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
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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
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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
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https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=409006765&LIC=TICEEC*645M3&SAW= 11/29/2016