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Permit EL16-0022 - RIVERSIDE INTERURBAN - LOT 5 - OVERHEAD TEMPORARY POWER POLE
RIVERSIDE INTERURBAN LOT 5 4035 S 126 ST EL16-0022 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: 7340600669 Permit Number: EL16-0022 Address: Issue Date: 1/8/2016 International Residential Code Edition: Permit Expires On: 7/6/2016 Project Name: RIVERSIDE INTERURBAN - LOT 5 2014 Owner: 2012 Name: LE TIEN+VUI NGUYEN 2014 Address: 205 S 112TH ST, SEATTLE, WA, 98168 2012 Contact Person: 2012 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, Date: l© _� 98373 License No: MERIDCE318SG Expiration Date: 2/28/2017 Lender: Name: Address: DESCRIPTION OF WORK: SET UP 60 AMP OVERHEAD TEMPORARY POWER POLE Valuation of single family: $300.00 Fees Collected: $68.25 Valuation of mf/comm: $0.00 Type of Work: TEMP SERVICE Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW 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: Date: l© _� 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: 1 Date: Print Na e: 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 ,35o1u5 CITY OF TUKWILA Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, TVA 98188 httl2:Hwx�,Nv.Tuk-wilaWA. og_v Electrical Permit No. �lG —©D ,� Project No. Date Application Accepted: Date Application Expires: _ use 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** SITELOCATION TvAyV,4k\0t lo -r os I King Co Assessor's Tax No. 0(06 0(0(91 Site Address: H 35 S ' G W 2ir Suite Number: Floor: Tenant Name: islec Flom/1u LL(, New Tenant: ❑..... Yes El.. No PROPERTY OWNER Name: BIX >-Om I I LL G Address: .41 � SW V 2 City:pjqall(410 State: VIA "'18313 CONTACT PERSON — person receiving all project communication Name: WGWAgnSo Address: 1I O!1l 1Vrke"M 1d. le G City: 11 1"uStatte,::wo, Zip: qm Phone: q?- 5,505 Fax: �1,�g - eq S ors iV Email: �/1 W ✓'M' , e G G . LO (L isc Valuation of Project (contractor's bid pr Scope of Work (please provide detailed ELECTRICAL CONTRACTOR INFORMATION Company Name: W&104 ,1 ` Vr✓`� Address: 1 I "� r !WL City� A 1l' State: aV Zip9 9313 Phone:2�3'0' 454595 Fax: 253' 6qi' 00#1 Contr Reg No.: ` Exp Date: n , n , in Tukwila Business License No.. 3 3 Will service be altered? ❑ Yes [z No Adding more than 50 amps? ZYes ❑ No Type of Use: Tvae of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light HA ApplieationsWoxms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.doex Revised: January 2014 bh ❑ Remodel ❑ Tenant Ilnprovement ❑ Telecommunication [V 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, f imace thermostat) ................................ $59.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration ...................................... $81.90 $80.90 (no added/altered circuits) $86.25 ❑ Service change Nvith added/altered circuits.................$81.90 ❑ Carnivals....................................................................$80.60 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, 201.4 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 folloAing 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 Narne:VAC kLthson Mailing Address: H:WpplicationsWonns-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.do Revised: January 2014 bh Date: 1- mg - ? 01 W Day Telephone: 2r -A - N 0 - bb'l ✓ State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $136.50 EL16-0021 Address: 12604 40TH AVE S Apn: 7340600662 $68.25 ELECTRICAL $65.00 PERMIT FEE MISCELLANEOUS R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.25 EL16-0022 Address: Apn:7340600669 $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 ' R000.322.900.04.00 0.00 1 Date Paid: Friday, January 08, 2016 Paid By: MERIDIAN CENTER ELECTRIC INC Pay Method: CHECK 7352 Printed: Friday, January 08, 2016 8:20 AM 1 of 1 CfW'SYS7EM5 INSPECTION RECORDC , /M-'� Retain a copy with permit/�1 "d0 INSPECTION NO. PERMIT Pi O. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Pr- ect. � yp,� n Address: Date Called: Special Ins uctions: Date Wanted: a: p.rn Requester: Phone No: I paid at 6300 Southcenter Blvd., Suite 100. Ca.lt to schedule reinspection. MERIDIAN CENTER ELECTRIC TNC Home Inicio en tispanol Contact Safety Washington State Department of Labor & industries MERIDIAN CENTER ELECTRIC INC Page 1 of 4 Search L&I A -'L, f fox Help M.v Secure. I:&I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 11109 66th Ave E DILLARD, GREG PUYALLUP, WA98373 253-848-5595 Principals PIERCE County 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) 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 . Meets current requirements. License specialties GENERAL License no. MERIDCE318SG Effective — expiration 01107/1969— 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 02/06/2001 04/01/2001 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations ......_..........................................._ https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600278577&LIC=MERIDCE318SG&SAW= 1/8/2016