HomeMy WebLinkAboutPermit EL17-0269 - SIMS RESIDENCE - PANEL UPDATE AND SPA LINESIMS RESIDENCE
46046 48 AVE S
EXPIRED
02/06/18
ELI 7-0269
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
5379800065 Permit Number:
16046 48TH AVE S
SIMS RESIDENCE
Issue Date:
Permit Expires On:
EL17-0269
4/11/2017
10/8/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
CHUMKING-CORNILLEZ SOMPIT+N
4245 S 160TH ST, TUKWILA, WA,
98188
RYAN SIMS
16046 48 AVE S , TUKWILA, WA, 98188
AFFIDAVIIT- RYAN SIMS
Phone:
Phone:
Expiration Date:
DESCRIPTION OF WORK:
UPDATE ELECTRICAL PANELTO 200 AMP FROM 100 AMP. TURN OLD PANEL INTO JUNCTION BOX FOR NEW. ADD
220 VOLT LINE FOR SPA. INCLUDE MAST CHANGEOUT
Valuation of single family: $3,000.00
Valuation of mf/comm: $0.00
Type of Work: SERV CHNG
Fees Collected: $178.62
Electrical Service Provided by: PUGEST SOUND ENERGY
Water District: HIGHLINE
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: L
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:
Print Name:
Date:{ V7,7
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 TUKI- T,4
Community Developr,..-pct Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. L 7 00/10
T
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
King Co Assessor's Tax No.:
Site Address: ) C) 1-(6 q3114AVI 5. "r'U kw; (V-1Q'&6E) Suite Number: Floor:
an T. sr'tm s & 5einvy A . 5lths
Tenant Name:
PROPERTY OWNER
Name:
� ',eun -; 511% 5
Name:
RYo, T, 5►'V1)
Address: (60146 yam, AVE 5,
Address: 6601 /I 6 qg Ave 5
City:Ti4 I u� 11 a State:iv
City: Iv, r
i t rk State: A
Zip: 188
CONTACT PERSON — person receiving all project
communication
Name:
� ',eun -; 511% 5
Address:
Address: (60146 yam, AVE 5,
City:Ti4 I u� 11 a State:iv
Zip: Rg 183
l
Phone: O r_ 37Q - a2 $D Fax:
Email: t t
r s b'4'5 P;1 've, . G9irot
Phone:
New Tenant: ❑ Yes ❑.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $7:2-OC20
Scope oG`�g
f Work (please provide detailed information): 'hoi at(flex- Jpail et lib 100
14,N
11t 0 6 Wt 0 i 1 c- tvi (yidpane ( 'Vac -4"`tit 4_6to,/1 AQlc Iva /. 140(( Q
t -/nom
pr. 5pct_ . LZ icLi.G(; A?a chaiev
Will service be altered? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New .❑ Addition / Service Change 0 Remodel
0 Tenant Improvement
0 Low Voltage ❑ Generator 0 'Fire Alarm ❑ " Telecommunication
Temporary Service
Adding more than 50 amps? Jf Yes 0 No
Property Served by:
175 Puget Sound Energy 0 Seattle City Light
W:\Permit Center\Applications-Handouts\Permit Applications \Word\Electrical Permit Application Revised 1-1-2017.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)
'fes Garages, pools, spas and outbuildings $83.54 ea
O Low voltage systems
(alarm, furnace thermostat) $61.05 ea
41
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
(g 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)
O 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
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:
Print Name: (�y01/1 ,144.c
Mailing Address: 160416 11 K .'
Date: 7/VI 7
Day Telephone: V06 3mq 2 go
City
W:\Permit Center\Applications-Handouts\Permit Applications \ Word \Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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W4- R8188
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermItTRAK
ACCOUNT
QUANTITY
PAID
$178.62
EL17-0269 Address: 16046 48TH AVE S '
Apn: 5379800065
$178.62
Credit Card Fee
$5.20
Credit Card Fee
R000.369.908.00.00
0.00
$5.20
ELECTRICAL
$165.16
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$165.16
TECHNOLOGY FEE
$8.26
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11249
R000.322.900.04.00
0.00
$8.26
$178.62
Date Paid: Tuesday, April 11, 2017
Paid By: RYAN SIMS
Pay Method: CREDIT CARD 00855D
Printed: Tuesday, April 11, 2017 3:00 PM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
P
RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
'
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J 4
FIAT,,
Address:/6°gf
Lla AV
Date I • Iled:
cp,,,pm r B Rec fC BOO PO
PI ALL.
