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Permit EL18-0106 - COZZINI - CLEAN UP EXISTING ELECTRICAL AND INSTALL NEW CIRCUITS IN WARHOUSE
COZZINI 1024 INDUSTRY DR ELI8-0106 Parcel No: Address: l " 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 2523049071 Permit Number: EL18-0106 1024 INDUSTRY DR Project Name: COZZINI Issue Date: 2/5/2018 Permit Expires On: 8/4/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: BKM TUKWILA 1701 QUAIL ST STE 100, NEWPORT BEACH, WA, 92660 OLE RODNE 19804 141 PL NE , WOODINVILLE, WA, 98072 NORTHWEST EDISON INC 19804 141ST PL NE , WOODINVILLE, WA, 98072 NORTHEI983RD Phone: (425) 354-0610 Phone: (360) 668-9200 Expiration Date: 12/4/2018 DESCRIPTION OF WORK: CLEAN UP EXISTING ELECTRICAL AND INSTALL NEW CIRCUITS IN WARHOUSE Valuation of single family: $0.00 Valuation of mf/comm: $10,000.00 Type of Work: TENANT IMP Fees Collected: $299.81 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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Permit Center Authorized Signature: gI 11 1 Date: 2017 2017 2017 2015 1-1q I' 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 reg ting construction or the performance of work. I am authorized to sign and obtain this development ped agree to the conditions attached to this permit. Signature: ((e f _ Print Name: ©{Ci Rc 4 l -e._ Date:2-&-/ g 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. L, 1.-1 i —0 ( 4' 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: t )LI - Df J {, King Co Assessor's Tax No.: Suite Number: Floor: Tenant Name: W ZZ 1 NYC PROPERTY OWNER Company Name: Northwest Edison ,,� Name:0\e Q`( ne , Name: _ Address: 4 C 141 S( �( fie_ L l/ Contr Reg No.: NORTHEI983RE Exp Date: 12/04/2018 Address: Phone: "1ls,39y-ogd'ax: City: State: Zip: CONTACT PERSON — person receiving all project communication Company Name: Northwest Edison ,,� Name:0\e Q`( ne , City: Woodinville State: Wa Zip: 98072 _ Address: 4 C 141 S( �( fie_ L l/ Contr Reg No.: NORTHEI983RE Exp Date: 12/04/2018 City: 000 (. J� I State: Qg,� 1 k Zip: 9802 l�✓ Phone: "1ls,39y-ogd'ax: Email: Oki ai n (&;0 , cm vveN New Tenant: Yes ..No ELECTRICAL CONTRAC'T'OR INFORMATION Company Name: Northwest Edison Address: 19804 141st PL NE City: Woodinville State: Wa Zip: 98072 Phone: (425) 806-9200 Fax: (425) 806-7455 Contr Reg No.: NORTHEI983RE Exp Date: 12/04/2018 Tukwila Business License No., BUS -099402 Valuation of Project (contractor's bid price): $ ID 1,000 1 Scope of Work (please provide detailed information): CA Q, o� ltiex.(th .1-- c\es Cl L Q\ kc+c).,kl l Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? Et Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change 0 Remodel Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light W:U'crrnit Center\applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bb 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) $7.6S 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 $11.02 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER 0 ' ELECTRICAL CONTRACTOR: Signature: Print Name: ('. 4C d�SY� -Q Day Telephone: ` /� Mailing Address: WE7 ���s� t" 11. 