HomeMy WebLinkAboutPermit EL16-0216 - GENOA HEALTH CARE - DUPLEX OUTLETS FOR MODULAR DESKSGENOA HEALTH CARE
18300 CASCADE AVE S. #265
EL16-0216
ukwila
City of T
• 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: 7888900175 Permit Number: EL16-0216
Address: 18300 CASCADE AVE S 265 Issue Date: 3/11/2016
Permit Expires On: 9/7/2016
Project Name: GENOA HEALTH CARE
Owner:
2012
National Electrical Code:
Name:
RIVERPOINT TWO LLC
2012
Address:
PO BOX 20399, SEATTLE, WA, 98102
International Mechanical Code Edition:
Contact Person:
WAC 296-46B:
2014
Name:
EARL HUMPHRES
Phone: (253) 852-7454
Address:
855 TROSPER RD #108, TUMWATER,
2012
WA, 98512
Contractor:
Name:
S & H ELECTRIC INC
Phone: (360) 352-1621
Address:
855 TROSPER RD #108, TUMWATER,
WA, 98512
License No:
SHELEI*044JZ
Expiration Date: 4/10/2016
Lender:
Name:
Address:
DESCRIPTION OF WORK:
ADD (3) DUPLEX OUTLETS FOR MODULAR DESKS
Valuation of single family: $0.00
Valuation of mf/comm: $600.00
Type of Work: TENANT IMP
Fees Collected: $86.31
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 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature:
Date: O�
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:
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 TUKW. '
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
TU vila, WA 98188
ht!p://www.TukwilaWA.jzov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
(For office use onl),
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: !� S�.QD,E A UE S . Suite Number:&4�J Floor:
/
Tenant Name: t� ,E /VQA /7 �L_774 <�2A,ZF New Tenant: f ..... Yes ❑.. No
PROPERTY OWNER
Name:
Address:IC,
q 60
City: ( State: Zip:��/
CONTACT PERSON — person receiving all project
communication
Name:
l ii
Address: 71-1C�1 6 O
r4
City /J5V
StatzA
Zip:/To
.6F
Phone : / _
Z/ `O� Fax:/�o
Ema!! AAlLl
P) Cn` ' 1�f 0/11�
ELECTRICAL CONTRACTOR INFORMAT16N
Company Name:
Address
• a j p t1?d
Ci — State: z� Zip:G��iJ
Phone7�l2� d77 axd�^//VvJr�
ContrReg
./No . i {EZ ET D�tLs:�
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes 0 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: plications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1.1-14.docx
Revised: July 2013
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Adding more than 50 amps? ❑ Yes �No
❑ Remodel � Tenant Improvement
❑ Telecommunication ❑ Temporary Service
g6,3l
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)
$80.90
❑
Service change with added/altered circuits.................$81.90
$86.25
number of added circuits .......................$1
1.55 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: ���� ��Y�.,���%>2,�� Dante: ✓��/'/�
Print Name --- Day Telephone: vc— o 77
:
Mailing Address 70�/ e'—'o /P � 1v�_.
City State Zip
H:\Applications\Forms-Applications On Lin62014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
• QUANTITY
$86.31
EL16-0216 Address: 18300 CASCADE AVE S 265
Apn: 7888900175
$86.31
ELECTRICAL
$82.20
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00 0.00
$82.20
TECHNOLOGY FEE
$4.11
TECHNOLOGY FEE
•TAL FEES PAID BY RECEIPT: R7891
13000.322.900.04.00 0.00
$4.11
$86.31
Date Paid: Friday, March 11, 2016
Paid By: S & H ELECTRIC INC
Pay Method: CHECK 1699
Printed: Friday, March 11, 2016 10:58 AM 1 of 1 ICRI"
SYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: 4610-t lkilik
Type of Inspection:
Address:���QLksz-oe
Date Called:
Special Instructions:vfig
Date Wanted: a.m
Requester:
Phone No:
Approved per applicable codes. E Corrections required prior to approval.
nspector:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD//
Retain a copy with permit U664,, ff 66
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: 'r I
Type of Inspection:
Address:
Date Called:
I. 1. .4
Special Instructions:
Date Wanted:
a
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
zvo
I. 1. .4
Inspector: _ Date:
FI REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD 64�etain a copy with permit -G24�
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: IType
n' Nat
&t:J1±
of Inspection:
Address:
Z ) ce'VSICAW
Date Called:
Special Instructions:
..--
Date Wanted: a--m-
10,p.m
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
1
i
r
6
REINSPECTI01`4 FEE REQUIREb. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
S & H ELECTRIC INC
Home Espanol Contact.
Safety & Health Claims & Insurance
Washington State Department of
Labor & Industries
S & H ELECTRIC INC
Owner or tradesperson 855 TROS PER RD #108
BOX 365
Principals TUMWATER, WA98512
Humphres, Brian, PRESIDENT 360-352-1621
Humphres, Earl, VICE PRESIDENT THURSTON County
HUMPHRES, Earl, AGENT
HUMPHRES, TERRI, SECRETARY
(End: 01/03/2011)
SMITH, WILLIAM H, MEMBER
(End: 01/03/2011)
Doing business as
S & H ELECTRIC INC
WA UBI No. Business type
601 703 614 Corporation
License
Page 1 of 2
A
Workplace Rights
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.
SHELEI*044JZ
Effective — expiration
04/09/1996— 04/10/2016
Designated administrator
.................
HARBIN, LANCE
License type
Electrical Administrator
Active.
Meets current requirements.
License no.
HARBIL*993JG
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601703614&LIC=SHELEI*044JZ&SAW= 3/11/2016