HomeMy WebLinkAboutPermit EL16-0835 - TUKWILA VILLAGE / BUILDING C - TEMPORARY SINGLE PHASE SERVICETUKWIIAVILIAGE
BUILDING C
14350 TUKWILA
INTERNATIONAL BLVD
EL16-0835
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: 1523049096 Permit Number: EL16-0835
Address: 14350 TUKWILA INTERNATIONAL Issue Date: 9/12/2016
BLVD Permit Expires On: 3/11/2017
Project Name: TUKWILA VILLAGE BUILDING C
Owner:
Name: TUKWILA CITY OF
Address: 6200 SOUTHCENTER BLVD, TUKWILA,
WA, 98188
Contact Person:
2015
Name: MITCH CHAMBERLIN
Phone: (253) 770-0656
Address: PO BOX 849, SUMNER, WA, 98390
2015
Contractor:
2014
Name: EVERGREEN STATE ELECTRIC INC
Phone: (253) 770-0656
Address: PO BOX 849, SUMNER, WA, 98390
2014
License No: EVERGSE066JA
Expiration Date: 4/1/2018
Lender:
2015
Name:
2015
Address:
DESCRIPTION OF WORK:
`
INSTALL ONE 200 AMP TEMPORARY SINGLE PHASE SERVICE
UNDER GROUND
Valuation of single family: $0.00
Fees Collected: $84.95
Valuation of mf/comm: $2,000.00
Date: O—vp
Type of Work: TEMP SERVICE
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW
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 296-46B:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
1
`
ll��
q—
Permit Center Authorized Signature:—11
Date: O—vp
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:
Date:�l�'
Print Name:
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:
<NONE>
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUKW 1
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http:/Avw-%&,.TukwilaWA.gov
SITE LOCATION
Electrical Permit No. UJ(0-,Q8a57
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"
King Co Assessor's Tax No.:
Site Address: 143 Sb IU—K-W 1406-, Tap Ti:..eIJRTIMAL 100 Suite Number: Floor:
Tenant Name:%KW418. U1 U WE -rF--m,4 WFC 130l441[1.9 tt�y New Tenant: ❑ ..... Yes Q'. No
PROPERTY OWNER ,� 99
Name FUV-W Q-A VlUA6F XVEL
Address. 20 _ a -Tw AUE. E 130 A. Su L
City: pu AtLU State: WA zip: q-5:374-1
CONTACT PERSON - person receiving all project
communication
Name:
Address:I X60
City: SuMAM State:
WA.Zip:Ci!F3�'a
Phone: -26-3-770-645-(w Fax.
25-3-77e—/7-7
Email:
Wlf�G!�1 ne-t-
1
br,, .,LoN�
ELECTRICAL CONTRACTOR INFORMATION
Company Name: F X& 6�N 5TA � c (N LS
Address: T )o ea.(, X461
City: 5U Q State: r - k Zip:fe3�o
Phone:-7,r6,665Fax. 2S3--7?.,-17,, 7
Contr Reg No.: �o6SE db6 g Exp Date:
Tukwila Business License No.
Valuation of Project (contractor's bid price): $7, D 0 ' wW �6tulgE
Scope of Work (please provide detailed information): I -A U— ON F. Zt�O fic,,W 19 2W A—
U N o6k CAD c nd r
Will service be altered? ❑ Yes ❑ No
Type of Use:
Tvve of work:
New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy Seattle Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication 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
$80.90
(no added/altered circuits)
$86.25
❑
Service change with added/altered circuits.................$81.90
❑ Carnivals....................................................................$80.60
number of added circuits .......................$11.55
ea
❑
Circuits added/altered without service change ............
