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Permit EL16-0836 - TUKWILA VILLAGE / BUILDING D - TEMPORARY SERVICE
TUKWILA VILLAGE BUILDING D 14400 TUKWILA INTERNATIONAL BLVD ELl 6mO836 , 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.gov ELECTRICAL OTC PERMIT Parcel No: 0040000180 Permit Number: EL16-0836 Address: 14400 TUKWILA INTERNATIONAL Issue Date: 9/12/2016 BLVD Permit Expires On: 3/11/2017 Project Name: TUKWILA VILLAGE BUILDING D Owner: 2015 Name: TUKWILA CITY OF 2014 Address: 6200 SOUTHCENTER BLVD, TUKWILA, 2015 WA, 98188 2014 Contact Person: 2015 Name: MITCH CHAMBERLIN Phone: (253) 770-0656 Address: PO BOX 849, SUMNER, WA, 98390 2015 Contractor: 2015 Name: EVERGREEN STATE ELECTRIC INC Phone: (253) 770-0656 Address: PO BOX 849, SUMNER, WA, 98390 License No: EVERGSE066JA Expiration Date: 4/1/2018 Lender: Name: Address: DESCRIPTION OF WORK: INSTALL ONE 600 AMP 3 PHASE TEMPOARY SERVICE Valuation of single family: $0.00 Fees Collected: $84.95 Valuation of mf/comm: $5,000.00 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 Permit Center Authorized Signature: L 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 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 th conditions attached to this permit. C� // Signature J Date: Print Name: 40;�111?f�14 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 I Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 ht!p://www.TukwilaWA.gov SITE LOCATION /I Site Address Tenant Name: Electrical Permit No. ' — 83 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" l It 4/F1'06�'��O"Ting Assessor's Tax No.: �T16T/ Suite Number: Floor: t S Uc � d• New Tenant: ❑ ..... Yes El.. No PROPERTY OWNER Name: 1UKU)[LA V116466 Address: Zb' �t rs 31,140 SU 'y 3oa City: ./), AU,02. State: UA Zip: CONTACT PERSON — person receiving all project communication Name: Address: City: SuAya State: Zip: n Phone: Zs__3 Fax. 2-f3.-7?,)— /767 Email: ELECTRICAL CONTRACTOR INFORMATION ��.� Company Name: 15J&s _ C7 f Rif � ,96 Address: Q City: State� Zip40386 Phone:2 ,3_64&_/Z Fa"ZS ^??4/76"7 Contr Reg No.ow, 45 066 Exp Dater l8 Tukwila Business License No.; &y—& ? z/ Valuation of Project (contractor's bid price): $ %9V Scope of Work (please provide detailed information): IN 5 � C) Aze 61�D An S�2uZ� Will service be altered? ❑ Yes ❑ No Type of Use: T vve of work: New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Fortns-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.do" Revised: July 2013 bh Adding more than 50 amps? ❑ Yes ❑ No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Pagel 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 MISCELLANEOUS FEES (no added/altered circuits) ❑ ❑ Service change with added/altered circuits.................$81.90 Temporary service (generator) ................................... number of added circuits .......................$11.55 ea ❑ Circuits added/altered without service change ............ $54.60 (excluding garage or outbuilding) (up to 5 circuits) ❑ ❑ Circuits added/altered without service change.. .......... $54.60 Number of concessions ......................... (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. v // / Signature: �� — Date: /? C 6 Print Name: / YG ��—d (—T— Day Telephone: .J 3 /?e) (Y - Mailing -Mailing Address: 9T t City State Zip H: ApplicationsTorms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bb Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $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 R000.322.900.04.00 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 1TOTAL FEES PAID BY RECEIPT: .. 394 0.00 $4.05 $1,536.63 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 `4 �fsrsrEMs INSPECTION RECORD(-u� �q`3 etain a copy with permit a 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 Proiect. - r%, IType of Inspection: (Address: w 7-7 n (Date C altecl: %.�olc,C '—' paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. �Q INSPECTION RECORD O Retain a copy with permit lP� 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 e Project: Its) (.L C Type of Inspection: Address: 17® Date Called: Special Instructions: IMP- 3�i� Date Wanted: a.rn. W13 p.m Requester: Phone No:� 77o 965 ❑ Approved per applicable codes. 