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HomeMy WebLinkAboutPermit EL16-0575 - MULTICARE - VOICE AND DATAMULTICARE 17275 SOUTHCENTER PKWY 160 EL16-0575 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: 2623049063 Permit Number: EL16-0575 Address: 17275 SOUTHCENTER PKWY 160 Issue Date: 6/22/2016 Permit Expires On: 12/19/2016 Project Name: MULTICARE Owner: Name: MASAO Address: 117 E LOUISA #230 C/O SCR LLC, SEATTLE, WA, 98102 Contact Person: 2012 Name: JOHN WHITE Address: 18815 139TH AVE NE, SUITE B, WA Cities Electrical Code: WOODINVILLE, WA, 98072 Contractor: 2012 Name: LEVERAGE INFORMATION SYSTEMS Address: 18815 139TH AVE NE, WOODINVILLE, WA State Energy Code: WA, 98072 License No: LEVERIS909LT Lender: Name: Address: DESCRIPTION OF WORK: INSTALL LOW VOLTAGE VOICE AND DATA. Valuation of single family: $0.00 Valuation of mf/comm: $6,000.00 Type of Work: LOW VOLTAGE Phone: (206) 786-1746 Phone: (425) 482-9800 Expiration Date: 7/28/2016 Fees Collected: $211.05 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 -MMA WDate: ^ �"� 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. Sign Prin ature: Date: (P ZZ 11,11 t Nam • ;4C 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.TukwilaWA.gov SITE LOCATION Site Address: 11 Tenant Electrical Permit No. � �1 � - M5 Project No. Date Application Accepted: Z 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" PROPERTY OWNER Name: U Address: J City: Sl State: Zip: �IA 15 82 CONTACT PERSON - person receiving all project communication Name J C)N1 r Lil � Address: �p a IS7 t3A-F11 4-e �� S. 111z-1- J3 City: State Zip;9 kin Phone:,aL)(,,-%�(p" 1% Fax: IL/06 Email - John V -0 - mail• ohnV-0- M King Co Assessor's Tax No.: Suite Number: I LP O New Tenant: Floor: ❑ .....Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: 0 i 4 -e -fit -0 City: ILL State: L.U.Zip: Phone 4? -s -L4 KZ -1 Fax. 4 � Contr Reg No. '1.6 S q -,Exp Date: 7 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ J J , o 0 C%11U--�__ ,,,, �` �,� �, Scope of Work (please provide detailed information):�V:CW-) l X)Lk-� -�t'7� � C i OA < �— Will service be altered? ❑ Yes Type of Use: Tvoe of work: ❑ New ❑ Addition -4 Low Voltage ❑ Generator Property Served by: [Puget Sound Energy ❑ [L No ❑ Service Change ❑ Fire Alarm Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications0ectrical Permit Application Revised 1.1-14.do" Revised: January 2014 bh Adding more than 50 amps? ❑ Yes ❑ Remodel ❑ Telecommunication XO No ❑ Tenant Improvement ❑ Temporary Service Page 1 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 Temporary service (generator) ................................... (no added/altered circuits) ❑ ❑ Service change with added/altered circuits ................. $81.90 (excluding garage or outbuilding) number of added circuits ....................... $11.55 ea ❑ Circuits added/altered without service change ........... $54.60 Number of concessions ......................... (up to 5 circuits) ❑ 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 1 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 7 � i, . c, -A, /--< Date: ZZ Day Telephone: O led -17(M Mailing Address: D , &>-f (o ?G Uo0c4) ,,%- U; (\,P LVA 7507? - Ci 507ZCity State Zip M\ApplicationsWorms-Applications On Line\2014 ApplicationsTlecttical Permit Application Revised 1-I.I4.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $211.05 EL16-0575 Address: 17275 SOUTHCENTER PKWY 160 Apn: 2623049063 $211.05 ELECTRICAL $201.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $201.00 TECHNOLOGY FEE $10.05 TECHNOLOGY FEE R000.322.900.04.00 0.00 TOTAL FEES PAID BY RECEIPT: R8803 $10.05 $211.05 Date Paid: Wednesday, June 22, 2016 Paid By: LEVERAGE INFORMATION SYSTEMS Pay Method: CHECK 38017 Printed: Wednesday, lune 22, 2016 9:10 AM 1 of 1 j N71SYsrEMs I Z —] INSPECTION RECORD �j]t Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431-3670 Project: Type of Inspection: Address: Date Called: Special Instructions: 4& © Date Wanted:a. !0m. Requester: Phone No: 3 tJ paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection. pt No.: I Date: INSPECTION RECORD j 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: Type of Inspection Address:/ 2- ���' � Date Called: Special Instructions: f Date Wanted: j a. Requester: Phone No: 0 Approved per applicable codes. 1:1 Corrections required prior to approval. I Cl - c I • / 1S 0 V A tai' /Al - nspector: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. LEVERAGE INFORMATION SYS 'r TNC Aft Washington State Department of kj Labor & Industries Page 1 of 2 Home t'sspahol Contact Search L&I A -G Lidex Help My L&I Safety & Health Claims & Insurance Workplace Rights Trades & Licensing LEVERAGE INFORMATION SYST INC Owner or tradesperson PO BOX 630 WOODINVILLE, WA 98072 Principals 425-482-9200 CHESLER, DOUGLAS M, PRESIDENT KING County WOODRUFF, TERRY L, VICE PRESIDENT CHESLER, DOUGLAS M, AGENT Doing business as LEVERAGE INFORMATION SYST INC WA UBI No. Business type 601 490 089 Corporation Parent company Governing persons FEDERAL NETWORK SERVICES INC MICHAEL DOULGAS TERRY L WOODRUFF; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. ...._................................................. Meets current requirements. License specialties LIMITED ENERGY License no. LEVERIS909LT Effective — expiration 07/28/2010— 07/30/2018 Designated administrator Active. THORPE,'RICHARD E Meets current requirements. License type License no. Electrical Administrator THORPRE077JC Bond ................. CBIC $4,000.00 Bond account no. SI6547 Received by L&I Effective date 06/28/2010 06/16/2010 Expiration date Until Canceled Savings Nonsavings accounts during the previous 6 year period. License Violations Infraction no. Satisfied https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601490089&LIC=LEVERIS909LT&SAW= 6/22/2016 LEVERAGE INFORMATION SYST INC EWHMB00238 Issue date 09/04/2014 Violation city Woodinville 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. Workers' comp RCWfWAC 19.28.101 RCW Violation amount $250.00 Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 851,809-00 Account is current. Doing business as FEDERAL NETWORK SERVICES INC Estimated workers reported Quarter 1 of Year 2016 "31 to 50 Workers" L&I account representative T3 / JAMES VEST (360)902-5240 - Email: VESJ235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Page 2 of 2 https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=601490089&LIC=LEVERIS909LT&SAW= 6/22/2016