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Home My WebLink AboutPermit EL16-0379 - JSH PROPERTIES / VACANT SPACE - LED RETROFITJSH PROPERTIES VACANT SPACE 1055 ANDOVER PK E EL16-0379 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.Tukwi[aWA.eov ELECTRICAL OTC PERMIT Parcel No: 2623049019 Address: 1055 ANDOVER PARK E Project Name: JSH PROPERTIES -VACANT SPACE Owner: Name: M3 PROPERTIES LLC Address: 901 POWELL AVE SW #101 C/O JSH PROPERTIES INC, RENTON, WA, 98057 Contact Person: Name: TERRY BISHOP Address: 3716 AUBURN WAY N, SUITE 102, International Residential Code Edition: AUBURN, WA, 98002 Contractor: 2014 Name: CUSTOM ELECTRICAL SERVICES LLC Address: 16806 113TH LN SE, RENTON, WA, Uniform Plumbing Code Edition: 98055 License No: CUSTOES893J2 Lender: Name: Address: Permit Number: EL16-0379 Issue Date: 4/29/2016 Permit Expires On: 10/26/2016 Phone: (253) 381-3544 Phone: (425) 780-1537 Expiration Date: 4/22/2017 DESCRIPTION OF WORK: LED RETRO -FIT. REMOVING T8 LAMPS AND BALLASTS AND REPLACING WITH SELF BALLASTED, UL LISTED LED LAMPS. Valuation of single family: $0.00 Fees Collected: $68.25 Valuation of mf/comm: $250.00 Type of Work: TENANT IMP 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: 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 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: Print Name: Date: Lf— 2 -q — / � 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 1 Community Development Department • Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www. TukwilaWA. goy SITE LOCATION Electrical Permit No. v 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" A {J King Co Assessor's Tax No.: Site Address:_y s 5 +'� v` d� o �-+/ i�G ✓ !_ _t kwt (1, Suite Number: Floor: Tenant Name: S u Fyz p el � c -S �F, 1 y V h 1 New Tenant: ❑ ..... Yes ❑.. No PROPERTY OWNER Name: T 5 4 P �. ra c✓ Address: 1055 City: + IA I w i 1 a State: vv/ Zip: CONTACT PERSON — person receiving all project communication Name: Address:'S-716 r'hy t ]� 5� X-11 bu✓n „ Ne✓Tln City: A,LvA State: Zipq?a�� Phone Z S3� 341- 3S�f�l Fax: Email: J ) ELECTRICAL CONTRACTOR INFORMATION Company Name: ) Gsn.S OWE �lec�v�ec.1 Sewt'c.es Address: 3 7 1 6 A,n b,� rv� W a N o✓ -I- � s`" a City: State: W k Zip: Q goc>Z w snr Phone:&12 S) 7T6 -155-7 Fax: Contr Reg No.: Lu 5 To eS S9 3" ?.Exp Date: 1Z Z/l-1 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Z SO - UO `` Scope of Work (please provide detailed information): L D R e t vz — Pt 1 0 1 If i cn1 a 0 Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes Z No Type of Use: r' t Tyne of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel [� Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-ApplicatiomOn Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh 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 $65.00 ❑ (no added/altered circuits) ❑ 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: Print Name: I t Date: 9-2-T—/4 Day Telephone: CZ s'&J 3g 1 — 35 q'1 Mailing Address: 3 -7 / 6 , 1 0 K wt fir "/ zy o ex AL~ Lu ✓n W �} R 866 Z City State Zip H:\Applications\Fortes-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNTQUANTITY PAID $68.25 EL16-0379 Address: 1055 ANDOVER PARK E Apn: 2623049019 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE TOTAL PAID BY RECEIPT: .. R000.322.900.04.00 0.00 $3.25 Date Paid: Friday, April 29, 2016 Paid By: CUSTOM ELECTRICAL SERVICES LLC Pay Method: CREDIT CARD 054810 Printed: Friday, April 29, 2016 7:49 AM 1 of 1 INSPECTION RECORD e pal Retain a copy with permit 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: Pa P Type of Inspection: Address: Apc Ju Date Called: Special Instructions: Date Wanted: )) a.m. Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. " paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. CUSTOM ELECTRICAL SERVICFC LLC Home Espanol Contract Safety & Health Claims & Insurance inWashington State Department of Labor & Industries CUSTOM ELECTRICAL SERVICES LLC Owner or tradesperson 16806 113th Ln SE RENTON, WA 98055 Principals 425-780-1537 ROSANDER, JAN EARL, PARTNER/MEMBER KING County RICHTER, JEFF, PARTNER/MEMBER Doing business as CUSTOM ELECTRICAL SERVICES LLC Page 1 of 4 Search L&I tc.au A -Z Index Help L&I Workplace Rights Trades & Licensing WA UBI No. Business type 602 924' 637 Limited Liability Company Governing persons JAY 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 04122/2011— 04/2212017 Designated administrator Rosan, der, Jan Earl License type Electrical Administrator Bond Travelers Cas and Surety Co of America Bond account no. 105274344 Received by L&I 02/04/2013 Travelers Cas & Surety Co Bond account no. 105274344 Received by L&I 04122/2011 Active. Meets current requirements. License no. ROSANJ`917KR $4,000.00 Effective date 04/06/2011 Expiration date Until Canceled $4,000.00 Effective date 04/06/2011 https:Hsecure.ini.wa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 4/29/2016 CUSTOM ELECTRICAL SERVICES LLC Impaired date Expiration date 01128/2013 Until Canceled Savings ......................... No savings accounts during the previous 6 year period. License Violations Infraction no. Satisfied ...........- ............. ESMYR00289 Satisfied .......................... Issue date RCWWAC 08/11/2015 19.28.101 RCW Violation city Violation amount RENTON $500.00 Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication Installation or alteration as referenced in WAC 296-4613-901. Infraction no. ESEA000780 Issue date 05/12/2015 Violation city RENTON Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-4613-900 (3)(6), effective after 12/30/2008 see WAC 296- 4613-901. Infraction no. EOW ET00269 Issue date 0312612015 Violation city RENTON Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Infraction no Satisfied ......................... RCW/WAC 19.28.101 RCW Violation amount $250.00 Satisfied I-- ..................... RCW/WAC 19.28.271 RCW Violation amount $500.00 EOWET00260 Satisfied ...........- ............. Issue date RCW/WAC 03/26/2015 19.28.161 RCW Violation city Violation amount RENTON $500.00 Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Page 2 of 4 https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 4/29/2016