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HomeMy WebLinkAboutPermit EL17-0193 - SEATTLE METROPOLITAN CREDIT UNION - WIRINGSEATTLE METROPOLITAN CREDIT UNION 17250 SOUTHCENTER PKWY SUITE 132 ELI 7-0193 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.eov ELECTRICAL OTC PERMIT 7888920020 Permit Number: 17250 SOUTHCENTER PKWY 132 Issue Date: Permit Expires On: SEATTLE METROPOLITAN CREDIT UNION EL17-0193 3/10/2017 9/6/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE, WA, 98006 PAUL KLUTZ 1900 W NICKERSON ST SUITE 116-9 , SEATTLE, WA, 98119 EVERGREEN ELECTRICAL SYSTEMS LLC 1900 W NICKERSON ST #116-9, SEATTLE, WA, 98119 EVERGES904CH Phone: (206) 930-0591 Phone: (206) 922-5591 Expiration Date: DESCRIPTION OF WORK: WIRE TENANT IMPROVEMENT PER PLANS AND SPECS Valuation of single family: $0.00 Valuation of mf/comm: $36,250.00 Type of Work: REMODEL Fees Collected: $802.80 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: 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 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 o the performance of work. I am authorized to sign and obtain this development p -r nit and agree to the gin, tions attached to this permit. Signature: Print Name: Vi(4-34‘12,truftp Wel( Date :3 -JV -l-) 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 TURIN—, Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. �i AL1- O( 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 trail or by fax. **Please Print** SITE LOCATION King Co Assessor's Tax No.: Site Address: 17250 Southcenter Blvd #132 Tukwila Wa 98188 Suite Number: Floor: Tenant Name: SMCU Southcenter New Tenant: 0 Yes ..No PROPERTY OWNER _ Name: Paul Klutz Name: Wig Properties City: Seattle State: WA Zip: 98119 Address: 4811 134th PL SE Email: paul@eessite.com City: Bellevue State: WA Zip: 98006 CONTACT PERSON - person receiving all project communication _ Name: Paul Klutz Address: 1900 W Nickerson St Suite 116-9 City: Seattle State: WA Zip: 98119 Phone: (206) 930-0591 Fax: (206) 922-5591 Email: paul@eessite.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Evergreen Electrical Systems Address: 1900 W Nickrson St Suite 116-9 City: Seattle State: WA Ztp: 98119 Phone: (425) 773-0148 Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 36,250 Scope of Work (please provide detailed information): Wire tenant improvement per plans and specs Will service be altered? 0 Yes 123 No Adding more than 50 amps? 0 Yes 10 No Type of Use: credit union Type of work; ❑ New 0 Addition ❑ Service Change ❑ Low Voltage 0 Generator RI Fire Alarm Property Served by: • Puget Sound Energy ❑ Seattle City Light W:\Permit CentenApplications-Handouts\Pamit ApplicationslPDFAElechical Permit Application Revised 1-1-17.docn Revised: January 2017 bh 0 Remodel 0 Telecommunication ® Tenant Improvement O Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) 0 Garages, pools, spas and outbuildings 0 Low voltage systems (alarm, furnace thermostat) $155.91 $83.54 ea. $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, furnace 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 * * * 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: i- V V �% Date: 03/09/2017 Print Name: oe Giseburt Day Telephone: (425) 773-0148 Mailing Address: 1900 W Nickerson St Suite 116-9 Seattle WA 98119 W:\Permit CentehApplicalimaFiandauts\Permit Application s\PDFs\Electrical Permit Application Revised 1-I-17.docx Revised: January 2017 bh City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $802.80 EL17-0193 Address: 17250 SOUTHCENTER PKWY 132 Apn: 7888920020 $802.80 ELECTRICAL $764.57 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $764.57 TECHNOLOGY FEE $38.23 TECHNOLOGY FEE R000.322.900.04.00 TOTAL FEES PAID BY RECEIPT: R11055 0.00 $38.23 $802.80 Date Paid: Friday, March 10, 2017 Paid By: EVERGREEN ELECTRICAL SYSTEMS L Pay Method: CHECK 1175 Printed: Friday, March 10, 2017 10:27 AM 1 of 1 Cr SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd_, #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 I -q PE MIT NO. JProject: `1 lftr Type of Inspection:ill11- Address:%/� 5--, Pl- Date Called: Special Instructions: Date Wanted: 5Cl2-A p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: 1 Date: (7q� ) 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 P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3 Permit Inspection Request Line (206) 438-9350 Project: \ Ce f Type of Inspection: Orf l,J Address: / OD sc/ pvi Date Called: Special Instructions: Date Wanted: a.m. Requester: Phone No: 20 3i1„7 9'Z5b Approved per applicable codes. Ll Corrections required prior to approval. M NT COM E S CfiLA thi epkitoace Inspector: Date: o 1 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD �i +���� Retain a copy with permit INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: _ �17,17Date 1 T e of lnspection:4 Ko V4,11- fri Address:/71„ Called: Special Instructions: % OZ., Date Wanted: 2, so""-- a:m m. Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: 0,3 n)D r :Lsr �u.- n669j y''o 1_004. p cls Zi {� r'o(\ DPS/ Date: 61 17 REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD Retain a copy with permit 6it —00 PE MIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 INSPECTION NO. Project:Arg, ct€irofurr&+ c *my Address: co p/ Date Called: Special Instructions: / ] ft --i32- Date Wanted: (3/3/ a�.m.- � �'": Requester: L-- Phone No: 73° 25// ig Approved per applicable codes. O Corrections required prior to approval. COMMENTS: 011- 4.7\P Inspector: Date: 431A7 REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. EVERGREEN ELECTRICAL SYS T T .0 Washington State [ epartnient of .)Labor & Industries Horne Espafiol Contact Safety & Health Claims & Insurance Page 1 of 3 Search L&I A -Z Index Workplace Rights EVERGREEN ELECTRICAL SYS LLC Owner or tradesperson Principals GISEBURT, JOE R, PARTNER/MEMBER Giseburt, Joe, AGENT Doing business as EVERGREEN ELECTRICAL SYS LLC WA UBI No. 602 863 827 1900 W NICKERSON ST STE 116-9 SEATTLE, WA 98119 425-773-0148 KING County Business type Limited Liability Company License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meetscurrent requirements. License specialties GENERAL License no. EVERGES904CH Effective — expiration 02/08/2010— 02/13/2018 Designated administrator GISEBURT, JOE R License type Master Electrician Bond TRAVELERS CAS & SURETY CO Bond account no. 105543287 Active. Meets current requirements. License no. GISEBJR975RJ $4,000.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602863827&LIC=EVERGES904CH&SAW= 3/10/2017 EVERGREEN ELECTRICAL SYS T.T,C Page 2 of 3 Received by L&I Effective date 01/21/2011 01/22/2011 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EHICQ00246 Issue date 07/16/2015 Violation city Seattle 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. Satisfied RCW/WAC 19.28.101 RCW Violation amount $1,000.00 Infraction no. EJOCJ00255 Issue date 12/04/2014 Violation city Seattle Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.23 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Satisfied RCW/WAC 19.28.271 RCW Violation amount $500.00 Infraction no. EMABQ0419 Issue date 06/11/2013 Violation city SEATTLE Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecommunications work permit or Satisfied RCW/WAC 19.28.101 RCW Violation amount $250.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602863827&LIC=EVERGES904CH&SAW= 3/10/2017