HomeMy WebLinkAboutPermit EL16-0513 - US BANK - RELAMP AND REBALLAST RETROFITUS BANK
151 ANDOVER PARK E
EL16-0513
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.Rov
ELECTRICAL OTC PERMIT
Parcel No: 0223100038 Permit Number: EL16-0513
Address: 151 ANDOVER PARK E Issue Date: 6/6/2016
Permit Expires On: 12/3/2016
Project Name: US BANK
Owner:
2012
Name:
U S BANK CORPORATE PROPS
Address:
2800 E LAKE ST LAKE0012 ,
WA Cities Electrical Code:
MINNEAPOLIS, WA, 55406
Contact Person:
2012
Name:
TERRY BISHOP Phone: (253) 381-3544
Address:
3848 E C ST, TACOMA, WA, 98404
Contractor:
2012
Name:
CUSTOM ELECTRICAL SERVICES LLC Phone: (425) 780-1537
Address:
16806 113TH LN SE, RENTON, WA,
Permit Center Authorized Signature:
98055
License No: CUSTOES893J2 Expiration Date: 4/22/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
T8 RELAMP AND REBALLAST- RETROFIT
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: 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 296-4613:
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 tot as permit.
Signature:
Print Name:
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.
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 t
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tuk-wila, WA 98188
http://www.TukwilaWA.gov
SITE LOCATION
Electrical Permit No. � Ll OS-( 3
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"
jj
King Co Assessor's Tax No.:
Site Address: )SI An S ov e 11' n o. ✓ E Suite Number: Floor:
Tenant Name: (A S F�ci,t\� K New Tenant: ❑..... Yes O No
PROPERTY OWNER
Name:
Address:
jS v\ ove✓ 4,.k
City: -�-� C w ;. G State: Zip: ,ig I $
CONTACT PERSON - person receiving all project
communication
Sr—
Name: .--
lt,•>r
�JIS
Address:
Contr Reg No.: 6 Q-ZR .Z j e S.7 Exp Date: q Z Z
City: TA e -v v -t 0.
State: Zip. g a
Phone: 2
ax:
Email:
>r
rr
K �owt t�tvl'�a
51"A l
ELECTRICAL CONTRACTOR INFORMATION
Company Name: , ) i r
L v\ "IGC 1 vr ce v t C
Sr—
Address:// (r Lj�f
3 -7 ( b A-, L ,i ,\ VJ A -A 614
r
City: -ALA( State: � / Zip:
u bu ✓ /t W '11700'Z
Phone(25 7f 1537 Fax:
Contr Reg No.: 6 Q-ZR .Z j e S.7 Exp Date: q Z Z
Tukwila Business License No.;
C oy^1
1ccS
Valuation of Project (contractor's bid price): $ 'Z 50 - 40
Scope of Work (please provide detailed information): 1 8' ►-e'c.r�
ayt J rc La U6
1
,4
(� L
- Ye � ,•a }`i r
Will service be altered? ❑ Yes (f 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:\Applications\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 9 No
❑ Remodel
❑ Telecommunication
Ef/Tenant Improvement
❑ Temporary Service
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
$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 ................
$10.80 ea
***EFFECTIVE JANUARY 1, 2014
EACH PERMIT WILL BE ASSESSED A
5% TECHNOLOGY FEE***
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Print Name: I -C
Mailing Address: 3
V,
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
rel
Day Telephone:
City
Date: G A�
W /+ ($i
State Zip
Page 2 of 2
DESCRIPTIONS
PAID
PermitTRAK
$68.25
EL16-0513 Address: 151 ANDOVER PARK E
Apn: 0223100038
$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
TOTALR8670
R000.322.900.04.00 0.00
$3.25
.:
Date Paid: Monday, June 06, 2016
Paid By: CUSTOM ELECTRICAL SERVICES LLC
Pay Method: CREDIT CARD 095318
Printed: Monday, June 06, 2016 3:53 PM 1 of 1 f �J'�
SYSTEMS
INSPECTION RECORD I��
o5-
INSPECTION N0. PERMIT N0.
Retain acopy with permit l J
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: 1
0 1
Type of Inspection:
Address:/
G
Date Called:
Special Instructions:
TIL 0
6
Date Wanted: a.m.
p.m.
Requester:
Phone No:
LJ paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
CUSTOM ELECTRICAL SERVICrq LLC
LIxxne I.spaiiol Contact
Safety & Health Claims & Insurance
Washington 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
WA UBI No. Business type
602 924 637 Limited Liability Company
Governing persons
JAY
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ROSANDER
JEFF LOUIS RICHTER;
License
Verify the contractors 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
04/22/2011— 04/22/2017
Designated administrator
Rosander, J1.an Earl
License type
Electrical Administrator
Bond
................
Travelers Cas and Surety Co of America
Bond account no.
105274344
Received by L&I
02/04/2013
Active.
Meets current requirements.
License no.
ROSANJ*917KR
$4,000.00
Effective date
04/06/2011
Expiration date
Until Canceled
Travelers Cas & Surety Co $4,000.00
Bond account no.
105274344uS-0
Received by L&I Effective date
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 6/6/2016