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HomeMy WebLinkAboutPermit EL16-1090 - DENNIS UNIFORM - CABLINGDENIMS UNIFORM 12600 INTERURBAN AVE S EL16-1090 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.itov ELECTRICAL OTC PERMIT Parcel No: 0004800003 Permit Number: EL16-1090 Address: 12600 INTERURBAN AVE S Issue Date: 11/29/2016 Permit Expires On: 5/28/2017 Project Name: DENNIS UNIFORM Owner: 2015 Name: GATEWAY OLYMPIA INC 2014 Address: PO BOX 4900 #207, SCOTTSDALE, OR, 2015 85261 2014 Contact Person: 2015 Name: JEFF COURTNEY Phone: (503) 320-0149 Address: 5405 N LAGOON AVE, PORTLAND, OR, 2015 97217 2015 Contractor: 2015 Name: TICE ELECTRIC Phone: Address: 5405 N LAGOON AVE, PORTLAND, OR, I 97217 Date: !mPermit License No: TICEEC*645M3 Expiration Date: Lender: Name: Address: DESCRIPTION OF WORK: LOW VOLTAGE - PULLING NEW CABLES TO 5 DIFFERENT LOCATIONS Valuation of single family: $0.00 Fees Collected: $147.21 Valuation of mf/comm: $3,000.00 Type of Work: LOW VOLTAGE Electrical Service Provided by: SEATTLE CITY LIGHT 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 296-46B: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 A Center Authorized Signature: I A I k Date: !mPermit I 11A11 0► A"'I 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: I t • Zq.g_ 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 7002 7001 ROUGH -IN ELECTRICAL SERVICE UNDERGROUND/SLAB GO CITY OF TUKWILA Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov SITE LOCATION' Electrical Permit No. _10 Project No. Date Application Accepted: Date Application; Expires: • (For Office use only) 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: 12600 INTERURBAN AVE S #110 TUKWILA Suite Number: 150 Floor: I Tenant Name: DENNIS UNIFORM New Tenant: ❑ .....Yes JZ.. No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: JEFF COURTNEY Address: 5405 N LAGOON AVE City: PORTLAND State: OR Zip: 97217 Phone: (503) 320-0149 Fax: Email: jeffc@ticeelectric.com Valuation of Project (contractor's bid price): $ 3,000 Scope of Work (please provide detailed information): Pulling new cables to 6 different locations Will service be altered? ❑ Yes 21 No Type of Use: Commercial Type of work: ❑ New ❑ Addition ❑ Service Change 0 Low Voltage ❑ Generator ❑ Fire Alarm Property Served bv: ❑ Puget Sound Energy ❑ Seattle City Light Il:Wpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.doex Revised: January 2014 bh ELECTRICAL CONTRACTOR INFORMATION Company Name: TICE ELECTRIC COMPANY Address: 5405 N LAGOON AVE City: PORTLAND State: OR Zip: 97217 Phone: (503) 233-8801 Fax: (503) 231-3372 Contr Reg No.: TICEEC*645M3 Exp Date: 09/30/2017 Tukwila Business License No.; Customer#00069047 Adding more than 50 amps? El Yes m No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 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 ❑ Temporary service (generator) ................................... (no added/altered circuits) ❑ Manufactured/mobile home service ........................... ❑ Service change with added/altered circuits.................$81.90 ❑ Carnivals.................................................................... 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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: 11/29/2016 Print Name: Mitch Razzouk Day Telephone: (503) 341-7343 Mailing Address: 5405 N Lagoon Ave Portland OR 97217 City State Zip I1: ApplicationsWorms-Applications On Line\2014 ApplicationsUcctrical Pcrmit Application Rcviscd 1-1.14.docx Revised: January 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK 1 $147.21 EL16-1090 Address: 12600 INTERURBAN AVE S Apn: 0004800003 $147.21 ELECTRICAL $140.20 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $140.20 TECHNOLOGY FEE $7.01 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT:.994$147.21 R000.322.900.04.00 0.00 $7.01 Date Paid: Tuesday, November 29, 2016 Paid By: TICE ELECTRIC Pay Method: CREDIT CARD 031251 Printed: Tuesday, November 29, 2016 3:13 PM 1 of 1 1r SYSTEMS INSPECTION RECORD INSPECTION N0. PERMIT Retain a copy with permit N0�. . CITY OF TUKWILA BUILDING DIVISION 63005o uthcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project. 6N Type of Inspection: Address:Date U® Called: Special Instructions: Date Wanted: a. / �'& p.m. Requester: Phone No: VNI Approved per applicable codes. E Corrections required prior to approval. I Y-/ - - 1. --- 1 PVAL�- I nspector: 9 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 INSPECTION N0.ERMIIN. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 EA Approved per applicable codes. Corrections required prior to approval. MENTS: spector: Fi] R REINSPECTION FEE REQUIRED. Prior to next inspection. fee Fhust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. TICE ELECTRIC CO Aft Washington State Department of "Labor & Industries TICE ELECTRIC CO Owner or tradesperson SEVERE, GARY D Principals SEVERE, GARY D, VICE PRESIDENT MALONEY, PATRICK J, SECRETARY McHome, Ian, SECRETARY Podkranic, Michael L, TREASURER CORPORATION SERVICE COMPANY, AGENT MALONEY, JOHN J, PRESIDENT (End: 09/23/2011) GREGERSEN, GORDON S, VICE PRESIDENT (End: 09/23/2011) JORDON, ROBERT W, AGENT (End: 12/06/2006) Home Fspaiiol Contact Safety & Health Claims & Insurance 5405 N LAGOON AVE PORTLAND, OR 97217 503-233-8801 WA UBI No. Business type 409 006 765 Corporation License Page 1 of 2 Search L&I A-'LIrid ax help MyL'u 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. TICEEC*645M3 Effective — expiration 07/2311936— 09/30/2017 Designated administrator Zumwalt, Tim M License type Electrical Administrator Bond Old Republic Surety Co Bond account no. YL12134844 Received by L&I 11/12/2013 Active. Meets current requirements. License no. ZUMWATM883MS $4,000.00 Effective date 12/06/2013 Expiration date Help us improve https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=409006765&LIC=TICEEC*645M3&SAW= 11/29/2016