HomeMy WebLinkAboutPermit EL18-0620 - LABOR AND INDUSTRIES - REPLACE 1 EMERGENCY BUG EYE IN OPEN OFFICE AREALABOR AND INDUSTRIES
12806 GATEWAY DR BLDG 5
EXPIRED
01/07/19
ELI 8-0620
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.gov
ELECTRICAL OTC PERMIT
2716000050
12806 GATEWAY DR BLDG 5
Project Name: LABOR AND INDUSTRIES
Permit Number: EL18-0620
Issue Date: 7/11/2018
Permit Expires On: 1/7/2019
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
NORTHEI983RD
Phone: (425) 354-0610
Phone: (425) 806-9200
Expiration Date: 12/4/2018
DESCRIPTION OF WORK:
REPLACE 1 EMERGENCY BUG EYE IN OPEN OFFICE AREA
Valuation of single family: $0.00
Valuation of mf/comm: $250.00
Type of Work:
Fees Collected: $71.71
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:
Date:
2017
2017
2017
2015
ra
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 regulatong 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.
Signature:
Print Name oefoZ,-.
Date: `1% iff
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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
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 Address: 12806 Gateway Dr
Tenant Name: Labor and industries
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Ole Rodne
Address: 11807 N. creek Pkwy S Suite B-103
City: Bothell State: Wa Zip: 98011
Phone: (425) 354-0610 Fax:
Email: oler@nwedison.com
King Co Assessor's Tax No.:
Suite Number: Floor: 1
New Tenant: D Yes ..
No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: N. i
o-rthwest Edison
Address: 11807 N. creek Pkwy S Suite B-103
City: Bothell State: Wa Zip: 98011
Phone: (425) 806-9200 Fax: (425) 806-7455
Contr Reg No.:
NORTHEI983R1 Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 250
Scope of Work (please provide detailed information): replace 1 emergency bug eye in open office area.
Will service be altered? El Yes 10 No
Type of Use: Office
Adding more than 50 amps?
Yes El No
Type of work:
O New 0 Addition
O Low Voltage 0 Generator
Property Served by:
Io Puget Sound Energy 0 Seattle City Light
O Service Change
O Fire Alarm
NW:Permit CenterApplications-IlandoutsTemtit Applications PDFslElectrical Permit Application Revised I-1-17.docx
Revised: January 2017
bh
O Remodel
O Telecommunication
O Tenant Improvement
O Temporary Service
Pagc 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
0 New single family dwellings $155.91
(including an attached garage)
O Garages, pools, spas and outbuildings $83.54 ea
O Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
0 Service change or alteration $83.54
(no added/altered circuits)
O Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
0 Circuits added/altered without service change $55.69
(up to 5 circuits)
O Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
O Meter/mast repair $69.62
0 Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $66.30
O Temporary service (generator) $82.52
O Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
0 Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 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 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY AWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNERe CTRICAL CONTRACTOR:
Signature:
Date: 07/11/2018
Print Name: Ole Rodne Day Telephone:
Mailing Address: 11807 N. creek Pkwy S Suite B-103 Bothell WA 98011
City
W: \Permit CenteilApplicaiions-Handouts \Permit Applications \ PDFsTlectrical Permit Application Revised I-1-17.doex
Revised: January 2017
bh
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
I QUANTITY
PAID
$508.17
EL18-0620 Address: 12806 GATEWAY DR BLDG 5 Apn: 2716000050
$71.71
Credit Card Fee
$2.09
Credit Card Fee
1 R000.369.908.00.00
I
0.00
I
$2.09
ELECTRICAL
$66.30
PERMIT FEE MULTI-FAM/COMM
1 R000.322.101.00.00
I
0.00
I
$66.30
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
1 R000.322.900.04.00
I
0.00
$3.32
EL18-0621 Address: 17100 SOUTHCENTER PKWY 116 Apn: 7888920020
$436.46
Credit Card Fee
$12.71
Credit Card Fee
1 R000.369.908.00.00
'
0.00
$12.71
ELECTRICAL
$403.57
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
I
$403.57
TECHNOLOGY FEE
$20.18
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14909
R000.322.900.04.00
0.00
$20.18
$508.17
Date Paid: Wednesday, July 11, 2018
Paid By: NORTHWEST EDISON INC
Pay Method: CREDIT CARD 690723
Printed: Wednesday, July 11, 2018 11:09 AM 1 of 1
SYSTEMS
Page 1 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 07/11/2018 11:09:07 AM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: **********7351 K
TRAN AMOUNT: $508.17
APPROVAL CD: 690723
RECORD #: 000
CLERK ID: Rachelle
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
httos://classie.convergepay.com/VirtualMerchant/transaction.clo?dispatchMethod=printTra... 7/11/2018
sAllak
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 07/11/2018 11:09:07 AM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: **********7351 K
TRAN AMOUNT: $508.17
APPROVAL CD: 690723
RECORD #: 000
CLERK ID: Rachelle
Thank you!
Customer Copy
Page 2 of 2
https://classic.convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTra... 7/1 1 /2018
12/2/2018
City of Tukwila
Department of Community Development
OLE RODNE
19804 141 PL NE
WOODINVILLE, WA 98072
RE: Permit No. EL 18-0620
LABOR AND 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 1/7/2019.
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 1/7/2019, 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,
c e le
Permit Technician
File No: EL18-0620
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
NORTHWEST EDISON INC
1ornc Espanol Contact
Safety & Health
0 Washington State Department of
Labor & Industries
Claims & Insurance
Search L&I
Page 1 of 3
AR
A -Z Index Help My LSE'
Workplace Rights Trades & Licensing
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
WA UBI No.
601 522 062
Parent company
INDUSTRIAL LIGHT & ENERGY INC
11807 North Creek Parkway S
Ste B103
BOTHELL, WA 98011
425-806-9200
KING County
Business type
Corporation
Governing persons
RICHARD
OWEN
SALI OWEN;
RANDY OWEN;
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.
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
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601522062&LIC=NORTHEI983RD&SAW= 7/11/2018
NORTHWEST EDISON INC
Received by L&I
10/08/2014
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EBANX00358
Issue date
03/18/2014
Violation city
WOODINVILLE
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901. FAILURE TO OBTAIN AN
ELECTRICAL WORK PERMIT PRIOR TO
BEGINNING THE INSTALLATION.
Infraction no.
ESTAD00513
Issue date
11/16/2012
Violation city
WOODINVILLE
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901.
Effective date
10/26/2014
Expiration date
Until Canceled
Satisfied
......................
RCWNVAC
19.28.101 RCW
Violation amount
$2,000.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
61,000.00
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has multiple workers' comp accounts.
Active accounts
L&I Account ID
989,512-00
..........................
Doing business as
NORTHWEST EDISON
Estimated workers reported
Quarter 1 of Year 2018 "76 to 100 Workers"
L&I account contact
TO / DALE MCMASTER (360)902-5617 - Email: MCMS235@Ini.wa.gov
Track this contractor
Account is current.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
Page 2 of 3
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601522062&LIC=NORTHEI983RD&SAW= 7/11/2018
NORTHWEST EDISON INC
No strikes have been issued against this cotor.
Contractors not allowed to bud
No debarments have been issued against this contractor.
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Inspection results date
06/10/2015
Inspection no.
317936372
Location
19804 141 PI Ne
Woodinville, WA 98072
Inspection results date
05/21/2015
Inspection no.
317936202
Location
19804 141 PI Ne
Woodinville, WA 98072
Violations
No violations
Page 3 of 3
Washington State Dept. of Labor 8 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=601522062&LIC=NORTHEI983RD&SAW= 7/11/2018