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Home My WebLink AboutPermit EL16-0510 - SCRUBS AND BEYOND - ELECTRICAL AND LIGHTINGSCRUBS AND BEYOND 17340 SOUTHCENTER PKWY EL16-0510 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.eov ELECTRICAL OTC PERMIT Parcel No: 2623049110 Permit Number: EL16-0510 Address: 17340 SOUTHCENTER PKWY Issue Date: 6/8/2016 Permit Expires On: 12/5/2016 Project Name: SCRUBS AND BEYOND Owner: Name: KIR TUKWILA 050 LLC Address: 3333 NEW HYDE PARK RD #100 C/O KIMCO REALTY CORP, PO BOX 5020 NEW HYDE PK, MN, 11042 Contact Person: Name: JENNIFER WHELAN Phone: (612) 246-4062 Address: 3880 LAVERNE AVE N , LAKE ELMO, MN, 55042 Contractor: Name: NORTHWEST EDISON INC Phone: (360) 668-9200 Address: 19804 141ST PL NE , WOODINVILLE, WA, 98072 License No: NORTHE1983RD Expiration Date: 12/4/2016 Lender: Name: Address: DESCRIPTION OF WORK: TENANT IMPROVEMENT- ELECTRICAL AND LIGHTING Valuation of single family: $0.00 Fees Collected: $422.38 Valuation of mf/comm: $12,800.00 Type of Work: TENANT IMP Electrical Service Provided by: PUGEST SOUND ENERGY Water District: HIGH LINE,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 296-46B: 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: X ---— Date: -Y— Print Name: &/f V" 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 TUKW I Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. -- L — Project No. Date Application Accepted: Date Application Expires: _ (For office use on/J) 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 �00 King Co Assessor's Tax No.: Site Address: 1 Suite Number: Floor: Tenant Name: t New Tenant: [] Yes El.. No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication ELECTRICAL CONTRACTOR INFORM,ATTIIO^N Company Addres. lXw ✓ City 1 1 1 �,�i n VL) tat�a Zi M �V�-'► Ph n Contr Ike Date: rJZ I ukwtla Business License No.; (DI vl Will service be altered; ❑f 1 Yes] No Type Type of work: �❑ New ❑ Addition ❑ Service Change `b[J Low Voltage ❑ Generator ❑ Fire Alarm PronePronerty Served b : -4 Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes ❑ No ❑ Remodel �< Tenant Improvement ❑ Telecommunication ❑ Temporary Service Pagel of 2 S7 i 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. 1 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. Aff Signature: Date: C Print Name. Day Telephone:�� J LA UL Mailing Address: L/ V 6 L 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 CITY OF TUKA A Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.TukwilaWA.gov SITE, LOCATION Site Address: Tenant Nam Electrical Permit No. L L I Q-- o Project No. Date Application Accepted:_ _62 Date Application Expires: 2, _�) (For oJ%ice 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" " ;sessor's Tax No.: PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Addre Name p� Address tf' Contr e IQ cp Date: mm State Zip: Pho , Al ` a Email - 1 \,_j Valuation of Project (contractor's bid price): F Scope of Work (please provide detailed information Will service be aliered? ❑ , Yes K No Type of Use: Tvne of work J—) Suite Number: Floor: New Tenant: Yes ❑ .. No ELECTRICAL CONTRACTOR INFORMATION Company e• �� ;�� _,,��_�-� I Addre City' �f �y tat Zig! " j+ Contr e IQ cp Date: 1,— ,jTukwila Tukwila Business License No.; r V, ❑ New ❑ Addition ❑ Service Change `{ Low Voltage ❑ Generator ❑ Fire Alarm Prot)erty Served b : )k Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Petmit Application Revised 1-1-14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes ❑ No ❑ Remodel ❑ Telecommunication 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 $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 I, 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. Signature: , ' r Date: Print Name°a ! f 1 . 