HomeMy WebLinkAboutPermit EL19-0894 - SOUTHCENTER PROFESSIONAL PLAZA - 20AMP CIRCUITSOUTHCENTER
PROFESSIONAL PLAZA
411 STRANDER BLVD BLDG
ELI 9-0894
Parcel No:
Address:
Project Name:
City of Tukwila
t of Community Deemt
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206~438'9350
Web site: htto://vvww.TukwilaWA.gov
ELECTRICAL OTC PERMIT
0223200052 Permit Number:
411 STRANDER BLVD BLDG
SOUTHCENTER PROFESSIONAL PLAZA
Issue Date:
Permit Expires On:
EL19-0894
10/31/2019
4/28/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
MEDICAL CENTERS CO LLC
411STRAmDEKBLVD STE108.
TUKWILA, WA, 98188
BRIDGET CAUDILL
bU0WASHINGTON AVE 5,KENT, WA,
98032
HOLMES ELECTRIC CO
POBOX 338'KENT, WA, 9003S
HOLK8EE[S49BH
'''
Phone: (253) 234-2842
Phone: (253) 479-4000
Expiration Date: 10/31/2020
DESCRIPTION OF WORK:
INSTALL (1)ZOAK8PCIRCUIT
Valuation of single family: $0.00
Valuation of mf/comm: $3,000.00
Type nfWork: ADDITION
Fees Collected: $164.65
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
Date:2015
re --5(-7/1
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 to the,-onditions attached to this permit.
Signature:nt
V 4'�, n
Print Name: `I`� \(O.V\OLY\?"2:3&C\(1.\\\
Date: \0\-)\ \ i
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 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 art 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
Og
Electrical Permit No. EL/9 g?"
Project No.
Date Application Accepted:
f-.3'- iq
Date Application Expires:
(For office use wily)
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: 1.--\\N cc&\C'0_,\( *C3)\\I
King Co Assessor's Tax No.:
Suite Number: Floor:
Tenant Name: Sat\ -11\ ("`,,e (),(Nyksci-Nc& New Tenant:
PROPERTY OWNER
Name: -7-,
tIDV\ if)e-k— e.av,c\A\
Name: Med k C.Cd etlittY CC) LIS_
'
Address:
S : Zip.
C \1St)
City: State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: -7-,
tIDV\ if)e-k— e.av,c\A\
Address:
Lt Zib 1.
'
City:
S : Zip.
C \1St)
Phone:
F •
Email: eavoi
Ni.\ b‘rf\t, \ , c my.,‘
1:1 Yes
..No
ELECTRICAL CONTRACTOR IIFORMATION
Company Name: HcAvtts ENeovi c
Address: LiODU S
tvic s
City: yxerrk.. State: kAilic:‘ Zipkstisa
Phone:3,5.7 4201- licd:r:
Contr Reg No.:Rtull . 1 a p Date: tok 1(5
Tukwila Business License No.; --7760s, (Tic
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): ik)5
Will service be altered?
Type of Use:
Yes
Adding more than 50 amps? CD Yes
Type of work:
0 New 7fS Addition 0 Service Change
0 Low Voltage 0 Generator 0 Fire Alarm
Property Served by:
Puget Sound Energy 0 Seattle City Light
WAPermit CentenApplications-HandoutsWertnit Appli eat ions PDFAE lectrical Permit Application Revised 1- 7-1 9.docx
0 Remodel
0 Telecommunication
0 Tenant Improvement
0 Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
0 Low voltage systems
(alarm) $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 $10.00 ea
O 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
O 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
El 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: Ma v1LV Quvr,hi
Mailing Address:
0 \o -d< 2)73%
Day Telephone:
Date:
(21(\S — 0;10%
City
WAPerrnit Center Applications -Handouts \ Permit Applications PDFs Electr lea! Permit Application Revised 1- 1 7-1 9. does
Slate
Zip
•
Cash Register Receipt• Receipt Number
City of Tukwila
DESCRIPTIONS I
PermitTRAK
ACCOUNT
QUANTITY I
PAID
$154.65
EL19-0894 Address: 411 STRANDER BLVD BLDG
Apn: 0223200052
•
$154 65
Credit Card Fee
$4.50
Credit Card Fee
R000.369.908.00.00
0.00
$4.50
ELECTRICAL
$ 43.00
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$143.00
TECHNOLOGY FEE
$7.15
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R18956
R000.322.900.04.00
0.00
$7.15
$154.65
Date Paid: Thursday, October 31, 2019
Paid By: BRIDGET E CAUDILL
Pay Method: CREDIT CARD 919012
Printed: Thursday, October 31, 2019 9:15 AM 1 of 1
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
286'433'I870
CITY OF TUKWILA
0017340000802374464500
Date: 10/31/2019 09:14:33 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********6873 K
TRAN AMOUNT: $154.65
APPROVAL CD: 919012
RECORD #: 088
CLERK ID: frankie
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 NO.
INSPECTION RECORD
Retain a copy with permit
R N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: �+
f '
Type of Inspection:
Address: ( 'Date
q(
Called:
Special instructions:
Date Wanted:
Requester.
Phone No:
L(
i7a
a
Approved per applicable codes.
orrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Home Espafiol Contact
Safety & Health Claims & Insurance
Washington State Department of
Labor & Industries
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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
253-479-4000
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
HOLMEEC549BH
Effective — expiration
01/08/1946— 10/31/2020
desjgilaesi 0,0mroqr.
HILLMAN, ED
License type
Master Electrician
Bond
North American Spec Ins Co
Bond account no.
2192663
Active
Meets current requirements.
Active
Meets current requirements.
License no.
HILLME*973KR
54,000 00
Received by L&I Effective date
11/21/2014 12/08/2014
Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
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