HomeMy WebLinkAboutPermit EL16-0491 - PEARLE VISION - LIGHTS AND OUTLETS REPLACEMENTwW4tLl I MA Lif -61LI -I
17250 SOUTHCENTER PKWY
SUITE 128
EL16-0491
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:
7888920020
Permit Number: EL16-0491
Address:
17250 SOUTHCENTER PKWY 128
Issue Date: 5/31/2016
Permit Expires On: 12/10/2016
Project Name:
PEARLE VISION
Owner:
Name:
WIG PROPERTIES LLC -SS
Address:
4811134TH PL SE, BELLEVUE, WI,
98006
Contact Person:
Name:
RUSSJOHNSON
Phone: (931)220-3670
Address:
10505 CORPRATE DR #200, PLEASANT
PRA, WI, 53158
Contractor:
Name:
HUMBLE ELECTRIC LLC
Phone: (206) 228-7339
Address:
41310 214TH AVE SE, ENUMCLAW,
WA, 98022
License No:
HUMBLEL954135
Expiration Date: 1/25/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REPLACE LIGHTS
AND OUTLETS FOR NEW TENANT, NOT ALTERING EXISTING SERVICE OR ADDING MORE THAN 50
AMPS
Valuation of single family: $0.00
Fees Collected: $396.90
Valuation of mf/comm: $16,000.00
Type of Work: TENANT IMP
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
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:
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.
Signa
Print
Date: �� ''
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
7003
ROUGH -IN ELECTRICAL
7002
SERVICE
7001
UNDERGROUND/SLAB
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
eWeb site: http://www.TukwilaWA.aov
ELECTRICAL OTC PERMIT
Parcel No:
7888920020
Permit Number: EL16-0491
Address:
17100 SOUTHCENTER PKWY 128
Issue Date: 5/31/2016
WA Cities Electrical Code:
2014
Permit Expires On: 11/27/2016
Project Name:
PEARL VISION
2014
Owner:
2012
WA State Energy Code:
Name:
WIG PROPERTIES LLC -SS
2012
Address:
4811 134TH PL SE, BELLEVUE, WI,
98006
Contact Person:
Name:
RUSSJOHNSON
Phone: (931) 220-3670
Address:
10505 CORPRATE DR #200, PLEASANT
PRA, WI, 53158
Contractor:
Name:
HUMBLE ELECTRIC LLC
Phone: (206) 228-7339
Address:
41310 214TH AVE SE, ENUMCLAW,
WA, 98022
License No:
HUMBLEL95465
Expiration Date: 1/25/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
REPLACE LIGHTS AND OUTLETS FOR NEW TENANT, NOT ALTERING EXISTING SERVICE OR ADDING MORE THAN 50
AMPS
Valuation of single family: $0.00
Fees Collected: $396.90
Valuation of mf/comm: $16,000.00
Type of Work:
TENANT IMP
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
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:—6 ltl 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 agree to the conditions attached to this permit. /
Signature: 2,2". Date:
Print Name:Ao—O'
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.Tukwi]aWA.gov
SITE LOCATION
Electrical Permit No. WV - DWI 1
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"
King Co Assessor's Tax No.:
site Address: 17100 South Center Parkway Suite Number: 128 Floor: I
Tenant Name: Pearl Vision New Tenant: ® .....Yes ❑ ..No
PROPERTY OWNER
Name:
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name: RUSS JOHNSON
Address: 10505 CORPRATE DR #200
City: PLEASANT PRA State: WI Zip: 53158
Phone: (931) 220-3670 Fax: (262) 857-3424
Email: RUSSELL.JOHNSON@LVCONSTRUCTI
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Humble Electric LLC
Address: 41.310 214th Ave SE
City: Enumclaw State: WA Zip: 98022
Phone: (206) 228-7339 Fax: (360) 226-3356
Contr Reg No.: HUMBLEL95413: Exp Date: 01/25/2017
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 16,000
Scope of Work (please provide detailed information): PROVIDE ELECTRICAL WIRING FOR NEW tENANT IMPI
RE USE EjX`ISTING SERVICE GEAR o t°y(ace t -i <; a49�t'fSS- I
/2 4 1+ AigYJ to,
Will service be altered? ❑ Yes
Type of Use: COMMERCIAL
No
Adding more than 50 amps?
❑ Yes W1 No
Type of work:
❑ New ❑ Addition
❑ Service Change
❑ Remodel
® Tenant Improvement
❑ Low Voltage ❑ Generator
❑ Fire Alarm
❑ Telecommunication
❑ Temporary Service
Property Served by:
m Puget Sound Energy ❑
Seattle City Light
H:\Applications\Fornr-Applications On Linc12014 Applications%lectrical Permit Application Revised 1-1-14.dotx
Rcviscd: January 2014
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Page I 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
$65.00
number of added circuits .......................
