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Permit EL17-0712 - OSTERLY PARK - B14 WIRING, ROUGH AND TRIM
OSTERLY PARK - B14 14470 34T" LN S EXPIRED 05/05/18 ELI7-0712 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 14410 34TH LN S Project Name: OSTERLY PARK - B14 ELECTRICAL OTC PERMIT Permit Number: Issue Date: Permit Expires On: EL17-0712 9/19/2017 3/18/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: TUKWILA CITY OF 6200 SOUTHCENTER BLVD , TUKWILA, WA, 98188 NICK GORBUN PO BOX 786, MILTON, WA, 98354 SUPREME ELECTRIC LLC PO BOX 786, MILTON, WA, 98354 SUPREEL94606 Phone: (253) 332-8390 Phone: (253) 332-8399 Expiration Date: 9/26/2018 DESCRIPTION OF WORK: 125 AMP WIRE IN DUPLEX, ROUGH AND TRIM Valuation of single family: $7,600.00 Valuation of mf/comm: $0.00 Type of Work: NEW Fees Collected: $168.62 Electrical Service Provided by: Water District: Sewer District: 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: Date: 2014 2014 2014 2015 fl tJ 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 a on Won attached to this permit. Signature: Print Name: /C/ 4;O/L41 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 TUKCLA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. L Q 7 11". 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 Site Address: Tenant Name: /yyio 3y/ti �/vCS King Co Assessor's Tax No.: Suite Number: Floor: PROPERTY OWNER Name: N• e 1- /r O 4 i G4-44 Address: j o 6u( -7 &„ City: ; State: Zip: 99 O3521 7 Name: 716 d 6 (` Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: N• e 1- /r O 4 i G4-44 Address: j o 6u( -7 &„ City: ; State: Zip: 99 O3521 7 Phone: 7 s -33g 9,3QFax: Email: lApso-@aiy14li4 New Tenant: ❑ Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: .t -`1' Et, „4„_", LLC Address: X (. City: a:4 )I __ State: vo4 Zip:q/3vlj Phone: 253 33Z iNcia Fax: Contr Reg No.: 5'tij.-E/q Exp Date: pZ4' 7 Tukwila Business License No.; Valuation of Project (contractor's bid price): $_� �oc- Scope of Work (please provide detailed information): /2S- &-e-g-/ W ,2n j A ‘=,..4-A, lc tCL) U 'Z -ic{ gr; 4-1 Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ca New 0 Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light W:\Permit Center\Applications-Handouts \Permit Applications\ Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January2017 bh Page 1 of 2 0 RESIDENTIAL NEW RESIDENTIAL SERVICE 7 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 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: / Print Name: /`/ kO/ (��O £bw49 Mailing Address: (c� i OS b W:\Permit Center\Applications-Handouts\Pcrmit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Date: 7// 7/7 - Day Telephone: z.5-3 332-399 4,(11 or- 783.c -i City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY l PAID $337.24 EL17-0712 Address: 14410 34TH LN S Apn: $168.62 Credit Card Fee $4.91 Credit Card Fee R000.369.908.00.00 0.00 $4.91 ELECTRICAL $155.91 PERMIT FEE SINGLE FAMILY R000.322.101.00.00 0.00 $155.91 TECHNOLOGY FEE $7,80 TECHNOLOGY FEE R000.322.900.04.00 0.00 $7.80 EL17-0713 Address: 1441234TH LN S Apn: $168.62 Credit Card Fee $4.91 Credit Card Fee R000.369.908.00.00 0.00 $4.91 ELECTRICAL $155.91 PERMIT FEE SINGLE FAMILY 1 R000.322.101.00.00 0.00 $155.91 TECHNOLOGY FEE $7.80 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R12352 R000.322.900.04.00 0.00 $7.80 $337.24 Date Paid: Tuesday, September 19, 2017 Paid By: NIOLAY GORBUN Pay Method: CREDIT CARD 07057G Printed: Tuesday, September 19, 2017 3:09 PM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit f,RM-�� z P IT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Project: j, �� p� f7/ ctign: Type p 0 ,� KY tkg / Address:l .7 0 !TY , ii Date1 Instructi ns: Date Wanted: 11114 p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: ce Inspector: /�631/4/Ailelc Date: 0/0‘,/17 