HomeMy WebLinkAboutPermit EL17-0281 - MACADAM - LOT 3 - HEAD TEMPORARY POLEMACADAM -LOT 3
4807 S 136T" ST
EL1 7-0281
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
1523049313 Permit Number: EL17-0281
4807 S 136TH ST
MACADAM - LOT 3
Issue Date: 4/17/2017
Permit Expires On: 10/14/2017
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
NGUYEN HOA
10621 56TH AV 5 , SEATTLE, WA,
98178
RACHEL MASON
11109 66 AVE E , PUYALLUP, WA,
98373
MERIDIAN CENTER ELECTRIC INC
1109 66TH AVE E , PUYALLUP, WA,
98373
MERIDCE318SG
/JI
Phone: (253) 848-5595
Phone: (253) 848-5595
Expiration Date: 2/28/2019
DESCRIPTION OF WORK:
60 AMP OVER HEAD TEMP POLE
Valuation of single family: $250.00
Valuation of mf/comm: $0.00
Type of Work: TEMP SERVICE
Fees Collected: $69.62
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:
Print Name:
Date: `'A717
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 TUK"T1LA
Community Develc, nt Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.eov
Electrical . mit No.
Project No.
Dale Application Accepted:
Date Application Expires:
(For office use onh')
(DJ1107-(61
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: qW7 SI ✓`�'� SuiteNu b Floor:
Tenant Name: rAtto ('& 'W?Ji l M j 1 of aTenant: ❑ Yes rlfi.. No
PROPERTY OWNER
Name < �che �( R?
"� Il-QiI.L�,y(•
Address: 11, 1( t001,i
City: y t C Sta e` Zip1 7
6(�t
1
',
/gii om
W)Name:
Address:
s
Firm V 1�
ft•
Qui)
City:ToeKj
l
j n VUWei
State: ,
ZiiipgiSl,t'
J
CONTACT PERSON — person receiving all project
Conitllnn]ralloll
Name < �che �( R?
"� Il-QiI.L�,y(•
Address: 11, 1( t001,i
City: y t C Sta e` Zip1 7
6(�t
Phone:
tS /. rOSFax: 7Qr Q he cql.
Email: ' p Y l co mecis-ectvic,cotto
ELECTRICAL CONTRACTOR INFORMATION
Company Name:C,,"�/
��11
Address: 1(1 e (j jfl /ln `—
City:GLI�
State: (, ` 1 Zip: C�
Phone:' "3, c", S . 4AFax:-/c , ('r1 / t , psc6-
Contr Reg No.:Ivlc Dc Exp Date:t�2, �- `9,
Tukwila Business License No.; 5kS — 6--c3 I3)
Cp bb2?ST7
Valuation of Project (contractor's bid price): $ 29i --
Scope of Work (please provide detailed information):
bvvr poLe_
Will service be altered? ❑ YesNo
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator 0 Fire Alarm ❑ Telecommunication -Temporary Service
Adding more than 50 amps? ❑ Yes ' �` No
Property Served by:
❑ Puget Sound Energy Seattle City Light
W:\Permit Center\Applications-Handouts\Permit Applica ions \ Word \Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $155.91
(including an attached garage)
O Garages, pools, spas and outbuildings $83.54 ea
O Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $83.54
(no added/altered circuits)
O 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
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
PENAL e 'ERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I.AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUI t DING 1 WN R OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Date:
Lt, iu n
MOI tLi1Yi Day Telephone: ' 0 't
Mailing Address: l I `D49 11U"
W:\Permit Center\Applications-Handouts\Permit Applications \Word\Electrical Permit Application Revised I-1-2017.decx
Revised: January 2017
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY I
PAID
$69.62
EL17-0281 Address: 4807 S 136TH ST
Apn: 1523049313
$69.62
ELECTRICAL
$66.30
PERMIT FEE SINGLE FAMILY
R000.322.101.00.00
0.00
$66.30
TECHNOLOGY FEE
$3.32
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11282
R000.322.900.04.00
0.00
$3.32
$69.62
Date Paid: Monday, April 17, 2017
Paid By: MERIDIAN CENTER ELECTRIC INC
Pay Method: CHECK 7408
Printed: Monday, April 17, 2017 9:41 AM 1 of 1
CRfSYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6i——ozi
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:
Nik-e'�
/y��
D�°� r-5
Typ spection:
/rte
oc
Address:
