The URL can be used to link to this page

Home My WebLink AboutPermit EL15-1107 - 405 BUILDING - LED RETROFIT405 EVANS DR 405 EVANS BLACK DR EL15-1107 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: 0223100036 Address: 405 EVANS BLACK DR Project Name: 405 EVANS DR ELECTRICAL OTC PERMIT Permit Number: EL15-1107 Issue Date: 12/21/2015 Permit Expires On: 6/18/2016 Owner: Name: BARR CORY Address: 415 BAKER BLVD STE 200 ANDOVER MANAGEMENT CO, TUKWILA, WA, 98188 Contact Person: Name: ROMAN BOYAR Phone: (425) 344-9180 Address: 11410 NE 124TH ST #716 , KIRKLAND, WA, 98034 Contractor: Name: INTEGRITY ELECTRIC & LIGHTING Phone: (425) 344-9180 GROUP INC Address: 11410 NE 124TH ST #716, KIRKLAND, WA, 98034-4305 License No: INTEGEG851CF Expiration Date: 2/6/2017 Lender: Name: Address: DESCRIPTION OF WORK: LED RETROFIT Valuation of single family: $0.00 Valuation of mf/comm: $1,500.00 Type of Work: TENANT IMP Fees Collected: $124.53 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 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: s % GUi� L� Date: 1 .)1a1 /1-51 .4;- 7 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 pe mi nd agree to the conditions attached to this permit. Signature: Date: Print Name: �JC 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. S: 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 TUKK i Community Development Department • Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, TVA 98188 htti)://www.TukwilaWA.po SITE LOCATION Site Address: Tenant Name: Electrical Permit No.0-7 Project No. Date Application Accepted: =gt�s Date Application.Expires: D(rLgi /& For o rce use only) 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" PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: O f Address: t' '1v, s � '�-' b City: v)r ,yv� State4lIN (A 1 Zip:o��(S Phone: ' \ k v Fax: Email: " i f 1�\e r ,\` u J V I�-J Valuation of Project (contractor's bid price): $ T� Scope of Work (please provide detailed information): 12 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:\ApplicationsTorms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1.1-14.docx Revised: July 2013 bh King Co Assessor's Tax No.: Suite Number: New Tenant: Floor: ❑..... Yes ❑..No ELECTRICAL CONTRACTOR INFORMATION Company Name: 11 Addre City: Stat : n Zip Phone (:NC) 6$ Fax: tT Contr Reg No.: Exp Date: [Tukwila Business License No.; Adding more than 50 amps? ❑ Yes [e No ❑ Remodel &OKITenant Improvement ❑ Telecommunication ❑ Temporary Service Page[ 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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Mailing Address: Day Telephone: City Date: State Zip H:Wpplications\Forms-Applications On Line\2014 ApplicatiousTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $124.53 EL15-1107 Address: 405 EVANS BLACK DR Apn: 0223100036 $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 TOTALPAID BY RECEIPT:• • i R000.322.900.04.00 0.00 $5.93 Date Paid: Monday, December 21, 2015 Paid By: INTEGRITY ELECTRIC & LIGHTING Pay Method: CHECK 25319 Printed: Monday, December 21, 2015 12:49 PM 1 of 1 C;? SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION F 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 tit Project: IYo` � r� � Type of inspection: Address:{ Q Date Called: Special Inst i ctions: Date Wanted: m. Requester: Phone No: 1 MO 01Approved per applicable codes. El Corrections required prior to approval. U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INTEGRITY ELECT/LIGHTN GR n TNC Page 1 of 4 Home Inicio en l'spafiol Contact Search L&I u A-Z Index Help My Secure l"&I Safety Claims & Insurance Workplace Rights Trades & Licensing 01*4 Washington State Departrnent of CALabor & Industries INTEGRITY ELECT/LIGHTN GRP INC Owner or tradesperson 11410 NE 124TH ST #716 KIRKLAND, WA98034 Principals 425-344-9180 Kerpan, Katie I, PRESIDENT KING County GOLUBOVICH, YULIYA, SECRETARY BOYARCHUK, ROMAN, TREASURER KERPAN, KATIE, AGENT Kerpan, Katie, PRESIDENT (End: 05/01 /2015) RAZUMORICH, ROMAN, MEMBER (End: 05/22/2015) Doing business as INTEGRITY ELECT/LIGHTN GRP INC WA UBI No. Business type 603 459 803 Corporation Governing persons KATIE I KERPAN YULIYA GOLUBOVICH; 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. INTEGEG851CF Effective — expiration 02/06/2015— 02/06/2017 Designated administrator ........................ Razumovich, Vladislav License type Electrical Administrator Bond ................ American Contractors Indem CO Bond account no. 100264686 Received by L&I 02106/2015 Active. Meets current requirements. License no. RAZUMV*882BK $4,000.00 Effective date 12/22/2014 Expiration date Until Canceled S..avi....ngs ....... .. https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603459803&LIC=INTEGEG85ICF&SAW= 12/21/2015