HomeMy WebLinkAboutPermit EL15-0530 - MOE'S - TRACK LIGHTING AND HOOK UP SIGNMOE'S
720 ANDOVER PARK E
EL15-0530
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.Rov
ELECTRICAL OTC PERMIT
Parcel No: 2623049095
Permit Number: EL15-0530
Address: 720 ANDOVER PARK E
Issue Date: 6/11/2015
Permit Expires On: 12/8/2015
Project Name: MOE'S
Owner:
Name: 790 ANDOVER LLC
Address: PO BOX 287, MEDINA, WA, 98039
Contact Person:
Name: BILL GEIST
Phone: (206) 498-8058
Address: 33514 112TH ST SE, SULTAN, WA,
98294
Contractor:
Name: BIGHORN ELECTRICAL SERVICES
Phone: (206) 498-8058
Address: 33514 112TH ST SE, SULTAN, WA,
98294
License No: BIGHOES924PN
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADD TRACK LIGHTING, HOOK UP SIGN
Valuation of single family: $0.00
Fees Collected: $452.66
Valuation of mf/comm: $18,671.08
Type of Work: ADDITION
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 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
%
Permit Center Authorized Signature: �y,%�
4 (
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 con ' ions attached to this permit.
Signature: Date:61111/t
Print Name: LAJ I � 1 (XVA St Geist
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 Developmc 'epartment
e
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
littp://www.TukwilaWA.eov
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"
.WE LOCATION:
' r
King Co Assessor's Tax No.:
Site Address: 4 2-o A AA*.j tr Qar 1, £a►e 46 l8 $ Suite Number: Floor:
Tenant Name: MD e2 S New Tenant: ❑ ..... Yes RL. No
: PROPERTY OWNER
Name: Tzlo Ar%A*ve.r LL_C_
Address: Pc Box 7.84
City: McAtYN , State: WA Zip: go39
CONTACT.PERSUN person receiving alt project
commumcation`
Name: 801 &e-% 5t
Address: S Qom. C S EC
City: State: Zip:
Phone: Fax:
Email:
E--LECTRfCAL CONT 'A. lfi1FORM'ATION"
Company Name: G I�Jkerr
Cle4:6:J< (Ser�<<e5
Address: 3 3 571 L( It 2-tk S+ S E
City: state: w� Zin: a9'y
Phone: 20 C _ y $ cSg Fax:
ContrReg No. t1&Ho6592yPNExplate: IO tS .16
Tukwila Business License No.; 0 llg-
Valuation of Project (contractor's bid price): $ I s , 44 �' . rOg
Scope of Work (please provide detailed information): A," +rg4k S t q 11
Will service be altered? ❑ Yes
Type of Use: - = R G'f' 0-1
Type of work:
❑ New ' W�Addition
❑, Low Voltage El ' Generator
❑ Service Change
f ❑ : Fire Alarm
Property Served by:
R Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2011 ApplicationsTlectrical Permit Application Revised 8-9.1 Ldocx
Revised: August 2011
bh
Adding more than 50 amps? ❑ Yes N No
,_ •, ., ,
❑ Remodel ❑ ` Tenant Improvement
❑ = "Telecommunication. s 0 - Temporary Service
Page I 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).................................. $63.00
❑ Temporary service (generator) ................................... $78.75
❑ Manufactured/mobile home service ........................... $84.00
(excluding garage or outbuilding)
❑ Carnivals.................................................................... $78.75
Number of concessions ........... :.............. $10.50 ea
it
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: �j& "'� V Date' t/ 1 O% 1 S
Print Name: W I l I t q m S . & @ t .5t -Tr Day Telephone:
Mailing Address: 3 3S1 Y 1127"*` st S E S l fain
City State Zip
H:\Applications\Forms-ApplicationsOn Line\2011 ApplicationsElectrical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$452.66
EL15-0530 Address: 720 ANDOVER PARK E
Apn: 2623049095
$452.66
ELECTRICAL
$431.10
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$431.10
TECHNOLOGY FEE
$21.56
TECHNOLOGY FEE
• 1•
R000.322.900.04.00 0.00
$21.56
$452.66
Date Paid: Thursday, June 11, 2015
Paid By: BIGHORN ELECTRICAL SERV
Pay Method: CREDIT CARD 00377G
Printed: Thursday, June 11, 2015 11:00 AM 1 of 1
SYSTEMS
F___ INSPECTION RECORD (U5'.�oS3t,
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: do - 1 Type of Inspection: 'C;41_
�v
Address: 710 A ! G
Date Called:
Special Instructions:
77' V �
Date Wanted: �(p a.m
Q
Requester:
rA
Phone No:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
BIGHORN ELECTRICAL SERVIC'S
Page 1 of 1
Home Inicio en l3spaiiol Contact
Safety
Washington State Department of
Labor & Industries
BIGHORN ELECTRICAL SERVICES
Owner or tradesperson
Principals
GEIST JR, WILLIAM S, OWNER
Doing business as
BIGHORN ELECTRICAL SERVICES
WA UBI No.
602 866 079
License
Workers' comp
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33514 112TH ST SE
SULTAN, WA98294-9607
206-498-8058
SNOHOMISH County
Business type
Individual
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID
164,888-00
................. _.............
Account is current.
Doing business as
BIGHORN ELECTRICAL SERVICES
Estimated workers reported
Quarter 1 of Year 2015 "Less than 1 Workers"
L&I account representative
T4 / TERRI MADISON (360)902-4654 - Email: KIRT235@lni.wa.gov
Workplace safety and health
No inspections during the previous 6 year period.
Q 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=602866079&LIC=BIGHOES924PN&SAW= 6/11/2015