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HomeMy WebLinkAboutPermit EL17-0176 - MERIDIAN VALLEY LAB - POWER POLE FOR PRINTER RELOCATIONMERIDIAN VALLEY LAB 6839 FORT DENT WAY SUITE 206 EL17-0176 Parcel No: Address: 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.sov ELECTRICAL OTC PERMIT 2954900445 Permit Number: EL17-0176 6839 FORT DENT WAY 206, Project Name: MERIDIAN VALLEY LAB Issue Date: 3/6/2017 Permit Expires On: 9/2/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: FORT DENT WAY LLC 6839 FORT DENT WAY #134 , TUKWILA, WA, 98188 JANET JUNTUNEN 6839 FORT DENT WAY #206 , TUKWILA, WA, 98168 KANON ELECTRIC INC PO BOX 1745 , MILTON, WA, 98354 KANONEI947BE !11 Phone: Phone: (253) 312-8971 Expiration Date: 1/10/2018 DESCRIPTION OF WORK: INSTALLING POWER POLE FOR PRINTER RELOCATION Valuation of single family: $0.00 Valuation of mf/comm: $1,000.00 Type of Work: ADDITION Fees Collected: $109.68 Electrical Service Provided by: PUGEST 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature 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 local laws regulating construction or the performance of work. I am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Print Name U/lr.�t1 ✓�+ Sc- ��s Signature: Date: Z(S2--/ 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 TUKI',A Community Develop►.._4 Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pt. mit No. 1/11 Onto 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 pp. G} King Co Assessor's Tax No.: COSite Address: CQOJ O( ��✓�� �,�a �$ 20 (Q Suite Number: � CFloor: 2 New Tenant: ❑ Yes . No Tenant Name: Meet' clt°G-► �1�1 let �j PROPERTY OWNER l Name: 3',i`C� >J oe,'-V(1 Name: TOvtc. /lUn (,✓r j q 14 1 Address: (0.39 c_r+)e4,4._W6, 6839 Address: {) '`,E./ j_. 0Z6 Cp City: --"lot_W \ State: lido- Zip: 9 u CONTACT PERSON — person receiving all project communication l Name: 3',i`C� >J oe,'-V(1 Address: p2.0yt% q S Address: (0.39 c_r+)e4,4._W6, jg ZQ 6 city. -----G, kw ,s k State: Zip:9R/ 3,-g Phone:Zw_ZG _ 4110 Fax: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: ,IL,t non E ec.t-t c Din G Address: p2.0yt% q S City: M \• 11_04,1 State: p Zip: ci f.34 Phone: 3 j 2 _ pl 7 / Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 1, o 00 Scope of Work (please provide detailed information): 1 r S t✓ - f2 rwt ✓r ea Will service be altered? ❑ Yes 2No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New `:e Addition 0 Service Change ❑ Remodel 0 Tenant Improvement 0 Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy ❑ Seattle City Light W:\Permit Center \Applications-HandoutsWermit Applications\Word \Electrical Permit Application Revised I-1-2017.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits $83.54 number of added circuits $12.00 ea ❑ Circuits added/altered without service change $55.69 (up to 5 circuits) ❑ Circuits added/altered without service change $55.69 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $69.62 ❑ Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 ❑ Temporary service (generator) $82.52 ❑ Manufactured/mobile home service $87.98 (excluding garage or outbuilding) ❑ Carnivals $82.21 Number of concessions $11.02 ea Each ride and generator truck $11.02 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: Signature: Print Name: llhG`' 61ri r CILIr-l°^cS'I o Mailing Address: p.0 0 i'7a, 1-713 Date: 340-11 Day Telephone: Z53-3/2— g9 j u ICA I it' Wei q 8-33-1/ W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh City State Zip Page 2 of 2 DESCRIPTIONS 1 PermitTRAK ACCOUNT I QUANTITY , PAID $109.68 EL17-0176 Address: 6839 FORT DENT WAY 206 Apn: 2954900445 $109.68 Credit Card Fee $3.19 Credit Card Fee R000.369.908.00.00 0.00 $3.19 ELECTRICAL $101.42 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $101.42 TECHNOLOGY FEE $5.07 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11017 R000.322.900.04.00 0.00 $5.07 $109.68 Date Paid: Monday, March 06, 2017 Paid By: JAMES DORROUGH Pay Method: CREDIT CARD 024731 Printed: Monday, March 06, 2017 12:50 PM 1 of 1 CRSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. P MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 GNOilk/ V/6414-61 Typ Inspection: dni7� cif/ Project: E rr Nivir. Special Instructions: Address: zt- 5r7 Date ailed: Date Wanted: Requester: Phone No: 20 qv._ DI Approved per applicable codes. Corrections required prior to approval. / COMMENTS: otiftvii 14/ 6;1 Inspector: Date: 03 7/17 REINSPECTIbN FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. KANON ELECTRIC INC Home Espanol Contact Safety & Health 0 Washington State Department of Labor & Industries Search L&I A -Z Index Help Page 1 of 2 cwn SCI Claims & Insurance Workplace Rights Trades & Licensing KANON ELECTRIC INC Owner or tradesperson Principals DORROUGH, JAMES K G, PRESIDENT DORROUGH, JAMES, AGENT Doing business as KANON ELECTRIC INC WA UBI No. 602 569 803 PO BOX 1745 MILTON, WA 98354 253-312-8971 PIERCE County Business type 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. KANONEI947BE Effective — expiration 01/05/2006— 01/14/2018 Designated administrator DORROUGH, JAMES Active. Meets current requirements. License type - License no, ElectricalAdministrator DORROJ*952QP Bond CBIC Bond account no. SG4912 Received by L&I 01/05/2006 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. $4,000.00 Effective date 12/29/2005 Expiration date Until Canceled Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 122,646-00 Doing business as KANON ELECTRIC Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602569803&LIC=KANONEI947BE&SAW= 3/7/2017 KANON ELECTRIC INC Estimated workers reported Quarter 4 of Year 2016 "4 to 6 Workers" L&I account representative T5 / STEPHANIE HENDERSON (360)902-6266 - Email: HSTE235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Page 2 of 2 O Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602569803&LIC=KANONEI947BE&SAW= 3/7/2017.