1
207_516,6 sr -
Date ailed:
Special Inst uction
{'
'fillif4.�, „A cse
Date Wanted:
1
6.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
ce._6
Inspector:
Date:
I;
REINSPECTION FEE REQUIRED. Prior to next inspection. fee mutt be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
MERIDIAN CENTER ELECTRIC P`TC
Hume Espanol Contact
Safety & Health Claims & Insurance
0 Washington t to Department of
Labor & Industries
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Page 1 of 4
A -Z Index 1 lel]) My L&I
Workplace Rights Trades & Licensing
MERIDIAN CENTER ELECTRIC INC
Owner or tradesperson
Bates, Mark
Principals
Bates, Mark, PRESIDENT
Magee, Shile, VICE PRESIDENT
Westendorf, Carmen, SECRETARY
Westendorf, Carmen r, AGENT
DILLARD, GREG, MEMBER
ZACHER, GERALD, MEMBER
(End: 03/09/2016)
Adkins, Brian, VICE PRESIDENT
(End: 04/13/2012)
Theriault, James, VICE PRESIDENT
(End: 04/13/2012)
WA UBI No.
600 278 577
11109 66th Ave E
PUYALLUP, WA 98373
253-848-5595
PIERCE County
Business type
Corporation
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.
MERIDCE318SG
Effective — expiration
01/07/1969— 02/28/2019
Designated administrator
Magee, Shile Alan
Active.
Meets current requirements.
License type License no.
Electrical Administrator MAGEESA866RQ
Bond
.................
TRAVELERS CAS & SURETY CO
Bond account no.
206847416
$4,000.00
Received by L&I Effective date
02/06/2001 04/01/2001
Expiration date
Until Canceled
Savings
Help us improve
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MERIDIAN CENTER ELECTRIC INC
No savings accounts during the previous 6 ieriod.
License Violations
Infraction no.
EMIG000216
Issue date
01/26/2015
Violation city
PUYALLUP
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.
Infraction no.
EJORP06014
Issue date
04/09/2014
Violation city
PUYALLUP
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.
EPAUC00640
Issue date
05/16/2013
Violation city
PUYALLUP
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. - Class B label not validated
Infraction no.
EPAUC00643
Issue date
05/16/2013
Violation city
PUYALLUP
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. - Class B label not validated
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
.........................
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Satisfied
..................._....
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
......:.................
RCW/WAC
19.28.101 RCW
Violation amount
$100.00
Page 2 of 4
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MERIDIAN CENTER ELECTRIC T'`TC
Infraction no.
EMOMJ00394
Issue date
10/20/2011
Violation city
Puyallup
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.
EWIMK00269
Issue date
08/11/2011
Violation city
PUYALLUP
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.
EWIMK00268
Issue date
08/11/2011
Violation city
PUYALLUP
Type of violation
ELECTRICAL CITATION
Description
Covering or concealing installations prior to
inspection.
Satisfied
...........................
RCW/WAC
19.28.101 RCW
Violation amount
$500.00
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.
Active accounts
L&I Account ID
398,047-00
................................
Doing business as
MERIDIAN CTR ELECTRIC INC
Estimated workers reported
Quarter 4 of Year 2016 "Greater than 100 Workers"
L&I account representative
T3 / KAYLENE MONIER (360)902-6627 - Email: BRKB235@Ini.wa.gov
Track this contractor
Account is current.
Workplace safety and health
Page 3 of 4
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MERIDIAN CENTER ELECTRIC INC
Check for any past safety and health violations on jobsites this business was responsible for.
Page 4 of 4
Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
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