HomeMy WebLinkAboutPermit EL18-0094 - 76 STATION - TROFFER RETROFIT, MOTION SENSORS AND WALL PACKS76 STATION
16200 WEST VALLEY HWY
ELI 8-0094
Parcel No:
Address:
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City of Tukwila
a
of Department -^-_—_',Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438'9350
VVebsite:http://www.TukmHaVVA.gox
ELECTRICAL OTC PERMIT
0005800038
16200 WEST VALLEY HWY
Project Name: 76 STATION
Permit Number: EL18-0094
Issue Date: 1/31/2018
Permit Expires On: 7/30/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
SOUTHCENTER GAS STATION LLC
2224KAK18ERRD'8EiLEVUE,WA,
98007
FRANZ ESTEVES
6516 A ST, AUBURN, WA, 98408
CUSTOM ELECTRICAL SERVICES LLC
3716 AUBURN WAY N STE 102
AUBURN, WA, 98002
0BDES893.12
Address
Phone: (206) 954-8554
Phone: (425) 282-4971
Expiration Date: 4/22/2019
DESCRIPTION OF WORK:
TROFFER RETROFIT, MOTION SENSORS AND WALL PACKS
Valuation nfsingle family: $0.00
Valuation of mf/comm: $1,200.00
Type of Work: TENANT IMP
Fees Collected: $130.83
Electrical Service Provided by: PUGET 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:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
20172017
2015
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Date: �~-��|~��
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/
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:
A/44rd
Print Name: / r -t1 Zi L -S/ &V
Date:
3I -)S
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 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 TUKWhA.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. ELI 6- 009
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: (j2 00 \r1 le,•(
Tenant Name: 0 a'rvi (A.
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: D Yes
PROPERTY OWNER
Name:
Address: (A.- /6 AL
Name:
Phone(242) qc--4,_ ysciFax:
Email:or) yot-hoo • GOrkl
Address:
Phone(',) 54 5401SFax:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name:
Address: (A.- /6 AL
City: 1 64....&okyl ct___ State: Zip: 9c6iois,
Phone(242) qc--4,_ ysciFax:
Email:or) yot-hoo • GOrkl
No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 6usi_ovy-)
e fec,fr; crA4 seri,
Address: 57/ -- (,ACA‘
it'(A.'y /17
r
City: :
4tX lait'r in State
\ Zip: qg-Dop,
Phone(',) 54 5401SFax:
Contr Reg No.: 6xAsto cs co
E2gDate: OL,V, -..0J-i
/ 12-
Tukwila Business License No.; extc 0(06,4 s-4
Valuation of Project (contractor's bid price): $ /,LO
Scope of Work (please provide detailed information): 17-04:16-e4-- r'_4-ro A. I-- I rho+ -/-oh
S
Will service be altered? 0 Yes ErNo Adding more than 50 amps? fl Yes ErNo
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
WAPermit Center\Applications-HandoutsWermit Applications\ Word \ Electrical Permit Application Revised 1-1-2017.doex
Revised: January 2017
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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
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:
Mailing Address:
City State Zip
Date:
Day Telephone:
W:\Permit CcntetlApplications-Handouts0'ermit Applications\
Revised: January 2017
bh
trical Permit Application Revised 1-1-2017.docx
Page 2 of 2
DESCRIPTIONS 1
PermitTRAK
ACCOUNT
QUANTITY
PAID
$130.83
EL18-0094 Address: 16200 WEST VALLEY HWY
Apn: 0005800038
$130,83
Credit Card Fee
$3.81
Credit Card Fee
R000.369.908.00.00
0.00
1.11111112111
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R13632
R000.322.900.04.00
0.00
$6.05
' $130.83
Date Paid: Wednesday, January 31, 2018
Paid By: FRANZ ESTEVES
Pay Method: CREDIT CARD 074413
Printed: Wednesday, January 31, 2018 10:44 AM
1 of 1
INSPECTION RECORD
INSPECTION! NO. Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-36
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
Project: ,-6
i 5-01-3-10J
Type of Inspection:
:
Address 100 a ' VII/
4
Date Called:
Special Instructions:
r(/‘ . LefILO
Date Wanted:
-
. .
P.
Requester:
gio. i
ori1/ —
Phone
Phone No:
(‘' KY 85'f
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
CUSTOM ELECTRICAL SERVICV,LLC
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11
Washington State Department of
Labor & Industries
home Espanol Contact:
Safety & Health Claims & Insurance
11
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A -Z Inde; IIclp My E&L
Workplace Rights Trades & Licensing
CUSTOM ELECTRICAL SERVICES LLC
Owner or tradesperson
Principals
ROSANDER, JAN EARL, PARTNER/MEMBER
RICHTER, JEFF, PARTNER/MEMBER
Doing business as
CUSTOM ELECTRICAL SERVICES LLC
WA UBI No
602 924 637
3716 Auburn Way N
AUBURN, WA 98002
425-282-4971
KING County
Business type
Limited Liability Company
Governing persons
JEFF
LOUIS
RICHTER
JAY ROSANDER;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
CUSTOES893J2
Effective — expiration
04/22/2011— 04/22/2019
Designated administrator
Rosander, Jan Earl
License type
Electrical Administrator
Bond
Travelers Cas and Surety Co of America
Bond account no.
105274344
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
ROSANJ*917KR
$4,000.00
Received by L&I Effective date
02/04/2013 04/06/2011
Expiration date
Until Canceled
Travelers Cas & Surety Co
Bond account no
105274344
$4,000.00
Received by L&I Effective date
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CUSTOM ELECTRICAL SERVICES LLC
04/22/2011 04/06/2011
Impaired date Expiration date
01/28/2013 Until Canceled
Savings
............
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EMABQ04476
Issue date
06/15/2016
Violation city
Auburn
Type of violation
ELECTRICAL CITATION
Description
Failing to provide proper supervision to an
electrical trainee as required by chapter 19.28
RCW. THIS CITATION IS ISSUED IN A MATRIX
AND IS INTENDED TO COVER MULTIPLE
DAYS OF ELECTRICAL VIOLATIONS
Infraction no.
ELYOD01052
Issue date
05/26/2016
Violation city
Auburn
Type of violation
ELECTRICAL CITATION
Description
Obtaining an electrical work permit for an
unlicensed electrical contractor (See also
WAC 296-46B-901).
Infraction no.
ELYOD01051
Issue date
05/26/2016
Violation city
Auburn
Type of violation
ELECTRICAL CITATION
Description
Failing to provide proper supervision to an
electrical trainee as required by chapter 19.28
RCW. THIS CITATION IS ISSUED IN A MATRIX
AND IS INTENDED TO COVER MULTIPLE
VIOLATIONS
Infraction no.
ESMYR00289
Issue date
08/11/2015
Violation city
RENTON
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.
Satisfied
RC WIWAC
19.28.161 RCW
Violation amount
$3,325.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$175.00
Satisfied
................. _...
RCW/WAC
19.28.161 RCW
Violation amount
$1,225.00
Satisfied
......................
RCW/WAC
19.28.101 RCW
Violation amount
$500.00
Page 2 of 5
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