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Permit EL15-0747 - INTERURBAN CASINO - RETROFIT AND LED
INTERURBAN CASINO 14025 INTERURBAN AVE S EL15-0747 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: 3365900815 Permit Number: EL15-0747 Address: 14025 INTERURBAN AVE S Issue Date: 8/27/2015 Permit Expires On: 2/23/2016 Project Name: INTERURBAN CASINO Owner: Name: NG WASHINGTON II LLC Address: 711 POWELL AVE SW, RENTON, WA, 98057 Contact Person: Name: JAY ROSANDER Phone: (425) 780-1537 Address: 16806 113 LN SE, RENTON, WA, 98055 Contractor: Name: CUSTOM ELECTRICAL SERVICES LLC Phone: (425) 780-1537 Address: 16806 113TH LN SE, RENTON, WA, 98055 License No: CUSTOES893.12 Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: Valuation of single family: $0.00 Fees Collected: $124.53 Valuation of mf/comm: $1,500.00 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 296-4613: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: , Date: !o 4 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 workwiU-be_c m lied with, whether specified herein or not. The granting of this permit does not resume to ive authorit viol canor� cel the rovisi ns of an other g g P P g � P� Y state or local laws regu jgconstru tion or the perforp a c work. I am authorized sign and obtain this development pe and agree to a conditions a.ttac to this permit. Signatu Print Ni Date: This pe,e it shall become null and void if the work is not commenced within 180 days for the date of issuance, or if the w6rk 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 TUKW I Community Development Department • Permit Center • 6300 Southeenter Blvd., Suite 100 Tukwila, TVA 98188 ht!p://www.TukwilaWA.poy SITE LOCATION Site Address:_ Tenant Name: Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: _ Ilse 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" _ _ f �,� Jam, mg Co Assessor's Tax No.: CO �/J/� , - (G�' '/�� Suite Number: Floor: AtI/(MI 1 u F o New Tenant: ❑ .....Yes JK�-No PROPERTY OWNER Name: Address: (��S-- 4'�ake ( tkk bt/�_k City: ` State: �� Zip: I LA mil! CONTACT PERSON - person receiving all project communication Name: �® Address: a {-t City: 4-vvt State: I Zip: e�`r �S ax: Phone: `7 a s-- nQ -V Email: C QS h5RA P c Q ti SifeL El ELECTRICAL CONTRACTOR INFORMATION Company Name: Address:12 City:l t ta:-'- Zip: ?05 Phone: r Fax: �a� 5 7 Y Contr Reg No.: Exp Date: Tukwila Business License No.; -e— ` (• G t^'t Valuation of Project (contractor's bid price): $ S Scope of Work (please provide detailed information): l cQ y`p �k t — IL—F--o Will service be altered? ❑ Yes �o Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\ApplicationskForms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes ❑ Remodel -k—Tenant Improvement ❑ Telecommunication ❑ Temporary Service 2S 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) 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, 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. d4I5 EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LA FTHE STATE OF W S• N; A D I AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNE C ICAL CONT O � 2 ( Signature: ' Date: Print I�am . O Day Telephone: -9©(, / .q 9 — t3 / U ' mg Address:& / r � /� @ o"i / [ d h `e k A "gel 9,() / f. ity State Zip H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $124.53 EL15-0747 Address: 14025 INTERURBAN AVE S Apn: 3365900815 $124.53 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R6024 R000.322.900.04.00 0.00 $5.93 $124.53 Date Paid: Thursday, August 27, 2015 Paid By: CUSTOM ELECTRICAL SERVICES LLC Pay Method: CREDIT CARD 032219 Printed: Thursday, August 27, 2015 4:22 PM 1 of 1 SYSTEMS INSPECTION RECORD ,l ,���7 Retain a copy with permit izi 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 Project: "7ff—d �140Type of Inspection Address: o2,) 2 Date Called: Special Instructions: Date Wanted: l .m. Requester: Phone No: V&J Approved per applicable codes. El Corrections required prior to approval. U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD 2- Retain a copy with permitl iNSPECTIGN NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd_, #100, TL!kwila. WA 98188 (206) 431-3670 Permit Inspection Request tine (206) 438-9350 Project: Type of Inspection: Address: G Date Called: Special Instructions: Date Wanted: a. p.m. '40 7---- Requester: ____ - Phone No: ❑ Approved per applicable codes. E Corrections required prior to approval. U paid at 6300 Southcenter Blvd., Suite 100. Cat[ to schedule reinspection. INSPECTION RECORD i Retain a copy with permit 07q 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: jT 4 1 / Type of Inspection: % Address: MOTS1 404 Date Called: Special Instructions: ktok Date Wanted: a.m p.m. Requester: � Phone No: �q0 RgApproved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspector: �� Date: O� REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. City of Tukwila Jim Haggerton, Mayor Department of Community Development Jack Pace, Director 1 /4/2016 JAY ROSANDER 16806 113 LN SE RENTON, WA 98055 RE: Permit No. EL15-0747 INTERURBAN CASINO 14025 INTERURBAN AVE S Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 1.80 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 2/24/2016. Based on the above, you are hereby advised to: l) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 2/24/2016, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File No: EL15-0747 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 0 Phone 206431-3670 • Fax 206-431-3665 CUSTOM ELECTRICAL SERVIC'TC LLC Page 1 of 4 Home Iiucio en F-spanol Contact Safety Claims & Insurance inWashington State Department of Labor & Industries CUSTOM ELECTRICAL SERVICES LLC Owner or tradesperson 16806 113th Ln SE RENTON, WA Principals 425-780-1537 ROSANDER, JAN EARL, PARTNER/MEMBER KING County RICHTER, JEFF, PARTNER/MEMBER Doing business as CUSTOM ELECTRICAL SERVICES LLC WA UBI No. Business type 602 924 637 Limited Liability Company Governing persons JAY Search L&I A-Z Index Help My Secure L&I. Workplace Rights Trades & Licensing ROSANDER JEFF LOUIS RICHTER; 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. CUSTOES893J2 Effective — expiration 04/22/2011— 04/22/2017 Designated administrator Rosander, Jan Earl License type Electrical Administrator Bond Travelers Cas and Surety Co of America Bond account no. 105274344 Received by L&I 02/04/2013 Active. Meets current requirements. License no. ROSANJ'917KR $4,000.00 Effective date 04/06/2011 Expiration date Until Canceled Travelers Cas & Surety Co $4,000.00 Bond account no. 105274344 Received by L&I Effective date https://secure.Ini.wa.gov/verifyIDetail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 8/27/2015