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Permit EL13-1119 - EASTSIDE ICE MACHINES - CHANGE SERVICE
EASTSIDE EAST MACHINES 6421 S 146 PL EL13-1 119 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 Parcel No: 3365901845 Permit Number: EL13-1119 Address: 64215 143 PL Issue Date: 11/7/2013 Permit Expires On: 5/6/2014 Project Name: EASTSIDE ICE MACHINES Owner: Name: KNUDSON JERRY Address: 6402 S 144TH ST #1 , TUKWILA, WA, 98168 Contact Person: Name: BILL BOCKMAN Phone: (425) 679-9173 Address: 18338 REDMOND WY, REDMOND, WA, 98052 Contractor: Name: P N W LIGHTING SERVICES LLC Address: PO BOX 40131, BELLEVUE, WA, 98015 License No: PNWLISL954JR Lender: Name: Address: Phone: Expiration Date: DESCRIPTION OF WORK: PSE ENERGY EFFICIENCY LIGHTING RETROFIT Valuation of single family: $0.00 Valuation of mf/comm: $2,750.00 Type of Work: SERV CHNG Fees Collected: $140.20 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKWILA Sewer Distric: TUKWILA SEWER SERVICE Current Codes adopted by the City of Tukwila: Internations Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: 2012 International Fuel Gas Code: 2012 WA Cities Electrical Code: 2012 WA State Energy Code: 2012 2012 2012 2012 Permit Center Authorized Signature /� A,(76AQQ Date: I (101 I Ii 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. Signature: Print Name: (e)(! ' 1-30 Date: V 7/2-0 13 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 7003 UNDERGROUND/SLAB CITY OF TUKA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical • Permit No. € L t lq 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 l King Co Assessor's Tax No.: Site Address: 6112 t S 113 1.4 5f Suite Number: 0 Floor: Tenant Name: 1 t d 91e5 1ol�l-['S PROPERTY OWNER Name: Ei;if 3oc k „.* . v� Address: i 3Z� DA,t Name: City: Q e o lam State: 1 p� l�U /� Zip:7 D05-2 Address: Email: 13;116), ' 1' k P//^% lit) 5 e_cti i C-25. Cl) f"\_. City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Ei;if 3oc k „.* . v� Address: i 3Z� DA,t pDfrici Lza y City: Q e o lam State: 1 p� l�U /� Zip:7 D05-2 Phone: //y�� " 61, in 73 Fax: — q -/113 !3! Email: 13;116), ' 1' k P//^% lit) 5 e_cti i C-25. Cl) f"\_. New Tenant: ❑ Yes El.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: pit) W . L19 k,!' vty 5e r�1,Ct�C T Address: Po ? ox Vo ! 3 I City: State: Zip:?,. i3 e (fel/ ve wilr. Phone: y25-443 _3333 Fax: y24--,0 3 _ m3 Contr Reg No.: p4/ z5.9' . xp Date: Fy ill f lc Tukwila Business License No.; NAS _ V I t ✓1( ,1 Valuation of Project (contractor's bid price): $ 2� ( 5© -PSE Scope of Work (please provide detailed information): e..1/lcJ Will service be altered? ❑ Yes 114To Adding more than 50 amps? ❑ Yes Tk Type of Use: Type of work: ❑ New 0 Addition 12VService Change 0 Remodel 0 Tenant Improvement O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property S ed by: Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line \2013 Applications\Electrical Permit Application Revised 7- I-13.docx Revised: July 2013 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, furnace thermostat) $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ea ❑ Circuits added/altered without service change $54.60 (up to 5 circuits) ❑ Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ❑ Meter/mast repair $68.25 ❑ Low voltage systems $59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $65.00 ❑ Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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: 3;t( k�c K .‘&_ Mailing Address: ?0 d)( qOI ' ? H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.docx Revised: July 2013 bh Date: 11/ 7/2-013 Day Telephone: 4'Z3479 - / 1 73 Se ((eVwir LSA 80/ 5— City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID EL13-1119 Address: 6421 S 143 PL Apn: 3365901845 $140.20 ELECTRICAL $140.20 PERMIT FEE MULTI-FAM/COMM TOTAL FEES PAID BY RECEIPT: R44 000.322.101.00.00 $140.20 $140.20 Date Paid: Thursday, November 07, 2013 Paid By: WILLIAM L BOCKMAN Pay Method: CREDIT CARD 922994 Printed: Thursday, November 07, 2013 12:32 PM 1 of 1 CISYSTEMS 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) 431-2451 Project: 66 rDt- la Type ofinspection: TO-. Address:./ ?f L. 4 PL . Date Called: A.1. Special Instructions: Date Wanted: ! i (0Y C:.iRequester:1 Phone No: randi r -40) - Approved -per applicable codes. a Corrections required prior to approval. COMMENTS: 041 AA Inspector: Date: 013 3 REINSPECTION FEE REQUIREI3. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd...Suite 100. Call to schedule reinspection. Contractors or Tradespeople *ter Friendly Page • Electrical Contractor A business licensed by LBI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. Business and Licensing Information Name Phone Address Suite/Apt. City State Zip County Business Type Parent Company P N W LIGHTING SERVICES LLC 4256436666 Po Box 40131 Bellevue WA 98015 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602302554 Active PNWLISL954JR Electrical Contractor 4/19/2005 4/19/2015 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status PNWLISL972M3 P N W LIGHTING SERVICES LLC Electrical Contractor Lighting Maintenance Unused 7/23/2003 7/23/2005 Archived PNWLINW96307 P N W LIGHTING SERVICES LLC Electrical Contractor Maintenance Unused 9/22/2004 11/8/2008 Expired Electrical Administrator INFORMATION License COLEMSN931DR Name COLEMAN, STEPHEN N Status Active Business Owner Information Name Role Effective Date Expiration Date ANDERSON, ROBERT WILLIAM Partner/Member 04/19/2005 9/29/2009 COLEMAN, STEPHEN N Partner/Member 04/19/2005 $250.00 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 Developers Surety ft Indem Co 571002C 07/23/2003 Until Cancelled $4,000.00 07/24/2003 Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year period Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type Warrant Information Warrants are not filed with the department for this contractor type Infractions/Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount EMABQ03130 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03129 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESHA000459 3/8/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 ESWAT00290 10/19/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 httns://fortress.wa.2ov/lni/bbin/Print.asnx 11/07/2013 Contractors or Tradespeople Prir ter Friendly Page • EVANS00398 12/14/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00365 10/25/2011 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 ENESM00362 10/25/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EMABQ03137 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03138 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03145 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03146 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03142 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03141 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EVANS00379 9/9/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EVAN500380 9/9/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJ0RP03744 5/4/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EJ0RP03743 5/4/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EMABQ03133 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EMABQ03134 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ECHIR00792 6/12/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 EBRIC01806 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBRIC01807 9/29/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EREYK00364 5/23/2012 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $250.00 EREYK00366 5/23/2012 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EREYK00368 5/23/2012 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EREYK00365 5/23/2012 WAC 296.46B•990(3)(e) ELECTRICAL CITATION Satisfied $500.00 EREYK00369 5/23/2012 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EREYK00367 5/23/2012 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 Page 2 of 2 https://fortress.wa.gov/lni/bbip/Print.aspx 11/07/2013