HomeMy WebLinkAboutPermit EL17-0016 - TUKWILA VILLAGE - BUILDING C MANUAL FIRE SYSTEMTUKWILA VILLAGE
BUILDING C
14350 TUKWILA
INTERNATIONAL BLVD
ELI7-0016
Parcel No:
Address:
Project Name:
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
1523049096 Permit Number:
14350 TUKWILA INTERNATIONAL Issue Date:
BLVD Permit Expires On:
TUKWILA VILLAGE BUILDING C
EL17-0016
1/6/2017
7/5/2017
Owner:
Name:
Address:
Contact Person:
Name:
TUKWILA CITY OF
6200 SOUTHCENTER BLVD , TUKWILA,
WA, 98188
MITCH CHAMBERLIN
Address: PO BOX 849 , SUMNER, WA, 98390
Contractor:
Name: EVERGREEN STATE ELECTRIC INC
Address: PO BOX 849 , SUMNER, WA, 98390
License No: EVERGSE066JA
Lender:
Name:
Address:
Phone: (253) 770-0656
Phone: (253) 770-0656
Expiration Date: 4/1/2018
DESCRIPTION OF WORK:
INSTALL MANUAL FIRE SYSTEM
Valuation of single family: $0.00
Valuation of mf/comm: $3,500.00
Type of Work: FIRE ALARM
Fees Collected: $173.28
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:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2014
2014
2014
2015
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: � C
Print Name, •;
Dacey, (Qs) I.7
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 TUKW.
Community .Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. L\ 7— 00 tcO
Project. No.
Date Application Accepted:
Date Application Expires:
(For once 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**
SITE LOCATION
Site Address: \ \ SO \ ti,t.‘50-, Lr\4- 3,110
Tenant Name: � r,�,v;,�,,
PROPERTY OWNER
Name: = v vY cfJJ r��3.� r3 -e - Cl ex-,,
Address:
Ci State: AA-iftZip:
Name:
City:p
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t
Fax:
-7 70-0105(n c�S-3 T2D - \,1 G "/
Address:
tR,
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C.9 r:,
Sr
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City:,., ---17-14,t
CONTACT PERSON - person receiving all project
communication
Name: = v vY cfJJ r��3.� r3 -e - Cl ex-,,
Address:
Ci State: AA-iftZip:
x
City:p
State: Zip:
Phone:
0953
Fax:
-7 70-0105(n c�S-3 T2D - \,1 G "/
Email:
e
G 1QQ, i' trailt� rn v rte t',4YSe- . P rnvt_
King Co Assessor's Tax No.:
•
Suite Number:
Floor:
New Tenant: ❑v' Yes 1].. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:,_
\=- V P� r to (R .r\ ,- c(',) -e._,\_, \ t; c
Address:(
Q T)G ._V\ -i..2
Ci State: AA-iftZip:
Phone: Fax:
Q6? 7.70 0 S(Q QS3 -770 1-2`1
Contr Reg No.: Exp Date:
f -� - E v ev-g a CA 7,-\ e-Q�^s o y I
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):�5� V
1^� Gk)1-un
ifs r 3 5 {^ IN")
Will service be altered? ❑ Yes ErNo
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change 0 Remodel
0 Tenant Improvement
El/Low Voltage ❑ Generator [2-- Fire Alann 0 Telecommunication
❑ Temporary Service
Adding more than 50 amps? 0 Yes
Property Served by:
0 Puget Sound Energy Seattle City Light
H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
O Garages, pools, spas and outbuildings $81.90 ea
O Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $65.00
O Temporary service (generator) • $80.90
O Manufactured/mobile home service $86.25
❑ Service change or alteration $81.90 (excluding garage or outbuilding)
(no added/altered circuits)
O 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
O Meter/mast repair $68.25
O Low voltage systems $59.85
(alarm, furnace thermostat)
O Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 ea
***EFFECTIVE JANUARY 1, 2014
EACH PERMIT WILL BE ASSESSED A
5% TECHNOLOGY FEE***
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Permit Center to comply with current fee schedules.
Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation.
The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing
and justifiable cause demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Date: 1 / CP pZ� \ —1
Print Name:�a.$\t,vr\-- , Day Telephone:'3 -770— r)C,c
Mailing Address: , k 441) octS'"37 l
State
H:WpplicationsWorms-Applications On Line\2014 Applications\Olectrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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City
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
1 ACCOUNT
QUANTITY
PAID
$173.28
EL17-0016 Address: 14350 TUKWILA INTERNATIONAL BLVD
Apn: 1523049096
$173.28
ELECTRICAL
$165.03
PERMIT FEE MULTI-FAM/COMM
R000:322.101.00.00
0.00
$165.03
TECHNOLOGY FEE
-
$8.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R10320
R000.322900.04.00
0.00
$8.25
$173.28
Date Paid: Friday, January 06, 2017
Paid By: ROBERT GUILEY JR
Pay Method: CHECK 12932
Printed: Friday, January 06, 2017 11:42 AM 1 of 1
CRSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PEMIT NO.
7oou
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:1" ]
�f/V ti
6 C
Type of Inspection:
Address:
Date Called:
Special Instructions:
r Ific-
Date Wanted:
Requester:
Phone No:
Approved per applicable codes.
LJ Corrections required prior to approval.
COMMENTS:
Inspector: 4.