Special Instructions:
Date Wanted:
- Pace gk_ Rfc J t,$ k
4co .
Requester:
Phone No:
2.0
Cyo 7o
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: ,
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T scriLKE atJ eik sr (8" vR tiztem IooF
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PI ALL.
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647-64-b0) Cikc-ut,r5
- Pace gk_ Rfc J t,$ k
3 tAitit.EQ Qt /trr
- 8infteere P 5c4 -&Dui -.6
Inspector:
Date: 6F1(.0(1..7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development - Jack Pace, Director
February 16, 2018
Ryan Sims
16046 48th Ave S
Tukwila, WA 98188
RE: Request for Permit Extension #1
Electrical Permit EL17-0269
Sims Residence —16046 48th Ave S
Dear Mr. Sims,
Allan Ekberg, Mayor
This letter is in response to your written letter to permit EL 17-0269. The Building Official has reviewed
your letter and considered your request. It has been determined that the City of Tukwila will not be
extending your permit at this time due to your request being received after the permit had expired.
If you should have any questions, please contact our office at (206) 431-3670. If you wish to discuss the
determination made, please contact the Building Official directly at 206-431-3675.
Sincerely,
Wit
Rachelle Ripley
Permit Technician
File: Permit No. EL 17-0269
Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov
PERMIT NO. EL17-0269
Dear Permits Department of Tukwila,
I'm writing to you to appeal my expired permit inspection report for the electrical work done on my
home at 16046 48th Ave S Tukwila, WA 98188. The people who originally helped us start the project
were unable to continue due to injury, after picking up where they left off there were many things that
were not up to code and we have been working hard to fix over the past couple months. We have paid
several people over the course of this project which has ended up being much more costly than
originally anticipated but we would really like to have this done right and to code. We ran into issues
recently locating the correct parts for the arc -fault breakers required to update our panel which lead to
the delay in booking the final inspection by a few days. We had thought that this permit expired on
February 14th as there is no date listed on the inspection record, if we had known it was last week we
would have filed for an extension beforehand. This project has been quite costly to us and we don't
have any more money to spend on it. We hope that you could offer us an extension and book a final
inspection as all of the work is now complete. Thank you for your time and consideration.
Sincerely,
Ryan Sims
RECEIVED
CITY OF TUKWILA,
FEB 1 3 2018
PERMIT CENTER
Request for Extension, # I
�IIDI(�i
Current Expiration Date:
Extension Request:
Approved for days . )
IDenied (provide explanation)' 1 re
Signature Initials h
1/2/2018
City of Tukwila
Department of Community Development
RYAN SIMS
16046 48 AVE S
TUKWILA, WA 98188
RE: Permit No. EL 17-0269
SIMS RESIDENCE
16046 48 AVE S
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 2/6/2018.
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 2/6/2018, 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: EL17-0269
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
CITY OF TUKWILA
Department of Community Development
6300 Southcenter Boulevard, Tukwila, WA 98188
Telephone: (206) 431-367o FAX (206) 431-3665
E-mail: tukplan@ci.tukwila.wa.us
Permit Center/Building Division
206 431-3670
Public Works Department
206 433-0179
Planning Division
206 431-3670
AFFIDAVIT IN LIEU OF CONTRACTOR REGISTRATION
PERMIT NO: t L11 o)-tQ c
STATE OF WASHINGTON)
) ss.
COUNTY OF KING )
t2At(,tvi +`V145 , states as follows:
[please print name]
1. I have made application for a permit from the City of Tukwila, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have
read or am familiar with RCW 18.27.090.
3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the
City of Tukwila must verify either that the contractor is registered by the State of Washington, or that
one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090,
I consider the work authorized under this permit to be exempt under number 1:3 , and will therefore
not be performed by a registered contractor.