0(i1(0 1�1 Q, rW I� cl%t) 071 City Date:�"r��l$ W:\Permit CenterlApplieations.HandoutsV'rnnit Applications\PDFsiElectrical Permit Application Revised I-1-17.doex Revised: January 2017 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ' 1 PermitTRAK ACCOUNT 1 QUANTITY I PAID $899.45 EL18-0106 Address: 1024 INDUSTRY DR Apn: 2523049071 $299.81 Credit Card Fee $8.73 Credit Card Fee R000.369.908.00.00 0.00 111.111.1/1 ELECTRICAL $277.22 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 111.11=211 TECHNOLOGY FEE $13.86 TECHNOLOGY FEE R000.322.900.04.00 0.00 ME= EL18-0107 Address: 1026 INDUSTRY DR Apn: 2523049071 $260.78 Credit Card Fee $7.60 Credit Card Fee R000.369.908.00.00 0.00 $7.60 ELECTRICAL $241.12 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $241.12 TECHNOLOGY FEE $12.06 TECHNOLOGY FEE R000.322.900.04.00 0.00 $12.06 E118-0108 Address: 1022 INDUSTRY DR Apn: 2523049071 $338.86 Credit Card Fee $9.87 Credit Card Fee R000.369.908.00.00 0.00 $9.87 ELECTRICAL $313.32 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 IIIMBEISI TECHNOLOGY FEE $15.67 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13701 R000.322.900.04.00 0.00 11111EME $899.45 Date Paid: Monday, February 05, 2018 Paid By: OLE RODNE Pay Method: CREDIT CARD 052810 Printed: Monday, February 05, 2018 3:25 PM 1 of 1 rrAliffSYSTEMS INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-36 Project:( Type of Inspection: Address: - 1c2,1 AT wsill Date Called: . Special Instructiohs: GM E Cd --1 • Date Wanted: 4.) a.m. p.m. Requester: Phone No: Approved per applicable codes. 0 Corrections required prior to approval. 6COMMENTS: Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. NORTHWEST EDISON INC Washington State Department of Labor & Industries 11mile Espanol Contact Safety & Health Claims & Insurance Page 1 of 3 Search L&I A -Z Index Help My 1 Workplace Rights Trades & Licensing NORTHWEST EDISON 1NC Owner or tradesperson Principals CAMILLERI, DANIEL C, PRESIDENT OWEN, RANDY, VICE PRESIDENT OWEN, RICHARD E, SECRETARY OWEN, RICHARD E, TREASURER OWEN, RANDY M, AGENT OWEN, RICHARD, PRESIDENT (End: 03/06/2012) OWEN, SALI, SECRETARY (End: 03/06/2012) OWEN, RICHARD, AGENT (End: 03/06/2012) Doing business as NORTHWEST EDISON INC WA UBI No. 601 522 062 Parent company INDUSTRIAL LIGHT & ENERGY INC 19804 141ST PL NE WOODINVILLE, WA 98072 425-806-9200 KING County Business type Corporation Governing persons RICHARD OWEN SALI OWEN; RANDY OWEN, 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. NORTHEI983RD Effective — expiration 12/04/2002— 12/04/2018 Designated administrator OWEN, RANDY MARK Active. Meets current requirements. License type License no. Electrical Administrator OWEN*RM959Q8 Bond RLI Ins Co Bond account no. LSM0667470 $4,000.00 Help us improve https://secure.lni.wa.govlverify/Detail.aspx?UBI=601522062&LIC=NORTHEI983RD&SAW— 2/5/2018 NORTHWEST EDISON INC Received by L&I F Effective date 10/08/2014 10/26/2014 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EBANX00358 Issue date 03/18/2014 Violation city WOODINVILLE 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. FAILURE TO OBTAIN AN ELECTRICAL WORK PERMIT PRIOR TO BEGINNING THE INSTALLATION. Infraction no. ESTAD00513 Issue date 11/16/2012 Violation city WOODINVILLE Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B-901. Satisfied RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Satisfied ................ RC W/WAC 19.28.101 RCW Violation amount $1,000.00 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums. This company has multiple workers' comp accounts. Active accounts L&I Account ID 989,512-00 Doing business as NORTHWEST EDISON Estimated workers reported Quarter 4 of Year 2017 "51 to 75 Workers" L&I account contact TO / DALE MCMASTER (360)902-5617 - Email: MCMS235@Ini.wa.gov Track this contractor 0 Account is current. Public Works Strikes and Debarments Verify the contractor is eligible to perform work on public works projects. Contractor Strikes Page 2 of 3 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601522062&LIC=NORTHEI983RD&SAW= 2/5/2018