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HomeMy WebLinkAboutPermit EL17-0601 - CLEAR SIGN COMBUSTION - RECEPTACLESCLEAR SIGN COMBUSTION 12870 INTERURBAN AVE S ELI 7-0601 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 2716000010 Permit Number: EL17-0601 12870 INTERURBAN AVE S Project Name: CLEAR SIGN COMBUSTION Issue Date: 8/4/2017 Permit Expires On: 1/31/2018 Owner: Name: Address: Contact Person: Name: EPROPERTY TAX INC DEPT #207 PO BOX 4900 , SCOTTSDALE, WA, 85261 DAVE MARX Address: 27505 135 AVE SE , KENT, WA, 98042 Contractor: Name: POWER FIX LLC Address: 27505 135 AVE SE , KENT, WA, 98042 License No: POWERFL842RG Lender: Name: Address: Phone: (206) 349-6842 Phone: (206) 349-6842 Expiration Date: 12/7/2018 DESCRIPTION OF WORK: INSTALL 30 AMP 120 VOLT DEDICATED RECEPTACLE. INSTALL 20 AMP 120 VOLT DOUBLE DUPLEX RECEPTACLE Valuation of single family: $0.00 Valuation of mf/comm: $3,400.00 Type of Work: TENANT IMP Fees Collected: $173.28 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: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2014 2014 2014 2015 Date: g -A1 I'1 0 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: )A�/►VV6 � l ri-12/ Date: 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 TTUKWIL,A Conenutnity Development Department' Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov Electrical Permit No. L L 17 0 40D 1 Project No. Date Application Accepted: Date Application Expires: (Fm' office are( ) 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*l SITE LOCATION King Co Assessor's Tax No.: /r Site Address: / 2 8 70 2 t/R #v4 B4 e S Suite Number. Floor: Tenant Name: Ceel4 ex/641 4 03 vrTP O / avec, New Tenant: ® Yes J ..No PROPERTY OWNER Name: 0/1 /I n)e Address: 2-7so5 435rrii c Ste' Name: J - DEAL— Phone:2 06 3yf Btitt Emaill;ieocri t rz/e.,.soe vice, kti 1, /'4 Address: /277 70 A 6_ Da_ 2 City: J IC 1/vl LA A a �p state: V 8/ CONTACT PERSON — person receiving all project comimwucation Name: 0/1 /I n)e Address: 2-7so5 435rrii c Ste' City: ir State: A Zip: 900V; Phone:2 06 3yf Btitt Emaill;ieocri t rz/e.,.soe vice, kti 1, /'4 ELECTRICAL CONTRACTOR INFORMATION Company Name: pow, cx [i_G Address: 2 7505 i 5rr/ Ave_ 3-6— 6-City: City: KEn /r State: /,t j/1 Zip: l eat`ch , vrl ! Phone:266 3tiQ (e Fax Coot Reg No. OM/ FL$. ZRcipcpie /2 %//FJ Tukwila Business License No..; 4 /4.,44,407 Valuation of Project (oont€actor's bid mice): $ / / /O /� Scope of Work (please provide detailed information): /4/5"MLL., L. 3o/' 12-0V OE P' t G T RE AFT-U,C, //AS 774-L4,,, .20A 12-0V `ove,DupL c Rer-E i c.t£. Will service be altered? 0 Yes Pk No Adding more than 50 amps? 0 Yes (4 No /vflasTe'4 L. Type of Use: Type of work O New 0 Addition 9 Service Change Q Low Voltage ❑ Generator ® Fire Alarm Property mid by: O Puget Sound Energy Tic Seattle City Light WATetmeti Cesi~onsionitAy oesIADi nt$iecuscal Plank ApiliedivraReeised 1-t-i7_&cm bh a Remodel 11 ieuant Improvement 0 Telecommunication 0 Temporary Service 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 O Low voltage systems (alarm, furnace thermostat) _--_ _----W___ ___S6 i_QS ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $83.54 (no added/altered circuits) ❑ Service change with added/altered circuits_._-.. number of added circuits ❑ Circuits added/altered without service change (up to 5 circuits) ❑ Circuits addedfaitered without service change (6 or more c,ireuits)._..--...._-_._....-_._. $12.00 ea $55.69 --$55.69 -_-----57-65 ea ❑ Meter/mast repair $69.62 O Low voltage systems ..__.__ _ $61.05 (alarm, furnace MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $66.30 O Temporary service (generator) _--_ __-..__--____$82.52 O Manufactured/mobile home service $87.98 (excluding garage or outbuilding) O Carnivals -......... ________ .... _.._._................ _.$82.21 Numbed 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 -ln all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible rewision by the Permit Center to comply with orient 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 IHt. STATE OF WASHINGTON, AND I AM AUTHOR® TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR Signature: Print Name: Dietz14o /14 r Date: 8/‘�� Day Telephone: 266 2' Mailinn Address: Z 75-0-5 i 5 'frJ 41416 SC- cfeltale —99C 4f2 R"+}tnaii ' AppiemntfadV9F 1Ekcnieai?emit AppliGatinaRevised 1-I-I7.docn H4eraeek 75[sac-30I1 bb Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Number R12062 DESCRIPTIONS ( PermitTRAK ACCOUNT I QUANTITY PAID $173.28 EL17-0601 Address: 12870 INTERURBAN AVE S Apn: 2716000010 $173.28 ELECTRICAL $165.03 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $165.03 TECHNOLOGY FEE $8.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12062 R000.322.900.04.00 0.00 $8.25 $173.28 Date Paid: Friday, August 04, 2017 Paid By: POWER FIX LLC Pay Method: CHECK 1014 Printed: Friday, August 04, 2017 2:13 PM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit C ©661 P MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project:Cavri(4.3( (IN Type of Inspection: �1J ek_- Address: (2Y 7° (ATP (8 Date Called: Special Instructions:P2-Date 17 `RW 1 0 ) eta 3earr-hriit Wanted: V tO rr p.m. Requester: Phone No: goApproved per applicable codes. LJ Corrections required prior to approval. COMMENTS: o Inspector: . I 4 - Date: 081(0 17 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. POWER FIX LLC 111111 ikk Washington State Department of 16,4, Labor & Industries Hone Espanol Contact Safety & Health Search L&I Page 1 of 2 A -Z Index Help My 1,8d Claims & Insurance Workplace Rights POWER FIX LLC Owner or tradesperson Principals MARX, DAVID M, DIRECTOR Doing business as POWER FIX LLC WA UF3I No. 603 539 248 27505 135TH AVE SE KENT, WA 98042 206-349-6842 KING County Business type Limited Liability Company 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. POWERFL842RG Effective — expiration 12/07/2016-12/07/2018 Designated administrator Marx, David M License type Master Electrician Bond Travelers Cas and Surety Co of America Bond account no. 106636850 Received by L&I 12/07/2016 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no. MARX*DM886N6 $4,000.00 Effective date 11/28/2016 Expiration date Until Canceled Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID 637,530-00 Doing business as POWER FIX LLC Estimated workers reported Account is current. Trades & Licensing Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603539248&LIC=POWERFL,842RG&SAW= 8/4/2017 POWER FIX LLC Quarter 2 of Year 2017 "0" Workers -) L&I account contact 71 / NICHOLE CAROW (360)902.5634 - Email: CANI235@Ini.wa.gov 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://secure.lni.wa.gov/verify/Detail.aspx?UBI=603539248&LIC=POWERFL842RG&SAW= 8/4/2017