HomeMy WebLinkAboutPermit EL18-0505 - DEPARTMENT OF LABOR & INDUSTRIES - DISCONNECT & RECONNECT OFFICE FURNITURE AND MOVE POWER POLEDEPT OF LABOR &
INDUSTRIES
12806 GATEWAY DR
EXPIRED
12/01/18
ELI 8-0505
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.eov
ELECTRICAL OTC PERMIT
2716000050 Permit Number:
12806 GATEWAY DR Issue Date:
Permit Expires On:
Project Name: DEPT OF LABOR & INDUSTRIES
EL18-0505
6/4/2018
12/1/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
BOEING EMPLOYEES' CREDIT UN
12770 GATEWAY DR , TUKWILA, WA,
98168
OLE RODNE
19804 141 PL NE , WOODINVILLE, WA,
98072
NORTHWEST EDISON INC
11807 NORTH CREEK PARKWAY S
SUITE B 103, BOTHELL, WA, 98011
NORTHE1983RD
111
Phone: (425) 354-0610
Phone: (425) 806-9200
Expiration Date: 12/4/2018
DESCRIPTION OF WORK:
DISCONNECT & RECONNECT OFFICE FURNITURE, MOVING POWER POLE
Valuation of single family: $0.00
Valuation of mf/comm: $1,200.00
Type of Work: TENANT IMP
Fees Collected: $130.83
Electrical Service Provided by: SEATTLE CITY LIGHT
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
2015
Date: (19'- J— 4i
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 r ating construction or the performance of work. I am authorized to sign and obtain this
development p nd agree to the conditions attached to this permit.
Signature: i%�''))%%
Print Name: a
Dater - G1
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 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 TUKWIC
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. w �.._I
Project No.
Date Application Accepted:
Date Application Expires„
(Foroj ce use on l )
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
li
,,--�� //th (� (� King Co Assessor's Tax No.:
p��iSite Address: `T At 6.,01D R Suite Number: Floor:
Tenant Name: 1- ( or � j (_ 1Jd`� rt f S New Tenant: ❑ Yes ®.. No
PROPERTY OWNER
Name: Q'e, i4)j e,
Address: 1 1 tQ-1U(-.���
Name:
Phone:
—sly y . 0610Fax:
Email: Diu_ , 0"..„ , spn • co rv-\
Address:
Zip: Ci
; 1
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name: Q'e, i4)j e,
Address: 1 1 tQ-1U(-.���
City: ,.y�,k77??� State: ) A Zip: (Ix) b ti
(�-
, YCJ
Phone:
—sly y . 0610Fax:
Email: Diu_ , 0"..„ , spn • co rv-\
ELECTRICAL CONTRACTOR
INFORMATION
t7 TA e j FA cc n
Company Name:
Address:(s 7 4..),,,,-1(1, N ,1 V �+ P�
14 y '&AIke.
640
City: State: (.J A
Zip: Ci
; 1
Phone: 49Hzhol ' cuo o Fax: y ty go ,
7k/ 55
Contr Reg No.: 1400-.1 EI ($ p Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 1 1 v,°0 " 00 r
Scope of Work (please provide detailed information): £ "fit\(\( -f Redo Y\ d C t ce. 4ur to 11.1
rx�
isArOo ,
Will service be altered? ❑ Yes
Adding more than 50 amps? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition 0 Service Change Ef Remodel 0 Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Prope y Served by:
❑ Puget Sound Energy Seattle City Light
W:1Permit Centel?Applications-Handouts Petrnit Applications\WonTElectrical Permit Application Revised 1-1-2017.doca
Revised: January 2017
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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)
❑ CarnivaIs $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 0
CAL CONTRACTOR:
Signature: Date:
6-u- /
Print Name: (Q, Q3dk `'‘Z- Day Telephone: 1102 5- SE -11- 06/0
Mailing Address: 1 t O 7 N• C-42416 061/3 1 5°6 411 &11-€ -6-1(); At, (1 114 -)Pr /1$3o /1
City state Zip
W:\Penh CenteMpplications-Handouts\Pcrmit Applications\Wotd\Elcctrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
`' PAID
$130.83
EL18-0505 Address: 12806 GATEWAY DR
Apn: 2716000050
$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
R000.322.101.00.00
