The URL can be used to link to this page

Home My WebLink AboutPermit EL16-0929 - TAHOMA CLINIC - THERMOSTATSTAHOMA CLINIC 6835 FORT DENT WAY EL16-0929 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 Parcel No: 2954900445 Address: 6835 FORT DENT WAY Project Name: TAHOMA CLINIC ELECTRICAL OTC PERMIT Permit Number: EL16-0929 Issue Date: 10/11/2016 Permit Expires On: 4/9/2017 Owner: 2015 Name: FORT DENT WAY LLC Address: 6839 FORT DENT WAY #134, WA Cities Electrical Code: TUKWILA, WA, 98188 Contact Person: 2015 Name: TERESE ANDERSON Phone: (253) 796-5825 Address: 1221 SECOND AVE N, KENT, WA, WA State Energy Code: 98032 Contractor: Name: HERMANSON COMPANY LLP Phone: (206) 575-9700 Address: 12212 AV N, KENT, WA, 98032 License No: HERMACL995DK Expiration Date: 3/12/2017 Lender: Name: Address: DESCRIPTION OF WORK: INSTALLATION OF 9 NEW THERMOSTATS Valuation of single family: $0.00 Fees Collected: $104.37 Valuation of mf/comm: $1,000.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: PUGEST 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 296-4613: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 c _ 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 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: 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: 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. Community Development Department /�• Permit Center • 6300 Southcenter Blvd., Suite 100 Tukivilu, WA 98188 http://www.TukwilaWA.gov Electrical Permit Noll-1, 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" SITE LOCATION I King Co Assessor's Tax No.: 2954900445 Site Address: 6835 Fort Dent Way Suite Number: Floor: 2 Tenant Name: Tahoma Clinic New Tenant: ❑ .....Yes ®..No PROPERTY OWNER Name: Meridian Valley Laboratory Address: 801 SW 16th St., Suite 121 City: Tukwila State: wa zip: 98188 CONTACT PERSON — person receiving all project communication Name: Terese Anderson Address: 1221 2nd Ave N City: Kent State: WA Zip: 98032 Phone: (206) 200-7804 Fax: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: Hermanson Address: 1221 2nd Ave N City: Kent State: wa Zip: 98032 Phone: (206) 575-9700 Fax: Contr Reg No.: HERMACL995 Exp Date: 03/27/201.7 Tukwila Business License No.; BUS -0994464 Valuation of Project (contractor's bid price): $ 1,000 Scope of Work (please provide detailed information): Installation of 9 new Tstats Will service be altered? ❑ Yes m No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ® Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ® Puget Sound Energy ❑ Seattle City Light H: Applications Forms -Applications On Line 2014 Applications Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Adding more than 50 amps? ❑ Remodel ❑ Telecommunication ❑ Yes m No ❑ Tenant Improvement ❑ 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 RES_I_DENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration ...................................... $81.90 (no added/altered circuits) Temporary service (residential) ................................. ❑ Service change with added/altered circuits.................$81.90 Temporary service (generator) ................................... $80.90 number of added circuits ....................... $11.55 ea ❑ Circuits added/altered without service change ........... $54.60 (up to 5 circuits) Carnivals.................................................................... ❑ Circuits added/altered without service change ........... $54.60 $10.80 ea (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. Print Name: Terese Anderson Mailing Address: 1221 2nd Ave N H: Applications Forms -Applications On Line 2014 Applications Flectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Date: 10/1.0/2016 Day Telephone: (206) 200-7804 Kent WA 98032 City State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK • QUANTITY PAID $104.37 EL16-0929 Address: 6835 FORT DENT WAY Apn: 2954900445 $104.37 ELECTRICAL $99.40 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $99.40 TECHNOLOGY FEE $4.97 TECHNOLOGY FEE TOTAL ., .961: R000.322.900.04.00 0.00 $4.97 $104.37 Date Paid: Tuesday, October 11, 2016 Paid By: TERESE ANDERSON Pay Method: CREDIT CARD 939245 Printed: Tuesday, October 11, 2016 10:37 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 DIVISION (206) 431-3670 Project: „/ Type of Inspection: Address: 1 Date Called: Special Instructions: t Date Wanted: A)/17 a Requester: Phone No: - r Approved per applicable codes. 11 Corrections required prior to approval. M spector: %._ gI Date: REINSPECTIO14 FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Calt to schedule reinspection. t MNUM., M0612KC41M 111 Home Fspahol Contact Safety & Health *1124 Washington State Department of kJLabor & Industries HERMANSON COMPANY LLP Page 1 of 3 Search L&I A -L Lidex Help My L I Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson 1221 2ND AVE N KENT, WA 98032 Principals 206-575-9700 Hengl, Stephen, PARTNER/MEMBER KING County Dyckman, Kenneth, PARTNER/MEMBER Robinett, Paul, PARTNER/MEMBER Nicolaisen, Knut, PARTNER/MEMBER Brock, Daniel, PARTNER/MEMBER Fox, Dean, PARTNER/MEMBER HERMANSON, RICHARD L, PARTNER/MEMBER ALMON, KEVIN L, PARTNER/MEMBER (End: 03/14/2011) MACDONALD, JAMES A, PARTNER/MEMBER (End: 03/14/2011) Doing business as HERMANSON COMPANY LLP WA UBI No. Business type 602 004 844 Limited Liability Partnership Governing persons CORP HERMANSON LLC HERMANSON GROUP; 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. HERMACL995DK Effective — expiration 03/12/2001— 03/12/2017 Designated administrator ......................... HENKEL, JOHN K License type Electrical Administrator Bond B . _............. WESTERN SURETY CO Bond account no. Active. Meets current requirements. License no. HENKEJK995CC $4,000.00 Help us improve https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602004844&LIC=HERMACL995DK&SAW= 10/11/2016 HERMANSON COMPANY LLP 929352307 Received by L&I 03/11/2005 Savings ..... _ .................. No savings accounts during the previous 6 year period. License Violations Infraction no. ECOKA00214 Issue date 04/22/2013 Violation city Kent Type of violation ELECTRICAL CITATION Description Class B eligible work - Failing to obtain an electrical/telecommunications work permit, or post a provisional electrical work permit, or valid Class B label prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-466-901. Workers' comp Effective date 03/09/2005 Expiration date Until Canceled Satisfied ........................ RCW/WAC 19.28.101 RCW Violation amount $100.00 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. 409,648-01 ................................. Doing business as HERMANSON COMPANY LLP Estimated workers reported Quarter 2 of Year 2016 "Greater than 100 Workers" L&I account representative T1 / NIKKI BUTLER (360)902-4918 - Email: BUT0235@lni.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 02/23/2016 No violations Inspection no. 317939295 Location 15580 NE 31st St. Redmond, WA 98052 Inspection results date 05/21/2015 No violations Inspection no. 317935231 Location 4480 154th PI NE Redmond, WA 98052 Inspection results date 12/10/2014 No violations Inspection no. 317424935 Location 21601 76th Ave W. Edmonds, WA 98026 Page 2 of 3 Help us improve https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=602004844&LIC=HERMACL995DK&SAW= 10/11/2016