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Home My WebLink AboutPermit EL15-0977 - WASHINGTON SCHOOLS RISK MANAGEMENT - FIRE HORNWASHINGTON SCHOOLS RISK MANAGEMENT POOL 320 ANDOVER PARK E EL15-0977 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: 0223200060 Permit Number: EL15-0977 Address: 320 ANDOVER PARK E Issue Date: 11/9/2015 Permit Expires On: 5/7/2016 Project Name: WASHINGTON SCHOOLS RISK MANAGEMENT POOL Owner: Name: WA CITIES INSURANCE AUTHORI Address: 901 POWELL AVE SW #101 C/O JSH PROPERTIES INC, RENTON, WA, 98057 Contact Person: Name: NORMAN BROOME Phone: (425) 275-8194 Address: 17820 199TH AVE NE, WOODINVILLE, WA, 98077 Contractor: Name: NORM'S ELECTRIC Phone: (425) 788-6145 Address: 17820 199TH AVE NE, WOODINVILLE, WA, 98077 License No: NORMSE*952KL Expiration Date: 5/13/2016 Lender: Name: Address: DESCRIPTION OF WORK: ADD ONE FIRE HORN Valuation of single family: $0.00 Fees Collected: $72.77 Valuation of mf/comm: $300.00 Type of Work: FIRE ALARM 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:_) L �;41 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 th' a it does not pre a to give authority to violate or cancel the provisions of any other state or local s r lating construc ' n r the performance of work. I am authorized to sign and obtain this developm t per and agree to t c ditions attached to this permit. Signature: G/G !/�J Date: Print Name: Dv,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: 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 TUKH 4 Community Development Department • Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov SITE LOCATION Electrical Permit No. Niel 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" � King Co Assessor's Tax No.: Site Address: `J Z d V,6112 /� Suite Number: Tenant Name: ivy C o , '04 New Tenant: PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Address: City: DO ( ///P State: w Zip d712 Phone: Z.r, 2;7J--e1V,( Fax: Email: fe /-?/160 * e 0 W �, "A L Floor: �?— ❑ ..... Yes Q-No ELECTRICAL CONTRACTOR INFORMATION Company Name: � Li9 4117S "C /f�c Address: / City: /01 / / State: Zip;/f��, Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ dd' -7 , f 0 ,J). 0. Scope of Work (please provide detailed information): Will service be altered? ❑ Yes �No 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:\Appliwtions\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes S--No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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) 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 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. Print Name: 4. 0 /? 00 •A- f Mailing Address: Date: SA /, Day Telephone: �� _ 2— 7� City 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 $72.77 EL15-0977 Address: 320 ANDOVER PARK E Apn: 0223200060 $72.77 ELECTRICAL $69.30 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $69.30 TECHNOLOGY FEE $3.47 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R6611 R000.322.900.04.00 0.00 $3.47 $72.77 Date Paid: Monday, November 09, 2015 Paid By: NORMAN BROOME Pay Method: CREDIT CARD 060316 Printed: Monday, November 09, 2015 1:03 PM 1 of 1 l(rlr^f SYSTEMS INSPECTION RECORD / Retain a copy with permit �l � 7 71 INSPECTION NO. PERMIT N0, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address: Date Called: Special Instructions: Date Wanted: a. f [ p.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. lJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. NORM'S ELECTRIC Page 1 of 2 Home; Inido en Espanol Contact. Safety Washington State Department of Labor & Industries NORM'S ELECTRIC Owner or tradesperson BROOME,NORMAN Principals BROOME, NORMAN, OWNER WA UBI No. 602 295 961 License Search L&I A-% Index Help MY Secure 1 &I Claims & Insurance Workplace Rights Trades & Licensing 17820 199TH AVE NE WOODINVILLE, WA98077 425-788-6145 KING County Business type Individual 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. NORMSE*952KL Effective — expiration 05/13/2005— 05/13/2016 Designated administrator Active. BR60ME, N6RMAN Meets current requirements. License type License no. Master Electrician BROOMN*970DU Bond .............._. State Farm Fire & Cas Co $4,000.00 Bond account no. 98 BF Q957 2 Received by L&I Effective date 11 /28/2012 11 /13/2012 Expiration date Until Canceled Savings ................ .. No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Workers' comp No active workers' comp accounts during the previous 6 year period. Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602295961&LIC=NORMSE*952KL&SAW= 11/9/2015