HomeMy WebLinkAboutPermit EL16-0234 - CHEVRON - LED RETROFITCHEVRON
15060 TUKWILA
INTERNATIONAL BLVD
EL16-0234
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: 0041000680 Permit Number: EL16-0234
Address: 15060 TUKWILA INTERNATIONAL Issue Date: 3/15/2016
BLVD Permit Expires On: 9/11/2016
Project Name: CHEVRON
Owner:
Name: ROYAL RSP LLC
Address: 2945 S 296TH PL, FEDERAL WAY, WA,
Address: , , ,
DESCRIPTION OF WORK:
LED RETROFIT
Phone: (206) 949-8989
Phone: (425) 780-1537
Expiration Date: 4/22/2017
Valuation of single family: $0.00 Fees Collected: $124.53
Valuation of mf/comm: $1,500.00
Type of Work: SERV CHNG 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:
98003
Contact Person:
2014
Name:
BOB WORLEY
Address:
3716 AUBURN WAY N, AUBURN, WA,
International Mechanical Code Edition:
98002
Contractor:
2014
Name:
CUSTOM ELECTRICAL SERVICES LLC
Address:
16806 113TH LN SE, RENTON, WA,
International Fuel Gas Code:
98055
License No:
CUSTOES893J2
Lender:
Name:
Address: , , ,
DESCRIPTION OF WORK:
LED RETROFIT
Phone: (206) 949-8989
Phone: (425) 780-1537
Expiration Date: 4/22/2017
Valuation of single family: $0.00 Fees Collected: $124.53
Valuation of mf/comm: $1,500.00
Type of Work: SERV CHNG 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 296-46B:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
Permit Center Authorized Signature: k4lillkk& 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 viol
state or local laws regulating construction or the performance-of'`wor
development pew. k_ 8 free to the cond_i.tions'attached to this
Na
or cancel the provisions of any other
a rized to sign and obtain this
Date: —3/z
Phis 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:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100
ELECTRICAL FINAL
7003
ROUGH -IN ELECTRICAL
7002
SERVICE
7001
UNDERGROUND/SLAB
CITY OF TUKff. I
•
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://Nvww.TukwilaWA.Rov
Electrical Permit No. L�J`�"00+
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
e r� King Co Assessor's Tax No.:
Site Address: IJ b L D -T, . K t,'It i 6, T- t.� l9� v Suite Number: Floor:
Tenant Name: C -c ;v vyS,n New Tenant: ❑ .....Yes ❑.. No
PROPERTY OWNER
Name: � 0, � � t � �.P ✓ ` i,. 1�
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address: MCI
City: v� State: Zip: y667—
Phone: 0L, 9y q_69g9 Fax:
Email:
D LJ,' I G r'
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address:
371(
�✓
City: r V' --State: W VA- Zip:
Phone:,,,,,- 7 O 7 Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Will service be altered?
Type of Use:
Type of work:
❑ New
❑ Low Voltage
❑ Yes S No
❑ Addition 0 Service Change
❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Adding more than 50 amps? ❑ Yes
❑ Remodel
❑ Telecommunication
bNo
Tenant Improvement
❑ Temporary Service
Pagel 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
MISCELLANEOUS FEES
(no added/altered circuits)
❑
Service change with added/altered circuits.................$81.90
❑ Manufactured/mobile home service ...........................
$86.25
number of added circuits .......................$11.55
ea
❑
Circuits added/altered without service change ............
$54.60
$10.80 ea
(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:
Print
Mailing Address:
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Date:
Day Telephone:
City State Zip
Page 2 of 2
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
PAID
$124.53
EL16-0234 Address: 15060 TUKWILA INTERNATIONAL BLVD Apn: 0041000680
$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
TOTAL FEES PAID BY RECEIPT: R7924
$5.93
i .53
Date Paid: Tuesday, March 15, 2016
Paid By: BOB WORLEY
Pay Method: CREDIT CARD 052916
Printed: Tuesday, March 15, 2016 1:30 PM 1 of 1
RSYSiEMS
INSPECTION RECORD
Retain a copy with permit cl/
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 `
Permit Inspection Request Line (206) 438-9350 \
Project:
Type of Inspection:
64151ASd
. I
Address: / r
Date Called:
Special Instructions:
Date Wanted: a.
r
Requester:
Phone No:
1ZApproved per applicable codes. E Corrections required prior to approval..
M ENTS:
IinspecEor. C ~ ftti ddep' IWdlr. fi C A /4
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd- Suite 100. Call to schedule reinspection.
CUSTOM ELECTRICAL SERVIC" LLC
Home Ispahol Ccmtaet.
Safety & Health Claims & Insurance
Washington State Department of
Labor & Industries
CUSTOM ELECTRICAL SERVICES LLC
Owner or tradesperson 16806 113th Ln SE
Principals RENTON, WA98055
p 425-780-1537
ROSANDER, JAN EARL, PARTNER/MEMBER KING County
RICHTER, JEFF, PARTNER/MEMBER
Doing business as
CUSTOM ELECTRICAL SERVICES LLC
WA UBI No. Business type
602 924 637 Limited Liability Company
Governing persons
JAY
Page 1 of 4
A -'l, l ndex Help M.V LE I
Workplace Rights Trades & Licensing
ROSANDER
JEFF LOUIS RICHTER;
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.
CUSTOES893J2
Effective — expiration
04/2212011— 04/22/2017
Design ate d Ja d mi n istrato r
Active.
Rosander, an Earl
Meets current requirements.
License type
License no.
Electrical Administrator
ROSANJ'917KR
Bond
Travelers Cas and Surety Cc of America
$4,000.00
Bond account no.
105274344
Received by L&I
Effective date
02/04/2013
04/06/2011
Expiration date
Until Canceled
Travelers Cas & Surety Co $4,000.00
Bond account no.
105274344
Received by L&I Effective date
04/22/2011 04/06/2011
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 3/15/2016