5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to
persons making electrical installations on their own property or to regularly employed employees
working on the premises of their employer. The proposed electrical work is not for the construction
of a new building for rent, sale or lease.
I understand that I may be waiving certain rights that I might otherwise have under state law in any decision
to engage an unregistered contractor to perform construction work.
LAURIE A. WERLE
NOTARY PUBLIC
STATE OF WASHINGTON
COMMISSION EXPIRES
MAY 29, 2018
Owner's Agent*
Signed and sworn to before me this
1 day of
NO(I'A Y PUBLIC in and for the State of Washington
Residing at /` l i1 - , County
Name as commissioned: � al `2 e r7 C
My commission expires: C Imo?
,20(7.
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1. An authorized representative of the United States
government, the state of Washington, or any incorporated
city, town, county, township, irrigation district, reclamation
district, or other municipal or political corporation or
subdivision of this state;
2. Officers of a court when they are acting within the scope
of their office;
3. Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their own
business;
4. Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground mine
or mineral deposit when performed by an owner or lessee;
5. The sale of any finished products, materials, or articles of
merchandise that are not fabricated into and do not become
a part of a structure under the common law of fixtures;
6. Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer or
manufacturer licensed under chapter 46.7o RCW who shall
warranty service and repairs under chapter 46.7o RCW;
7. Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
8. Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
9. Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential nature.
The exemption prescribed in this subsection does not apply
in any instance wherein the work or construction is only a
part of a larger or major operation, whether undertaken by
the same or a different contractor, or in which a division of
the operation is made into contracts of amounts less than
five hundred dollars for the purpose of evasion of this
chapter or otherwise. The exemption prescribed in this
subsection does not apply to a person who advertises or
puts out any sign or card or other device which might
indicate to the public that he or she is a contractor, or that
he or she is qualified to engage in the business of
contractor;
10. Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any of the above work is performed
by a registered contractor;
11. An owner* who contracts for a project with a registered
contractor, except that this exemption shall not deprive the
owner of the protections of this chapter against registered
and unregistered contractors. The exemption prescribed in
this subsection does not apply to a person who performs
the activities of a contractor for the purpose of leasing or
selling improved property he or she has owned for less than
twelve months;
12.* Any person working on his or her own property,
whether occupied by him or her or not, and any person
working on his or her personal residence, whether owned
by him or her or not but this exemption shall not apply to
any person who performs the activities of a contractor on
his or her own property for the purpose of selling,
demolishing, or leasing the property;
13. An owner* who performs maintenance, repair, and
alteration work in or upon his or her own properties, or
who uses his or her own employees to do such work;
14. A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician certified under the laws of the state of
Washington, or a plumber certified under the laws of the
state of Washington or licensed by a political subdivision of
the state of Washington while operating within the
boundaries of such political subdivision. The exemption
provided in this subsection is applicable only when the
person certified is operating within the scope of his or her
certification;
15. Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16. Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17. A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work to
actively registered contractors. This exemption only applies
to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
manufacturer;
i8. An entity who holds'a valid electrical contractor's
license under chapter 19.28 RCW that employs a certified
journeyman electrician, a certified residential specialty
electrici0n, or an electrical trainee meeting the
requirerents of chapter 19.28 RCW to perform plumbing
work that is incidentally, directly, and immediately
appropriat to thelike-'in-kind'replacement of a household
appliance or other small household utilization equipment
that requires limited electric power and limited waste
and/or water connections. An electrical trainee must be
supervised by a certified electrician while performing
plumbing work.
* Per Washington State Department of Labor and Industries lessee has
been interpreted to be equivalent to owner for purposes of exemptions.
