HomeMy WebLinkAboutPermit EL16-1018 - KING COUNTY LIBRARY - LIGHT POLEKING COUNTY LIBRARY
LIGHT POLE
14380 TUKWILA
INTERNATIONAL BLVD
EL16-1018
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: 1523049092 Permit Number: EL16-1018
Address: 14380 TUKWILA INTERNATIONAL Issue Date: 11/4/2016
BLVD Permit Expires On: 5/3/2017
Project Name: KING COUNTY LIBRARY - LIGHT POLE
Owner:
2015
Name:
KING COUNTY RURAL LIBRARY D
Address:
960 NEWPORT WAY NW, ISSAQUAH,
WA Cities Electrical Code:
WA, 98027
Contact Person:
2015
Name:
10N MOGENSEN
Address:
20111208 AVE SE, RENTON, WA,
WA State Energy Code:
98058
Contractor:
2015
Name:
WEST COAST SIGNAL INC
Address:
20111208TH AVE SE, RENTON, WA,
98058
License No:
WESTCCS8928G
Lender:
Name:
Address:
DESCRIPTION OF WORK:
Phone: (206) 595-6656
Phone: (206) 595-6656
Expiration Date:
INSTALL LIGHT POLE FOUNDATION AND RELOCATE EXISTING LIGHT POLE ONTO NEW FOUNDATION. WIRE POLE
TO EXIOSTING CIRCUIT.
RELOCATION PORTION UNDER PUBLIC WORKS PERMIT(S)
Valuation of single family: $0.00
Valuation of mf/comm: $8,750.00
Type of Work: TENANT IMP
Fees Collected: $266.81
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 296-4613:
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 la regulating construction or the performance of work. I am authorized to sign and obtain this
development p r it and agr a 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.
S: 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 TUKWILA
Community Development Department
Permit Center
• 6300 SouthcenterBlvd., Suite 100
Tukwila, WA 98188
http://www.TukmilaWA.Izov
Electrical Permit No. L D
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"
SITE LOCATION
King Co Assessor's Tax No.:
Site Address: 14350 Tukwila International Blvd, Tukwila Suite Number: Floor:
Tenant Name: Tukwila Village -Inter -City Contractors, Inc. New Tenant: ❑ .....Yes El.. No
PROPERTY OWNER
Name: City of Tukwila
Address: 6300 Southcenter Blvd.
City: Tukwila State: WA ZW 98188
CONTACT PERSON — person receiving all project
communication
Name: Jon Mogensen
Address: 20111 208th Ave SE
City: Renton State: WA Zip: 98058
Phone: (206) 595-6656 Fax:
Email: moge@westcoastsignal.com
Valuation of Project (contractor's bid price): $ 8,750
ELECTRICAL CONTRACTOR INFORMATION
Company Name: West Coast Signal, Inc.
Address: 20111 208th Ave SE
City: Renton State: WA Zip: 98058
Phone: (206) 595-6656 Fax:
Contr Reg No.: WESTCCS8928C Exp Date: 11/21/2017
Tukwila Business License No.; BUS -0997246
Scope of Work (please provide detailed information): Install light pole foundation and relocate existing light pole
onto new foundation. Wire pole to existing circuit.
Will service be altered? ❑ Yes m No
Type of Use: Street Lighting Circuit
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
® Puget Sound Energy ❑ Seattle City Light
HAAMI cations Forms -Applications On Linc\2014 ApplicatiowNElcctrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Adding more than 50 amps?
m Remodel
❑ Telecommunication
❑ Yes m No
❑ Tenant Improvement
❑ Temporary Service
Page I of 2
N
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
❑ 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: 20111 208th Ave SE Renton
city
11:\4pplicati.wT.r Applications On Linc\2014 Applicatiom\Electrical Pemvt Application Rcvised 1-1-14.docx
neuuaw -.y noir
bh
Date: % `l
le: (206) 595-6656
WA 98058
State Zip
Page 2 of 2
DESCRIPTIONS ACCOUNTQUANTITY
PermitTRAK
$266.81
EL16-1018 Address: 14380 TUKWILA INTERNATIONAL BLVD Apn: 1523049092
$266.81
ELECTRICAL
$254.10
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00
$254.10
TECHNOLOGY FEE
$12.71
TECHNOLOGY FEE R000.322.900.04.00 0.00
TOTAL R9804
$12.71
$266.81
Date Paid: Friday, November 04, 2016
Paid By: WEST COAST SIGNAL INC
Pay Method: CHECK 6397
Printed: Friday, November 04, 2016 10:53 AM 1 of 1
7PWSYS7EM5
INSPECTION RECORDp
Retain a copy with permit ®�v
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: 0 jype of Inspection:
�- Ca. Ltd -Lg
Address: P13YO f/- /a It
Date Called:
Instructions: Date Wanted:
Requester:
tow
lI Phone No: &—y2 --- i A
10 Approved per applicable codes. Corrections required prior to approval.
W
ns
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORDj�
Retain a copy with permit
INSPECTION N0. qRMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: _
Type of Inspection: 6AtAc,—
Address:�Yjg 0 F_� c
r
Date Called:
Special Inst ctions:
Date Wanted: ajiL
p. iE
=+
Requester:
Phone No:
Approved per applicable codes. 10 Corrections required prior to approval.
(inspector: _ /�i�l IDate: 1[12-11 1(.. 1
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 l
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:L- C'n�� � s �
Type of Inspect��� ��
��
Address:
Date Called:
Special In tractions:
Date Wanted: a
l
c 'N®®
�p.m
Requester:
Phone No: /l P G`
9 Approved per applicable codes. Q Corrections required prior to approval.
L r 1, —
nspector:
(r
REINSPECTION f'EE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
WEST COAST SIGNAL INC
Washington State Department of
Labor & Industries
WEST COAST SIGNAL INC
Owner or tradesperson
Principals
SHERWOOD, ROGER P, PRESIDENT
Mogensen, Becky, PRESIDENT
UNITED STATES CORP AGENTS
INC, AGENT
MOGENSEN, JON E, PRESIDENT
(End: 11/13/2015)
Doing business as
WEST COAST SIGNAL INC
home Espanol Contact
Safety & Health Claims & Insurance
20111 208TH AVE SE
RENTON, WA 98058
206-595-6656
KING County
WA UBI No. Business type
603 149 602 Corporation
Governing persons
JON
ERIC
MOGENSEN
ROGER PAUL SHERWOOD;
License
Page 1 of 2
Search L&I _r
A-% Index Help MY L&I
Workplace Rights Trades & Licensing
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contr-
.
Meets current requirements.
License specialties
GENERAL
License no.
WESTCCS8928G
Effective — expiration
11/21/2011-11/21/2017
Designated administrator
_._..._
REED, STEVEN J
Active.
Meets current requirements.
License type
License no.
Master Electrician
REED'SJ972N5
Bond
...._..........
Contractors Bonding & Insurance Co
$4,000.00
Bond account no.
SJ4016
Received by L&I
Effective date
11/07/2011
11/07/2011
Expiration date
Until Canceled
Savings
................ _......
No savings accounts during the previous 6 year period.
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603149602&LIC=WESTCCS8928G&SAW= 11/4/2016