HomeMy WebLinkAboutPermit EL15-1124 - BRC FAMILY LLC - OVERHEAD TEMPORARY POLEBRC FAMILY LLC
14050 33 AVE S
EL15-1124
City of Tukwila
Y 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
Parcel No: 1523049319
Address: 14050 33RD AVE S
Project Name: BRC FAMILY LLC
ELECTRICAL OTC PERMIT
Permit Number: EL15-1124
Issue Date: 12/30/2015
Permit Expires On: 6/27/2016
Owner:
Name:
BRC FAMILY LLC
Address:
PO BX 731310, PUYALLUP, WA, 98373
Contact Person:
Name:
RACHEL HANSON
Phone: (253) 848-5595
Address:
11109 66 AVE S , PUYALLUP, WA,
98375
Contractor:
Name:
MERIDIAN CENTER ELECTRIC INC
Phone: (253) 848-5595
Address:
1109 66TH AVE E , PUYALLUP, WA,
98373
License No:
MERIDCE318SG
Expiration Date:
Lender:
Name:
Address:
DESCRIPTION OF WORK:
SET UP 60 AMP OVERHEAD TEMP POLE
Valuation of single family: $200.00
Valuation of mf/comm: $0.00
Type of Work: TEMP SERVICE
Fees Collected: $68.25
Electrical Service Provided by:
Water District:
Sewer District:
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:
1/7
Date: 1/O tf
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 conditions attached to this permit.
Signature:���` Date:
Print Name: Vie%/
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 Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, I41A 98188
hqp://www.TukwilaWA.g_ov
Electrical Permit No./f ' 1117
11
Project No.
Date Application Accepted:
Date Application Expires:
For office 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"
SITE LOCATION
3�1050k King Co Assessor's Tax No.:
Site Address: Suite Number: Floor:
Tenant Name: I Iq LL f New Tenant: K..... Yes ❑ ..No
PROPERTY OWNER
Name: 12
Address:
D
City: pj State: V,,A Zip: 41J13
CONTACT PERSON — person receiving all projde-t
communication
Name:
Address:
r
City:
State:
Zip:
Phone G
J
. 65gSFax: 'Gf 2
v_I . O Q Gl
Email:
YAC�t
l
Valuation of Project (contractor's bid price):
Scope of Work (please provide detailed inforr
ELECTRICAL CONTRACTOR INFORMATION
Company Name: (� p `,, �` o 1 in
, t/
vrky C
Address: � 1
l
City: Stale: I Zip: 373
Phone: n SA / 3, _ �SFax:
'G�V� II (312
G�EJxp
Contr Reg No.: kV M C31c
O
Date: �ZI31115
Tukwila Business License NNo,.;
Will service.be altered? ❑ Yes ❑ No Adding more than 50 amps? Yyes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication (Temporary Service
Pro a erved b r:
Puget Sound Energy ❑ Seattle City Light
H:\Applications\Foma-Applicatioits On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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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
❑
Set -vice change or alteration ...... 41,k...........................
$81.90
(no added/altered circuits)
❑
Service change with added/altered circuits .................
$81.90
number of added circuits .......................
$1 1.55 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
E/ 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
_ 4 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:
Print Name:T—XW� fMmsan
Mailing
Date: 7v 15 21 ,
Day Telephone: 253- O qU - 559-5
.1n W�a 99 573
City State Zip
H:\Applicatiom\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
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DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
1
$68.25
EL15-1124 Address: 14050 33RD AVE S Apn: 1523049319
$68.25
ELECTRICAL
$65.00
PERMIT FEE MISCELLANEOUS
R000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: 6...
R000.322.900.04.00 0.00
$3.25
$68.25
Date Paid: Wednesday, December 30, 2015
Paid By: MERIDIAN CENTER ELECTRIC
Pay Method: CHECK 7346
Printed: Wednesday, December 30, 2015 9:04 AM 1 of 1 rrillfsY5TEM5
INSPECTION RECORD fio(
i
py pRetain a co with ermit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
DIVISION
(206) 431-3670
n:
Project:
5 �v
Type of Inspectio
Address: D o
9
Date Called:
—
Special Instructions:
Date Wanted:
a.
.m.
Requester:
Phone No:
u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
MERIDIAN CENTER ELECTRIC T-1.TC
Page I of 4
Home Inido e n l;spafiol Contact
Safety
Washington State Department of
Labor & Industries
MERIDIAN CENTER ELECTRIC INC
Owner or tradesperson
DILLARD, GREG
Principals
DILLARD, GREG, PRESIDENT
Bates, Mark, VICE PRESIDENT
Magee, Shile, VICE PRESIDENT
Westendorf, Carmen, SECRETARY
Westendorf, Carmen r, AGENT
ZACHER, GERALD, MEMBER
Adkins, Brian, VICE PRESIDENT
(End: 04/13/2012)
Theriault, James, VICE PRESIDENT
(End: 04/13/2012)
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Claims & Insurance Workplace Rights Trades & Licensing
11109 66th Ave E
PUYALLUP, WA98373
253-848-5595
PIERCE County
WA UBI No. Business type
600 278 577 Corporation
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.
MERIDCE318SG
Effective — expiration
01/07/1969— 02/28/2017
Designated administrator
Active.
DILLARD, GREGORY P
Meets current requirements.
License type
License no.
Master Electrician
DILLAGP963UH
Bond
.................
TRAVELERS CAS & SURETY CO
$4,000.00
Bond account no.
206847416
Received by L&I
Effective date
02/0612001
04/01/2001
Expiration date
Until Canceled
Savings
.....................
No savings accounts during the previous 6 year period.
License Violations
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=600278577&LIC=MERIDCE318SG&SAW= 12/30/2015