11
11
1
1
1
1
0994
1
1
11
EL1 7-0270
RIVERFRONT
TECHNICAL PARK
RIVERFRONT
TECHNICAL PARK
2811 S 102 ST
SUITE 200
ELI 7-0270
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.Rov
0423049190
2811 S 102ND ST 200
ELECTRICAL OTC PERMIT
Project Name: RIVERFRONTTECHNICAL PARK
Permit Number: EL17-0270
Issue Date: 4/13/2017
Permit Expires On: 10/10/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SABEY CORPORATION
12201 TUKWILA INTERN'L BLVD FO ,
SEATTLE, WA, 98168
JANET STEBBINS
9520 TENTH AVE S, SUITE 100 ,
SEATTLE, WA, 98108
SIMPLEXGRINNELL LP
952010 AV S #100 , SEATTLE, WA,
98108
SIMPLL*981SG
Phone: (206) 291-1400
Phone: (206) 291-1400
Expiration Date: 1/11/2018
DESCRIPTION OF WORK:
MODIFY EXISTING FIRE ALARM SYSTEM. RELOCATE (1) AND ADD (24) DEVICES TO 2ND FLOOR TENANT
IMPROVEMENT, ROOM 215. JOINT VENTURE BETWEEN SIMPLEXGRINELL AND HOLMES ELECTRIC.
APPLICATION SAYS SUITE 215
Valuation of single family: $0.00
Valuation of mf/comm: $2,500.00
Type of Work: FIRE ALARM
Fees Collected: $154.65
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
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:
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.
Print Name:
Li" mil eV/
f &Ye k41
Date: 4//?l2QC
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:
<NONE>
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
http://www.TukwilaWA.gov
Electrical,Permit No. eki I1 O2i 0
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
King Co Assessor's Tax No.: 0423049190
Site Address: 2811 S. 102nd Street Suite Number: 215 Floor: 2
Tenant Name: Riverfront Technical Park
PROPERTY OWNER
Name: Sabey Corporation
Address: 12201 Tukwila International Blvd, 4th Fl.
City: Seattle State: WA Ztp: 98168
CONTACT PERSON — person receiving all project
communication
Name: SimplexGrinnell/Janet Stebbins
Address: 9520 10th Ave S. Suite 100
Cit': Seattle State: wA Zip: 98108
Phone: (206) 291-1468 Fax: (206) 291-1500
Email: jastebbins@simplexgrinnell.com
New Tenant: ❑ Yes ®..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SimplexGrinnell
Address: 9520 10th Ave S.
City: Seattle State: WA Zip: 98108
Phone: (206) 29171400 Fax: (206) 291-1500
Contr Reg No.: SIMPLL*981 SG Exp Date: 01/11/2018
Tukwila Business License No.; BUS -0994360
Valuation of Project (contractor's bid price): $ 2,500
Scope of Work (please provide detailed information): Modify existing fire alarm system. Relocate (1) and Add (24)
devices to 2nd floor tenant improvement, room 215. Joint venture between SimplexGrinnell & Holmes
Electric.
Will service be altered? D Yes m No . Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
VI Low Voltage 0 Generator m Fire Alarm 0 Telecommunication 0 ' Temporary Service
Property Served by:
0 Puget Sound Energy 0 Seattle City Light
W:\Permit Center Applications -Handouts \Pennit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 1 of 2
._J
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
(alai -in, 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, 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
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
***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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Digitally signed by Janet Stebbins
Janet JtQuu„Si.DN: cn=Janet Stebbins, o=SimplexGrinnell, ou,
email=jastebbins@simplexgdnnell.com,
c=US
Date: 2017.04.12 15:46:53 -0T00'
Signature:
4;44% Date: 04/12/2017
Print Name: Janet Stebbins/SimplexGrinnell • - Day Telephone: (206) 291-1468
Mailing Address: 9520 10th Ave S. Suite 100 Seattle WA 98108
City State Zip
W:\Permit Center\Applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT
QUANTITY
PAID
$154.65
EL17-0270 Address: 2811 S 102ND ST 200
Apn: 0423049190
$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: R11254
R000.322.900.04.00
0.00
$7.15
$154.65
Date Paid: Thursday, April 13, 2017
Paid By: JANET STEBBINS
Pay Method: CREDIT CARD 095504
Printed: Thursday, April 13, 2017 9:10 AM 1 of 1PI!
CRYSYSTEMS
INSPECTION RECORD
Retain a copy with permit
61-fJ27o
CITY OF TUKWILA BUILDING DIVISION
INSPECTION NO.
PERMIT NO.
