HomeMy WebLinkAboutPermit EL17-0110 - WASHINGTON STATE LABOR AND INDUSTRIES - LED EMERGENCY LIGHTING AND EXIT SIGNSWASHINGTON STATE
LABOR & INDUSTRIES
12806 GATEWAY DR
ELI7-0110
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
2716000050 Permit Number:
12806 GATEWAY DR Issue Date:
Permit Expires On:
WASHINGTON STATE LABOR AND INDUSTRIES
EL17-0110
2/9/2017
8/8/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
EPROPERTY TAX INC DEPT #207
POs BOX 4900 , SCOTTSDALE, WA,
85261
ADAM SANGDER
544 MAY CREEK PL, GOLD BAR, WA,
98251
NORTHWEST EDISON INC
19804 141ST PL NE , WOODINVILLE,
WA, 98072
NORTHE1983RD
,,,
Phone: (425) 273-7171
Phone: (360) 668-9200
Expiration Date: 12/4/2018
DESCRIPTION OF WORK:
REPLACE EXISTING EMERGENCY LIGHTS AND EXIST SIGNS THAT ARE NOT CURRENTLY OPERATIONAL WITH NEW
LED EMERGENCY LIGHTS AND EXIT SIGNS
Valuation of single family: $0.00
Valuation of mf/comm: $1,590.00
Type of Work: TENANT IMP
Fees Collected: $130.83
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:
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:
Permit Center Authorized Signature: �0 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:
Date: 2-71 - 2°
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
littp://www.TukwilaWA.gov
Electrical Permit No.
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**
SITE LOCATION
Site Address: 12806 Gateway Drive
Tenant Name: Washington State Labor and Industries
PROPERTY OWNER
Name: Adam Sangder
Name: Boeing Employee Credit Union
City: Woodinville State: WA Zip: 98072
Address: 12720 Gateway Drive
Email: joanb@nwedison.com
City: Tukwila State: WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Adam Sangder
Address: 19804 141st Place NE
City: Woodinville State: WA Zip: 98072
Phone: (425) 273-7171 Fax: (425) 806-7455
Email: joanb@nwedison.com
King Co Assessor's Tax No.:
Suite Number: Bldg 5 Floor:
New Tenant: ❑ Yes ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Northwest Edison
Address: 19804 141st Place NE
Cin': Woodinville State: WA Zip: 98072
Phone: (425) 806-9200 Fax: (425) 806-7455
Contr Reg No.: NORTHEI983RE Exp Date: 12/04/2018
Tukwila Business License No.; BUS -0994402
Valuation of Project (contractor's bid price): $ 1,590
Scope of Work (please provide detailed information): Replace existing emergency lights and exit signs that are not
currently operational with new LED emergency lights and exit signs
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
❑ New 0 Addition ❑ Service Change 0 Remodel ® Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
m Puget Sound Energy 0 Seattle City Light
W 1Permit Center\Applications-Handouts'ermit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, fiimace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 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 1 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:
Print Name: Adam Sangder Day Telephone: (425) 273-7171
Mailing Address: 19804 141st Place NE
Woodinville
WA 98072
City
W:\Permit Center\Applications-Haidouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT
I QUANTITY I
PAID
$130.83
EL17-0110 Address: 12806 GATEWAY DR
Apn: 2716000050
$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: R10791
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Thursday, February 09, 2017
Paid By: NORTHWEST EDISON INC
Pay Method: CREDIT CARD 661074
Printed: Thursday, February 09, 2017 3:26 PM 1 of 1
CRSYSTEMS
INSPECTION RECORD
Retain a copy with permit
110
INSPECTION NO. P NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206)431-3670
Permit Inspection Request Line (206) 438-9350
Project: tA- -v'
Type of Inspection: 6�.
Address: 1 ;
Date Called:
Special InstructioFts:
elli"rrilktr76-1.
