HomeMy WebLinkAboutPermit EL16-0630 - CARY LANG CONSTRUCTION - TEMPORARY POWER POLECARY LANG
CONSTRUCTION
13047 57 AVE S
EL16-0630,
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: 2172000250
Address: 13047 57TH AVE S
Project Name: CARY LANG CONSTRUCTION
Owner:
Permit Number: EL16-0630
Issue Date: 7/8/2016
Permit Expires On: 1/4/2017
Name:
KNUDSON GERALD
Address:
6402 S 144TH, TUKWILA, WA, 98589
Contact Person:
2015
Name:
RACHEL MASON Phone: (253) 848-5595
Address:
11109 66 AVE E, PUYALLUP, WA,
WAC 296-466:
98373
• Contractor:
Name: MERIDIAN CENTER ELECTRIC INC
Address: 1109 66TH AVE E, PUYALLUP, WA,
98373
License No: MERIDCE318SG
Lender:
Name:
Address:
DESCRIPTION OF WORK:
60 AMP OVERHEAD TEMPORARY POWER POLE
Valuation of single family: $100.00
Valuation of mf/comm: $0.00
Type of Work: TEMP SERVICE
Phone: (253) 848-5595
Expiration Date: 2/28/2017
Fees Collected: $66.15
Electrical Service Provided by:
Water District:
Sewer District:
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2015
National Electrical Code:
2014
International Residential Code Edition:
2015
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2015
WAC 296-466:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
Permit Center Authorized Signature: J- 144 YJ Date: –7-9-1 �
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:
Date: 7=S! -/X
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., .
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
hqp://www.TukwilaWA.aov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires: _
r
r?�l I I
(For ofj
ELECTRICAL PERMIT APPLICATION
use
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 I
King Co Assessor's Tax No.:
Site Address:�f Suite Number: Floor:
Tenant Name: New Tenant: ❑ .....Yes ❑ ..No
RO
10 WWII
rl
CONTACT PERSON — person receiving all project
umml!,nLcation
Name:
r) (� IG► 066 f ,,,,�
C�C� i' l
Address:
l
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City:
I State: Zi
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Phone.
"Fax:
25�1.r�
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ELECTRICAL CONTRACTOR INFORMATION
Company Name:
r) (� IG► 066 f ,,,,�
C�C� i' l
Address: I j� I o
City: a [ I State: ' A (� Zip
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Phone. -Vfl� Fax:
I v?5q
Contr Reg No.: Paqtcq5i% Exp Date: Da
Tukwila Business License No.:Bt 312
Valuation of Project (contractor's bid price): $� , o=
Scope of Work (please provide detailed information):
U,L) DUX hi�,OA -Te'm f) pbu-
Will
service be altered? ❑ Yes ❑ No Adding more than 50 amps?
Type of Use:
Tvne of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Propea Served by:
Puget Sound Energy E] Seattle City Light
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icationsTorms-Applications On Line\201 I ApplicationsTlectrical Permit Application Revised 8-9-1I.docx
RevisedAugust 2011
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❑ Yes ❑ 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
(no added/altered circuits)
$63.00
❑
Service change with added/altered circuits.................$81.90
$78.75
❑
number of added circuits .......................$11.55
ea
❑
Circuits added/altered without service change ...........
$54.60
❑
(up to 5 circuits)
$78.75
❑
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.
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.
BU DIN WNER OR ELECTRICAL CONTRACTOR:
Signatu a Date:
Print Name: Day Telephone: U'IT
Mailing Address: I `l 5' 1 ULIJ-11) t "t -E TutN' I W
H:\Applications\Forms-Applications On LineL01 I ApplicationsTlectrical Permit Application Revised 8-9-1 Ldoex
Revised: August 2011
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State Zip
Page 2 of 2
MISCELLANEOUS FEES
Temporary service (residential) .................................
$63.00
Temporary service (generator) ...................................
$78.75
❑
Manufactured/mobile home service ...........................
$84.00
(excluding garage or outbuilding)
❑
Carnivals....................................................................
$78.75
Number of concessions .........................
$10.50 ea
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.
BU DIN WNER OR ELECTRICAL CONTRACTOR:
Signatu a Date:
Print Name: Day Telephone: U'IT
Mailing Address: I `l 5' 1 ULIJ-11) t "t -E TutN' I W
H:\Applications\Forms-Applications On LineL01 I ApplicationsTlectrical Permit Application Revised 8-9-1 Ldoex
Revised: August 2011
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State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
• QUANTITY
PAID
$66.15
EL16-0630 Address: 13047 57TH AVE S
Apn: 2172000250
$66.15
ELECTRICAL
$63.00
PERMIT FEE SINGLE FAMILY
ROOO.322.101 : 00.00 0.00
$63.00
TECHNOLOGY FEE
$3.15
TECHNOLOGY FEE
TOTAL'::'•
R000.322.900.04.00 0.00
$3.15
.. .15
Date Paid: Friday, July 08, 2016
Paid By: MERIDIAN CENTER ELECTRIC INC
Pay Method: CHECK 7386
Printed: Friday, July 08, 2016 8:41 AM 1 of 1
MWSYS7EM5
INSPECTION RECORD �j f
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:�
CA4
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LA dv
on:
Type 3WI,
Address:
13
�7A�
Date Called:
-o -V
Special Instructionl:
tttiiiY���
Date Wanted:
Ca.rn,
Requester:
Phone No:
inApproved per applicable codes. u Corrections required prior to approval.
pC�
u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
MERIDIAN CENTER ELECTRIC TXTC
Nome Espanol Contact
Safety & Health Claims & Insurance
4nWashington State Department of
Labor & industries
MERIDIAN CENTER ELECTRIC INC
Owner or tradesperson 11109 66th Ave E
Bates, Mark PUYALLUP, WA 98373
253-848-5595
Principals PIERCE County
Bates, Mark, PRESIDENT
Magee, Shile, VICE PRESIDENT
Westendorf, Carmen, SECRETARY
Westendorf, Carmen r, AGENT
DILLARD, GREG, MEMBER
ZACHER, GERALD, MEMBER
(End: 03/09/2016)
Adkins, Brian, VICE PRESIDENT
(End: 04/13/2012)
Theriault, James, VICE PRESIDENT
(End: 04/13/2012)
WA UBI No. Business type
600 278 577 Corporation
License
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Elec. ...............................................
Meets current requirements.
License specialties
GENERAL
License no.
MERIDCE318SG
Effective — expiration
01/07/1969— 02/28/2017
Designated administrator
Magee, Shile Alan
License type
Electrical Administrator
Bond
.................
TRAVELERS CAS & SURETY CO
Bond account no.
206847416
Received by L&I
02/06/2001
Savings
........._..........
Active.
Meets current requirements.
License no.
MAGEESA866RQ
$4,000.00
Effective date
04/01/2001
Expiration date
Until Canceled
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=600278577&LIC=MERIDCE318SG&SAW= 7/8/2016