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HomeMy WebLinkAboutPermit EL13-1312 - MEDIFAST - TENANT IMPROVEMENTMEDIFAST 17250 SOTJTHCENTER PKWY surr 100 EXPIRLD 07/26/2014 EL13-1312 • City of Tukwila J� Qsy 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 Parcel No: Address: 7888920020 ELECTRICAL OTC PERMIT 17250 SOUTHCENTER PKWY 100 Project Name: MEDIFAST Permit Number: Issue Date: Permit Expires On: EL13-1312 12/19/2013 6/17/2014 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE, WA, 98006 JAY FIELD 5746 BOSTON HARBOR RD NE , OLYMPIA, WA, 98506 NORTH PACIFIC ELECTRIC.INC 5746 BOSTON HARBOR RD , OLYMPIA, WA, 98506 NORTHPE957JA , , , Phone: (360) 701-1076 Phone: (360) 943-6020 Expiration Date: 4/4/2015 DESCRIPTION OF WORK: TENANT IMPROVEMENT Valuation of single family: $0.00 Valuation of mf/comm: $8,400.00 Type of Work: TENANT IMP Fees Collected: $254.10 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: Permit Center Authorized Signature: 2012 2012 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Date: lCN`lCivd r • 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: 1 � ) `"�"'' Date: 4)//9/13 Print Name: de/Whard / !, (i q"41 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 TUKN•4 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical P• ermit No. 1%12, 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 King Co Assessor's Tax No.: Site Address: /7 2 U C e-14 Aar Ceiaj Suite Number: /610 Floor: 1 S f Tenant Name: (IJI CJ /int? ey'-b P> C Ned/ f /) l New Tenant: ,r Yes ❑ .. No PROPERTY Name: `T ("d' ,OpWNER Name: /. /!� i�lbru✓'itil�' 1 1 - ss City: n State: �G Zip: 9 8,5_8,6 Address: (1 '�0`� 7/7 /3)/.4.7 PG, s‘ c �'�- �l Email: Aoy► 1Q' es r6� Feezeirt G CDS,,,Caa City: ?--2,.._g �c.i-e.1 State: ce 11Q Zip: CONTACT PERSON — person receiving all project communication Name: `T ("d' Address: 5 pie,,, %'snS 4,1,4 4 0. At City: n State: �G Zip: 9 8,5_8,6 Phone( 36D) 1 70l y /0 7 6Fax: �'�- �l Email: Aoy► 1Q' es r6� Feezeirt G CDS,,,Caa ELECTRICAL CONTRACTOR INFORMATION Company Name:Ail, il, %%i�,GrlAL_ : . `.�LL2 . /i Address: r, it oil-O�`d1'4 / cot .ME, City:n State: �. /a Zip:Q0 p�6 i�t/�jy► fan Q t ! Phon f o /3 - 6oa0 F (364 w3 -6c'6,p Contr Reg No.:xp Date: t'(/owir pt-j�E69645-- Tukwila Business License No.; 1. 604.., Valuation of Project (contractor's bid price): $ 00 Scope of Work (please provide detailed information): . r�yrweI Will service be altered? ❑ Yes (f No Adding more than 50 amps? ❑ Yes gr No Type of Use: / ' Type of work: ❑ New 0 Addition 0 Service Change gi Remodel Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light H:Wpplications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1-13.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: /l 0-0v AvG /'T () it Q ti Date: <o��/ q�/3 / Day Telephone: (3c)) 9q3 -6,0,7o Mailing Address: 5/ ` // ( l JJJ /tea-, l 4'2 © 0o, L H:Wpplications\Forms-Applications On Line\2013 Apphcations\Electncal Permit Application Revised 7-1-13.docx Revised: July 2013 bh City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $254.10 EL13-1312 Address: 17250 SOUTHCENTER PKWY 100 Apn:7888920020 $254.10 ELECTRICAL $254,10 PERMIT FEE MULTI-FAM/COMM TOTAL FEES PAID BY RECEIPT: R455 R000.322.101.00.00 $254.10 $254.10 Date Paid: Thursday, December 19, 2013 Paid By: NORTH PACIFIC ELECTRIC INC Pay Method: CHECK 17619 Printed: Thursday, December 19, 2013 11:08 AM 1 of 1 CRWSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION ✓J 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 e�i�3-I3rL Project: ��C,j�� �41Jii Type of Inspection: f iJ fc)US dokKi`c-Tiodsri/tbt J�t Address: /7Vfo _1.6.p,/ Date Called: — rft irdic7 Jam, wJ . sc42615 Special Instructions: Date Wanted: / /�� / a rr, p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ril V %� . - 4C3" l s l4/ f iJ fc)US dokKi`c-Tiodsri/tbt 4- iii/177uJiWter/At.