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HomeMy WebLinkAboutPermit EL17-0465 - ENVISTA FORENSICS - OFFICE FURNITURE HOOK UP AND BATHROOM LED LAMPSENVISTA FORENSICS 12694 GATEWAY DR ELI 7-0465 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 2716000020 12694 GATEWAY DR ENVISTA FORENSICS ELECTRICAL OTC PERMIT Permit Number: EL17-0465 Issue Date: 6/19/2017 Permit Expires On: 12/16/2017 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: EPROPERTY TAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE, WA, 85261 ADAM SANGDER 544 MAY CREEK PL , GOLD BAR, WA, 98251 NORTHWEST EDISON INC 19804 141ST PL NE , WOODINVILLE, WA, 98072 NORTHE1983RD Phone: (425) 273-7171 Phone: (360) 668-9200 Expiration Date: 12/4/2018 DESCRIPTION OF WORK: HOOK UP NERW OFFICE FURNITURE TO EXISTING CIRCUITS AND RETRO 4 BATHROOM T8 FIXTURES WITH LED LAMPS Valuation of single family: $0.00 Valuation of mf/comm: $1,200.00 Type of Work: TENANT IMP Fees Collected: $130.83 Electrical Service Provided by: SEATTLE CITY LIGHT 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: 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: Rf Date: t1/ . 1 I -17 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: ./y_/ 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. t -0,40 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 rr �y King Co Assessor's Tax No.: Site Address: 2b -1 Li GoAe2(,3 - DR gI Suite Number/2494/ Floor: Tenant Name: Sw S tha t OCP, 1 C -S New Tenant: Igi Yes ❑ ..No PROPERTY OWNER AName: C .+h nq Address: /tip/ (17/( 1 ge.e „/E- Name: cue, / Q +® Phon ,)//�.. 24 7 3- 7) 71 Fax: it)//9. 'D(/r Address: . kwt ,S L'e() SU n . 661/11 City: State: Zip: CONTACT PERSON — person receiving all project communication AName: C .+h nq Address: /tip/ (17/( 1 ge.e „/E- City: GolLaX ru,1 K State: IA4,.. Zip: ?go 72. Phon ,)//�.. 24 7 3- 7) 71 Fax: it)//9. 'D(/r Emai . kwt ,S L'e() SU n . 661/11 ELECTRICAL CONTRACTOR INFORMATION Company Name: Northwest Edison Address: 19804 141st PL NE City: Woodinville State: Wa Zip: 98072 Phone: (425) 806-9200 Fax: (425) 806-7455 Contr Reg No.: NORTHEI983RE Exp Date: 12/04/2018 Tukwila Business License No.; BUS -099402 Valuation of Project (contractor's bid price): $ /100 O b Scope of Work (please provide detailed information): N COCA i l.� c' e 0 TT 1 C-2 Par CNA- (A- 4- - 4-0 e-XiS+ c Ci CCY•t+S Qr c* t' -"CO NI%coom 6e+EACQS VRA..1'A L• En 1-001'‘. Will service be altered? ❑ Yes 121 No Adding more than 50 amps? ❑ Yes 21 No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change ❑ Remodel J Tenant Improvement ❑ Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy [ Seattle City Light W:\Permit Center Applications -Handouts \Petmit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bb Page 1 of 2 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 (alarm, 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 ❑ 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: Signature: �l c Print Name: 47Gi,M Si /1 (J �.FJ' Mailing Address: (9 g0Lj MI / L. W:\Permit Center Applications -Handouts \Permit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Day Telephone: Date: (( / ( r7 012x') Z73-7/71 cam- P6072_ City State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK Cash Register Receipt City of Tukwila ACCOUNT 1 QUANTITY PAID 30 83 EL17-0465 Address: 12694 GATEWAY DR Apn: 2716000020 130.83 Credit Card Fee $3.81 Credit Card Fee R000.369.908.00.00 0.00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R11743 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Monday, June 19, 2017 Paid By: ADAM SANGDER Pay Method: CREDIT CARD 665857 Printed: Monday, June 19, 2017 8:27 AM 1 of 1 CEMSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: 6 / V«I Address: �-'IfI tli� Special Instructions: ‘ lam+ 1-1-3 Type of Inspection: Date Called: 6(24) Phone No://z5 173 717/ Date Wanted: Requester: p.m. pproved per applicable codes. LJ Corrections required prior to approval. COMMENTS: 'Date:06/2"cl( 7 1 REINSPECTI FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 uthcenter Blvd.. Suite 100. Call to schedule reinspection. NORTHWEST EDISON INC c Horne Espanol Contact Safety & Health Claims & Insurance 0 Washington State Department of Labor & Industries Search L&I Page 1 of 3 ARCH A -L index I1elp My 11,8z1 Workplace Rights Trades & Licensing NORTHWEST EDISON INC Owner or tradesperson Principals CAMILLERI, DANIEL C, PRESIDENT OWEN, RANDY, VICE PRESIDENT OWEN, RICHARD E, SECRETARY OWEN, RICHARD E, TREASURER OWEN, RANDY M, AGENT OWEN, RICHARD, PRESIDENT (End: 03/06/2012) OWEN, SALI, SECRETARY (End: 03/06/2012) OWEN, RICHARD, AGENT (End: 03/06/2012) Doing business as NORTHWEST EDISON INC WA UBI No. 601 522 062 Parent company INDUSTRIAL LIGHT & ENERGY INC 19804 141ST PL NE WOODINVILLE, WA 98072 425-806-9200 KING County Business type Corporation Governing persons RANDY OWEN RICHARD OWEN; SALI OWEN; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. NORTHEI983RD Effective — expiration 12/04/2002-12/04/2018 Designated administrator OWEN, RANDY MARK License type Electrical Administrator Bond ................. RLI Ins Co Bond account no. LSM0667470 Active. Meets current requirements. Active. Meets current requirements. License no. OWEN*RM959Q8 $4,000.00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601522062&LIC=NORTHEI983RD&SAW= 6/19/2017 NORTHWEST EDISON INC Received by L&I Effective date 10/08/2014 10/26/2014 Expiration date Until Canceled Bond history Savings .................. No savings accounts during the previous 6 year period. License Violations Infraction no. EBANX00358 Satisfied .......................... Issue date RCW/WAC 03/18/2014 19.28.101 RCW Violation city Violation amount WOODINVILLE $2,000.00 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. FAILURE TO OBTAIN AN ELECTRICAL WORK PERMIT PRIOR TO BEGINNING THE INSTALLATION. Infraction no. ESTAD00513 Issue date 11/16/2012 Violation city WOODINVILLE 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 ........................ RC W/WAC 19.28.101 RCW Violation amount $1,000.00 Infraction no. EBOES00650 Satisfied ........................ Issue date RCW/WAC 11/29/2011 19.28.101 RCW Violation amount $250.00 Violation city Woodinville 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). (Th 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. Page 2 of 3 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601522062&LIC=NORTHEI983RD&SAW= 6/19/2017