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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