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Home My WebLink AboutPermit EL15-0103 - KOTIS DESIGN - ELECTRICAL TO MECHANICAL EQUIPMENT LOADSKOTIS DESIGN 1165 ANDOVER PARK W EL15-0103 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: 3523049097 Permit Number: EL15-0103 Address: 1165 ANDOVER PARK W Issue Date: 2/3/2015 Permit Expires On: 8/2/2015 Project Name: KOTIS DESIGN Owner: Name: CWWA SOUTHCENTER 4 LLC Address: PO BOX B-3879 C/O EQUITY OFFICE MGMT LLC, CHICAGO, WA, 60690 Contact Person: Name: IAN DOHERTY Phone: (206) 409-5670 Address: 1165 ANDOVER PK W , TUKWILA, WA, 98188 Contractor: Name: SCRIBNER ELECTRIC INC Phone: (206) 718-0904 Address: PO BOX 1844, ISSAQUAH, WA, 98027 License No: SCRIBE1953DW Expiration Date: Lender: Name: Address: , DESCRIPTION OF WORK: FURNISH AND INSTALL NEW ELECTRICAL CONNECTIONS TO MECHANICAL EQUIPMENT LOADS. Valuation of single family: $0.00 Fees Collected: $147.21 Valuation of mf/comm: $2,100.00 Type of Work: TENANT IMP 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: 2012 National Electrical Code: 2014 International Residential Code Edition: 2012 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2012 WAC 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: Date: / ' 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: i' � Print Name: �/ A7Q A-U,' IS & IZ)� Date: _ 7� 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 http://www.Tukwi]aWA.pov Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: use 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 /j King Co Assessor's Tax No.: Site Address: / / /'rN bV n- Pwzk W , Suite Number: Floor: Tenant Name: _ f� T� �✓ zoo Si6N New Tenant: ❑ Yes ..No PROPERTY' OWNER Name: C LV PJA — �`� j `� C� �C Address: G t��' X-TY 4- --F[C� P�,�3Qx 8.3 1 /0 "z City: C J C State Zip: D i CONTACT PERSON — person receiving all project communication Name: 1 AID Dj C,�j k0171,' -5j6n1 Address: l 166- ANkv04 p04 k IV, '3& 13 City: E k /A, State: WA. Zip: Phone: •'?�,/ ,r fnF� Y.� Fax: N Email: C7�•� 6� ELECTRICAL CONTRACTOR INFORMATION Company Name: N��a 67 C Address: '?,O OcX 444 City: �V� State: Zip: CFW7 Phone: g&,7iJ_M6q Fax: 426--7SI_ gtof Contr Reg No.: 4,CR % r3tE�C953 ;� �cp Date: `Z �j - U. Tukwila Business License No.; �W Valuation of Project (contractor's bid price): $ Af 00. 00 Scope of Work (please provide detailed information): rt'12M44 llw C >--J/QA9-t,77" A0 "Vi ,oAV-WT Low 5 Will service be altered? ❑ Yes Type of Use: No X Adding more than 50 amps? ElYes No Tyne of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel X Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Vr Puget Sound Energy ❑ . Seattle City Light H:\ApplicationsTotms-Applications On Linc\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bb Page 1 of 2 1�5r 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) PERMIT APPLICATION NOTES - MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. -� 2106, 00 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*** 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: Print Name: tq /174 Q e— 10e Day Telephone:6�— 9q Mailing Address: • g6%� 07 AZ - / D,02 % City State Zip H:\Applications\Forms-Applications On Line\2014 ApplicationsMectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS• PermitTRAK QUANTITY PAID $147.21 EL15-0103 Address: 1165 ANDOVER PARK W Apn: 3523049097 $147.21 ELECTRICAL $140.20 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $140.20 TECHNOLOGY FEE $7.01 TECHNOLOGY FEE TOTAL''R4441 R000.322.900.04.00 0.00 $7.01 $147.21 Date Paid: Tuesday, February 03, 2015 Paid By: SCRIBNER ELECTRIC INC Pay Method: CREDIT CARD 413075 Printed: Tuesday, February 03, 2015 12:57 PM 1 of 1 SYSTEMS INSPECTION RECORD ........... .. Retain a copy with permit INSPECTION NO. PERMIT NO.' CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WAS 98188 Permit Inspection Request Line (206) 438-9350 DIVISION (206) 431-3671 Project: {�A�15 �� Type of Inspection' Address: Date Called: Special Instructions'. 0tw k tp� Date Wanted'. a,rn. Requester ALA V F one No: -7(3 070 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. SCRIBNER ELECTRIC INCORPOP '\TED Page 1 of 2 Home 'IriiciocnP�panol Contact SearchL&1 �� A-/ Index Help My Secure 1,80 Safety Claims & Insurance Workplace Rights Trades & Licensing SCRIBNER ELECTRIC INCORPORATED Owner or tradesperson PO BOX 1844 SCRIBNER, JACE E ISSAQUAH, WA98027 206-718-0904 Principals KING County SCRIBNER, JACE E, PRESIDENT SCRIBNER, JACE E, AGENT Doing business as SCRIBNER ELECTRIC INCORPORATED WA UBI No. Business type 602 476 230 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. SCRIBE1953DW Effective — expiration 03116/2005— 03/30/2015 Designated administrator SCRIBNER, JACE E License type Master Electrician Bond ................. CBIC Bond account no. SGO177 Received by L&I 03116/2005 Savings No savings accounts during the previous 6 year period. License Violations . .-........................."....................... Infraction no. EJORP06022 Issue date 04/15/2014 Violation city WOODINVILLE Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, Active. Meets current requirements. License no. SCRIBJE968J7 $4,000.00 Effective date 02/28/2006 Expiration date Until Canceled Satisfied .......1............ -- RCW/WAC 19.28.101 RCW Violation amount $500.00 https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602475230&LIC=SCRIBEI953DW&SAW= 02/03/2015 SCRIBNER ELECTRIC INCORPOR A TED whichever occurs first as referenced in WAk 296468-901. Page 2 of 2 Infraction no. EMOMJ00399 Satisfied ...................... Issue date RCW(WAC 10/25/2011 19.28.101 RCW Violation city Violation amount Woodinville $250.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 29646B-900(10)(a), effective after 12/30/2008 see WAC 29646B-901(10)(a). ......... Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. This company has multiple workers' comp accounts. Active accounts L&I Account ID Account is current. 254,190-00 ...................... Doing business as SCRIBNER ELECTRIC INCORPORATED Estimated workers reported Pending current quarter filing L&I account representative T2 / MATT PEDERSEN (360)902-5476 - Email: PEDM235@lni.wa.gov Track this contractor 0;. Workplace safety and health No inspections during the previous 6 year period. q) Washington State Dept. of Labor & Industries. Use or this site is subject to the laws of the state of Washington. Access li'ashin�ls}n"` c;±:.;h� Stak tz,emnxnCn4t sflc https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602475230&LIC=SCRIBEI953DW&SAW= 02/03/2015