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project: KjekriLevr, 1....-644,
Type of Inspection:
rTh I
Address:
foi
Date Called:
Special Instructions:
(A -
#*2-00
Date Wanted:
%
6/0
6
a .
.m.
Requester:
Phone No:
14 Approved per applicable codes.
LJ Corrections required prior to approval.
COMMENTS:
Inspector: <
JVO4
Date: 06/07/
r % 7 1
7
REINSPECTIOI1 FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
2 -
INSPECTION N0.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project: iVtkajPijer 17tcrii
Type of Inspection: e' 1 J
Address:sr
Pp 3,... �o
Date Called:
Special Instructions:
Date Wanted: a.m.
t{ P• 1.
Requester:
Phone No: l' ' 3 Y) D / 7/ c -
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
C -60A4 601/g
ot1414 deoiliLSIT
D
REINSPECTI N FEE REQUIRED. Prior to next inspection, fee must be
Date: 044/7 4 //
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
04-0210
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project:
11/6C14 -r
Type of Inspection:
'
044 id
Address:ry
g311 5.101-14
Date Called:
Special Instructions:2_00Date
rik245--?
Wanted:a
/�
pm.
Requester:
Phone No:
['Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
o
Fsk
-K1 - C61 -441t Co16\iJ6
Inspector:
Date:
(/(7
REINSPECTIOIN FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
SIMPLEXGRINNELL LP
Home Espanol Contact Search L&I
Page 1 of 4
A -Z Index Help My U I
Safety & Health Claims & Insurance Workplace Rights
ill)
Washington State Department of
116 Labor & industries
SIMPLEXGRINNELL LP
Owner or tradesperson
Principals
Chauvin JR, Robert F, PARTNER/MEMBER
Maxie, Robert C, PARTNER/MEMBER
Meisner, Mark H, PARTNER/MEMBER
C T Corporation System, AGENT
Doing business as
SIMPLEXGRINNELL LP
WA UBI No.
602 113 334
9520 10TH AVE S #100
SEATTLE, WA 98108
206-291-1400
KING County
Business type
Limited Liability Company
Governing persons
JERRY
R
BOGGESS
MICHAEL BUCHANAN;
PASQUALE J DORSI;
BERNARD J DOHERTY;
MICHAEL A ROBINSON;
License
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
LIMITED ENERGY
HVAC/RFRG
License no.
SIMPLL*981 SG
Effective — expiration
01/07/2002— 01/11/2018
Designated administrator
MOORE, PHILLIP A
Active.
Meets current requirements.
License type License no.
Electrical Administrator MOOREP*995RA
Bond
.................
FEDERAL INSURANCE CO
Bond account no.
81880909
$4,000.00
Received by L&I Effective date
01/07/2002 12/20/2001
Expiration date
Until Canceled
Savings
Trades & Licensing
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602113334&LIC=SIMPLL*981 SG&SAW= 4/13/2017
SIMPLEXGRINNELL LP
No savings accounts during the previous 6 y eriod.
License Violations.
Infraction no.
EBIEA01276
Issue date
08/12/2014
Violation city
SEATTLE
Type of violation
ELECTRICAL CITATION
Description
Energizing electrical equipment without an
electrical inspection as referenced in WAC
296-46B-901.
Page 2 of 4
Satisfied
...........................
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Infraction no.
EBIEA01275 Satisfied
.... _...................
Issue date RCW/WAC
08/12/2014 19.28.101 RCW
Violation city Violation amount
SEATTLE $250.00
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.
Infraction no.
EHRAL01249
Issue date
06/06/2014
Violation city
SEATTLE
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
29646B-901. Failing to request an inspection
for Electrical Work permit #2231262P.
Infraction no.
ESHA000892
Issue date
04/24/2014
Violation city
Seattle
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-901. Failing to request an inspection
for EWP 2206095P.
Infraction no.
ESHA000665
Satisfied
...........................
RCW/WAC
19.28.101 RCW
Violation amount
$4,000.00
Satisfied
.......... _..............
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Satisfied Help us improve
................ _.........
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602113334&LIC=SIMPLL*981 SG&SAW= 4/13/2017