0` r7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. City of Tukwila Allan Ekberg, Mayor Department of Community Development - Jack Pace, Director February 13, 2019 Mike Overbeck 4620 s 148`'' St Tukwila, WA 98168 RE: Request for Permit Application Extension Electrical Permit Application E117-0712 Osterly Park- B14- 14410 34th Ln S Dear Mike Overbeck, This letter is in response to your written request for extension of permit application number E117-0712. The Building Official has reviewed your letter and considered the situation outlined in your letter. It has been determined that the City of Tukwila Building Department will not be extending the application. As a result, this application remains expired as of May 5,2018. In order for a permit to be processed for this work, a new application must be submitted along with four complete sets of plans, calculations, documents and associated fees. If you have any concerns or questions, feel free to contact me in the permit center at 206 431-3670. If you wish to discuss the determination made, please contact the Building Official directly at 206 431-3675. JR 77e1 Salazar Permit Technician File: Permit No. E117-0712 Tukwila City Hall • 6200 Southcenter Boulevard • Tukwila, WA 98188 • 206-433-1800 • Website: TukwilaWA.gov Dear City of Tukwila Can you please extend my permit # EL 17. 07/2- there is a delay in my subdivision permit so I can't finish this permit. circumstances not foreseeable at the time have occurred and as soon as I get my subdivision recorded I'll wrap this permit up. Mike Overbeck 4620 S 148th St Tukwila WA 98168 206-7870259 RECEIVED CITY OF TUKWILA JAN 2 2 2019 PERMIT CENTER Request for Extension # J Current E piration Date: S-5-1 gj Extension bequest: il ! — Approv 'd for days Denies provide explanation Signature/Initials 4/2/2018 City of Tu i wila Department of Community Development NICK GORBUN PO BOX 786 MILTON, WA 98354 RE: Permit No. EL17-0712 OSTERLY PARK - B14 14410 34TH LN S Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 5/5/2018. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or fmal inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 5/5/2018, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, M t Rachelle Ripley Permit Technician File No: EL17-0712 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 SUPREME ELECTRIC LLC 4 Home Espafol Contact Safety & Health Claims & Insurance 0 Labor & Industries Washington State Department of Page 1 of 2 Search L&I A -L Index Flelp My I &I Workplace Rights Trades & Licensing SUPREME ELECTRIC LLC Owner or tradesperson GORBUN, NIKOLAY JR Principals GORBUN, NIKOLAY JR, PARTNER/MEMBER GORBUN, OLGA, PARTNER/MEMBER GALIANT, PAVEL, PARTNER/MEMBER (End: 02/05/2016) Doing business as SUPREME ELECTRIC LLC WA UBI No. 602 642 027 2304 Fir Ct MILTON, WA 98354 253-332-8399 PIERCE County Business type Limited Liability Company Governing persons PAVEL GALIANT License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties RESIDENTIAL License no. SUPREEL94606 Effective — expiration 09/26/2006— 09/26/2018 Designated administrator ..................................................._.......... Gorbun, Nikolay License type Electrical Administrator Bond ..._........... CBIC Bond account no. SI0639 Active. Meets current requirements. License no. GORBUN*859MZ $4,000.00 Received by L&I Effective date 10/14/2008 10/13/2008 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations ............ . No license violations during the previous 6 year period. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602642027&LIC=SUPREEL946O6&SAW= 9/19/2017 SUPREME ELECTRIC LLC IWorkers' comp No active workers' comp accounts during the previous 6 year period. 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 t_© 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=602642027&LIC=SUPREEL946O6&SAW= 9/19/2017