HomeMy WebLinkAboutPermit EL16-0942 - PAYNE RESIDENCE - METER BASE AND PANELPAYNE RESIDENCE
4005 S 150 ST
EL16-0942
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:
0041000555
Permit Number: EL16-0942
Address:
4005 S 150TH ST
Issue Date: 10/12/2016
WA Cities Electrical Code:
2014
Permit Expires On: 4/10/2017
Project Name:
PAYNE RESIDENCE
2014
Owner:
2015
WA State Energy Code:
Name:
PAYNE NICHOLAS A
2015
Address:
4005 S 150TH ST, TUKWILA, WA,
98188
to IWI
Contact Person:
Name:
KEN CLEMENTS
Phone: (425) 483-3363
Address:
22118 20 AVE SE #125, BOTHELL, WA,
98021
Contractor:
Name:
PREMIER MECH AND ELECTRIC LLC
Phone: (425) 483-3363
Address:
22118 20th AVE SE - SUITE 125,
BOTHELL, WA, 98021
License No:
PREMIME9218G
Expiration Date: 11/3/2018
Lender:
Name:
Address:
DESCRIPTION OF
WORK:
INSTALL NEW 200 AMP OVERHEAD METER BASE & NEW
200 AMP NEMA PANEL
Valuation of single
family: $1,725.00
Fees Collected: $86.00
Valuation of mf/comm: $0.00
Type of Work: SERV
CHNG
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
to IWI
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: 40C1XJ_r Date: le—D_ 037
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 TUKfT 4
JS
Community Developmont Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
SITE LOCATION
Electrical Permit No. t W ; — r) 9 '-o
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: 24C(p- 5 , j ��� Suite Number: Floor:
Tenant Name: L2zclA ou�,<, New Tenant: ❑ ..... Yes �'. No
PROPERTY OWNER
Company Name:
Name: XCN'AclLA-
Address. S S
Address:
City:
State: Zip:
Phone: Fax: .) _
1,-A
CONTACT PERSON - person receiving all project
communication
Name: S
Address:.
'aam<-w &
City: Staten Zip:
Phone 3_3 Fax -
Valuation
4�
Email:
Valuation of Project (contractor's bid price): $ 1-7;:, C50
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
guMtl
s LJr--
Address:
City: State: Zip:
c—
Phone: Fax: .) _
Contr Reg No.: Ex Date:
F
[Tukwila Business License No.;
�
, L 1 � I 1 �'____
Scope of Work (please provide detailed information): -TZ y�rpb i� ��� ,A <0/14 kI 7 t -&k
Will service be altered? A'Yes ❑ No
Type of Use:
Tyne of work:
❑ New ❑ Addition]' Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:\ApplicationsTorms-Applications On Linet2014 ApplicationsTlectrical Permit Application Revised 1-1.14.docx
Revised: July 2013
bh
Adding more than 50 amps? ❑ Yes P - No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
g�_ 0d
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
PERMIT APPLICATION NOTES -
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑
RESIDENTIAL REMODEL AND SERVICE CHANGES
$65.00
Service change or alteration .......................................$81.90
Temporary service (generator) ...................................$80.90
(no added/altered circuits)
Manufactured/mobile home service ...........................
❑
Service change with added/altered circuits.................$81.90
(excluding garage or outbuilding)
number of added circuits .......................
$11.55 ea
❑
Circuits added/altered without service change ............
$54.60
$10.80 ea
(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.
Mailing Address: tea i 1 :9 �') xut <,- .0125- ���H—e:9—
City
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
ie:
Date: is 0�\— ( ) 6
State Zip
Page 2 of 2
Date Paid: Wednesday, October 12, 2016
Paid By: PREMIER MECHANICAL
Pay Method: CREDIT CARD 03264G
Printed: Wednesday, October 12, 2016 11:21 AM 1 of 1
SY57EAA5
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
Project:
1
Typeo .I tion: /�
d`V
Address: /' 7,
Dae Called:
1�6 05 1
Special Instructions:
Date Wanted: m
p.m.
Requester:
%
Phone No:
'—' paid at 6300 5outhcenter Blvd.. -Suite 100. Call to schedule reinspection.
PREMIER MECH AND ELECTRIC T .LC
1-1 or11e. Fspahol Conlact
Safety & Health Claims & Insurance
Washington State Department of
JI-abor & industries
PREMIER MECH AND ELECTRIC LLC
Owner or tradesperson
Principals
WERDEN, STEVEN, PARTNER/MEMBER
Erickson, Gary A, PARTNER/MEMBER
Crain, Timothy S, PARTNER/MEMBER
Doing business as
PREMIER MECH AND ELECTRIC LLC
22118 20th Ave SE Suite 125
BOTHELL, WA 98021
425-483-3363
SNOHOMISH County
WA UBI No. Business type
602 864 254 Limited Liability Company
Governing persons
GARY
A
ERICKSON
KENNETH J CLEMENTS;
SCOTT HEIDEMAN;
STEVEN P WERDEN;
TIM CRAIN;
License
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Workplace Rights
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.
PREMIME9218G
Effective •— expiration
11/03/2008-11/03/2018
Designated administrator
Active.
Werden, Steven P
Meets current requirements.
License type
License no.
Electrical Administrator
WERDESP924QC
Bond
................
LEXON INSURANCE COMPANY
$4,000.00
Bond account no.
9800486
Received by L&I
Effective date
09/29/2009
10/01/2009
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Trades & Licensing
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PREMIER MECH AND ELECTRIC T.LC Page 2 of 2
Infraction no.
EYANY00201
Satisfied
..........................
Issue date
RCW/WAC
02/28/2014
19.28.101 RCW
Violation city
Violation amount
BOTHELL
$250.00
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-466-901.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has multiple workers' comp accounts.
Active accounts
L&I Account ID Account is current.
168,596-00
...............1.1..1.1..........
Doing business as
PREMIER MECHANICAL & ELECTRIC
Estimated workers reported
Quarter 2 of Year 2016 "31 to 50 Workers"
L&I account representative
T2 / LESLIE QUNELL (360)902-5631 - Email: BAKY235@lni.wa.gov
Track this contractor'
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Oc Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
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