$54.60
(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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name �"I" � N
Mailing Address:
R:Wpplications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Date: ,zG�
Day Telephone: 2—J .7-7?l/ ^ L06i o
wv� tzl ! 3
City
State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
PAID
$1,536.63
EL16-0756 Address: 14350 TUKWILA INTERNATIONAL BLVD
Apn: 1523049096
$1,366.73
ELECTRICAL
$1,301.65
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
0.00
$1,301.65
TECHNOLOGY FEE
$65.08
TECHNOLOGY FEE R000.322.900.04.00
0.00
$65.08
EL16-0835 Address: 14350 TUKWILA INTERNATIONAL BLVD
Apn: 1523049096
$84.95
ELECTRICAL
$80.90
PERMIT FEE MISCELLANEOUS R000.322.101.00.00
0.00
$80.90
TECHNOLOGY FEE
$4.05
TECHNOLOGY FEE 13000.322.900.04.00
0.00
$4.05
EL16-0836 Address: 14400 TUKWILA INTERNATIONAL BLVD
Apn: 0040000180
$84.95
ELECTRICAL
$80.90
PERMIT FEE MISCELLANEOUS R000.322.101.00.00
0.00
$80.90
TECHNOLOGY FEE
$4.05
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES ' R9394
0.00
$4.05
Date Paid: Monday, September 12, 2016
Paid By: EVERGREEN STATE ELECTRIC INC
Pay Method: CHECK 1067
Printed: Monday, September 12, 2016 2:08 PM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit C
INSPECTION N0. PERMIT NO.
y.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Yquest Line (206) 438-9350 02
Project
Type of Inspection.
Address: /
Date Called:
Special Inst uctions:
2-60 A11r TrIP •
Date Wanted: a.m.
Requester:
Phone No:
9 Approved per applicable codes. EJ Corrections required prior to approval.
Inspector: /1 y /q� IOate: o�I jq I 17
F] REINSPECTICIP FEE 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 NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: ce
Type of Inspection: C55WI CE
Address: �_
Date Called:
Special Inst uctions:
Date Wanted: a.m.
nl�
p•
Requester: -77®Z
Phone No:
Z�'%'�% / G v M
MApproved per applicable codes. Ll Corrections required prior to approval.
IInspector: / K / M— IDate: V f/M Il ya
REINSPECTION FEE 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 NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
RCnmarm.11VIV rCC nctAuIRGU. mor l0 next m5peCII0n, lee mu51 De
u paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
2/1/2017
City of Tukwila Allan Ekberg, Mayor
Department of Community Development Jack Pace, Director
MITCH CHAMBERLIN
PO BOX 849
SUMNER, WA 98390
RE: Permit No. ELI 6-0835
TUKWILA VILLAGE BUILDING C
14350 TUKWILA INTERNATIONAL BLVD
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 3/22/2017.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 3/22/2017, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
�1111111NJ'i'
�Jlv�
Rachelle Ripley �)
Permit Technician
File No: ELI 6-0835
6300 Southcenter Boulevard Suite #100 0 Tukwila, Washington 98188 0 Phone 206-431-3670 0 Fax 206-431-3665
EVERGREEN STATE ELECTRIC INC
Home I-,, pa nol Contact
Safety & He8 tth Claims & Insurance
Vtrashington State Department of
�} Labor & Industries
Page 1 of 3
!Search L&I l
A X IHelp sic LFcI
Workplace Rights Trade & Licensing
I EVERGREEN STATE ELECTRIC INC I
Ovmer or tr,.dc,;peison
Principals
CHAMBERLIN, MITCHELL, PRESIDENT
CHAMBERLIN, LYNDA K, VICE PRESIDENT
CHAMBERLIN, LYNDA, AGENT
WILKINSON, JESSICA, SECRETARY
(End: 12/26/2012)
Doing business as
EVERGREEN STATE ELECTRIC INC
PO BOX 849
SUMNER, WA 98390
253-770-0656
PIERCE County
SIVA UBI No Business typ(
601 521 666 Corporation
Governing pe[sons
LYNDA
K
CHAMBERLIN
MITCHELL D CHAMBERLIN;
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.
EVERGSE066JA
Effective — expiration
04/01/1994— 04/01/2018
Designated administrator
CHAMBERLIN, MITCHELL
License tyl c
Master Electrician
Bond
Contractors Bonding & Insurance Co
Bond acwurt no.
SJ5622
Receivcd by L&
04/24/2012
Active.
Meets current requirements.
Licsnse ne
CHAMBM`977KG
$4,000.00
Effective dat ;
04/01/2012
Expiration date
Until Canceled
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
htti)s:Hsecure.Ini.wa.izov/verifv/Detall.asDx?UBI=601521666&LIC=EVERGSE066JA&SAW=
11cip us improve