HomeMy WebLinkAboutPermit EL14-1119 - LANG CONSTRUCTION - FEEDERS TO POWER POLELANG CONSTRUCTION
13048 56 AVE S
EL14-1119
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: 2172000256 Permit Number: EL14-1119
Address: 13048 56TH AVE S Unit1 Issue Date: 11/14/2014
Permit Expires On: 5/13/2015
Project Name: LANG CONSTRUCTION
Owner:
Name: GERALD KNUDSON
Address: 6402 S 144TH ST, TUKWILA, WA,
98188
Contact Person:
Name: CYNDI CAMBIA Phone: (253) 631-7750
Address: PO BOX 7087 , COVINGTON, WA,
98042
Contractor:
Name: PROVIDENT ELECTRIC INC Phone: (253) 631-7750
Address: PO BOX 7087 , COVINGTON, WA,
98042-0040
License No: PROVIEI103C2 Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADD (2) 50 AMP FEEDERS TO EXISTING POWER POLE.
Valuation of single family: $580.00
Valuation of mf/comm: $0.00
Type of Work: TEMP SERVICE
Fees Collected: $68.25
Electrical Service Provided by:
Water District:
Sewer District:
Current Codes adopted by the City of Tukwila:
International 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
2014
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 - and agree to the conditions attached to this permit.
Signature: Date: // z0—/5`
PrintN 3u�><c
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: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
4: 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.
5: 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.
6: 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
Parcel No:
Address:
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
3597000091
14753 62ND AVE S
Project Name: LANG CONSTRUCTION
ELECTRICAL OTC PERMIT
Permit Number: EL14-1119
Issue Date: 11/14/2014
Permit Expires On: 5/13/2015
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
CONSTRUCTION CARY LANG
29815 24TH AVE SW , FEDERAL WAY,
WA, 98023
CYNDI CAMBIA
PO BOX 7087 , COVINGTON, WA,
98042
PROVIDENT ELECTRIC INC
PO BOX 7087 , COVINGTON, WA,
98042-0040
PROVIEI103C2
1,1
Phone: (253) 631-7750
Phone: (253) 631-7750
Expiration Date:
DESCRIPTION OF WORK:
ADD (2) 50 AMP FEEDERS TO EXISTING POWER POLE.
Valuation of single family: $580.00
Valuation of mf/comm: $0.00
Type of Work: TEMP SERVICE
Fees Collected: $68.25
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2014
2012
Permit Center Authorized Signature:
Date: l �1 11/1
I hearby certify that I have read and examined this permit and know the same to be true and correct. All
provisions of law and ordinances governing this work will be complied with, whether specified herein or not.
The granting of this permit does not presume to give authority to violate or cancel the provisions of any other
state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature: % Date: // /c��/
Print Name: O/$ 6' - TT \
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: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
4: 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.
5: 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.
6: 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://' ww.Tukwi1aWA.gov
Electrical Permit No. al I I 1
Project No.
Date Application Accepted: II 1 4 t 9
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
Site Address: 14753 62ND AVE S
King Co Assessor's Tax No.: 1 bO OO'1
Suite Number: Floor:
Tenant Name: CARY LANG CONSTRUCTION
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:. CYNDI CAMBIA
Address: PO BOX 7087
City: COBINGTON
State: WA
Zip: 98042
Phone: (253) 631-7750
Fax: (253)
631-7754
Email:
New Tenant: ❑ Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: PROVIDENT ELECTRIC INC
Address: PO BOX 7087
City: COVINGTON State: WA Zip: 98042
Phone: (253) 631-7750 Fax: (253) 631-7754
Contr Reg No.: Exp Date:
Tukwila Business License No.; BUS-0994034
Valuation of Project (contractor's bid price): $ 580
Scope of Work (please provide detailed information): ADDING (2) 50AMP FEEDERS TO EXISTING POWER
POLE.
Will service be altered? ❑ Yes m No
Adding more than 50 amps? ❑ Yes ❑ No
Type of Use: TEMP POWER
Type of work:
m New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
2 Puget Sound Energy ❑ Seattle City Light
H:\Applications\Form-Applications On Line\2014 Applications \Electrical Permit Application Revised I-1-14.docx
Revised- Januar,- 2014
bit
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
***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: /� p� �M �,y, �^,, 1 �)
Print Name: V 1 1 ( V Ce ► r ' YO ► Day Telephone: 2- 7 L3 11 `�)
Mailing Address: Pb P346 110C1- C1NIv-1tvl W t 11 9
Ci State Zip
H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14. docc
Revised: January 2014
bh
Date: ` 1'I `l
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT QUANTITY
PAID
PermitTRAK
68.25
EL14-1119
Address: 14753 62ND AVE S Apn: 3597000091
$68.25
ELECTRICAL
$65.00
PERMIT FEE MISCELLANEOUS
R000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R3570
R000.322.900.04.00
0.00
$3.25
$68.25
Date Paid: Friday, November 14, 2014
Paid By: PROVIDENT ELECTRIC INC
Pay Method: CHECK 3205
Printed: Friday, November 14, 2014 2:54 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO, PERMIT NO. f
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
6 (Li- it
Project; Ai A i
IN L/ej&isr.
Type of Inspectio
Address; /50 ify 57 /W.
Date Called:
Special Instructions:
Date Wanted:
t 1 2-1
6.....r.bi
P.m.
Reque er:
Phone No:
DziApproved per applicable codes.
COMMENTS:
EJCorrections required prior to approval.
\ •4 t •
\r-J
,NAt/
inspector:
.J11 DtriAlt-c
Date: fffi_-i/I'/
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: http://www.TukwilaWA.gov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
Date: 1\ 112oIL
Plan Check/Permit Number:
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
la Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
Project Name: LAN) ( C,) JGlal C,1 ON
Project Address:
Contact Person:
dt ounkflay
Summary of Revision:
P\it Cmree- attti -0
•
Phone Number:-7%G
I NP-1) (p1-,-vb s .
Sheet Number(s):
"Cloud" or highlight all areas of revision including date of revision
Received at the City of Tukwila Permit Center by:
Entered in TRAKiT on
C:\Users\Jennifer-m\AppData\Local\Microsoft\Windows\Temporary Internet Files \Content.Outlook\DBTRCME6\Revision Submittal Form.doc
Revised: March 2014
PROVIDENT ELECTRIC INC
Page 1 of 4
10 Washington State Department of
Labor & Industries
PROVIDENT ELECTRIC INC
Owner or tradesperson
OLSON, ALAN W
Principals
OLSON, ALAN W, PRESIDENT
OLSON, Judith E, VICE PRESIDENT
SHEWCHUK, ALLAN S, SECRETARY
Shewchuk, Bejamin M, TREASURER
Regeimbal Mcdonald PLLC, AGENT
MICHAEL REGEIMBAL INC, AGENT
(End: 02/01/2012)
SHEWCHUK, ELIZABETH A
(End: 02/07/2012)
Doing business as
PROVIDENT ELECTRIC INC
WA UBI No.
601 217 805
PO BOX 7087
COVINGTON, WA98042
253-631-7750
KING County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
PROVIEI103C2
Effective — expiration
02/22/1990— 02/22/2016
Designated administrator
OLSON, ALAN
License type
Master Electrician
Bond
No bond accounts during the previous 6 year period.
Savings
(in lieu of bond)
Savings account ID
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
OLSONA*9710W
$4,000.00
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601217805&LIC=PROVIEI 103 C2&SAW= 11/14/2014