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14630
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Monday, June 04, 2018
Paid By: OLE RODNE
Pay Method: CREDIT CARD 014671
Printed: Monday, June 04, 2018 7:41 AM 1 of 1
SYSTEMS
11/1/2018
e
City of Tukwila
Department of Community Development
OLE RODNE
19804 141 PL NE
WOODINVILLE, WA 98072
RE: Permit No. EL18-0505
DEPT OF LABOR & INDUSTRIES
12806 GATEWAY DR
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 12/1/2018.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 12/1/2018, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: EL18-0505
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
NORTHWEST EDISON INC
Home Espanol (Joni aci
Safety & Health
OWashington State Department of
Labor & Industries
Clairns & Insurance
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Az!, Index ltelp
Workplace Rights
NORTHWEST EDISON INC
Owner or tradesperson
Principals
CAMILLERI, DANIEL C, PRESIDENT
OWEN, RANDY, VICE PRESIDENT
OWEN, RICHARD E, SECRETARY
OWEN, RICHARD E, TREASURER
OWEN, RANDY M, AGENT
OWEN, RICHARD, PRESIDENT
(End: 03/06/2012)
OWEN, SALI, SECRETARY
(End: 03/06/2012)
OWEN, RICHARD, AGENT
(End: 03/06/2012)
Doing business as
NORTHWEST EDISON INC
vJA UB I No
601 522 062
Parent company
INDUSTRIAL LIGHT & ENERGY INC
11807 North Creek Parkway S
Ste 9103
BOTHELL, WA 98011
425-806-9200
KING County
Business type
Corporation
Governing persons
RICHARD
OWEN
SALI OWEN;
RANDY OWEN;
License
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no
NORTHEI983RD
Effective — expiration
12/04/2002— 12/04/2018
Designated administrator
OWEN, RANDY MARK
License type
Electrical Administrator
Bond
RLI Ins Co
Bond account no
LSM0667470
Active.
Meets current requirements.
License no
OWEN*RM959Q8
$4,000.00
My
Trades & Licensing
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601522062&LIC=NORTHEI983RD&SAW= 6/4/2018
U
NORTHWEST EDISON INC 411
Received by L&I Effective date
10/08/2014 10/26/2014
Expiration date
Until Canceled
Bond history
Savings
No savings accot. is during the previous 6 year period.
License Violation'.
Infraction no.
EBANX00358
Issue date
03/18/2014
Violation city
WOODINVILLE e*
Type of violation of
ELECTRICAL CI ATION
Description
Failing to get an .ispection or obtain an
electrical/teleco'.munications work permit or
post a provisior .; electrical work permit prior
to beginning the•alectrical/telecommunication
installation ora: gyration as referenced in WAC
296-46B-901. FA .URE TO OBTAIN AN
ELECTRICAL W RK PERMIT PRIOR TO
BEGINNING THL' INSTALLATION.
T
Infraction no
ESTAD00513
Issue date
11/16/2012
Violation city
WOODINVILLE 2(
Type of violation
ELECTRICAL C ATION
Description ,,
Failing to obtaii. Jr post an
electrical/telecc munications work permit
prior to beginnr. the
electrical/telecc 'munication installation or
alteration as ref enced in WAC 296-46B-900
(3)(6), effective ,r.er 12/30/2008 see WAC 296-
46B-901.
s
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Workers' c':mp
Do you know if the usiness has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company ha multiple workers' comp accounts.
Active accounts
L&IAccount ID
989,512-00
Doing business as
NORTHWEST ED. ON
Estimated workers eported
Quarter 1 of Year )18 "76 to 100 Workers"
L&I account contac..
TO / DALE MCMA 'ER (360)902-5617 • Email: MCMS235@Ini.wa.gov
Track this contract:''
Account is current.
rPublic Wo. s Strikes and Debarments
Page 2 of 3
Verify the contract is eligible to perform work on public works projects.
Contractor Strike Help us i:nprove
https://secure.lni va.gov/verify/Detail.aspx?UBI=601522062&LIC=NORTHEI983RD&SAW= 5/4/2018