HomeMy WebLinkAboutPermit EL17-0978 - DCHS & VETERANS PROGRAM - MODULAR FURNITURE SYSTEMDCHS & VETERANS
PROGRAM
645 ANDOVER PARK W
ELI 7-0978
Parcel No:
Address:
City of Tukwila
c
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
2623049143 Permit Number: EL17-0978
645 ANDOVER PARK W
Project Name: DCHS & VETERANS PROGRAM
Issue Date: 12/5/2017
Permit Expires On: 6/3/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SOUTHCENTER CORPORATE SQUAR
635 ANDOVER PARK W #107 ,
TUKWILA, WA, 98188
TONY ARBICOR
1402 AUBURN WAY N #371, AUBURN,
WA, 98002
SES INC
1402 AUBURN WAY N PMB 371,
AUBURN, WA, 98002
SESIN**990RA
Phone: (206) 714-3686
Phone: (206) 715-2964
Expiration Date: 12/17/2017
DESCRIPTION OF WORK:
INSTALL ELECTRICAL COMPONENTS INTO MODULAR FURNITURE SYSTEM (CONNECTED TO EXISTING CIRCUITS)
Valuation of single family: $0.00
Valuation of mf/comm: $2,050.00
Type of Work: TENANT IMP
Fees Collected: $154.65
Electrical Service Provided by: PUGEST SOUND ENERGY
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
Permit Center Authorized Si nature: /‚'('4'l2l"" Da
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
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.
Date: 1/��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 and the Washington Cities Electrical Code.
5: When any portiorr 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. aCi v1 01-1 C6
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: 645 Andover Park West
Tenant Name: DCHS & Veterans Program
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Tony Arbicor
Address: 1402 Auburn Way N. #371
City: Auburn State: WA Zip: 98002
Phone: (206) 714-3686 Fax:
Email:
A0410040 g-CONtE1•Si
King Co Assessor's Tax No.:
Suite Number: 100/200 Floor: 1 and 2
New Tenant: ® Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: SES, Inc.
Address: 1402 Auburn Way N. #371
City: Auburn State: WA Zip: 98002
Phone: (206) 715-2964 Fax:
Contr Reg No.: SES1N**990RA Exp Date: 12/01/2018
Tukwila Business License No.; BUS -0994447
Valuation of Project (contractor's bid price): $ 2,050
Scope of Work (please provide detailed information):
Install electrical components into modular furniture system (connected to existing circuits)
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes [3 No
Type of Use: Commercial Office
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel m Tenant Improvement
❑ Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served bv:
O Puget Sound Energy 0 Seattle City Light
H:VfpplicationsWorms-Applications On Line12013 Applications\Electrical Permit Application Revised 7-I-13.docx
Revised: July 2013
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Camivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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 ID 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:
6,14(
Date: 12/05/2017
Print Name: Anthony C. Arbicor Day Telephone: (206) 714-3686
Mailing Address: 1402 Auburn Way N. #371 Auburn WA 98002
City
H:1ApplicationsWonns-Applications On Line12013 ApplicationsTlectrical Permit Application Revised 7-1-13.docx
Revised: July 2013
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State Zip
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Cash Register Receipt
City of Tukwila
DESCRIPTIONS I
PermitTRAK
ACCOUNT
QUANTITY
PAID
$154.65
EL17-0978 Address: 645 ANDOVER PARK W
Apn: 2623049143
$154.65
Credit Card Fee
$4.50
Credit Card Fee 1
R000.369.908.00.00
0.00
I
$4.50
ELECTRICAL
$143.00
PERMIT FEE MULTI-FAM/COMM 1
R000.322.101.00.00
I 0.00
I
$143.00
TECHNOLOGY FEE
$7.15
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12943
R000.322.900.04.00
0.00
$7.15
$154.65
Date Paid: Tuesday, December 05, 2017
Paid By: ANTHONY ARBICOR
Pay Method: CREDIT CARD 09870G
Printed: Tuesday, December 05, 2017 9:27 AM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6•11-.97.71
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350
Project:
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Type of Inspection:
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Address: 6 ! / Apw
Date Called:
Special Instructions:
Partikk
Date Wanted:/2107
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Requester:
Phone No: !� (0
70/ 34;810
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
16EA
/40g/ 0g/
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
SES INC
Home Espanol Contact
Safety & Health Claims & Insurance
4116.) Washington State Department of
Labor & Industries
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Workplace Rights Trades & Licensing
SES INC
Owner or tradesperson
Principals
WILLIAMS, MICHAEL E, PRESIDENT
ARBICOR, ANTHONY C, SECRETARY
WILLIAMS, MICHAEL E, AGENT
Doing business as
SES INC
WA UBI No.
602 103 851
PMB 371 1402 AUBURN WAY N
AUBURN, WA 98002
206-715-2964
KING County
Business type
Corporation
Governing persons
ANTHONY
CRAIG
ARBICOR
MICHAEL EARL WILLIAMS;
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.
SESIN**990RA
Effective — expiration
12/01/2001-12/01/2019
Designated administrator
ARBICOR, ANTHONY C
License type
Master Electrician
Bond
................
CBIC
Bond account no.
SE0672
Active.
Meets current requirements.
License no.
ARBICAC971 NF
$4,000.00
Received by L&I Effective date
12/01/2001 12/01/2001
Expiration date
Until Canceled
Savings
.............
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
Satisfied
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SES INC
EMOMJ00562 RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Issue date
05/21/2013
Violation city
Auburn
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.
f1
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 Account is current.
022,653-00
................................
Doing business as
SES INC
Estimated workers reported
Quarter 3 of Year 2017 "1 to 3 Workers"
L&I account contact
T3 / DAVID PRYOR (360)902-4804 - Email: PRYD235@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
O Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
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