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Home My WebLink AboutPermit EL16-0940 - TUKWILA VILLAGE / BUILDING D - CONDUITTUKWILAVIIJjAGE BUILDING D CONDUIT 14400 TUKWILA INTERNATIONAL BLVD EL16-0940 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: EL16-0940 Address: 14400 TUKWILA INTERNATIONAL Issue Date: 10/12/2016 BLVD Permit Expires On: 4/10/2017 Project Name: TUKWILA VILLAGE BUILDING D -CONDUIT Owner: Name: TUKWILA CITY OF Address: 6200 SOUTHCENTER BLVD, TUKWILA, WA, 98188 Contact Person: Name: MITCH CHAMBERLIN Address: PO BOX 849, SUMNER, WA, 98390 Contractor: Name: EVERGREEN STATE ELECTRIC INC Address: PO BOX 849, SUMNER, WA, 98390 License No: EVERGSE066JA Lender: Name: Address: Phone: (253) 770-0656 Phone: (253) 770-0656 Expiration Date: 4/1/2018 DESCRIPTION OF WORK: CONDUIT ONLY PERMIT TO ACCOMPANY APPLICATION EL16-0939 Valuation of single family: $0.00 Fees Collected: $68.25 Valuation of mf/comm: $100.00 Type of Work: NEW 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: Date: V— 1)_— 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 TUKH. A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http//vvww.TukwilaW A. goy Electrical Permit No. � l t0' 0 Project No. //nn Date Application Accepted: Date Application Expires: ELECTRICAL PERMIT APPLICATION use 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 King Co Assessor's Tax No.: Site Address: 1 44a)_-fUi4w , a-TNTmya*_ u o. Suite Number: Floor: Tenant Name: -I tl�-�/�G� �UIC+G��S New Tenant: ❑ .....Yes ❑ .. No PROPERTY OWNER Name: alraf Nam • Address: a,HJ ,R Address: r it &ao A`Sq ay -30P City: State: wf, Zip CONTACT PERSON - person receiving all project communication Name: alraf Address: a,HJ ,R CdG� Z� City: �U w State: U/4 Zip: V9 Phone:ao_�_- ��i. Fax: dA -f3 -?30-/2,67 Email: U1114a / ELECTRICAL CONTRACTOR INFORMATION Company Name: A/�r. kc Address: City:0 Stater zip Phone:? 2d ' 06 -7 Fax: 0 �_� �j - 1747 Contr Reg No.kU... G Exp Date: Tukwila Business License No.; (lam! _6 W 72-( / Valuation of Project (contractor's bid price): $ Scope of Work (lease provide detailed information):-- , T Will service be altered? ❑ Yes ❑ No Type of Use: Type of work: VNew ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy [d Seattle City Light H:Wpplicatiom\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Remodel ❑ Telecommunication ❑ Yes ❑ 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 RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration .......................................$81.90 (no added/altered circuits) ❑ Service change with added/altered circuits.................$81.90 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 ❑ Manufacturedhnobile 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: Date: Print Name: dhow& 4 LlIzu Day Telephone: Mailing Address: /`'LO r�`X c '/ %� i'!�- w, 3L� City State Zip H:WpplicationsTorms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS QUANTITY PAID PermitTRAK $1,875.05 EL16-0939 Address: 14400 TUKWILA INTERNATIONAL BLVD Apn: 0040000180 $1,806.80 ELECTRICAL $1,806.80 PLAN CHECK FEE R000.345.832.00.00 0.00 $1,806.80 EL16-0940 Address: 14400 TUKWILA INTERNATIONAL BLVD Apn: 0040000180 $68.25 ELECTRICAL $65.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $65.00 TECHNOLOGY FEE $3.25 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT:R9624 0.00 $3.25 $1,875.05 Date Paid: Wednesday, October 12, 2016 Paid By: EVERGREEN STATE ELECTRIC INC Pay Method: CHECK 1069 Printed: Wednesday, October 12, 2016 9:37 AM 1 of 1 SYSTEMS 071/0 Nr INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMITN0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection �equest Line (206) 438-9350 ILI Project. fA - V Type of Inspection: Address: Date Called: Special Instruc ions: Date Wanted: 1 D6 p.m Requester: Phone No: Approved per applicable codes.El Corrections required prior to approval. LJLJ L/41 _ — 1! &OS6 tWH %T Date: Ot El REINSPECTIOIZI FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. J INSPECTION RECOR(q� l Retain a copy with permit —ONO 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 r Project: V"A4rV Type of Insnpf ction: h�M e i Address: MLOO Date Called: Special I strut ions: Ur %;;N Date Wanted:op .m. LOA 7 .m Requester: Ll Phone No: 776 ®_ E]Approved per applicable codes. L: Corrections required prior to approval. COMMENTS: e i a1 Ll IInspector: ^� 1 'Date: 7/It, REINSPECTION FEE REQUIRED. prior to next inspection, fee Imust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. EVERGREEN STATE ELECTRIC T1C kiWashington State Department of Labor & Industries Page 1 of 3 Home E,spahol Contact Search L&I � I Atsl A-% Index Help boy L&I Safety & Health Claims & Insurance Workplace Rights Trades & Licensing EVERGREEN STATE ELECTRIC INC Owner or tradesperson PO BOX 849 SUMNER, WA 98390 Principals 253-770-0656 CHAMBERLIN, MITCHELL, PRESIDENT PIERCE County CHAMBERLIN, LYNDA K, VICE PRESIDENT CHAMBERLIN, LYNDA, AGENT WILKINSON, JESSICA, SECRETARY (End: 12/26/2012) Doing business as EVERGREEN STATE ELECTRIC INC WA UBI No. Business type 601 521 666 Corporation Governing persons LYNDA K CHAMBERLIN MITCHELL D CHAMBERLIN; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electricl Contractor Active. ..................... -- .............................. Meets current requirements. License specialties GENERAL License no. EVERGSE066JA Effective — expiration 04/01/1994— 04101/2018 Designated administrator Active. CHAMBERLIN, MITCHELL Meets current requirements. License type License no. Master Electrician CHAMBM`977KG Bond __............. Contractors Bonding & Insurance Co $4,000.00 Bond account no. SJ5622 Received by L&I Effective date 04/24/2012 04/01/2012 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=601521666&LIC=EVERGSE066JA&SAW= Help us improve 10/12/2016