HomeMy WebLinkAboutPermit EL17-0195 - KING COUNTY LIBRARY SYSTEM - LIGHT FIXTURES FOR BOOK SHELVESKING COUNTY
LIBRARY SYSTEM
14380 TUKWILA
INTERNATIONAL BLVD
EL17-0195
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
1523049092
14380 TUKWILA INTERNATIONAL
BLVD
KING COUNTY LIBRARY SYSTEM
Permit Number: EL17-0195
Issue Date: 3/10/2017
Permit Expires On: 9/6/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
KING COUNTY RURAL LIBRARY D
960 NEWPORT WAY NW , ISSAQUAH,
WA, 98027
KARLIN KERSAVAGE
16319 123RD PL NE , BOTHELL, WA,
98011
PURE POWER
11803 NE 157TH ST, BOTHELL, WA,
98011 '•.
PUREPPL898M1
Phone: (206) 948-8585
Phone: (206) 948-8585
Expiration Date: 7/11/2017
DESCRIPTION OF WORK: ,
ASSEMBLE LIGHT FIXTURES FOR BOOK SHELVES
Valuation of single family: $0.00
Valuation of mf/comm: $1,000.00
Type of Work: NEW
Fees Collected: $106.49
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:
Date: 31>b
Print Name: \A_./
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 TUKV A
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. 0/1V/tt1
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 1
1(- ,..Ver ‘.%-c—'k ;vv �.\ i Ni �A
King Co Assessor's Tax No.:
Site Address: & Suite Number:
Tenant Name: 'L.,1c..,.3 i ‘ c3-- \t L;
PROPERTY OWNER
Name: ` '
y,d✓\•r V. it(Ckv,99
Address: 163k9 17---3?— l /r -C--.
Name:
Zi 9
city -0\ -V, -e_, ` StateL)
Address:
Phone- Fax:
? -9 Y? -PSIS
Exp Date:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: ` '
y,d✓\•r V. it(Ckv,99
Address: 163k9 17---3?— l /r -C--.
Address: 1 b3 /
Zi 9
city -0\ -V, -e_, ` StateL)
Zip9 aG j
/a
Phone- Fax:
? -9 Y? -PSIS
Exp Date:
Email:
Floor:
New Tenant: ❑ Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
.vt.._jte✓ LLC_..
Address: 163k9 17---3?— l /r -C--.
City: 3 j ^ `` State:
Zi 9
Phone: -?y8 *.65Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ loo
Scope of Work (please provide detailed information): As e )sn \
O0Ck S‘i` e V e
Will service be altered? ❑ Yes R. No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
New 0 Addition 0 Service Change 0 Remodel
0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
0 Temporary Service
Property Served by: .
0 Puget Sound Energy 0 Seattle City Light
W:\Permit Center\Applications-Handouts\Permit Applications \Word\Electrical Permit Application Revised 1-1-2017.docz - ..
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
O Garages, pools, spas and outbuildings
O Low voltage systems
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
$155.91 Fees are based on the valuation of the electrical contract.
$83.54 ea
$61.05 ea MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
O 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
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
O Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Si v'
g � Date: 3 /
Print Name: ��/ ��, JS 0,J9
Mailing Address: 1::331 t 23 ( - l7 '7 ( ti
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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• Day Telephone: `2_06; f't --
Q tk c_)A P6/01(
City State Zip
Page 2 of 2
2908/
Cash Register Receipt
City of Tukwila
Receipt Number
R11058
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$106.49
EL17-0195 Address: 14380 TUKWILA INTERNATIONAL BLVD
Apn: 1523049092
$106.49
ELECTRICAL
$101.42
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$101.42
TECHNOLOGY FEE
$5.07
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11058
R000.322.900.04.00
0.00
$5.07
$106.49
Date Paid: Friday, March 10, 2017
Paid By: PURE POWER
Pay Method: CHECK 1305
Printed: Friday, March 10, 2017 1:10 PM 1 of 1
CSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: ,/
rI
I tAmv,
Type of Inspection: /
IQ
Address:
Date Called:
Special Instructions:
Date Wanted:
3 2,0
Requester:
L/LV
Phone No:
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
2,47
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
8/1/2017
City of Tukwila
Department of Community Development
KARLIN KERSAVAGE
16319 123RD PL NE
BOTHELL, WA 98011
RE: Permit No. EL17-0195
KING COUNTY LIBRARY SYSTEM
14380 TUKWILA INT'L 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 9/16/2017.
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 9/16/2017, 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,
4)11/1
Rachelle ' ipley
Permit Technician
File No: EL17-0195
nom, ;1249
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
PURE POWER LLC
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Labor & industries
Claims & Insurance
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Workplace Rights
PURE POWER LLC
Owner or tradesperson
Principals
KERSAVAGE, KARLIN A, MANAGER
Doing business as
PURE POWER LLC
WA UBI No.
603 117 256
11803 NE 157TH ST
BOTHELL, WA 98011
206-948-8585
KING County
Business type
Limited Liability Company
Governing persons
KARLIN
KERSAVAGE
MOLLIE KERSAVAGE;
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.
PUREPPL898MJ
Effective — expiration
07/11/2011— 07/11/2017
Designated administrator
KERSAVAGE, KARLIN A
License type
Electrical Administrator
Bond
American States Insurance Co
Active.
Meets current requirements.
License no.
KERSAK*944L9
$4,000.00
Help us improve
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PURE POWER LLC
Bond account no.
32s107097
Received by L&I
05/07/2012
Bond history
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Effective date
04/20/2012
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.
325,006-00
Doing business as
PURE POWER .
Estimated workers reported
Quarter 4 of Year 2016 "1 to 3 Workers"
L&I account representative
T3 / (360)902-5598
Workplace safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
O Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
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