$11.55 ea
❑
Circuits added/altered without service change
........... $54.60
$86.25
(up to 5 circuits)
(excluding garage or outbuilding)
❑
Circuits added/altered without service change
........... $54.60
$80.60
(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:
Date: 1&--3 ` V I
Print Name: TONY HUMBLE Day Telephone: (206) 228-7339
Mailing Address: 41310 214TH AVE SE ENUMCLAW WA 98022
City State Zip
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.doc
Revised: January 2014
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Page 2 of 2
DESCRIPTIONS ACCOUNTQUANTITY
PermitTRAK
PAID
$396.90
EL16-0491 Address: 17100 SOUTHCENTER PKWY 128 Apn: 7888920020
$396.90
ELECTRICAL
$378.00
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$378.00
TECHNOLOGY FEE
$18.90
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL FEES PAID BY RECEIPT: R8601
$18.90
$396.90
Date Paid: Tuesday, May 31, 2016
Paid By: HUMBLE ELECTRIC LLC
Pay Method: CREDIT CARD 08828G
Printed: Tuesday, May 31, 2016 11:01 AM 1 of 1
1 ; SYSTEMS
INSPECTION RECORD
Retain a copy with permit q
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
DIVISION
(206) 431-3670
Project: VIStiodType
of Inspectio n:
Address:
10 J� �
Date Called:
Special Instructions:
Date Wanted:
7/13 P.m
Requester: n �
rhone No:
S
`J paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit �®
INSP CTION 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:,,/Type
G g , S 1�/►'li
of Inspection:
Address: ® Ko�S- F1
Date Called:
Special Instructions: I
Date Wanted: 7/fZ a.
p.m.
Requester:
Phone No:
ElApproved per applicable codes. � Corrections required prior to approval.
COMMENTS:
s� r(-J�
J)atTyorJA-L- (jPz)
d pe6 ri.
IInspector: ( 11n hi / A, Iuate: 0.7 Il ito
REINSPECTIdN FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
.y INSPECTION RECORD
Retain a copy with permit
INSPECTION N0, PERMIT N0,
CITY OF TUKWILA BUILDING DIVISION IL
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project:
Type of Inspection:
Address:
Date Called:
Special Instructions:
Date Wanted:. a.m.
., p.m.
Requester: `—
Phone No:
Approved per applicable codes. Corrections required prior to approval.
4lnspector: f J�. ,/ ,_,,7JDate: v/Z
F] REINSPE J10N FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain
INSPECTION NO.
a copy with permit
P RMIT NO.
CITY OF TUKWILA BUILDING
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
DIVISION
(206) 431-3670
DApproved per applicable codes. 1:1 Corrections required prior to approval.
u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit 'o
INSPECTION NO. PER N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
RAApproved per applicable codes. Corrections required prior to approval.
L__I paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Web site: bttp:Hw",.Tukwi]aWA.gov
REVISION
SUBMITTAL
Revision submittals must be submitted in person at the Permit Center.
Revisions will not be accepted through the mail, fax, etc.
Date: / v l Plan CheeWPermit Number: �f L v ��
❑ Response to Incomplete Letter #
❑ Response to Correction Letter #
❑ Revision # after Permit is Issued
❑ Revision requested by a City Building Inspector or Plans Examiner
❑ Deferred Submittal #
Project Name:
Project Addre
Contact Person: Phone Number:
Summary of Revision:
RECEIVED
CITY OF TUKWILA-
JUN 14 2016
PERMIT CENTER -
Sheet Number(s):
"Cloud" or highlight all areas of revision including "revi
Received at the City of Tukwila /Permit) rCenteerr by:
[Entered in TRAKiT on (P-1/4�-10
W Termit CenterUemplatesTorms\Revision Submittal Form.doc
Revised: August 2015
HUMBLE ELECTRIC LLC
Home Espahol Contact
Safety & Health
Washington State Department of
ki Labor & Industries
HUMBLE ELECTRIC LLC
Owner or tradesperson
Principals
Humble, Tony, PARTNER/MEMBER
Humble, Tony, AGENT
Doing business as
HUMBLE ELECTRIC LLC
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Claims & Insurance Workplace Rights Trades & Licensing
41310 214th AVE SE
ENUMCLAW, WA 98022
206-228-7339
KING County
WA UBI No. Business type
602 454 709 Limited Liability Company
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.
HUMBLEL954B5
Effective — expiration
01/25/2005— 01/25/2017
Designated administrator
Active.
HUMBLE,TONY
Meets current requirements.
License type
License no.
Master Electrician
HUMBLT"968JF
Bond
_..........._.
Violation amount
OLD REPUBLIC SURETY CO
$4,000.00
Bond account no.
YLI243915
Received by L&I
Effective date
01/25/2005
01/06/2005
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
ECHAE00630
Satisfied
........................
Issue date
RCW/WAC
06/22/2011
19.28.101 RCW
Violation city
Violation amount
Auburn
$250.00
Type of violation
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602454709&LIC=HUMBLEL954B5&SAW= 05/31/2016