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Permit EL17-0082 - VALLEY VIEW SEWER DISTRICT - HEATING UPGRADE
VALLEY VIEW SEWER DISTRICT 3460 S 148 ST SUITE 100 EL1 7-0082 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 9194500000 3460 S 148TH ST 100 VALLEY VIEW SEWER DISTRICT Permit Number: EL17-0082 Issue Date: 2/1/2017 Permit Expires On: 7/31/2017 Owner: Name: Address: Contact Person: Name: Address: „ WA, TODD KAHL 7478 NE 146TH ST, KENMORE, WA, 98028 Contractor: Name: STATIC ENERGY INC Address: 7478 NE 146TH ST, KENMORE, WA, 98028 License No: STATIE18720Z Lender: Name: Address: Phone: (206) 718-8481 Phone: Expiration Date: DESCRIPTION OF WORK: UPGRADE EXISTING HEATING EQUIPMENT Valuation of single family: $0.00 Valuation of mf/comm: $2,000.00 Type of Work: TENANT IMP Fees Collected: $130.83 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Permit Center Authorized Signature: Date:11 1 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:� p Print Name: 7 /(.- c/ Date: 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 TUKi1 1 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No: Project No. �U'I.0 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** SITE LOCATION Site Address: 3 q 6D -5 / 7 S 7h sr Tenant Name: ii-t-.ie;r GO S J4i 2 f' King Co Assessor's Tax No.: Suite Number: / G 2 PROPERTY OWNER Name: vo_1(e`( V I•t`e.7 S2►,.a�v as-1/2y,"c.t Address:3 y(3,, s• / y% 0„sr. City:ry /44,e./, State: 6.A.4.4Zip:%,/a CONTACT PERSON — person receiving all project communication Name: j o f f /z / 4,,,,,7e.„.7.. Company Name: /•GJ y e; c ' Address: 7y7$ Afd / /4 w S -T Address: 7,./75 , /1.4 /' cc- /^, City: /4c'6,7"0,7e) e. State: i, Zip: 51$4,24, Phone: 206. _ .-v _ y� Fax: Phone:26 6- - 7,5, -a j Fax: Email; ,/ Contr Reg No.:S` n jri �57Z G1xp Date:/2af7 / 0 Ars h / (051 Floor: / New Tenant: ❑ Yes ELECTRICAL CONTRACTOR INFORMATION 4,,,,,7e.„.7.. Company Name: /•GJ y e; c ' Address: 7,./75 , /1.4 /' cc- /^, City:State: %eo.22 c.,.-A-Ztp. 02.E Phone:26 6- - 7,5, -a j Fax: Contr Reg No.:S` n jri �57Z G1xp Date:/2af7 / Tukwila Business License No.; gus_ �� `�s,Zsy Valuation of Project (contractor's bid price): $.2i D u1.-) Scope of Work (please provide detailed information): ve� #4444=-A, Will service be altered? ❑ Yes • fo Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Co %A-4.4 Type of work: O New 0 Addition 0 Service Change 0 Remodel [Tenant Improvement ❑ Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: nr-Puget Sound Energy 0 Seattle City Light H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page I 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 ❑ 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 ❑ 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 O Circuits added/altered without service change $54.60 (up to 5 circuits) O Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea O Meter/mast repair $68.25 ❑ 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./�C� Print Name: /eol d k4=11-. t Day Telephone:: 7 /5' � ' '/ Date: 211/2-0/6 Mailing Address: t" --.9 N 2 Li-' ' v; ! i s DU 04-1 Prng ! I`{ EA,SPGI >•iai1/z City H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised I-1-14.docx Revised: July 2013 bh 044 State 9 72 - Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I ACCOUNT 1 QUANTITY I PAID $130.83 PermitTRAK EL17-0082 Address: 3460 S 148TH ST 100 Apn: 9194500000 $130.83 Credit Card Fee $3.81 Credit Card Fee R000.369.908.00.00 0.00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R10712 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Wednesday, February 01, 2017 Paid By: STATIC ENERGY INC Pay Method: CREDIT CARD 01521G Printed: Wednesday, February 01, 2017 12:57 PM 1 of 1 Ci_ SYSTEMS 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) 431-367,0 Permit Inspection Request Line (206) 438-9350 Project: M i Jj 56.PAX Type of ii on (4 6.-A14- Address: , L (,j el --5 ! {7 (i0ck Date Calle•: Special Instructions: PO kRequester: iN 0 1cR l c I Date Wanted:`_ to— N Phone No: 2 1236 111 Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 0.2- (0 (17 REINSPECTION F • E REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. STATIC ENERGY INC 411114 Washington State iDepartment ,of Labor & Industries Home Espanol Contact Safety & Health Claims & Insurance Page 1 of 2 Search L&I A -Z Index Workplace Rights STATIC ENERGY INC Owner or tradesperson Principals ANDERSON, JENNIFER R, PRESIDENT ANDERSON, JENNIFER R, AGENT Doing business as STATIC ENERGY INC WA UBI No. 603 323 850 7478 NE 146TH ST KENMORE, WA 98028 206-718-8481 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. STATIE18720Z Effective — expiration 09/09/2013— 09/09/2017 Designated administrator Kahl, Todd A License type Master Electrician Bond RLI Ins Co Bond account no. LSM0418465 Active. Meets current requirements. Active. Meets current requirements. License no. KAHL*TA867DR $4,000.00 Help us improve https://secure.lni.wa:gov/verify/Detail.aspx?UBI=603323850&LIC=STATIEI872OZ&SAW= 2/1/2017 STATIC ENERGY INC Received by L&I 09/09/2013 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Effective date 09/04/2013 Expiration date Until Canceled Page 2 of 2 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 Account is current. 269,940-00 Doing business as STATIC ENERGY INC Estimated workers reported Quarter 4 of Year 2016 "7 to 10 Workers" L&I account representative T2 / LESLIE QUNELL (360)902-5631 - Email: BAKY235@Ini.wa.gov Workplace safety and health Check for any past safety and health violations found on jobsites this business was responsible for. © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603323850&LIC=STATIEI872OZ&SAW= 2/1/2017