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Home My WebLink AboutPermit EL16-0779 - TAHOMA CLINIC - CIRCUITS FOR NEW OUTDOOR HVAC UNITSTAHOMA CLINIC 6839 FORT DENT WAY EL16-0779 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: 2954900445 Permit Number: EL16-0779 Address: 6839 FORT DENT WAY Issue Date: 8/25/2016 WA Cities Electrical Code: 2014 Permit Expires On: 2/21/2017 Project Name: TAHOMA CLINIC 2014 Owner: 2015 WA State Energy Code: Name: FORT DENT WAY LLC 2015 Address: 6839 FORT DENT WAY #134, TUKWILA, WA, 98188 Contact Person: Name: CORY HESSELTINE Phone: (206) 851-9688 Address: 126 S SPOKANE ST, SEATTLE, WA, 98134 Contractor: Name: ECO ELECTRIC Phone: (206) 232-0838 Address: PO BOX 468, MERCER ISLAND, WA, 98040 License No: ECOELE*842DN Expiration Date: 3/15/2018 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL 3 480V 30 AMP CIRCUITS FOR NEW OUTDOOR HVAC UNITS. INSTALL ONE (1) CIRCUIT FOR INDOOR UNITS HVAC. Valuation of single family: $0.00 Fees Collected: $192.57 Valuation of mf/comm: $5,000.00 Type of Work: ADDITION Electrical Service Provided by: PLIGHT SOUND ENERGY Water District: TUKWILA Sewer District: TUKWILA 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: 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 n t presume to give authority to violate or cancel the provisions of any other state or local laws regulating con ruction or the performance of work. I am authorized to sign and obtain this development permit and agree the conditions attached to this permit. Signature: Date: Print Name: �CUI C_70 CGe'_ 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 TUKWi__ 1 Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htti)://www.TukwilaWA.gov Electrical Permit No. P, ii! U - 0-111 Project No. Date Application Accepted: 115 ' 1(Q Date Application Expires: 2' ' (i 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" SITE LOCATION Site Address: Tenant Nam King Co Assessor's Tax No.: PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: S� Address:izu SD jet e K-l�i City: State: mk Zip: ,e Phone , bqOgg Fax: Email:0,1 regefetkiCLv .G all Number: New Tenant: Floor: ❑ .....Yes Pf..No ELECTRICAL CONTRACTOR INFORMATION Company Name: �j�„(tel 6 Address:PO K gt0f City: d d State: wA Zipq boo Gvvd Phone: 2enZ�2pg Fax: 0 -` Contr Reg No.: [C0"X-8g1,)1q Exp Datel,,511.5 Tukwila Business License No.; S/o- 7 Valuation of Project (contractor's bid price): $ S Scope of Work (please provide detailed information): T Tei S T iAC_ L 3 4A ROU 3 9 5'* O ll ri P G �Lv z -r- S Fo Q NA E Q Oct T iso 2 t -E L) q c v N3 T S Z'nl ST /I CC_ t i CT 2cs� T -r Fo cz C.9,A/2 rs lr/vim C_ Will service be altered? ❑ Yes [5�— No Type of Use: Tvne of work: ❑ New 9 Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications0octrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Adding more than 50 amps? ❑ Remodel ❑ Telecommunication ❑ Yes JU- 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 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: Print Mailing Address: Date: S S E L'r'S 1'k Day Telephone: 2GYo IRM Z3Z 0$3 g C � e4 City State Zip H:\Applicalions\Forms-Applications On Linc\2014 Applications\Elcctrical Permit Application Revised 1-1-14.docx Revised: January 2014 bb Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $192.57 EL16-0779 Address: 6839 FORT DENT WAY Apn: 2954900445 $192.57 ELECTRICAL $183.40 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $183.40 TECHNOLOGY FEE $9.17 TECHNOLOGY FEE TOTAL . R9273 R000.322.900.04.00 0.00 $9.17 $192.57 Date Paid: Thursday, August 25, 2016 Paid By: CORY HESSELTINE Pay Method: CREDIT CARD 942637 Printed: Thursday, August 25, 2016 1:06 PM 1 of 1 WYS7EM5 •� INSPECTION RECORD m, —677, Retain a copy with permit INSPECTION NO. PEWIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 / Permit Inspection Request Line (206) 438-9350 l I Project: Type of Inspection: Address: /��` t � Date Called: Special Instructions: Date Wanted: g . a.m. Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. r,A nspector: U REINSPECTION SEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Z- INSPECTION RECORD Retain a copy with permit � 011 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 Project: I A C"" W Type of Inspection: A�M Address:, Date Called: Special Instructions: �100 Date Wanted: [ a.m. Requester: Phone No: FlApproved per applicable codes. 11 Corrections required prior to approval. y/ -nr-ewajA tuvv1r-5 I Iffy - Inspector: Date: 10h REINSPECTIONIFEE REQUIRED. Prior to next inspection, fee'must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD 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: � W( C' Type of Inspection: �� Address: � 33 vJ {� oJr Date Called: Special Instructio s: Date Wanted: *'a-. M, 07 Requester: �•`� Phone No: 3 7 e -5 -L Approved per applicable codes. Corrections required prior to approval. COMMENTS: CJ1 al �e� L J tP IL�►V P nspector: /a/o REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Eco Electric Washington State Department of Labor & Industries Eco Electric Owner or tradesperson Principals Hesseltine, Cory J, PARTNER/MEMBER Hesseltine, Cory J, AGENT Doing business as Eco Electric WA UBI No. 603 569 740 Parent company NRG Services LLC License Horne Espanol Contact Safety & Health Claims & Insurance PO BOX 468 MERCER ISLAND, WA 98040 206-232-0838 KING County Business type Limited Liability Company Page 1 of 2 A -L Index Help My LA&I Workplace Rights Trades & Licensing 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. ECOELE*842DN Effective — expiration 03/15/2016— 03/15/2018 Designated administrator Hesseltine, Cory License type Electrical Administrator Bond American Contractors Indem CO Bond account no. 100303354 Received by L&I 03/15/2016 Savings ................ No savings accounts during the previous 6 year period. License Violations ........................................... No license violations during the previous 6 year period. Workers' comp Active. Meets current requirements. License no. HESSEC*917Q4 $4,000.00 Effective date 03/14/2016 Expiration date Until Canceled 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 Account is current. 234,001-02 https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=603569740&LIC=ECOELE*842DN&SAW= 8/26/2016