HomeMy WebLinkAboutPermit EL15-0256 - KNUDSON LOT 2 - UNDERGROUND SERVICETUKWILA LOT 2
1305656 TH AVE s
EL15-0256
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: 2172000252
Address: 13056 56TH AVE S
Project Name: TUKWILA LOT 2
ELECTRICAL OTC PERMIT
Permit Number: EL15-0256
Issue Date: 3/23/2015
Permit Expires On: 9/19/2015
Owner:
Name:
GERALD KNUDSON
Address:
6402 S 144TH ST, TUKWILA, WA,
98188
Contact Person:
Name:
RACHEL
Phone: (253) 848-5595
Address:
MERIDIAN CENTER ELECTRIC 11109
66TH AVE E, PUYALLUP, WA, 98373
Contractor:
Name:
MERIDIAN CENTER ELECTRIC INC
Phone: (253) 848-5595
Address:
1109 66TH AVE E , PUYALLUP, WA,
98373
License No:
MERIDCE318SG
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALL NEW 200 AMP UNDERGROUND SERVICE
Valuation of single family: $6,500.00 Fees Collected: $160.49
Valuation of mf/comm: $0.00
Type of Work: NEW Electrical Service Provided by:
Water District:
Sewer District:
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 296-4613:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
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:
Print Nam,
Date: 3- 23 ' 1 S
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 Bivd., Suite 100
Tukwila, IVA 98188
http://vvNA w.TukwilaWA.t ov
SITE LOCATION
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
ELECTRICAL PERMIT APPLICATION
Applications and plans trust be complete in order to be accepted for plan review.
Applications will not be accepted through the mail or by fax.
**Please Print**
King Co Assessor's Tax No.:
Site Address: e \�r /� Q�h` ��� Suite Number: Floor:
Tenant Name: 0-t 02- New Tenant: ❑ .....Yes [-]..No
PROPERTY OWNER
Name: rO `/
Address: r�q1 , 'fir,
City: 1 State: ZipfJ��(j1&
V
CONTACT PERSON — person receiving all project
communication
Name:
Address: ke
"p G
lY,,
City: vI,
1
State: Zip: Q�
1 vV� 1
Phone66-�
-ax:
S5�
Email:
C ekk C U
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
�&an C,
Address:
�h 'e
City: �1 /I 1
1
Zip:
State: C1•
Phone:
ax: 22•,'J , O9q Z.
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ ^ 0
Scope of Work (please provide detailed information): Wu) /�o*�f- � l co s Y C w b o 11 �/�
Will service be altered? ❑ Yes dNo Adding more than 50 amps? CdYes ❑ No
Type of Use:
Tvpe of work:
Ei New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
PTOPCI'tY 5erved by:
Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\ icorical Permit Application Revised 1-1-14.docx
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Page] of 2
M
RESIDENTIAL
NEN4' RESIDENTIAL SERVICE
[v� 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.
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. 201.4 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 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date:0"U5
Print Name:�Day Telephone.
Mailing Address:-Mn (01y\ b901 I I(A p )N(� " l�
I l:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
PAID
$160.49
EL15-0256 Address: 13056 56TH AVE S Apn: 2172000252
$160.49
ELECTRICAL
$152.85
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$152.85
TECHNOLOGY FEE
$7.64
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: '$160.49
R000.322.900.04.00 0.00
$7.64
Date Paid: Monday, March 23, 2015
Paid By: MERIDIAN CENTER ELECTRIC INC
Pay Method: CHECK 7296
Printed: Monday, March 23, 2015 12:37 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit�'OZ`)
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 �]�%,
Permit Inspection Request Line (206) 438-9350 0
Project:
� ��� Gar Z
Type of Inspection:
Address: / 5
Date Called:
Special Instructions:
Date Wanted: a.m
LD m.
Requester:
Phone No:
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 N0. - PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd- #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: / Z
V I� - 7
Type of Inspection:
Address: / �Oq 5 Av�
Date Called:
Special Instructions:
Date Wanted: a.m.
Requester:
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
Inspector: Date:
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 permiti
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDI . NG DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspitction Request Line (206) 438-9350
_Z
Projects ,. A) 07
ton,
Type 01 "IiPe5
Address:
Date Called:
speci7a instructions:
Date Wante
Requester
Pgone No:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection,
I
V11
MERIDIAN CENTER ELECTRIC FKTC
Page 1 of 4
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MERIDIAN CENTER ELECTRIC INC
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Owner or tradesperson 11109 66th Ave E
DILLARD, GREG PUYALLUP, WA98373
253-848-5595
Principals PIERCE County
DILLARD, GREG, PRESIDENT
Bates, Mark, VICE PRESIDENT
Magee, Shile, VICE PRESIDENT
Westendorf, Carmen, SECRETARY
Westendorf, Carmen r, AGENT
ZACHER, GERALD, MEMBER
Adkins, Brian, VICE PRESIDENT
(End: 04/13/2012)
Theriault, James, VICE PRESIDENT
(End: 04/13/2012)
Doing business as
MERIDIAN CENTER ELECTRIC INC
WA UBI No. Business type
600 278 577 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.
