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Permit EL17-0549 - VILLAGE AT SOUTH STATION - WALLPACK LIGHTING AND POLE LIGHTS
VILLAGE AT SOUTH STATION 3724 S 154T" LN COMPLEX EL1 7-0549 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 0043000335 Permit Number: 3724 5 154TH LN COMPLEX Project Name: VILLAGE AT SOUTH STATION Issue Date: Permit Expires On: EL17-0549 7/18/2017 1/14/2018 Owner: Name: Address: K C HOUSING AUTHORITY 15430 38TH TER 5 3816 S 154TH LN, TUKWILA, , 98188 Contact Person: Name: MARK JENSEN Address: Contractor: Name: Address: License No: Lender: Name: Address: 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: REPLACE 6 EXISTING EXTERIOR WALL PACK LIGHTS, ADD 21 EXTERIOR WALL PACK LIGHTS. REPLACE 3 POLE LIGHTS Valuation of single family: $0.00 Valuation of mf/comm: $24,000.00 Type of Work: ADDITION Fees Collected: $556.42 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: *iv/1/(6124*w; 2014 2014 2014 2015 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. � �v Signature: �`9 i '/4/ / Date: 7// V/ 7 Print Name: /lf a?'3& /01(.c1C��r! &l 5 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 portionofthe 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 0§1, Electrical Permit No. EL'1 Project No. Date Application Accepted: Date Application (For off ice 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** SUE LOCATION Site Address: ' Tenant Name: U 16L4kZtiruI5� int ,c 5 \4 PROPERTY OWNLR. Company Name: Address: 1 l o /mak Te: S p Sc. 51 1� City: r State": too ip: cnoc c Phone: 0253 Ni../2776 Fax: ?cs �) 7,72q) ) Contr Reg No bi in(goo�f�� xp Date ) %7' j /j1Y Tukwila Business License No.; f 1,A.„- 09, q 761 (., I Address: 3 7211 3 151 Ln City: vkAk'iAt11 State: uA Zip:t r6r(9 CONTACT PERSON. -=( communication Name: Address: et !c 5 el kc ng Co Assessor's Tax No.: Suite Number: Floor: New Tenant: [] Yes C 9,51.561-Wr City: State: Zip: Phone: Fax: Email: ..No LLECTRICAL CONTRACTOR' INFORMATION Company Name: Address: 1 l o /mak Te: S p Sc. 51 1� City: r State": too ip: cnoc c Phone: 0253 Ni../2776 Fax: ?cs �) 7,72q) ) Contr Reg No bi in(goo�f�� xp Date ) %7' j /j1Y Tukwila Business License No.; f 1,A.„- 09, q 761 (., I Valuation of Project (contractor's bid price): $ V Scope of Work (please provide detailed information): 6 r e , 5' • J C)f i c�c�11 p tcA //kJ5, .. u d 2I ex e r-1ot- (,_ ,�l Pa • %19 h replace., �o'€ 149h15 Will service be altered? ® Yes No Adding more than 50 amps? D Yes [;Ki No Type of Use: Type of work: 0 New Addition 0 Service Change 0 Remodel Tenant Improvement O Low Voltage 0 Generator Q Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: .. Puget Sound Energy ❑ Seattle City Light W:U'crmit Center Wpplications-liraouts\Permit.App!ications\1'DF's\Eleetritnl Permit Application Revised 1-1-17.0oex Revised: January 2017 bh 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*** PE AT11ON MOTES -` 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 1 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: Mailing Address: City Date: Day Telephone: W:\Pem it CentertApplications-Ha tdonts\Permit Applications\PDF's1Ekctrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Statc Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK I ACCOUNT 1 QUANTITY 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: 3724 S 154TH LN COMPLEX Apn: 0043000335 $556.42 ELECTRICAL $529.92 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 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 12:13 PM 1 of 1 CRWSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 • Project: if/ktiAt t kr-1,57,5 Y N , Type of Inspection: Address: 31 J. 15,-y_ / `,f 1'' Date Called: S p ecial Instructions: // ""Tht - Date Wanted: / 2.t CO Requester:60-- Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: a2417 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INNOVATIVE SYSTEMS TECH Ili Horne Espanol Contact: Safety & Health Claims & Insurance kiiiii) Washington State Department of Labor & Industries Search L&I Page 1 of 2 5EAf A -Z Index help MyL&I Workplace Rights Trades & Licensing 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 contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. .......................................................... Meets current requirements. License specialties GENERAL License no. INNOVST881B4 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. License no. JENSEDC973P9 $4,000.00 Received by L&I Effective date 01/24/2012 01/17/2012 Expiration date Until Canceled Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602400988&LIC=INNOVST881B4&SAW= 7/18/2017 INNOVATIVE SYSTEMS TECH IN,c< Savings NO Savings accounts during the previous 6 y or 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@lni.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 © Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://securelni.wa.gov/verify/Detail.aspx?UBI=602400988&LIC=INNOVST881B4&SAW= 7/18/2017