HomeMy WebLinkAboutPermit EL14-0382 - DYNAMIC LANGUAGE - VOICE AND DATA CABLEDYNAMIC LANGUAGE
15215 52 AVE S
EL1 4-0382
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: 1157200017 Permit Number: EL14-0382
Address: 15215 52 AVE S Issue Date: 4/23/2014
Permit Expires On: 10/20/2014
Project Name: DYNAMIC LANGUAGE
Owner:
Name: ANTEZANA INVESTMENTS LLC
Address: 15215 52ND AVE S , TUKWILA, WA,
98188
Contact Person:
Name: TOM MORRELL Phone: (206) 227-4457
Address: 20517 150 AVE SE , MONROE, WA,
98272
Contractor:
Name: PUGET SOUND CONT & ELECT LLC Phone: (253) 851-7252
Address: PO BOX 593 , GIG HARBOR, WA,
98335
License No: PUGETSC88900 Expiration Date: 9/20/2014
Lender:
Name:
Address:
DESCRIPTION OF WORK:
PULLING NEW VOICE AND DATA TO CUSTOMER SPECIFIED OUTLETS
Valuation of single family: $0.00
Valuation of mf/comm: $3,000.00
Type of Work: LOW VOLTAGE
Fees Collected: $147.21
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
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: —���
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: Date:t- \9--\'2.-0?Print Name: C 1-el.:,a
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 TUI .LA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical _-ermit No. 03 82,
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: 2 S S `Lh N Suite Number:2-c
Tenant Name:
PROPERTY OWNER
Name:
��ti.sc
l
Address: \ S 2 \
S '' 2 ,p\�
i
City. y\c, ,L, l-
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: 1
OC"---, 'M%QSn�\\
,Address: -20 %7 / � Z /(� L`Z 9
City: /otj� Sta✓te: f _ /�}�J Zip
l/�` /
Z72
Phone:„ 22 Fax:
'-) - Nv. S'1
Email: ,•"r-
/'8Z �d inre✓ Y 4', e. , c'i
Floor:
New Tenant: ❑ Yes .. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
V � w\ q
ca-d\-\ C 5
<—
Address: U
City State, Zip:
6..�\>,,Wwt,�
N4'.
Phone:-'\ '$ ) ` '7 252 Fax:
Contr Reg No.:�o v_—\ c ato,1\,t..Exp Date: (S)1,91`
Tukwila Business License No.;
So-,.,, l..F.GI
Valuation of Project (contractor's bid price): $ 3
(2\q 0-( uv--r_ al Y c7�cZ
Scope of Work (please provide detailed information):
,S( Z C
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
D New D Addition ❑ Service Change 0 Remodel ❑ Tenant Improvement
�-0 Low Voltage ❑ Generator ❑ Fire Alarm —® Telecommunication 0 Temporary Service
Property Served by:
0 Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.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
0 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
***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 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: d
Mailing Address:\\--)`D"A c1�
Date: ) 21 20\ v\
Day Telephone:
City State Zip
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-I-14.docx
Revised: July 2013
bh
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY PAID
$147.21
EL14-0382 Address: 15215 52 AVE S
Apn: 1157200017
$147.21
ELECTRICAL
$140.20
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$140.20
TECHNOLOGY FEE
$7.01
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R1893 .
R000.322 900 04.00
$7.01
$147.21
Date Paid: Wednesday, April 23, 2014
Paid By: PUGET SOUND CONT & ELECT LLC
Pay Method: CHECK 10469
Printed: Wednesday, April 23, 2014 10:55 AM 1 of 1
CRWSYSTEMS
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
Project: /
DIA/41leili1el‘O% C
Type of Inspection:
/
n/ '
Address: `
15-1/cSZ 416_
Date Called:
'
Special Instructions:
Date Wanted:
I
/Z�
(� m.
Requester:
(
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
t( t,,,v,
Inspector:/
St
, , Date: Af /
i/Mhi
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
2_
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
64-03gt_
Project: bid1A Mtn J ,�.�J� J ��
1 V �
Type of Inspection:
j f\ �
�� fN )
Address: ' ? Jc52
, /
Date Called:
'
Special Instructions:
-.
Date Wanted:
`r!-
(p K,
a rr.
.m.
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
4
( f/
C/ - C itA vt
- m'1
Inspector:
�'jC �k Date: 0/
ta
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
aiLf-d3g1,,
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: •,\ j(,1� J
rC, bk.�f
Type of Inspection: /`j
I' atoll
Address: / /
Date Called:
Special Instructions:
1p A r i k
Date Wanted:
if
a3 .m-'
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
l)„t
661wiict
Ko✓ IAJ
Inspector:.
fri)(WAlek
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
PUGET SOUND CONT & ELECT T LC
Page 1 of 2
4.4 Washington State Department of
Labor & Industries
PUGET SOUND CONT & ELECT LLC
Owner or tradesperson
TROWBRIDGE, ROD V
Principals
TROWBRIDGE, ROD V TROWBRIDGE,
MELISSA C
Doing business as
PUGET SOUND CONT & ELECT LLC
WA UBI No.
602 313 718
P 0 BOX 593
GIG HARBOR, WA98335
253-851-7252
PIERCE County
Business type
Limited Liability Company
Governing persons
MELISSA C TROWBRIDGE ROD V TROWBRIDGE;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
PUGETSC88900
Effective — expiration
09/20/2012 — 09/20/2014
Designated administrator
TROWBRIDGE, ROD
License type
Master Electrician
Bond
.................
Wesco Insurance Co
Bond account no.
46wb005538
Received by L&I
09/20/2012
Insurance
No insurance accounts during the previous 6 year period.
Savings
No savings accounts during the previous 6 year period.
License Violations
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
TROWBR*967NU
$4, 000.00
Effective date
09/19/2012
No license violations during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602313718&LIC=PUGETSC88900&SAW= 04/23/2014