HomeMy WebLinkAboutPermit EL17-0547 - VILLAGE AT SOUTH STATION - CIRCUIT TO UNIT C203VILLAGE AT SOUTH
STATION
15442 38T" TER S C203
EL1 7-0547
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
0043000365 Permit Number: EL17-0547
15442 38TH TER S C203
Project Name: VILLAGE AT SOUTH STATION
Issue Date: 7/18/2017
Permit Expires On: 1/14/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
K C HOUSING AUTHORITY
15430 38TH TER S 3816 S 154TH LN,
TUKWILA, , 98188
MARK JENSEN Phone: (253) 569-8096
INNOVATIVE SYSTEMS TECH INC Phone: (253) 891-1226
1402 LAKE TAPPS PKWY SE STE F104-
147, AUBURN, WA, 98092
INNOVST881B4 Expiration Date: 1/24/2018
DESCRIPTION OF WORK:
ADD 1 NEW DEDICATED CIRCUIT TO UNIT C-203
Valuation of single family: $0.00
Valuation of mf/comm: $350.00
Type of Work: ADDITION
Fees Collected: $74,22
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:
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: 1
u i�
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: /qW t � 'L'c0 (him LLQ
Date: 77/ r // 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 RIEQUIRED
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 981$8
http://www.TukwilaWA.gov
LOCATION
Electrical Penult 1 V1 1'' 050
Project No.
Date Application Accepted:
Date Application Expires:
(Par office use orily)
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 Address.
King Co Assessor's Tax No.:
Suite Nurnher:C-Floor:
Tenant Name: (J I l�Qll Q1 ���`� �'� I�✓� New Tenant: Yes ..No
PROPERTY OWNER
Name: U' 1���liQ�, a.+ c1oiAtlel S�� i-‘' OA
l
Address: 2 -7 g S 15 LOA, Lr
1L L
State: IAA Zip: qs iQ,
City: ''�'A1�,( id Ji
CONTACT PERSON -.- person receiving alt proj t
communication_..•: . . _
Name: ',tf Al L
S 3 '' s-6 q- b 6 4 e
Address:
Phone: 2 3 qi 04, Fax: 253 To -7079d
City:
State: Zip:
Phone:
Fax:
Email:
ELECTRICAL CONTRACTOR 3NFORM'ATION
M.
Company Name:
: nnoUt -;fie_ -sem tai
Address: I(,I �o R 1.4x ige \17►- ti S 9/4
City: A 1.1
ej't Stat :t , pj Zip: Ind &)
it (A4 r
Phone: 2 3 qi 04, Fax: 253 To -7079d
Contr Reg No.:1MOO 4 a ; p Date:
Tukwila Business License No,; uS _ OS i '1ck/ a'
Valuation of Project (contractor's bid price): $
Scoa of Work (p1 se provide det iied information): 1 1 Ul% L r e.LU
c'o
Will service be altered? ID Yes rgi No Adding more than 50 amps? ED Yes No
Type of Use:
Type of work:
❑ New Addition 0 Service Change 0 Remodel
❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Seiviee
0 Tenant Improvement
Pronerty Served bv:
Puget Sound Energy 0 Seattle City Light
w:u'crmit CcutC 1pplications-Handaut/Permit ApplicationA1'DFAElccnical Psnnit Application Rcviscd 1-1-17.docz
Revisal: Ianuary 2017
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Page 1 of 2.
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
5155.91
583.54 ea
561.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83,54
(no added/altered circuits)
❑ Service change with added/altered circuits 583.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change 555.69
(up to 5 circuits)
❑ Circuits added/altered without service change 555.69
(6 or more circuits) $ 7.65 ea
❑ Meter/mast repair 569.62
❑ 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) 566.30
❑ Temporary service (generator) 582.52
❑ 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, 2414 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PER1VIT 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.
1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: Date:
Print Name:
Mailing Address:
Day Telephone:
City
W:\Pcmut CcnterApplations-Handout, 'omit ApplicationslPDF'slElcctrical Permit Application Raised I-I.17.docx
Revised: January 2017
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State Zip
l'agc 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT I QUANTITY I
PAID
$704.86.
