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Permit EL17-0198 - 85C BAKERY - SUBPANEL, RECEPTACLE AND CIRCUITS
85C BAKERY 1341 SOUTHCENTER MALL ELI7-0198 Parcel No: Address: 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 9202470090 Permit Number: EL17-0198 0 SOUTHCENTER MALL Project Name: 85C BAKERY Issue Date: 3/13/2017 Permit Expires On: 9/9/2017 Owner: Name: Address: WESTFIELD PROPERTY TAX DEPT PO BOX 130940 , CARLSBAD, WA, 92013 Contact Person: Name: FRANK HOLBERG Address: 13301 SE 26 ST, BELLEVUE, WA, 98005 Contractor: Name: PRIME ELECTRIC INC Address: 13301 SE 26TH ST, BELLEVUE, WA, 98005 License No: PRIMEEI134BT Lender: Name: Address: 111 Phone: (425) 351-2145 Phone: (425) 747-5200 Expiration Date: DESCRIPTION OF WORK: ADDED 100 AMP SUBPANEL, (X4) ADDED RECEPTACLE BACK OF HOUSE. (Z2) 15-25 AMP DEDICATED CIRCUITS. (X2) 30-50 AMP DEDICATED CIRCUITS. JOB # 1174577 Valuation of single family: $0.00 Valuation of mf/comm: $2,450.00 Type of Work: TENANT IMP Fees Collected: $154.65 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: 2014 2014 2014 2015 Date: 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: i' ir Print Name: m& {C scki 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 TUKWILA Conunitniay Development Department . Permit Center 6300 Smithcenter Blvd, Suite 100 Tukwila, WA 98188 http://vAVW.TukwilaWA.gov ,Electncal-Perinit No. Z -L-. 1 7--.0.1?e Proect No Pa,teApplit4tiOn ACc.epted: bate,Appjicatkon (For offiee 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 1LOCA TION; King Co Assessor's Tax No.. Site Address: +901t5F- Sol4i /111;'kwaik, W'4 Suite Number: Floor: Tenant' Name: gs ge,y_ely New Tenant: El 'Yes .. No Name: Address: "city: State: Zip: r Cclisr.f,AcItglitS.PN,FP1911!,ce:Ivrg.;411P1;61e4P.'.' .3 - ' dol-ntriillifcatiOn': Name: F—i-lc Ho 'berg Address: 13301 SE 26 •ST • CitY: BELLEVUE State: •wA Zip: 98005 Phone:. Ai 2,5' - 3 5•1— 2/45Fu: Email:. p. r Pld I b exci p oripvie. e-iec.17-:c. . c,a on !:EtEt.TRIeAL, CONTRACTOR INFORMATION CompanyName: PRIME ELECTRIC Address: 15301 SE 26TH ST City: BELLEVUE State: WA Zip: 98005 Phone: (425) 747-5200 Fax:: Contr Reg No.: PRIMEEI134BT Exp Date: 12/31/2016 Tukwila Business License No.; BUS -0992997 Valuation of Project (contractor's bid price): $ •6° Scope of Work (please provide detailed information): Pt ade8 'idOA vt412 ?arm io (k4i) odd e r ect-104-a e 19.6" k hous-e_. )K-zcoi Iv.ie.S crct, (k2) -50ct dedica3.E-4 :rre,1.t...4.. V-01. Ki 14kVA bet. ; 7415:77 Will service be altered? Type of Use: 123 Yes Ei No Cc ow eer a I / 13u,4e.s Adding more than 50 atnps? Yes EJNo Type of Work., O New 0 Service Change .0 14w Voltage 0 Generator 0 Fire Alarm Property Served by: o Puget Soinni Energy 0 Seattle City Light* H:SApplicetiosu‘Fonits•Appiketions On Line2013 Applicationi‘Eleetricisi Pemsit Application Revised 7-1-13.docx Revised: hily 2013 bh • Remodel o Telecommunication '121 Tenant Improvement Temporary Service RESIDENTIAL NEW RESIDENTIAL'SERVICE -New'single(incity dwellings $152.85 (including an attached garage) o Garages, pools, spas and outbuildings * $81.9d ea O Low veltagesyStems (alarm, furnace thermostat) 150.85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES • Ser.vinethange'Or alteration 01.90 (no addedhliteted.circuiti). O Service change With 'added/altered circuits $81.90 number of added circuits $1145 ea o Circuits added/altered without service change $54.60 Op to 5circuitsj o Circuits added/altered without service change $54.60 (6 or morecircuits) $7-.65 ea' o Meter/mast repair $68.25 CI Low voltage