1 �' i Day TelephoneI t � g ,_�y Iii Mailing Address: ; r tred ! ,u .1"� City State Zip H:\Applicatiom\Forms-Applications On Linet2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 Date Paid: Friday, June 03, 2016 Paid By: JARED WERDALL Pay Method: CREDIT CARD 058085 Printed: Friday, June 03, 2016 2:45 PM 1 of 1 OR SYSTEMS DESCRIPTIONS • QUANTITY PermitTRAK PAID $341.15 EL16-0510 Address: 17340 SOUTHCENTER PKWY Apn: 2623049110 $341.15 ELECTRICAL $324.90 PERMIT FEE MULTI-FAM/COMM 8000.322.101.00.00 0.00 $324.90 TECHNOLOGY FEE $16.25 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOTAL PAID BY RECEIPT:• • i $16.25 Date Paid: Wednesday, June 08, 2016 Paid By: ADAM SANGDER Pay Method: CREDIT CARD 614138 Printed: Wednesday, June 08, 2016 2:51 PM 1 of 1 r-: If SY57EM5 INSPEI Retain a INSPECTION NO. :TION RECORD copy with permit 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: :- Type of Inspection: Address: Date Called: Special 1 structions: Date Wanted: /Z4.m. P• Requester: Phone No: LJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. P MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: J 4 5 Type of Inspection: Address: 31-10 Pi. Date Called: Special Instructions: Date Wanted: Z a P. Requester: Phone No: MApproved per applicable codes. u Corrections required prior to approval. `-I paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit 6, ✓v�io INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project- Type of Inspection: ®'r' Address:Date 3 -�. ' - Called: Special Instructions: Date Wanted: a . (L` p. t1 dllG Requester: ZX OLr Phone No: Approved per applicable codes. Ocorrections required prior to approval. COMMENTS: ®'r' I eww-M I 01J47" I'TAII-I iP J. t1 dllG cS� i 1r�ST� ZX OLr ' E O O J) 0 W041 r Q18 AL, JZ 14 YJLAI� 6DA/f4orckc Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 0) INSPECTION RECORD Retain a copy with permit1!k`ov-o INSPECTION N0. W 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: g )5 ty Type of Inspection: Address.®�F� 173 Y � Date Called: Special Instructions: Date Wanted: p.m Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: 6%16k Way, ROD Inspector: REINSPECT101111 FEE REQUIRED. Prior to next inspection. fee nYust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD �j yY3 Retain a copy with permit 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 1 Proiect: i e17 _ VTYpe of Inspection: Address: Date Called' I Special Instructio s: Date Wanted:�� a. -a F]Approved per applicable codes. L__J Corrections required prior to approval. LJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. NORTHWEST EDISON INC Home Espafiol Contact. Safety & Health inWashington State Department of Labor & Industries NORTHWEST EDISON INC Page 1 of 3 A -Z Index Help &f` Ul Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 19804 141ST PL NE WOODINVILLE, WA 98072 Principals 425-806-9200 CAMILLERI, DANIEL C, PRESIDENT KING County OWEN, RANDY, VICE PRESIDENT OWEN, RICHARD E, SECRETARY OWEN, RICHARD E, TREASURER OWEN, RANDY M, AGENT OWEN, RICHARD, PRESIDENT (End: 03/06/2012) OWEN, SALI, SECRETARY (End: 03/06/2012) OWEN, RICHARD, AGENT (End: 03/06/2012) Doing business as NORTHWEST EDISON INC WA UBI No. Business type 601 522 062 Corporation Parent company Governing persons INDUSTRIAL LIGHT & ENERGY INC RANDY OWEN RICHARD OWEN; SALI OWEN; 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. NORTHEIS83RD Effective — expiration 12/04/2002-12/04/2016 Designated administrator OWEN; RANDY MARK License type Electrical Administrator Bond RLI Ins Co Bond account no. LSM0667470 Received by L&I Active. Meets current requirements. License no. OWEN`RM959Q8 $4,000.00 Effective date https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601522062&LIC=NORTHEI983RD&SAW= 6/8/2016