1:1 Corrections required prior to approval. I paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. "� INSPECTION RECORD l Retain a copy with permit –oX 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 r I UJCUL :]�A 4" / �YYvvVVppil�\ Address: ,f s®n `�-� Date Called: Special Instructions: Date Wanted: ttZ Requester: Phone No: 77 P 06 -& Approved per applicable codes. Corrections required prior to approval. Iinspector: '-;z' 1IhAf15)\Nk Iuate: 1 123 /iL REINSPECTION PEE REQUIRED. Prior to next inspection. flee must be paid at 6300 So thcenter Blvd., Suite 100. Catl to schedule reinspection. INSPECTION RECORD Retain a copy with permit( INSPECTION NO. PER N0. CITY OF TUKWILA BUILDING DIVISION 0 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: . - � Type of Inspection: ����• _ / Address: Date Called: Special Instructions: Date Wanted: a.m. p. Requester: Phone No: Approved per applicable codes. 11 Corrections required prior to approval. COMMENTS: ' "® 0UJr1!� 75 I paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit fi46—tX INSPECTION NO. P RMIT N0. 4 CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Approved per applicable codes. R Corrections required prior to approval. Iinspector: ' / IHIWAJt5r— luate: G f /Q c.f II b I REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 5outhcenter Blvd., Suite 100. Call to schedule reinspection. q I INSPECTION RECORD 16L-1� _ Dg 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 Approved per applicable codes. L: Corrections required prior to approval. COMMENTS: � la ' F Inspector: � f � Date: /001 r= nrnrnlunnn n :_ _..a _ __a:__ c__ �.._a L_ "11a 11. 1 I -- I ,— w ..— —Fc Llvn. -- we paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit 64d� INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 0. 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection:r 15,601 Address: � � / � ( Date Called: Special Instructions: Date Wanted: / M. t o bf p•m Requester: ,-r,owl Phone No: .2-F3 377 3� 9 Approved per applicable codes. Corrections required prior to approval. COMMENTS: ��.c G c�� v�PJ qtf 64-0k)140 A ! C19 6 10 Iinspector: mis6j /a Iuate: 10/04///. O /b4 ///n 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) 431-367 Permit Inspection Request Line (206) 438-9350 Project: � Type of Inspecti D Address: Date Called: Special Instructions: Date Wanted: V3-0 P �. kyr 253 ??AO 0616 Approved per applicable codes. Corrections required prior to approval. I 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 A Project: t ` i -( Z (�X Type of InspectionC-6 Address: L�JDD er- 1,L Date Called: Special Instructions: 'K( J C Date Wanted: �1 Z P• Requester: Phone No:770 ©V Approved per applicable codes. 4 Corrections required prior to approval. COMMENTS: l P gm��o oJF vnf i����i `ib ✓i6his c'o Dov C- ' AJ 66 �M€-✓ t�5Lfg 0 J (W (Inspector: -"7/(gJWVeA (Date: 0 7w0 /l So I F] REINSPECTION rEE REQUIRED.'Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. City of Tukwila Allan Ekberg, Mayor Department of Community Development Jack Pace, Director 8/31/2017 MITCH CHAMBERLIN PO BOX 849 SUMNER, WA 98390 RE: Permit No. ELI 6-0836 TUKWILA VILLAGE BUILDING D 14400 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 10/10/2017. 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 10/10/2017, 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, Bill Rambo Permit Technician File No: ELI 6-0836 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 4/3/2017 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 6-0836 TUKWILA VILLAGE BUILDING D 14400 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 5/22/2017, 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 5/22/2017, 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, Rachelle Ripley Permit Technician File No: ELI6-0836 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 EVERGREEN STATE ELECTRIC INC Moine !,..parol [intact Safety & Hes ith Claims & Insurance Washington Mate Department of Labor & Industries EVERGREEN STATE ELECTRIC INC Owner or trade ;per son PO BOX 849 Principals SUMNER, WA 98390 253-770-0656 CHAMBERLIN, MITCHELL, PRESIDENT PIERCE County CHAMBERLIN, LYNDA K, VICE PRESIDENT CHAMBERLIN, LYNDA, AGENT WILKINSON, JESSICA, SECRETARY (End: 12/26/2012) Doing husmess as EVERGREEN STATE ELECTRIC INC VVA L'BI No Business typr_ 601 521 666 Corporation Governing persons LYNDA K CHAMBERLIN MITCHELL D CHAMBERLIN; Page 1 of 3 'Search L&I A -Z Index Hchp �6\ L ., Workplace Rights Trade, & 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. EVERGSE066JA Bffcctive — expiration 04/0111994— 04/01/2018 Designated administrator CHAMBERLIN, MITCHELL License tyl Master Electrician Bond Contractors Bonding & Insurance Co Bond account no. SJ5622 Receive 04/24/2012 Bond history Savings No savings accounts during the previous 6 year period, License Violations Active. Meets current requirements. LiC n.se no CHAMBM*977KG $4,000.00 Effective (l.., 04/01/2012 Expiration d,,b. Until Canceled htti)s:Hsecure.lni.wa.2ov/verify/Detail.asi)x?UBI=601521666&LIC=EVERGSE066JA&SAW= Hcip s -, unprovc 9/1 ?/?()1 A