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
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Address: /tip/ (17/( 1 ge.e „/E-
Name: cue, / Q
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24 7 3- 7) 71 Fax: it)//9.
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Address:
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City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
AName: C
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Address: /tip/ (17/( 1 ge.e „/E-
City: GolLaX ru,1 K State: IA4,.. Zip: ?go 72.
Phon
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24 7 3- 7) 71 Fax: it)//9.
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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
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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
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Day Telephone:
Date: (( / ( r7
012x') Z73-7/71
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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
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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
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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.
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