) O Service change with added/altered circuits $100.00 number of added circuits ea 0 Circuits added/altered without service change $60.00 (up to 5 circuits) O Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea 0 Meter/mast repair ..... ....... ...... ....... .......... $80.00 O Low voltage systems ............ ......... . ........ ..... . ....... $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential)................ ...... . $60.00 • Temporary service (generator) $90.00 O Manufactured/mobile home service $100.00 (excluding garage or outbuilding) O Carnivals $100.00 Number of concessions $11.00 ea Each ride and generator truck........ ...... $11.00 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: ) Q56A36Lt), Date: d.gli 9 Print Name: hU. t cipot• Day Telephone: 25-3 Mailing Address: 1010 COPP-AW-6-MTO 4-0-6 t<WT C. M - City WAPerm Center1Applications-Handouts Permit Applications \ PDFAElectricalPermit Application Revised 1- 17- 19„do cx State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $216.77 EL19-0542 Address: 18200 ANDOVER PARK W Apn: 7689900020 $85.94 Credit Card Fee $2.50 Credit Card Fee R000.369.908,00.00 0.00 $2.50 ELECTRICAL $79.47 PERMIT FEE MULTI-FAM/COMM R000.322,101.00.00 0.00 $79.47 TECHNOLOGY FEE $3.97 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.97 EL19-0543 Address: 18200 ANDOVER PARK W Apn: 7689900020 $130.83 Credit Card Fee $3,81 Credit Card Fee R000.369.908.00.00 0,00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM 8000,322.101.00.00 0,00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL, FEES PAID BY RECEIPT: R18033 R000.322.900.04.00 0.00 $6.05 $216.77 Date Paid: Monday, July 01, 2019 Paid By: MIKE BREHM Pay Method: CREDIT CARD 618609 Printed: Monday, July 01, 2019 8:57 AM 1 of 1 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98I88 286-433'1870 CITY OF TUKWILA 0017340000802374404580 Date: 07/01/2019 88:56:40 AM CREDIT CARD SALE VISA CARD NUMBER: ***p*****+4658 K TRAN AMOUNT: $2I6.77 APPROVAL CD: 618609 RECORD #: 000 CLERK ID: Bill X {CARDHOLDER'S SIGNATURE) I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy 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 a Inspection: Address: ° Bate baited: Special structions: C t) l % bti i --C Date Wanted:ry a. 1 p.m - .m.equester: cr S ""+�cS � 1^^� V j' eq ester. Phone No: �0(0- iK - 7 6 r r '4a Approved per applicable codes. Corrections required prior to approval. REINSPE ON FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Washington State Department oi Labor & Industries Safety & Health Espaelol Contact. Claims & Insurance Search L&I A_z index 1-1.0p Workplace Rights HOLMES ELECTRIC CO Owner or tradesperson Principals HOLMES, MICHAEL J, PRESIDENT Holmes, Michael J, AGENT RICHARDS, MICHAEL W, SECRETARY (End: 09/02/2011) RICHARDS, EUGENE M (End: 10/15/2010) HOLMES, JERAY A, AGENT (End: 12/30/2000) Doing business as HOLMES ELECTRIC CO WA UBI No. 177 003 752 PO BOX 338 KENT, WA 98035 253-4794000 KING County Business type Corporation Certifications & Endorsements 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. HOLMEEC549BH Effective * expiration 01/08/1946— 10131/2020 Designated administrator HILLMAN, ED License type Master Electrician Bond North American Spec Ins Co Bond account no 2192663 Received by L&I 11/21/2014 Bond history Savings No savings accounts during the previous 6 year period. Active. Meets current requirements. License no. HILLME*973KR $4,000,00 Effective date 12/08/2014 Expiration date Until Canceled M 1.I Trades & Licensing Help us improve