-- kth r3 iVittliftilSk6sr4tck r.k)146 Tl — rft irdic7 Jam, wJ . sc42615 Inspector: 0N, Date: 423/13 n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ra Z INSPECTION NO. INSPECTION RECORD Retain a copy with permit 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: �'(As( Type of Inspection: )(O + i i'l. o kr Address: 6.5:t. Pi Date Called: - bo itlor 1ktS/ NA--vsi NA--vroa ut' 1,1 u -t Special Instructions: AJ i(� 4177 Z<-3 40 b 6/77 Date Wanted: / 2 a:m. m. .- RequesteJ....0"--/ r: ill Phone No: (,c [Of /o7f DApproved per applicable codes. Corrections required prior to approval. COMMENTS: �--- ed 061 0-4/0‘2-• 56S'1,r i'l. o kr 5&tS'?,C- IAM.e5 J S Farb F),y /th Ji3a( r 5u Pl dcr- IQ Arx-c + lb (4 j - bo itlor 1ktS/ NA--vsi NA--vroa ut' 1,1 u -t Inspector: Date: l 01 z 3Iy n REINSPECTION FEE REQUIFiED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retaina copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206).431=2451 . 6ti5' 3ii PERMIT NO. Project: jt�' � Type of Inspection: !! Oli L rid Address - 17 . 1.50.5.e.9 . *too Date Called: Special Instructions:. 6,177 Date Wanted: . ?9 w Z air? Requester: 3- Phone No: 60of fo J DApproved per applicable codes.. DCorrections required prior to.approval. COMMENTS: Ul Inspector: 1 i) n REINSPECTION_ FEE REQUIRED. Prior to next inspection._ fee must be:. paid at 6300 Southcenter Blvd:. Suite 100. Call to schedule reinspection. . 6/2/2014 • City of Tukwila Department of Community Development JAY FIELD 5746 BOSTON HARBOR RD NE OLYMPIA, WA 98506 RE: Permit No. EL13-1312 MEDIFAST 17250 SOUTHCENTER PY, STE 100 Dear Permit Holder: Jim Haggerton, 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 7/26/2014. 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 7/26/2014, 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, Je Pe nife it Marshall echnician File 'L13-1312 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 NORTH PACIFIC ELECTRIC INC. 0 Washington State Department of Labor & Industries Page 1 of 3 NORTH PACIFIC ELECTRIC INC Owner or tradesperson Rodgers Kee & Pearson PS Principals Rodgers Kee & Pearson PS BERNHARD KULLMANN RICHARD DITLEVSON Doing business as NORTH PACIFIC ELECTRIC INC WA UBI No. 602 117 535 5746 BOSTON HARBOR RD OLYMPIA, WA98506 360-943-6020 THURSTON, County Business type Corporation Governing persons BERNHARDMKULLMAN License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. NORTHPE957JA Effective — expiration 04/01/2005 — 04/04/2015 Designated administrator KULLMANN, BERNHARD License type Master Electrician Bond OHIO CAS INS CO Bond account no. 3670240 Received by L&I 04/01/2005 Insurance No insurance accounts during the previous 6 year period. Savings No savings accounts during the previous 6 year period. Active. Meets current requirements. ACTIVE License no. KULLMBM974BU $4,000.00 Effective date 04/01/2005 httos://secure.lni.wa.gov/verify/Detail.aspx?UBI=602117535&amp;LIC=NORTHPE957JA&amp;S... 12/19/2013