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Home My WebLink AboutPermit EL15-1086 - WASHINGTON SCHOOLS OFFICE - PLUG AND LIGHT RELOCATION AND NEW OUTLETWA SCHOOLS OFFICE EL15-1086 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.eov ELECTRICAL OTC PERMIT Parcel No: 0223200060 Permit Number: EL15-1086 Address: 320 ANDOVER PARK E BLDG 1 Issue Date: 12/10/2015 Permit Expires On: 6/7/2016 Project Name: WA SCHOOLS OFFICE Owner: Name: WA CITIES INSURANCE AUTHORI Address: 901 POWELL AVE SW #101 C/O JSH PROPERTIES INC, RENTON, WA, 98057 Contact Person: Name: MICHAEL COULON Phone: Address: 296 PORTER WAY #67 , MILTON, WA, 98354 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 NEW OUTLET, MOVE PLUG AND LIGHT Valuation of single family: $0.00 Fees Collected: $124.53 Valuation of mf/comm: $2,000.00 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 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: 6W& 6 Date: V I 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 lating constructio the performance of work. I am authorized to sign and obtain this development p r nd agree to the itions attached to this permit. Signature: (/ Date: / ld//zf Print Name: 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) 438-93SO 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKW. ' Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.go SITE LOCATION Electrical Permit No. �0 1 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" wA J��t� f� King Co Assessor's Tax No.: D Zz 3 2-0b000 Site Address: IImz/ Suite Number: Floor: Tenant Name: ? 2 a 'A 41 Dhyr2 %4 / rK F &4,1 t New Tenant: ❑ ..... Yes j -. No PROPERTY OWNER Name: Address: City: State: Zip: �e , CONTACT PERSON — person receiving all project communication Name: M Gov o�✓ Address: P�, m City: State: Zip: I Phone: 2 `g/�� Fax - Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: 1,7120 l�y� _ % 141r City://dGt/ J/ �/ v" l/ State:l/, W _ Zip: D?� Phone: Zr l Fax: Zr e_� / Contr Reg No.: Exp Date: Tukwila Business License No.; Will service be altered? ❑ Yes 2--No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Low Voltage Pronertv Served b ❑ Addition ❑ Service Change ❑ Generator ❑ Fire Alarm ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh �_fl-. Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Pagel 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. Date: 12 Print Name: /V Or /Lt .4/V U✓1,7com -P Day Telephone: 2--T` 2 % Mailing Address: / �t� ZO —/ "J �/ A11- (/'7 1 / /V City State Zip H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS QUANTITY PermitTRAK PAID $124.53 EL15-1086 Address: 320 ANDOVER PARK E BLDG 1 Apn: 0223200060 $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 R000.322.900.04.00 0.00 TOTAL FEES PAID $5.93 Date Paid: Thursday, December 10, 2015 Paid By: NORM'S ELECTRIC Pay Method: CREDIT CARD 000616 Printed: Thursday, December 10, 2015 1:06 PM 1 of 1 CN? SYSTEMS INSPECTION RECORD7 / Retain a copy with permitL� ltiq INSPECTION N0. PERMIT N0. CITY OF'TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 I Project: i ype or inspection: %/y I '3�10 Address: /�� jDate Calied:. s: 'IDate wanteo: Approved per applicable codes. .Corrections required prior to approval. IlnSpecivra _l REINSPECTION FEE REQUIRED. Prior to next inspection, feelmust be paid at 6300 Southcenter Blvd„ Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 0 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address: Date Called: Special Instructions: Date Wanted: Requester. Phone No: Approved per applicable codes. � Corrections required prior to approval. COMMENTS: CCt r- G.a6►�t--1N LL( " c0t- _ spector: PH REINSPECTION FEE REQUIREb. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. L!� INSPECTION RECORD �J I Retain a copy with permit I 61f —( . 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: Type of Inspection: Address: ��— . ,320 pate Called: Special Instructions: Date Wanted: a.m p.m. Requester: Phone No: AApproved per applicable codes. LJ Corrections required prior to approval. .I— nspector: r%242 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Catt to schedule reinspection. INSPECTION RECORD - - ` Retain a copy with permit[�U7 �60 1 INSPECTION NO. PERMIT NO_ CITY O TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Ir c5G+60 Type of Inspection: 4004 Address: Date Called: Special Instructions: Date Wanted: a. M. Requester: Phone No: Approved per applicable codes. OCorrections required prior to approval. COMMENTS: --5P aAD a r tA('/ syf?a�L6 Im j LJt l C/5IN l j 6�j� tib IInspector: `/j&\�O� IDate: t 17d1�, El 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 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: OA Jcg-oCir, Type of Inspection: Address: ?? C J� Date Called: Special Instructions: Date Wanted: / a.m L;c> Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: �-- t tic S opt er-. 6 yz' n[® P29v - J �'' A ®rJ art LJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 2— INSPECTION RECORD'/( Retain a copy with permit 4 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: ("J'N s�'' () L Type of Inspection: Address: 32-o AT Date Called: Special Instructions: Date Wanted: / a. p.m. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. COMMENTS: U d t� CIV av6Nc Inspector: f Date: l /l 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 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: Type of Inspection: Address: � , ^/ Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: Approved per applicable codes. OCorrections required prior to approval. COMMENTS: CDP 6 of W0 - ,kttt t>aC-'a-Vm0fj - 9HISC & +- m-r ft 05 'N14NaSf 410 T7 6 (Iff IInspector: IDate: El REINSPECTION IFEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. NORM'S ELECTRIC Page 1 of 2 Home Il i"'Jo ell 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 (SearchL&I A -I Index He.Ip My Secure L&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— 06/13/2016 Designated administrator Active. BROOME, NORMAN 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= 12/10/2015