HomeMy WebLinkAboutPermit EL13-1217 - CARY LANG CONSTRUCTION, LOT 3 - TEMPORARY SERVICECARY LANG
CONSTRUCTION
LOT 3
14755 62 AVE S
EL13-1217
rP
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.Rov
Parcel No: 3597000092
ELECTRICAL OTC PERMIT
Permit Number: EL13-1217
Address: 14755 62 AVE S Issue Date: 11/27/2013
Permit Expires On: 5/26/2014
Project Name: CARY LANG CONSTRUCTION, LOT 3
Owner:
Name: TUKWILA 6 LLC
Address: 19541 183RD WAY SE , RENTON, WA,
98058
Contact Person:
Name: LISA WOODS Phone: (253) 848-5595
Address: 11109 66 AVE E , PUYALLUP, WA,
98373
Contractor:
Name: MERIDIAN CENTER ELECTRIC INC Phone: (253) 848-5595
Address: 11109 66 AV E , PUYALLUP, WA,
98373
License No: MERIDCE318SG Expiration Date: 2/28/2015
Lender:
Name:
Address:
DESCRIPTION OF WORK:
SET UP 60 AMP UNDERGROUND TEMP POLE
Valuation of single family: $250.00
Valuation of mf/comm: $0.00
Type of Work: TEMP SERVICE
Fees Collected: $65.00
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:
Date:
Ut2.itI3
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 t• • - condi s a ed to this permit.
Signat
Print Name:
Date: 0-7 por
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 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 LOCATION
r n King Co Assessor's Tax No.: Y 1IZ
l 00 I -W
Site Address: (y[ -5S Cana / Ave_ S ,D Suite Number:WT 03 Floor:
cL 14JrI l
Tenant Name: l YS dicAn New Tenant: Yes ❑..No
PROPERTY OWNER
Name: LA r )1/4362;6„
Address: 11109 to
u kve., E
Name:(,{ Lori
Phone: 3 sq Fax3 eL 11 1_0r ?)1 L
5
l/y �1 {� rt on
Address:apt S 1 a
11n,,,
1 �.
S)
City:l,f �'LJ UJe
State: w R
Zip:98d1
CONTACT: PERSON — person receiving all project
communication
Name: LA r )1/4362;6„
Address: 11109 to
u kve., E
State: w Zip:Lj 3F
Citya l
Phone: 3 sq Fax3 eL 11 1_0r ?)1 L
5
Email: Li Ci9 - P iffl,\ce`ethi L. corn
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ryvyikt et n\€ r ekovit
Address: t I0 01 UCS E
City: qi f, /P 1 j , i i„ State: W pi. Zip:98
2
Phone: 846 9SFax 841-08g2—
Contr Reg No.: v ote a'F;F,�c
sp Date: dim I' c
Tukwila Business License No.; oat 31 1
Valuation of Project (contractor's bid price): $ t9 Sv /�
Sc�p^e o-f� Work (please provide detailed information): ( Q0 n (� , viAer%vvi i
J�1 p p b\Q- _ 1
Will service be altered? ❑ YesNo
Type of Use:Tervk pO rt p&r
'
Type of work: 1
❑ New ❑ Addition 0 Service Change
❑ Low Voltage ❑ Generator 0 Fire Alarm
Pronertv Served bv:
Puget Sound Energy 0 Seattle City Light
H:Wpptications\Forttss-Applications On Line12013 Applications\Electrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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Adding more than 50 amps?
Yes ❑ No
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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 OW j 11 OR ELE t TRICAL CONTRACTOR:
Vie
Signature: ! Date: ` 1 din
Print Name: (e't4 Day Telephone: J J 8x -t Z7 55-95
Mailing Address:II 1Q9 Lc D / - E "" I—tout} 9839-3
C
H:\Applications\Forms-Applications On Line 2013 Applications\Electrical Permit Application Revised 7-I-13.docx
Revised: July 2013
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ry
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY PAID
x$65:00.
EL13-1217 Address: 14755 62 AVE S Apn: 3597000092
$65.00
ELECTRICAL
$65.00
PERMIT FEE MISCELLANEOUS
TOTAL FEES PAID BY RECEIPT: R216
R000.322.101.00.00
$65.00
$65.00
Date Paid: Wednesday, November 27, 2013
Paid By: MERIDIAN CENTER ELECTRIC
Pay Method: CHECK 7239
Printed: Wednesday, November 27, 2013 9:24 AM 1 of 1
CRWYSTEMS
INSPECTION RECORD �//5, 217
Retain a copy with permit M
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:Type
IA jtt 44- )
of Inspection:' V
Address
(4:21,
Date Called:.
Special Instructions:
Date Wanted:
%
/2, l 0Z
a.
.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Date:
1.3
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Gall to schedule reinspection.
Contractors or Tradespeople Pir Friendly Page
Electrical Contractor
A business licensed by LEI 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
MERIDIAN CENTER ELECTRIC INC
2538485595
11109 66Th Ave E
Puyallup
WA
98373
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
600278577
Active
MERIDCE318SG
Electrical Contractor
1/7/1969
2/28/2015
General
Unused
Master Electrician INFORMATION
License DILLAGP963UH
Name DILLARD, GREGORY P
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
WESTENDORF, CARMEN R
Agent
01/01/1980
5/5/2008
ZACHER, GERALD
Member
09/25/1985
$250.00
DILLARD, GREG
President
01/07/1969
ELECTRICAL CITATION
WESTENDORF, CARMEN
Secretary
05/18/2010
8/11/2011
THERIAULT, JAMES
Vice President
05/18/2010
04/13/2012
ADKINS, BRIAN
Vice President
05/18/2010
04/13/2012
Bond Information
Bond Company Name
TRAVELERS CAS 8
SURETY CO
Bond
7
Page 1 of 2
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
206847416
04/01/2001
Until Cancelled
$4,000.00
02/06/2001
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
EHAGR00252
5/5/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EWIMK00269
8/11/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EWIMK00268
8/11/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EPAUC00643
5/16/2013
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$100.00
ENORW00336
2/23/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$750.00
EHRAL00839
10/19/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns://fortress.wa. aov/lni/bbip/Print. aspx 11/27/2013