systems $59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees arebased'on the valuation oldie electrical contract MISCELLANEOUS FEES .0 Temporary servieekesiden(ial). • 2 $65.00 o Temporary service (generator) $80.00' o Manufactured/moble home service - - $8625 (excluding garage or outbuilding) 0Carnivals $80.60 Numberof concessions $10.80 ea Each ride and generator truck $10.80 ea fPERIVIITIAPFLICATION,NOTES 2 _ Value of Construction —1.11 alleases; aiyalue of construction amounIshould be entered bytheapplicant. This figure will be -reviewed and is subject, to-possiblereViSionly the Pernnt. Center to comply with cnirent"fee'ihednles:: Expiation of Plait ReyleW -- Applications for which tm permit is issued within 180 days fallowing the date.of application shall expire by '1iMitation. The Building Official grant one- extension of timefOr aivadditional periled not W. exceed 90 days, The extension shall be requested in writing . and justifiable cause dethenstrated. I:HEREBY.CERTIFY THATIBAVEREAD.'AND:EXAMINEDTHISAP— PLICATION AN". D KNOW- THE SAME TO BE TRUE' ItflibUNDER NALTY OF PERJURY BY THE LAWS OF THE STATE WASHINGTON AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. . . . , •PUILDING OWNER OR ELEC1'RICAL CONTRACTOR: Signatnre: 'Print Name: 12 Jain Mailing Address: rhs ;414' :Date: 3 tq ../,1 7 Day Telephone: 7.2 e&gi- c6a7 IS 005 eiled e- titIA City State Zip HAypReationironns-ApplicatiOns On Line \2013 ApplitstionsEleetrital Pernik AkilketIon Revised 71,13.dots. Revised: July 2013 bh Cash Register Receipt City of Tukwila. DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $154.65 EL17-0198 Address: 1350 SOUTHCENTER MALL Apn: 9202470090 $154.65 Credit Card Fee $4.50 Credit Card Fee R000.369.908.00.00 0.00 $4.50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11063 R000.322.900.04.00 0.00 $7.15 $154.65 Date Paid: Monday, March 13, 2017 Paid By: MARC SCHNOLL Pay Method: CREDIT CARD 04853D Printed: Monday, March 13, 2017 9:33 AM 1 of 1 CPSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit &i7.-o1fY PE IT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Tic„reti it YJ�/ Type of Inspection: 41rM ,' V Address: /3S Date Called: Special Instructions: Date Wanted: /16iiit. Requester: Phone No: Approved per applicable codes. LJ Corrections required prior to approval. OMMENTS: Inspector: Date: 03/' 7 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 CL1 -O(? INSP TION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: /75,--c,51.4.1Type of Inspection: Airki Address: `� �� Date Called: Special Instructions: p CAWRequester: ' (frit* ,.3o • Date Wanted: j ! f pm. Phone No: /'l 'o $23Z - ElApproved per applicable codes. • LJ Corrections required prior to approval. COMMENTS: 0/1„ - F;17\16--A/P (\Are: cia,, 4cerPrA4A-6-5 tr1-5,6a7 ten. Inspector: 4-17;1(6ehiniK die))UcE R)I31r Date: 03 6/i7 REINSPECTION FEE REQUIRED. Prior to next inspectio4i fe must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. PRIME ELECTRIC INC Washington State Department of Labor & industries Horne Espanol Contact Safety & Health Claims & Insurance Search L&I A -Z Index Help Page 1 of 4 My L&I Workplace Rights Trades & Licensing PRIME ELECTRIC INC Owner or tradesperson Principals Reichanadter, Eric, PRESIDENT Broberg, Michael s, SECRETARY TYRELL, WAYNE, AGENT (End: 05/26/2011) TYRRELL, WAYNE F, MEMBER (End: 05/26/2011) TYRELL, NANCY, MEMBER (End: 05/26/2011) Doing business as PRIME ELECTRIC INC WA UBI No. 601 004 783 13301 SE 26TH ST BELLEVUE, WA 98005 425-747-5200 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. PRIMEEI134BT