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Permit EL14-0421 - HAND & STONE - LIGHTING AND RECEPTACLES
HAND & STONE 17100 SOUThCENTER PKWY sur11E 136 EL1 4-0421 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 Parcel No: 7888920020 Address: ELECTRICAL OTC PERMIT Permit Number: EL14-0421 17100 SOUTHCENTER PKWY 136 Issue Date: 4/30/2014 Permit Expires On: 10/27/2014 Project Name: HAND & STONE Owner: Name: WIG PROPERTIES LLC-SS Address: 4811 134TH PL SE , BELLEVUE, WA, 98006 Contact Person: Name: BERNIE KULLMANN Phone: (360) 943-6020 Address: 5746 BOSTON HARBOR RD NE , OLYMPIA, WA, 98506 Contractor: Name: NORTH PACIFIC ELECTRIC INC Phone: (360) 943-6020 Address: 5746 BOSTON HARBOR RD, OLYMPIA, WA, 98506 License No: NORTHPE957JA Expiration Date: 4/4/2015 Lender: Name: Address: III DESCRIPTION OF WORK: LIGHTING AND RECEPTACLES PER PLAN, HVAC EXISTING, SERVICE 200 AMP 3 PHASE EXISTING Valuation of single family: $0.00 Valuation of mf/comm: $21,000.00 Type of Work: TENANT IMP Fees Collected: $489.83 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: I La Date: Lt—'.2)0—( 1 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 conditio attached to this permit. Signature: Date: ran 4, aO/Y Print Name: V/ c-T " ,.l ( ELL) 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 TUKV ".A Community Develop»..,,rt Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://vvww.TukwilaWA.gov Electrical Pt. mit No. Project No. Date Application Accepted: Date Application Expires: (For once 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.: Coite Address: / 1/ 00 S0L7 Fm � r �^�� N S/ 3% / 3 �L, f Suite Number: Floor: Tenant Name: /1 /1N0 ST0 f L New Tenant: Yes ❑ .. No PROPERTY OWNER Name: f,v7DN bi< G- Address: City:gE/ L. eVUL State:,i' Zip: CONTACT PERSON — person receiving all project communication Name: 13, 7,, l L k-c3` N1, {✓li Address: S --f_ct(e,/1,)�A., ,6,R8,A, 46 itiE City: o t /' ? ((% State: t Zip: O S Phone:36o S5,3^o2c Fax:30^ 9v3-6864 EmaiAK%rime/FtLeucer CIe la,4-sr: NET ELECTRICAL CONTRACTOR INFORMATION Company Name: t 1ws. RIc1fie_ ao_ lc..4,c Address:5 . 450S 7„N /19�4,60,2 A b AJ 6. t City: Ot icM /044... State:1,),q Zip: P..S06 Phone:360,9vs, 6020 Fax: 360_ 25/3-6$ecZ Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ c2 6 00 0 o- Scope of Work (please provide detailed information): t (r t 77rJCi— 4cA9 /76 Q /PC -v' /-0U4-c S refx)Gr sn x (cc---',� 3 e/r�.5�r,✓6- Will service be altered?i Yes No Adding more than 50 amps? ❑ Yes No ,f Type of Use: -('1-f— /Ylfl'SS &- 7 Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh ❑ Remodel Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $152.85 (including an attached garage) O Garages, pools, spas and outbuildings $81.90 ea O 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) O 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 0 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 ***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: `(/ /'� /y (/!/ Date: Print Name: I *2 -? f r` C �—� Day Telephone: 3&° - O ( /© %7 �P Mailing Address: ,5"''F y ' Bc s7eni 1{fRB0,4, i D &1 E 3o rgP,,P City State Zip H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT PermitTRAK QUANTITY I PAID $489.83 EL14-0421 Address: 17100 SOUTHCENTER PKWY 136 Apn: 7888920020 $489.83 ELECTRICAL $466.50 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 $466.50 TECHNOLOGY FEE $23.33 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R1983 $23.33 $489.83 Date Paid: Wednesday, April 30, 2014 Paid By: NORTH PACIFIC ELECTRIC INC Pay Method: CHECK 17648 Printed: Wednesday, April 30, 2014 2:28 PM 1 of 1 SYSTEMS Retain a copy with permit INSPECTION RECORD (U1-0111 INSPEC ION N0. 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: 1�ya--37-WE Type of Inspection: /rtAlki,- Address: /7'j05.6 • [jY Date Called: Special Instructions:i3f Date Wanted: /i.7 tn Requester: i- Phone No: ;c 1 444 c 2.77 clApproved per applicable codes. COMMENTS: Corrections required prior to approval. - rii44/ Inspector: di;;iittjAIK REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Date: 3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. f-otz4 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: 1 /D4- STo nit Type of Inspection: /�/7 ' } /cvti4(-i- Iry Address: /71oo.5-C.. rf. Date Called: Special Instructions: 3� Date Wanted: lo� a.m.. p.m. Requester: Phone No: Approved per applicable codes. D Corrections required prior to approval. COMMENTS: :r_..1:/c. 4,5 14,-k) I n CV = 1- art4 ca(K\ - < a44 /I (.;1\,67-i, Jar- j Inspector: N1II' Date: „ /h tif t r REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit etAti-difq 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: t J_ Yd to ��tD nl !� /1�t/i Type of Inspection: iJ ri' ! I% Address: /paocs Gi- Date Called: ....--.. Special Instructions:' ,Z `�1 1 Date Wanted: /� ((7 Ca:� p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ` — Abbti1on/ r CoAl4t r su fDerr R ou(K-6.) IA & i b r--&r1 - 7-7614- `-4 3/40 4AiJt S Inspector: \ft/4-449 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Date: 06 Q/ i INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 431-2451 (u1/- ay/ Project: dfri (/TYpe NC of Inspect n Vd i /�Jr)j'�' ( � C)V14, // Address: 171o0.'C P7' Date Called: l ___. Special Instructions: f Date Wanted: 2.0 (a:m. `p-�i' Requester: Phone No: NApproved per applicable codes. Corrections required prior to approval. COMMENTS: i, /7 1/1 _ St 6 C d6.1tt5 s4D To . 5 k I r LApw c.v./6s, Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. inspe ctor: 4-r NORTH PACIFIC ELECTRIC INC Page 1 of 3 0 Washington State Depar h lent of Labor & Industries NORTH PACIFIC ELECTRIC INC Owner or tradesperson KULLMANN, BERNHARD M Principals KULLMANN, BERNHARD M, PRESIDENT Rodgers Kee & Pearson PS, AGENT DITLEVSON, RICHARD, AGENT (End: 03/22/2011) C Scott Kee, AGENT (End: 04/09/2013) 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 License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. 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 Active. Meets current requirements. License no. KULLMBM974BU $4,000.00 Effective date 04/01/2005 No insurance accounts during the previous 6 year period. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602117535&LIC=NORTHPE957JA&SAW= 04/30/2014