EL17-0547 Address: 15442 38TH TER S C203 Apn: 0043000365,
$74.22
ELECTRICAL
$70.69
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$70.69
TECHNOLOGY FEE
$3.53
TECHNOLOGY FEE
1 R000.322.900.04.00
0.00
$3.53
EL17-0548 Address: 15426 38TH LN S 115
Apn: 0043000335
$74.22
ELECTRICAL
$70.69
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$70.69
TECHNOLOGY FEE
$3.53
TECHNOLOGY FEE
R000.322.900.04.00
0.00
$3.53
EL17-0549 Address: .37245154TH LN COMPLEX Apn: 0043000335
$556.42
ELECTRICAL
$529.92
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$529.92
TECHNOLOGY FEE
$26.50
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R11935
R000.322.900.04.00
0.00
$26.50
$704.86
Date Paid: Tuesday, July 18, 2017
Paid By: INNOVATIVE SYSTEMS TECH INC
Pay Method: CHECK 10021
Printed: Tuesday, July 18, 2017 12:18 PM 1 of 1
SYSTEMS
INSPECTION RECORD
INSPECTION NO. ��
Retain a copy with permit t'I 7
PE MIO��T NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: s if, i �,� C� 1
l 'A C1( M 5 - .J ( Ail
Approved
Type of Inspection:
e": ,f
! if4A-L-
Address: /�% -1 � 5
Date Called:
Special Instructions:f�
n
C., 2A �
Date Wanted:
-7 a a.
p.m
Requester:
Phone No:2-61
u -
Y1' in -(0
Approved per applicable codes. El Corrections required prior to approval.
OMMENTS:
0 CA
Inspector:
64,Nler\
REINSPECTIO FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date: 7( fri
I
INSPECTION NO,
INSPECTION RECORD
Retain a copy with permit
OA 5117
P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431-3670
Project: kii two 3. STNI •
T of jn
io : �" /4
riA1
Address: / $ L ctG- 3Y
Date Called:
Special Instructions:
b ,n441 •
Date Wanted:
2.4
a'
pm
Requester:
lital sm.,
Phone No:
2-53 til 1 2-240
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
tddrr occao. ARIth446 heee5)
‘1641 Cakaor Atbet75
Inspector:
Date:
01u C7
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INNOVATIVE SYSTEMS TECH IIS,
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Safety & Health Claims & Insurance Workplace Rights
AWashington State Department of
A
Labor & Industries
INNOVATIVE SYSTEMS TECH INC
Owner or tradesperson
Principals
JENSEN, MARK, PRESIDENT
JENSEN, MARK, AGENT
Jensen, Chad C, VICE PRESIDENT
(End: 08/05/2016)
Jensen, Danalee, SECRETARY
(End: 08/05/2016)
Jensen, Dale C, PRESIDENT
(End: 08/29/2016)
Jensen, Edward J, TREASURER
(End: 08/29/2016)
Jensen, Dale C, AGENT
(End: 08/29/2016)
Doing business as
INNOVATIVE SYSTEMS TECH INC
WA UBI No.
602 400 988
1402 Lake Tapps Pkwy SE
STE F104-147
AUBURN, WA 98092
253-891-1226
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.
INNOVST881 B4
Effective — expiration
01/24/2012— 01/24/2018
Designated administrator
JENSEN, DALE CHRIS
License type
Master Electrician
Bond
Travelers Cas and Surety Co of America
Bond account no.
105663673
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
JENSEDC973P9
$4,000.00
Received by L&I Effective date
01/24/2012 01/17/2012
Expiration date
Until Canceled
Trades & Licensing
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602400988&LIC=INNOVST881B4&SAW= 7/18/2017
INNOVATIVE SYSTEMS TECH Ir
Savings
No savings accounts during the previous 6 year' period.
License Violations
No license violations during the previous 6 year period.
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
638,747-00
Doing business as
INNOVATIVE SYSTEMS TECH INC
Estimated workers reported
Quarter 1 of Year 2017 "7 to 10 Workers"
L&I account contact
T4 / NIKKI BUTLER (360)902-4918 - Email: BUTQ235@Ini.wa.gov
Track this contractor
Account is current.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
......................................................
No strikes have been issued against this contractor.
Contractors not allowed to bid
.......................................................................................
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
Page 2 of 2
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