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Permit EL16-0178 - CITY OF TUKWILA - POLE OUTLET
CITY OF TUKWIIA 6300 SOUTHCENTER BLVD SUITE 100 EL16-0178 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: 0003200005 Permit Number: EL16-0178 Address: 6300 SOUTHCENTER BLVD 100 Issue Date: 2/29/2016 International Residential Code Edition: Permit Expires On: 8/27/2016 Project Name: CITY OF TUKWILA 2014 Owner: 2012 Name: TUKWILA CITY OF 2014 Address: 6200 SOUTHCENTER BLVD, TUKWILA, 2012 WA, 98188 2012 Contact Person: 2012 Name: MARC SCHMOLL Phone: (425) 429-5232 Address: 13301 SE 26TH ST, BELLEVUE, WA, 98005 Date: / (J� L Contractor: Name: PRIME ELECTRIC INC Phone: (425) 747-5200 Address: 13301 SE 26TH ST, BELLEVUE, WA, 98005 License No: PRIMEE1134BT Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: ADD 30 AMP 2 POLE OUTLET 208 V Valuation of single family: $0.00 Fees Collected: $95.34 Valuation of mf/comm: $850.00 Type of Work: ADDITION 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: V I Date: / (J� 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 ree to the conditions attached to this permit. Signature: Date: /� Print Name: Y " A C�_ _C'_c k �"' 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 4 Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.pov Electrical Permit No. — (� Project No. Date Application Accepted: Date Application Expires: For o ice 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 King Co Assessor's Tax No.: Site Address: ©� Sa�-�� �e�► �� g G t/ Suite Number: / d 0 Floor:_ Tenant Name: L-/ TJ -w i J '�Q New Tenant: ID ..... Y-- PROPERTY OWNER Name: 64-y To �- k a Address: 4 City: -1-J k"V r Ct State: v CONTACT PERSON - person receiving all project communication Name: rc Address: 3U SC ! Z 6 City: �e1 le Ly LA- e State: WL f Zip: g al Phone: Z�t A f � -102 Fax: 0 Email: 5-r&k t'/l�t-� �eC �-rre f��11 Valuation of Project (contractor's bid price): $ �7V Scope of Work (please Rovi del detailed information): Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New Addition ❑ Low Voltage ❑ Generator Pronertv Served b ELECTRICAL CONTRACTOR INFORMATION Company Address: j�?3 �.i-, s 4 - City: City: 1 �/l A e State: Zip: �+ ('0 / d 6 A/Phone: q Z;S- �s Fax: Contr Reg No.: Pry QQ 1, Exp Date:-16 Tukwila Business License No.; 7! S M0 C G 2,q .5 CO ryl ❑ Service Change ❑ Fire Alarm PkPuget Sound Energy ❑ Seattle City Light H:tApplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh /Z-31-14 [2 Adding more than 50 amps? ❑ Yes ❑ Remodel ❑ Telecommunication ❑ Tenant Improvement ❑ Temporary Service Page] of 2 0 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 $65.00 ❑ (no added/altered circuits) $80.90 ❑ Service change with added/altered circuits.................$81.90 $86.25 number of added circuits .......................$11.55 ea ❑ Circuits added/altered without service change ............ $54.60 (up to 5 circuits) $10.80 ea ❑ 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: JR Date: d - Z Print NamY A e: V C T L ��L � I Day Telephone:—7 &-/)-, `r -o 15-2- 3 -IL b h C1�O�S' i Mailing Address: 1 �U 7 S�� Zb I e UwL �A A- � P I 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 ACCOUNT QUANTITY PAID PermitTRAK $95.34 EL16-0178 Address: 6300 SOLITHCENTER BLVD 100 Apn: 0003200005 $95.34 ELECTRICAL $90.80 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $90.80 TECHNOLOGY FEE $4.54 TECHNOLOGY FEE 11000.322.900.04.00 0.00 TOTAL+ $4.54 Date Paid: Monday, February 29, 2016 Paid By: MARC SCHMOLL Pay Method: CREDIT CARD 05639D Printed: Monday, February 29, 2016 11:05 AM 1 of 1 (r/L SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., 4100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: T e o Ins ectio IAddress: ��700"Sry _ I Date Called: --,' I 'OV M Approved per applicable codes. 1-1 Corrections required prior to approval. EN Iinspector:G �I f� 1 Iuate: 03/02// REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PRIME ELECTRIC INC Marne 1?8pahol Contact Safety & Health Claims & Insurance Washington State Departrnent of Labor & Industries PRIME ELECTRIC INC Owner or tradesperson 13301 SE 26TH ST BELLEVUE, WA98005 Principals 425-747-5200 Reichanadter, Eric, PRESIDENT KING County Broberg, Michaels, SECRETARY TYRELL, WAYNE, AGENT (End: 05/26/2011) TYRRELL, WAYNE F, MEMBER (End: 05/26/2011) TYRELL, NANCY, MEMBER (End: 05/26/2011) Doing business as PRIME ELECTRIC INC WA UBI No. Business type 601 004 783 Corporation License Page 1 of 4 A-'Z.Index help My L,&I Workplace Rights Trades & Licensing 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. PRIMEEI134BT Effective — expiration 01/30/1987— 01/30/2017 Designated administrator Active. WOODEY, DAVE T Meets current requirements. License type License no. Master Electrician WOODEDT9701<8 Bond ................ Berkley Regional Ins Co $4,000.00 Bond account no. 0128653 Received by L&I Effective date 01/30/2011 01/30/2011 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations ......................................................... https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=601004783&LIC=PRIMEEI134BT&SAW= 02/29/2016