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Home My WebLink AboutPermit EL16-0151 - SIMULAB - RETROFIT, POLE LIGHTS AND AWNINGSIMULAB 1300148 AVE S EL16-0151 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 ELECTRICAL OTC PERMIT Parcel No: 0003000046 Address: 1300148TH AVE S Project Name: SIMULAB Owner: 2012 Name: REALLAB LLC Address: 3213 W WHEELER ST, SEATTLE, WA, WA Cities Electrical Code: 98199 Contact Person: 2012 Name: ROMAN BOYARCHUK Address: 11410 NE 124 ST STE 716, KIRKLAND, WA State Energy Code: WA, 98034 Contractor: 2012 Name: INTEGRITY ELECT/LIGHTN GRP INC Address: 11410 NE 124TH ST #716, KIRKLAND, WA, 98034-4305 License No: INTEGEG851CF Lender: Name: Address: Permit Number: EL16-0151 Issue Date: 2/16/2016 Permit Expires On: 8/14/2016 Phone: (425) 344-9180 Phone: (425) 344-9180 Expiration Date: 2/6/2017 DESCRIPTION OF WORK: EXTERIOR LE RETROFIT, CREE POLE LIGHTS AND BUILDING AWNING Valuation of single family: $0.00 Fees Collected: $124.53 Valuation of mf/comm: $1,200.00 Type of Work: TENANT IMP Electrical Service Provided by: SEATTLE CITY LIGHT 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 296-4613: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Permit Center Authorized Signature: 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 this permit does not presume to give authority to violate or cancel the provisions of any other state or local lawregulating 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:_ Print Name: Date: ML 6 [& 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, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Dom_ 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** SITE LOCATION I \ej 04 yqS �h �V 5 King Co Assessor's Tax No.: 192304-9120 Site Address: 8 Suite Number: N/A Floor: N/A Tenant Name: Simulab New Tenant: ❑ .....Yes ❑ ..No PROPERTY OWNER Name: TRINH VINH MY LAB Address: 146 SW 152ND ST 98168 City: TUKWILLA State: WA Z7 98168 CONTACT PERSON — person receiving all project communication Name: ROMAN BOYARCHUK Address: SAME AS ELECTRICAL CONTRACTOR City: State: Zip: Phone: Fax: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: INTEGRIY ELECTRIC GROUP Address: 11410 NE 124TH ST #716 City: KIRKLAND State: WA Zip: 98034 Phone: (425) 344-9180 Fax: Contr Reg No.: INTEGEG85 I CF Exp Date: 02/06/2017 Tukwila Business License No.; BUS -0996230 Valuation of Project (contractor's bid price): $ 1,200 Scope of Work (please provide detailed information): EXTERIOR LE RETROFIT, CREE POLE LIGHTS AND BUILDING AWNING, Will service be altered? ❑ Yes m No Adding more than 50 amps? Type of Use: Type of work: ❑ New 0 Addition ❑ Service Change ❑ Remodel ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Propea Served bv: ❑ Puget Sound Energy ❑ Seattle City Light H:1Applicatio=\Forms-Appheations On Line\2014 Applicatiom\Etecirkal Permit Applimtion Revisod 1-1-14.docx Pavised: January 2014 bh ❑ Yes m No ❑ Tenant .improvement ❑ Temporary Service P -11-S 3 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 S% 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: ,e. (425) 903-6834 Mailing Address: 11410 NE 124TH ST, KIRKLAND, WA 98034 City state zip H:lApplications\Fotms-Applications On Line\2014 Applications\Elcctrical Permit Application Revised 1-1-14.doez Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PAID PermitTRAK $249.06 EL16-0150 Address: 14027 INTERURBAN AVE S Apn: 3365900845 $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 $5.93 EL16-0151 Address: 1300148TH AVE S Apn: 0003000046 $124.53 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM 13000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R7707 R000.322.900.04.00 0.00 $5.93 $249.06 Date Paid: Tuesday, February 16, 2016 Paid By: INTEGRITY ELECT/LIGHTN GRP INC Pay Method: CHECK 25229 Printed: Tuesday, February 16, 2016 2:43 PM 1 of 1 ��SYS7EM5 INSPECTION RECORD f � � f -I Retain a copy with permit Lel INSPECTION N0. PERMITN0. CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 DIVISION (206) 43 1 -3670 n: Project: Type of Inspectio Address: C� Date Called: Special Instructions: Date Wanted: .m. ,.0 P. Requester: Phone No: z 1-2 IInspector: -1 l %i1hf K IDate: 6)3/oq /C(, REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Catl to schedule reinspection. INTEGRITY ELECT/LIGHTN GPT` TNC Page 1 of 4 Hoine I'slpafiol Contact Search L&I s J A -Z Index Help Roy Secure 1.Sc1 Safety & Health Claims & Insurance Workplace Rights Trades & Licensing OnWashington State Department of Labor & Industries INTEGRITY ELECT/LIGHTN GRP INC Owner or tradesperson Principals Kerpan, Katie I, PRESIDENT 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 11410 NE 124TH ST #716 KIRKLAND, WA 98034 425-344-9180 KING County 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 02/0612015— 02/06/2017 Designated administrator Razumovich, Vladislav License type Electrical Administrator Bond ....._....... American Contractors Indem CO Bond account no. 100264686 Received by L&I 02/06/2015 Savings Active. Meets current requirements. License no. RAZUMV'882BK $4,000.00 Effective date 1212212014 Expiration date Until Canceled https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603459803&LIC=INTEGEG851CF&SAW= 02/16/2016