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Home My WebLink AboutPermit EL16-1182 - SIGHTLINE HEALTH - SPLIT UNIT REPLACEMENTSIGHTLINE HEALTH 200 ANDOVER PARK E 3 EL16-1182 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: 0223100099 Permit Number: EL16-1182 Address: 200 ANDOVER PARK E 3 Issue Date: 12/29/2016 Permit Expires On: 6/27/2017 Project Name: SIGHTLINE HEALTH Owner: Name: MERIDIAN PACIFIC PTNRS LLC i Address: 7918 GREEN LAKE DR N , SEATTLE, Phone: (206) 571-7449 Phone: (206) 762-3311 Expiration Date: 3/15/2018 Address: , , , DESCRIPTION OF WORK: SPLIT UNIT REPLACEMENT EXTEND SINGLR PHASE 208 VOLT 20 AMP CIRCUIT FROM EXISTING DISCONNECT TO INDOOR UNIT Valuation of single family: $0.00 Valuation of mf/comm: $1,500.00 Type of Work: TENANT IMP Fees Collected: $124.53 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: WA, 98103 Contact Person: 2014 Name: TINY LARSON Address: 5005 THIRD AVE S, SEATTLE, WA, International Mechanical Code Edition: 98134 Contractor: 2014 Name: MCKINSTRY CO LLC Address: PO BOX 24567, SEATTLE, WA, 98124 License No: MCKINCL942DN Lender: Name: c Phone: (206) 571-7449 Phone: (206) 762-3311 Expiration Date: 3/15/2018 Address: , , , DESCRIPTION OF WORK: SPLIT UNIT REPLACEMENT EXTEND SINGLR PHASE 208 VOLT 20 AMP CIRCUIT FROM EXISTING DISCONNECT TO INDOOR UNIT Valuation of single family: $0.00 Valuation of mf/comm: $1,500.00 Type of Work: TENANT IMP Fees Collected: $124.53 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 296-46B: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 c Date: �� Permit Center Authorized Signature: 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 tot conditions attached to this permit. _4;;��. Signature: Date: l2 ' Z� J 10 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 TUKWiLA • Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 " h!W://www.TukwilaWA.gov SITE LOCATION Electrical Permit No. 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: 200 Andover Park E, Tukwila, WA 98188 Suite Number: 3 Floor: 1 Tenant Name: Sightline Health New Tenant: ❑ .....Yes JZ..No PROPERTY OWNER Name: Siteline Health Address: 200 Andover Park E City: Tikwila State: WA Zip: 98188 CONTACT PERSON — person receiving all project communication Name: Tony Larson Address: 5005 3rd Ave S City: Seattle State: WA Zip: 98134 Phone: (20 6) 571-7449 Fax: Email. tonyl@mckinstry.com ELECTRICAL CONTRACTOR INFORMATION Company Name: MCKinstry Address: 5005 3rd Ave S City: Seattle State: WA Zip: 98134 Phone: (206) 762-3311 Fax: Contr Reg No.: 602569922 Exp Date: Tukwila Business License No.; BUS -0101413 Valuation of Project (contractor's bid price): $ 1,500 Scope of Work (please provide detailed information): Split unit replacement extend single phase 208 volt 20 amp circuit from existing disconnect to indoor unit Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: Puget Sound Energy ❑ NI ❑ Service Change ❑ Fire Alarm Seattle City Light H:\Applications'Fomu-Applications On Line2014 Applications'Electrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Adding more than 50 amps? ❑ Remodel ❑ Telecommunication ED Yes [0 No 0 Tenant Improvement ❑ Temporary Service Page] 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 MISCELLANEOUS FEES (no added/altered circuits) ❑ ❑ Service change with added/altered circuits ................. $81.90 Temporary service (generator) ................................... number of added circuits ....................... $11.55 ea ® Circuits added/altered without service change ........... $54.60 (excluding garage or outbuilding) (up to 5 circuits) ❑ ❑ Circuits added/altered without service change ........... $54.60 Number of concessions ......................... (6 or more circuits) ............................................... $7.65 ea ❑ Meter/mast repair ....................................................... $68.25 ❑ Low voltage systems ................................................. $59.85 (alarm, furnace thermostat) PERIMIT 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 Oficial 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. Print Name: Ryne Pringle Mailing Address: 5005 3rd S, Seattle, WA 98134 H:\Applications'.Forms-Applications On Line+2014 ApplicationsElectrical Permit Application Revised 1-1-14.docx Revised: January 2014 bh Date: 12/28/2016 Day Telephone: (206) 832-8057 City Statc Zip Page 2 of 2 DESCRIPTIONS PermitTRAK • QUANTITY PAID $124.53 EL16-1182 Address: 200 ANDOVER PARK E 3 Apn: 0223100099 $124.53 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL1 :• R000.322.900.04.00 0.00 $5.93 Date Paid: Thursday, December 29, 2016 Paid By: RYNE PRINGLE Pay Method: CREDIT CARD 02699B Printed: Thursday, December 29, 2016 8:54 AM 1 of 1 CR? SY57EM5 INSPECTION RECORD Retain a copy with permit INSPECTION NO. P MIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: 4 J� Type of Inspection: & �' -ttg� Address: � >� Date Called: Special Instructions: r� Date Wanted: a.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. 01/0 REiNSPECT10P FEE REQUIRED. Prior to next inspection, fee must' be paid at 6300 Sauthcenter Blvd., Suite 100. Call to schedule reinspection. MCKINSTRY CO LLC Home Espanol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries MCKINSTRY CO LLC Owner or tradesperson PO BOX 24567 Gochis, Kenneth SEATTLE, WA 98124 Principals 206-762-3311 ALLEN, DEAN KING County CHARLES, PARTNER/MEMBER MOORE, DOUGLAS J, PARTNER/MEMBER $4,000.00 ALLEN, DAVID, PARTNER/MEMBER TEPLICKY, JOSEPH W (BILL), PARTNER/MEMBER Effective date BLACK, STEPHEN, AGENT 03/06/2011 Doing business as MCKINSTRY CO LLC WA UBI No. Business type 602 569 922 Limited Liability Company License Page 1 of 4 Search L&I� .nl A -Z 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 Contractor Active. ........................................ Meets current requirements. License specialties GENERAL License no. MCKINCL942DN Effective — expiration 03/15/2006— 03/15/2018 Designated administrator ............ ... . Active. Gochis, Kenneth Meets current requirements. License type License no. Electrical Administrator GOCHIK*841 DU Bond ................. Western Surety Co $4,000.00 Bond account no. 929523050 Received by L&I Effective date 02/25/2011 03/06/2011 Expiration date Until Canceled Bond history Savin s No savings accounts during the previous 6 year period. License Violations ��s oatiu�-d Help us improve https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602569922&LIC=MCKINCL942DN&SAW= 12/29/2016 MCKINSTRY CO LLC Page 2 of 4 Infraction no. Satisfied ECHRWO0688 RCW/WAC 01/21/2015 RCW/WAC Issue date 19.28.101 RCW 08/16/2016 $250.00 Type of violation Violation amount Violation city $2,000.00 SEATTLE Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid electrical/telecommunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296466-901. Infraction no. EBOES00854 Satisfied .......................... Issue date RCW/WAC 01/21/2015 19.28.101 RCW Violation city Violation amount SEATTLE $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. Infraction no. EROBA00741 Satisfied ....................... - Issue date RCW/WAC 03/28/2012 19.28.161 RCW Violation city Violation amount Seattle $250.00 Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Self Insured. 706,165-00This business is certified to cover its own ....... _........ workers' comp costs. No premiums due. Doing business as MCKINSTRY CO Estimated workers reported N/A L&I account representative (360)902-4817 Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 09/10/2014 Violations Inspection no. 317420271 Help us improve Location https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602569922&LIC=MCKINCL942DN&SAW= 12/29/2016