HomeMy WebLinkAboutPermit EL14-0109 - WASHINGTON STATE NURSES ASSOCIATION - LIGHTING, SWITCHES AND RECEPTACLESWASHINFTON STATE
NURSES ASSOC
575 ANDOVER PARK W
EL14-0109
i
Parcel No:
Address:
Project Name:
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
2623049144
575 ANDOVER PARK W
WASHINGTON STATE NURSES ASSOC
Permit Number: EL14-0109
Issue Date: 2/6/2014
Permit Expires On: 8/5/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SOUTHCENTER CORPORATE SQUAR
150 CALIFORNIA ST, SAN FRANCISCO,
WA, 94111
STEVE MARTINEAU
900 N 34TH ST, SEATTLE, WA, 98103
TITAN ELECTRIC INC
900 N 34 ST, SUITE 108 , SEATTLE, WA,
98103
TITANEI9630B
1 / 1
Phone: (206) 633-2811
Phone: (206) 633-2811
Expiration Date: 9/2/2014
DESCRIPTION OF WORK:
TENANT IMPROVEMENT, LIGHTS, SWITCHES AND RECEPTACLES
Valuation of single family: $0.00
Valuation of mf/comm: $27,818.00
Type of Work: TENANT IMP
Fees Collected: $619.92
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
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Permit Center Authorized Signature:
Date: Ccal/G(0/7Y
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:
7
Print Name: kAirtie.. Ca?
Date:
Date: 4/6/,20/41
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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn://www.ci.tukwila.wa.us
Electrical Permit No. I% J 9 Q / y
Project No.
(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
Site Address: 575 Andover Park West
King Co Assessor's Tax No.:
Suite Number:
Tenant Name: Washington State Nurses Association New Tenant: ❑ Yes ®..No
Property owners Name: Pinnacle Family of Companies
Mailing Address: 810 Third Ave.Suite 140
Floor: 1 St
Seattle
City
WA
State
98104
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: Steve Martineau/ Titan Electric
Mailing Address: 900 N.34th Street
E-Mail Address: stevenm@titanelectric.net
Day Telephone: (206) 459-8586
Seattle WA 98103
City State
Fax Number: (206) 374-2128
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Titan Electric
Mailing Address: 900 N.34th Street
Contact Person: Darren Brocksmith
E-Mail Address: darrenb@titanelectric.net
Contractor Registration Number: TitanEI963OB
Seattle
City
WA 98103
State Zip
Day Telephone: (206)633-2811
Fax Number: (206)374-2128
Expiration Date: 9/2/2014
Valuation of Project (contractor's bid price): $ 27,818.00
Scope of Work (please provide detailed information): Tenant Improvement.) ights$witehes and Reeeptarle.s
Will service be altered? ❑ Yes El No Adding more than 50 amps? ❑ Yes El No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
El Puget Sound Energy
❑ Seattle City Light
❑ Remodel 1 Tenant Improvement
❑ Telecommunication ❑ Temporary Service
H AApplications\Forms-Applications On Line\4-2007 - Electrical Permit Application.doc
bit
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change $50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Meter/mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
PERMIT APPLICATION NOTES-
IDate Application Accepted:
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: Steve Martineau
Mailing Address: 900 N.34th Street
not/6//y
Date: 2/4/2014
Day Telephone:
Seattle
City
WA 98103
State Zip
Date Application Expires:
Staff Initials: l 612
H:\Applications\Forms-Applications On Line\4-2007 - Electrical Permit Application.doc
bh
Page 2 of 2
DESCRIPTIONS
Cash Register Receipt
City of Tukwila
I ACCOUNT I QUANTITY PAID
PermitTRAK
61992
EL14-0109 Address: 575 ANDOVER PARK W Apn: 2623049144
$619.92
ELECTRICAL
$590.40
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$590.40
TECHNOLOGY FEE
$29.52
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R1097
R000.322.900.04.00
$29.52
$619.92
Date Paid: Thursday, February 06, 2014
Paid By: TITAN ELECTRIC INC
Pay Method: CHECK 16367
Printed: Thursday, February 06, 2014 11:10 AM 1 of 1
CRWSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ofo!
PERMIT NOI
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: � C� i��C
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Type; of Inspection: ��
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Address: 57� -P1
Date Called:
Special Instructions:
x m Jo
Date Wanted:
3 O
a.m
.m.
Requester:
Phone No:
70g 3641 I
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
-r(ALift,/
'l/
Date: 034 3 /i
t
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
PERMIT NO
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
INSPECTION RECORD Li
Retain a copy with permit ��
Permit Inspection Request Line (206) 431-2451
Project:
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Type of Inspection:
�utt�-t tom!/3
Address: 57� j
Date Called:
Special Instructions:
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371 777�
Date Wanted:
a m.
m. p.
Requester:
,
Phone No:
7°8 Jv
vgApproved per applicable codes.
COMMENTS: -
/
Corrections required prior to approval.
eo14.
Scab C: r5
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Date: 02 24.
j
I REINSPECTION FEE REQUIRED. Priorto next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedulereinspection.
Inspector:
TITAN ELECTRIC INC
Page 1 of 7
Washington State Department of
Labor & Industries
TITAN ELECTRIC INC
Owner or tradesperson
FUNG, LAWRENCE H
Principals
FUNG, LAWRENCE H
PATRICK BURKE
LAWRENCE FUNG
TRAVIS CROOK
Doing business as
TITAN ELECTRIC INC
WA UBI No.
602 250 925
900 N 34TH STE 108
SEATTLE, WA98103
206-633-2811
KING, County
Business type
Corporation
Governing persons
LAWRENCEMFUNG
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
TITANE19630B
Effective — expiration
09/02/2004 — 09/02/2014
Active.
Meets current requirements.
Designated administrator ACTIVE
CROOK, TRAVIS
License type License no.
Electrical Administrator CROOKT*011 PB
Bond
Lexon Ins Co $4,000.00
Bond account no.
9808431
Received by L&I Effective date
08/08/2011 08/03/2011
Insurance
No insurance accounts during the previous 6 year period.
Savings
No savings accounts during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602250925&LIC=TITANEI963OB&SAW= 02/06/2014