Date:
d
8/17
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 NO. PE MIT NO. (�
CITY OF TUKWIL A BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: �II''
V 4 1 L�(//f` c.)
Type of Inspection: �j , %
I N kL -
Address:ftOr0 77I - /t
"�
Date Calved:
Special Instructions:
r/A
Date Wanted:9 1
6,
am.
P.
Requester: 3.44.4
Phone No: Z S 3 6®` 70Y1/
Approved per applicable codes.
EJ Corrections required prior to approval.
Inspector:
'hw64\
REINSPECTIO FEE REQUIRED. Prior to next inspection, fee must be
Date:
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PE MIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: �`4z:1e
Tof Insection
Yl
Address: 1,j0 r.1,8,
gate Called:
Special Instructions:
Date Wanted:
0 r _ /a. .
y a � p..
Requester:
Phone No:
Approved per applicable codes.
LJ Corrections required prior to approval.
COMMENTS:
YiA
Inspector:
edikk
Date: c____f°.-
®c/
qt7
REINSPECTIONFEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PER IT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Projecvl
t IGL
e c
Type Wit:T )44 c"
Address: /, `
�'l4" 9)(75/,
6.
Date Called:
Special Instructions:
POPhone
Date Wanted: °
(/
Requester:
No:
Approved per applicable codes. []Corrections required prior to approval.
OMMENTS:
— tAher0 itry4P
ovt114 r^' a4Pc.��
Inspector:
Date:
0 i CI3
7
REINSPECTION/ FEE REQUIRED. Prior to next inspection. fee rhust be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
8/31/2017
City of Tukwila
Department of Community Development
MITCH CHAMBERLIN
PO BOX 849
SUMNER, WA 98390
RE: Permit No. EL17-0016
TUKWILA VILLAGE BUILDING C
14350 TUKWILA INTERNATIONAL BLVD
Dear Permit Holder:
Allan Ekberg, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 10/2/2017.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 10/2/2017, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: EL17-0016
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
EVERGREEN STATE ELECTRIC TMC
Horne rspaiiol Contact:
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Safety & Health Claims & Insurance Workplace Rights Trades & Licensing
Washington State Department of
Labor & Industries
EVERGREEN STATE ELECTRIC INC
Owner or tradesperson
Principals
CHAMBERLIN, MITCHELL, PRESIDENT
CHAMBERLIN, LYNDA K, VICE PRESIDENT
CHAMBERLIN, LYNDA, AGENT
WILKINSON, JESSICA, SECRETARY
(End: 12/26/2012)
Doing business as
EVERGREEN STATE ELECTRIC INC
WA UBI No.
601 521 666
PO BOX 849
SUMNER, WA 98390
253-770-0656
PIERCE County
Business type
Corporation
Governing persons
LYNDA
K
CHAMBERLIN
MITCHELL D CHAMBERLIN;
License
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.
EVERGSE066JA
Effective — expiration
04/01/1994— 04/01/2018
Designated administrator
CHAMBERLIN, MITCHELL
Active.
Meets current requirements.
License type License no.
Master Electrician CHAMBM*977KG
Bond
_.....__......
Contractors Bonding & Insurance Co
Bond account no.
SJ5622
$4,000.00
Received by L&I Effective date
04/24/2012 04/01/2012
Expiration date
Until Canceled
Bond history
Savings
............
No savings accounts during the previous 6 year period.
Help us improve
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EVERGREEN STATE ELECTRIC INC
License Violations
Infraction no.
EJORP05671
Issue date
08/15/2013
Violation city
SUMNER
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
296-46B-901. (THIS CITATION WAS ISSUED IN
MATRIX FORMAT. THIS CITATION IS
INTENDED TO COVER SEVERAL PROJECTS)
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$4,000.00
Infraction no.
EJORP05672 Satisfied
....... .........
RCW/WAC
Issue date
08/15/2013
Violation city
SUMNER
Type of violation
ELECTRICAL CITATION
Description
Energizing electrical equipment without an
electrical inspection as referenced in WAC
296-46B-901.
Infraction no.
ECAM000324
Issue date
01/25/2012
Violation city
SUMMNER
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication installation or
alteration as referenced in WAC 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901.
Infraction no.
ECAM000326
Issue date
01/25/2012
Violation city
SUMMNER
Type of violation
ELECTRICAL CITATION
Description
Failing to request an inspection within 3
business days after completion of the
installation or 1 business day after energizing,
whichever occurs first as referenced in WAC
296 -46B -900(10)(a), effective after 12/30/2008
see WAC 296 -46B -901(10)(a).
19.28.101 RCW
Violation amount
$250.00
Satisfied
...........................
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Satisfied
.........................
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Page 2 of 3
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EVERGREEN STATE ELECTRIC "TC
Infraction no.
ECAM000325
Issue date
01/25/2012
Violation city
SUMMNER
Type of violation
ELECTRICAL CITATION
Description
Covering or concealing installations prior to
inspection:
Satisfied
.............._.........
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
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
546,299-01
...............................
Doing business as
EVERGREEN STATE ELECTRIC INC
Estimated workers reported
Quarter 3 of Year 2016 "31 to 50 Workers"
L&I account representative
T2 / LESLIE QUNELL (360)902-5631 - Email: BAKY235@Ini.wa.gov
Account is current.
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Inspection results date
03/25/2011
Inspection no.
314797994
Location
360 Garfield St. South
Tacoma, WA 98444
No violations
Page 3 of 3
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