MERIDCE318SG
Effective — expiration
01/07/1969— 02/28/2017
Designated administrator
DILLARD, GREGORY P.....
License type
Master Electrician
Bond
TRAVELERS CAS & SURETY CO
Bond account no.
206847416
Received by L&I
02/06/2001
Active.
Meets current requirements.
License no.
DILLAGP963UH
$4,000.00
Effective date
04/01 /2001
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600278577&LIC=MERIDCE318SG&SAW= 3/23/2015
MERIDIAN CENTER ELECTRIC I'Nlr
License Violations
...............................1........- ..........
Page 2 of 4
Infraction no.
EMIG000216
Issue date
01 /26/2015
Violation city
PUYALLUP
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
296-46 B-901.
Satisfied
...........................
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Infraction no.
EJORP06014
Satisfied
Issue date
RCW/WAC
04/09/2014
19.28.101 RCW
Violation city
Violation amount
PUYALLUP
$1,000.00
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electricalltelecommunication
installation or alteration as referenced in WAC
296-4613-901.
Infraction no.
EPAUC00643
Satisfied
Issue date
RCW/WAC
05/16/2013
19.28.101 RCW
Violation city
Violation amount
PUYALLUP
$100.00
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electricalltelecommunication
installation or alteration as referenced in WAC
296-46B-901. - Class B label not validated
Infraction no.
EPAUC00640
Satisfied
.........................
Issue date
RCW/WAC
05116/2013
19.28.101 RCW
Violation city
Violation amount
PUYALLUP
$250.00
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
Installation or alteration as referenced in WAC
296-4613-901. - Class B label not validated
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=600278577&LIC=MERIDCE318SG&SAW= 3/23/2015
MERIDIAN CENTER ELECTRIC TT.TC
Page 3 of 4
Infraction no.
EMOMJ00394
Issue date
10/20/2011
Violation city
Puyallup
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
296-46B-900(10)(a), effective after 12/30/2008
see WAC 296-46B-901(10)(a).
Infraction no.
EWIMKO0269
Issue date
08/11/2011
Violation city
PUYALLUP
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-466-900
(3)(6), effective after 12/30/2008 see WAC 296-
46E-901(3)(6).
Satisfied
....... ........... ...........
RCW/WAC
19.28.101 RCW
Violation amount
$500.00
Satisfied
...........................
RCWIWAC
19.28.101 RCW
Violation amount
$1,000.00
Infraction no.
EWIMKO0268
Satisfied
...............
Issue date
RCW/WAC
08/11/2011
19.28.101 RCW
Violation city
Violation amount
PUYALLUP
$250.00
Type of violation
ELECTRICAL CITATION
Description
Covering or concealing installations prior to
inspection.
Infraction no.
EHRAL00839
Satisfied
.........................
Issue date
RCW/WAC
10119/2010
19.28.271 RCW
Violation city
Violation amount
Puyallup
$250.00
Type of violation
ELECTRICAL CITATION
Description
Employing an individual for the purposes of
chapter 19.28 RCW who does not possess a
valid certificate of competency or training
certificate to do electrical work.
Infraction no.
EJONVO1302
Satisfied
..........................
Issue date
RCW/WAC
07/13/2010
19.28.101 RCW
Violation city
Violation amount
PUYALLUP
$50.00
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600278577&LIC=MERIDCE318SG&SAW=
3/23/2015
MERIDIAN CENTER ELECTRIC INTO
Page 4 of 4
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 296-46B-901(10)(a).
Infraction no.
EJONV01300
Satisfied
..........................
Issue date
RCWM/AC
07/13/2010
19.28.101 RCW
Violation city
Violation amount
PUYALLUP
$1,000.00
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901(3)(6).
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.
398,047-00
Doing business as
MERIDIAN CTR ELECTRIC INC
Estimated workers reported
Quarter 4 of Year 2014 "Greater than 100 Workers"
L&I account representative
T7 I IDA HAYNES (360)902-5635 - Email: HAYN235@lni.wa.gov
Track this contractor;
Workplace safety and health
No inspections during the previous 6 year period.
iP Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=600278577&LIC=MERIDCE318SG&SAW= 3/23/2015