Effective — expiration 01/30/1987— 01/30/2019 Designated administrator WOODEY, DAVE T License type Master Electrician Bond Fidelity & Deposit Co of MD Bond account no. 9226442 Received by L&I 11/09/2016 Bond history Savings No savings accounts during the previous 6 year period. Active. Meets current requirements. Active. Meets current requirements. License no. WOODEDT970K8 $4,000.00 Effective date 01/30/2017 Expiration date Until Canceled Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601004783&LIC=PRIMEEI134BT&SAW= 3/13/2017 PRIME ELECTRIC INC License Violations Infraction no. ESHA000900 Issue date 05/06/2014 Violation city BELLEVUE Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an electrical/telecomm unications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-468-901. Failing to obtain an electrical work permit prior to starting the electrical installation. Infraction no. EROMA00845 Issue date 05/17/2013 Violation city Bellevue Type of violation ELECTRICAL CITATION Description Class B eligible work - Failing to obtain an electrical/telecommunications work permit, or post a provisional electrical work permit, or valid Class B label prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. Infraction no. EJURT00483 Issue date 05/14/2012 Violation city Bellevue 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). Infraction no. EJURT00482 Issue date 05/14/2012 Violation city Bellevue 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 296-468-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B-901. Satisfied .................... RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Satisfied ..._.........._....... RCW/WAC 19.28.101 RCW Violation amount $100.00 Satisfied .._.................... RCW/WAC 19.28.101 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $1,000.00 Page 2 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601004783&LIC=PRIMEEI134BT&SAW= 3/13/2017 PRIME ELECTRIC INC Infraction no. EMOMJ00411 Issue date 11/29/2011 Violation city Bellevue 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). Infraction no. ESHA000492 Issue date 09/02/2011 Violation city Bellevue Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Satisfied ........................... RCW/WAC 19.28.101 RCW Violation amount $250.00 Satisfied ..... ................... RCW/WAC 19.28.271 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 509,925-00 ................................. Doing business as PRIME ELECTRIC INC Estimated workers reported Quarter 4 of Year 2016 "Greater than 100 Workers" L&I account representative T3 / NATHAN KOZAK (360)902-6243 - Email: KOZN235@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 04/18/2016 Inspection no. 317939077 Location 1531 Utah Avenue South Seattle, WA 98121 Inspection results date 12/18/2015 Inspection no. 317938584 Location alleyway 48 st.s./Fawcett ay. Tacoma, WA 98418 No violations Violations Page 3 of 4 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601004783 &LIC=PRIMEEI 1.34BT&SAW= 3/13/2017 PRIME ELECTRIC INC Page 4 of 4 Inspection results date 11/05/2014 Inspection no. 317446995 Location 8th Avenue and 183rd st. Shoreline, WA 98155 Inspection results date 05/24/2012 Inspection no. 316252360 Location 132nd and Avondale Rd Redmond, WA 98052 Inspection results date 12/15/2011 Inspection no. 315577825 Location 1321 1st Ave Seattle, WA 98101 No violations No violations Violations © Washington State Dept. of Labor & Industries. Use of this siteiis subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601004783&LIC=PRIMEEI134BT&SAW= 3/13/2017