U Pi:lIl f
Date Wanted:..
`Q
p.m.
Requester:
Phone No:
/1/C273
7171
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
071:7
REINSPECTION FEE 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
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350 _
Project: Ste ,
F
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of Inspection: � , /
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Address:
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Date Called:
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Special Instructions:
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Date Wanted:
0C
a.m.
Requester:
z hi
Phone No:
2242 377 1
ElApproved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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v. oT i c 4—i, rIAMLI i.—
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Inspector: ~/
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Enk6-P,
Date:
0* g7
If u
ins
REINSPECTIgN FEE REQUIRED. Prior to nextpection fee st be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
7/3/2017
City of Tukwila
Department of Community Development
ADAM SANGDER
544 MAY CREEK PL
GOLD BAR, WA 98251
RE: Permit No. EL17-0110
WASHINGTON STATE LABOR AND INDUSTRIES
12806 GATEWAY DR
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 8/8/2017.
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 8/8/2017, 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: EL17-0110
iu
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
NORTHWEST EDISON INC
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Workplace Rights Trades & Licensing
NORTHWEST EDISON INC
Owner or tradesperson
Principals
CAMILLERI, DANIEL C, PRESIDENT
OWEN, RANDY, VICE PRESIDENT
OWEN, RICHARD E, SECRETARY
OWEN, RICHARD E, TREASURER
OWEN, RANDY M, AGENT
OWEN, RICHARD, PRESIDENT
(End: 03/06/2012)
OWEN, SALI, SECRETARY
(End: 03/06/2012)
OWEN, RICHARD, AGENT
(End: 03/06/2012)
Doing business as
NORTHWEST EDISON INC
WA UBI No.
601 522 062
Parent company
INDUSTRIAL LIGHT & ENERGY INC
19804 141ST PL NE
WOODINVILLE, WA 98072
425-806-9200
KING County
Business type
Corporation
Governing persons
RANDY
OWEN
RICHARD OWEN;
SALI OWEN;
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.
NORTHEI983RD
Effective — expiration
12/04/2002-12/04/2018
Designated administrator
OWEN, RANDY MARK ...
License type
Electrical Administrator
Bond
.................
RLI Ins Co
Bond account no.
LSM0667470
Active.
Meets current requirements.
License no.
OWEN*RM959Q8
$4,000.00
Help us improve
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NORTHWEST EDISON INC
Received by L&I Effective date
10/08/2014 10/26/2014
Expiration date
Until Canceled
Bond history
Savings
.........................
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EBANX00358
Issue date
03/18/2014
Violation city
WOODINVILLE
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. FAILURE TO OBTAIN AN
ELECTRICAL WORK PERMIT PRIOR TO
BEGINNING THE INSTALLATION.
Infraction no.
ESTAD00513
Issue date
11/16/2012
Violation city
WOODINVILLE
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 29646B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901.
Infraction no.
EBOES00650
Issue date
11/29/2011
Violation city
Woodinville
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(3)(6).
Satisfied
......... _...............
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
Satisfied
.........._..._.......
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
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.
This company has multiple workers' comp accounts.
a
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NORTHWEST EDISON INC
Active accounts
L&I Account ID
989,512-00
................................
Doing business as
NORTHWEST EDISON
Estimated workers reported
Quarter 4 of Year 2016 "51 to 75 Workers"
L&I account representative
TO / DALE MCMASTER (360)902-5617 - Email: MCMS235@Ini.wa.gov
Track this contractor tom'
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
06/10/2015
Inspection no.
317936372
Location
19804 141 PI Ne
Woodinville, WA 98072
Inspection results date
05/21/2015
Inspection no.
317936202
Location
19804 141 PI Ne
Woodinville, WA 98072
Inspection results date
01/18/2012
Inspection no.
315582031
Location
1101 Millerdale North
Wenatchee, WA 98801
Violations
No violations
No violations
Page 3 of 3
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