HomeMy WebLinkAboutPermit EL16-1042 - T-MOBILE - OUTLETS AND LIGHTING FIXTUREST -MOBILE
977 SOUTHCENTER MALL
EL16-1042
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: 9202470010 Permit Number: EL16-1042
Address: 977 SOUTHCENTER MALL Issue Date: 11/14/2016
Permit Expires On: 5/13/2017
Project Name: T -MOBILE
Owner:
2015
National Electrical Code:
Name:
WESTFIELD PROPERTY TAX DEPT
2015
Address:
PO BOX 130940, CARLSBAD, WA,
International Mechanical Code Edition:
2015
92013
2014
Contact Person:
2015
WA State Energy Code:
Name:
SCOTT WATSON
Phone: (360) 991-7561
Address:
18320 NE 208TH AVE, BRUSH PRAIRIE,
WA, 98606
Contractor:
Name:
PREMIER ELECTRICAL CNTRTNG INC
Phone: (360) 991-7561
Address:
18320 NE 208TH AVE, BRUSH PRAIRIE,
WA, 98606
License No:
PREMIEC854RS
Expiration Date: 12/10/2017
Lender:
Name:
Address:
DESCRIPTION OF WORK:
INSTALLATION OF 20-30 NEW OUTLETS AND 20 LIGHTING FIXTURES
Valuation of single family: $0.00 Fees Collected: $359.73
Valuation of mf/comm: $14,000.00
Type of Work: REMODEL 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 296-466:
2014
Uniform Plumbing Code Edition:
2015
WA State Energy Code:
2015
International Fuel Gas Code:
2015
Permit Center Authorized Signatu
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:-I—"^� {G i1n4�P/
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 I
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
SITE LOCATION
Electrical Permit No. v
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: 9+] 7 Suite Number: illy
Tenant Name: /1 o ' I Z New Tenant:
PROPERTY OWNER
Name:so G ��
o�
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
NameTC-04 v 4,t ,++ 0n
v'
Address:! 3 � e noel 1m—
City: to S� cam* .r= /[ �e- State: wA- Zip: 14c, O
Phone:36� r p / i Fax:
Emails���o�On��
Gc7M
Floor:
..... Yes No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
reM ; ei eG r'Gs,_ Cv kr
Address: 1834-a +4� Va
City: 1vv, State: Zip: wo
Phone: 3 —ict ( --7s4i Fax:
Contr Reg No.:� Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ ., Q92
Scope of Work (please provide detailed information): Tn.0 i �.. L Id,k; n yl B k Zo — 3n
ry
Will service be altered? ❑ Yes
„A—No
Adding more than 50 amps?
❑
Yes o
Type of Use:
Type of work:
❑ New ❑ Addition
❑ Service Change
emodel
❑
Tenant Improvement
❑ Low Voltage ❑ Generator
❑ Fire Alarm
❑ Telecommunication
❑
Temporary Service
Property Served by:
❑ Puget Sound Energy ❑
Seattle City Light
H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical
Permit Application Revised 1-1-14.docx
Revised: July 2013
bh
Page (of 2
ry
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)
$80.90
❑
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)
$10.80 ea
❑
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.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Print Name. G�� %1'0k&
—
Mailing Address:
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1.14.docx
Revised: July 2013
bh
Date:
Day Telephone: �11-9118 - 0-1 qS-
State Zip
Page 2 of 2
DESCRIPTIONSy
PAID
PermitTRAK
$359.73
EL16-1042 Address: 977 SOLITHCENTER MALL
Apn: 9202470010
$359.73
ELECTRICAL
$342.60
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00 0.00
$342.60
TECHNOLOGY FEE
$17.13
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: ... 54
11000.322.900.04.00 0.00
$17.13
$359.73
Date Paid: Monday, November 14, 2016
Paid By: PREMIER ELECTRICAL CNTRTNG INC
Pay Method: CREDIT CARD 07077C
Printed: Monday, November 14, 2016 3:39 PM 1 of 1
r' SY57EM5
INSPECTION RECORD J ('
Retain a copy with permit
INSPECTION N0. 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:Type of Inspection:
r14
��
ai�
Address: 111
Date Called:
Special Inst uctions:
Date Wanted:
o2— a.
.m.
Requester:
Phone No:
DOApproved per applicable codes. E Corrections required prior to approval.
I M- (I � i"/t4�
❑ REINSPECTIO14 FEE REQUIRED. Prior to next inspection, fee rust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORDU
-107q)
Retain a copy with permit
INSP CTION 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: `— „/O �('6
Type of Inspection:
Address: ^7 �
7
Date Called:
Special Instrucctions:
Date Wanted: a.m)
f) t p.m.
Requester:
Phone No:
IJ1 Approved per applicable codes. El
Corrections required prior to approval.
-'I —
r
IInspector: ` AlAad6k IDate: It 11'17 h 6 I
REINSPECTIbN FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd„ Suite 100. Call to schedule reinspection.
PREMIER ELECTRICAL CNTR r " - INC
Home Fspahol Contact
Safety & Health Claims & Insurance
C-4 AM Washington State Department of
Labor & Industries
PREMIER ELECTRICAL CNTRTNG INC
Owner or tradesperson
WATSON, SCOTT A
Principals
WATSON, SCOTT A, PRESIDENT
Watson, Scott A, AGENT
WA UBI No.
603 563 163
License
18320 NE 208TH AVE
BRUSH PRAIRIE, WA 98606
360.991.7561
CLARK County
Business type
Corporation
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Workplace Rights Trades & 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.
PREMIEC854RS
Effective — expiration
12/10/2015-12/10/2017
Designated administrator
WATSON, SCOTT A
License type
Electrical Administrator
Bond
.................
Contractors Bonding & Insurance Co
Bond account no.
SK7169
Received by L&I
12/10/2015
Savings
Ivo savings accounts during the previous 6 year period.
License Violations
................................._...................
No license violations during the previous 6 year period.
Workers' comp
Active.
Meets current requirements.
License no.
WATSOS`948KE
$4,000.00
Effective date
12/04/2015
Expiration date
Until Canceled
No active workers' comp accounts during the previous 6 year period.
Workplace safety and health
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https://secure.lnima.gov/verify/Detai1.aspx?UBI=603563163&LIC=PREMIEC854RS&SAW= 11/14/2016