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HomeMy WebLinkAboutPermit EL18-0095 - KEURIG GREEN MOUNTAIN - LOW VOLTAGE VOICE & DATA CABLING FOR NEW TENANT IMPROVEMENTKEURIG GREEN MOUNTAIN 7100 FORT DENT WAY EL1 8-0095 Parcel No: Address: /.� City of Tukwila a �� Deportment -' Community Development 6300 Southcenter BoulevardSuite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 2954900440 Permit Number: 7100 FORT DENT WAY Project Name: KEURIG GREEN MOUNTAIN Issue Date: Permit Expres On: EL18-0095 1/31/2018 7/30/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: JOHN C RADOVCH DEV CO 28S5O2NDAVSE#S-1,MERCER ISLAND, WA, 98040 JIM BRASSFIELD 257 SW 41ST ST , RENTON, WA, 98057 CLEARNET 257SVV41ST'RENTON,WA, 98U57 CLEAR~*9O1PK4 Phone: (206) 420-6970 Phone: (206) 420-6970 Expiration Date: 10/14/2018 DESCRIPTION OF WORK: LOW VILTAGE VOICE & DATA CABLING FOR NEW TENANT IMPROVEMENT Valuation of single family: $0.00 Valuation of mf/comm: $2'099.00 Type of Work: LOW VOLTAGE Fees Collected: $154.65 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 2017 2017 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. Signature: Print Na e: {st r �GwiQ s A 3rt.55T� oto Date: O f 3 I— le 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 296-466 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 f 1 CITY OF TUKWIL'4 Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. ~l-4 O-- ©e 95 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 King Co Assessor's Tax No.: Site Address: k O(' F0* W c Tenant Name: Wp,t1 r2evx /V\ nu u,h Suite Number: (b 0 PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Ni ttv.. .Z:::) (--cA S S � T exii City: �e�} tAn State: . Zip: gtosl Address: Contr Reg No.: Exp Date: 44..E.A24.4igv% T fi Tukwila Business License No.; City: State: Zip: Phone: Fax: Email: Floor: .1.. New Tenant: ❑ Yes .No ELECTRICAL CONTRACTOR INFORMATION Company Name: co vvirwv _ } L Address: X51 5t„ii1 r City: �e�} tAn State: . Zip: gtosl Phone:a06_Loa_ Gcno Fax: 10 (0_ ti30 - 5 (2 Contr Reg No.: Exp Date: 44..E.A24.4igv% T fi Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 1/..0 y r ©C> Scope of Work (please provide detailed information):? (—mow VC \ k c4 c . V V ; GG va4t„ C7�oy6�: ►� `f Y €.VV bV . \ V` C9v'- A0 €G1 Will service be altered? (1 Yes Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light W:\Pcrnit Center Applications-Handouts\Permit Applicasions\PDrs\Electrical Permit Application Revised I-I-17.docx 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 O Low voltage systems (alarm, furnace thermostat) $61.05 ea RESIDENTIAL REMODEL AND SERVICE CHANGES MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $66.30 O Temporary service (generator) $82.52 O Manufactured/mobile home service $87.98 ❑ Service change or alteration $83.54 (excluding garage or outbuilding) (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 O Meter/mast repair $69.62 O Low voltage systems $61.05 (alarm, furnace thermostat) O 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*** 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 ANL) 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: Signa e: %2 Print ' . me: •\ Ct..vw , A _ rcr. S S Mailing Address: a 51 5. "V , `{ a_ 0. 5 -i -,eek Date: Day Telephone: a.° b- 4 ac - & cn CJ State Zip City W:\Permit Cent Applications-HandouusWcrmit Applications\PDFs\Elcctrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 2 of 2 7- 1 ash Register Receipt Receipt Number City ofTukwila R13634 DESCRIPTIONS i i 1 PermitTRAK ACCOUNT QUANTITY PAID $154.65 E118-0095 Address: 7100 FORT DENT WAY Apn: 2954900440 $154.65 Credit Card Fee $4.50 Credit Card Fee R000.369.908.00.00 0.00 $4,50 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $143.00 TECHNOLOGY FEE $7.15 TECHNOLOGY FEE I I , TOTAL FEES PAID BY RECEIPT: R13634 R000.322.900.04.00 0.00 111111111ESI $154.65 Date Paid: Wednesday, January 31, 2018 Paid By: JAMES BRASSFIELD Pay Method: CREDIT CARD 00640J Printed: Wednesday, January 31, 2018 11:02 AM 1 of 1 ell:"WirSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO:: CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3 Permit Inspection Request Line (206) 438-9350 Project: %% rti Type of Inspection: Address:_ 7/C0 6 D641 Date Called: Special Instructions: ,_ / Al Date Wanted: �! (}� p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. MENT COM S. 0,K Inspector: Date: e)3 cz , ins inspection, fee ust REINSPECTION FEE REQUIRED. Prior to nextp be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. fi.itool( INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: CAhtdiA Type of Inspection: /44÷ P J Address: 0 0 fr.- Da Date Called: _ — Special Instructions: IOW f)11-11" Date Wanted: a.m. 13.r1117' Requester: .11-1,411 Phone No: 2476 2,76 otz giApproved per applicable codes. OCorrections required prior to approval. ow" COMMENTS: CAL4411\ 6)1(7\ Inspector: ‹c;SEPIA/i9z-- Date: REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Clearnet ‘111111164k Washington State Department of / Labor & Industries Hume Espafiol Contact Safety & Health Claims & Insurance 'Search L&I Page 1 of 2 A-Zfudvx Help My Workplace Rights Trades & Licensing Clearnet Owner or tradesperson Principals WALSTON, RICHARD, PRESIDENT Steenvoorde, Andrew P, SECRETARY Walston, Rick, AGENT Doing business as Clearnet WA UBI No. 602 615 301 Parent company EPONYEXPRESS INC 257 SW 41ST ST RENTON, WA 98057 206-420-6970 KING County Business type Corporation Governing persons RICHARD B WALSTON ANDREW STEENVOORDE; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties LIMITED ENERGY License no. CLEAR**901PM Effective — expiration 10/14/2010— 10/14/2018 Designated administrator Walston, Richard B Active. Meets current requirements. License type License no. Electrical Administrator WALSTRB901PL Bond RLI INS CO Bond account no LSM0194759 $4,000.00 Received by L&I Effective date 10/14/2010 10/01/2010 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EBANX00445 Issue date Satisfied RCVVNVAC Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602615301&LIC=CLEAR**901PM&SAW= 1/31/2018