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Home My WebLink AboutPermit EL18-0110 - KEURIG GREEN MOUNTAIN - MOVE EXISTING THERMOSTATKEURIG GREEN MOUNTAIN 7100 FORT DENT WAY ELI8-0110 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 ELECTRICAL OTC PERMIT 2954900440 Permit Number: EL18-0110 7100 FORT DENT WAY Project Name: KEURIG GREEN MOUNTAIN Issue Date: 2/6/2018 Permit Expires On: 8/5/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: JOHN C RADOVICH DEV CO 2835 82ND AV SE #S-1, MERCER ISLAND, WA, 98040 PATRICK CONVERSE PO BOX 70 , FALL CITY, WA, 98024 ALL STAR HEATING & A/C INC PO BOX 70 , FALL CITY, WA, 98024 ALLSTSH933JB 11 I Phone: (425) 766-1941 Phone: (425) 222-7652 Expiration Date: 8/3/2019 DESCRIPTION OF WORK: MOVE EXISTING THERMOSTAT Valuation of single family: $0.00 Valuation of mf/comm: $150.00 Type of Work: LOW VOLTAGE Fees Collected: $71.71 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: 2017 2017 2017 2015 Permit Center Authorized Signature: Date: (40"( 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 p state or local laws development p Signature: Print Name: G tr / C 0, oes not presume to give authority to violate or cancel the provisions of any other st ur ction r the performance of work. I am authorized to sign and obtain this e to the cony itions attached to this permit. 3 Z" 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 If CITY OF TUKWIL'A Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. Ito 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.: tq Cie - 0440 Site Address: '1I0 104- A"." tA)Ct. 4 Suite Number: Floor: Tenant Name: <CNA- CjLOCkej I 4— PROPERTY OWNER Name: ct-6, ' K. Cc)0\ie./2_, Address:p 0 -6 7 0 Name: Phone: Gac, ,2_--t-i --146rTax: Email: qoccal C00\, \ S.+C.X.,c — V1\)a,C. . C.C.Nv‘ Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: ct-6, ' K. Cc)0\ie./2_, Address:p 0 -6 7 0 City: v.co, C State: uo A Zip:°Vibl-ti, Phone: Gac, ,2_--t-i --146rTax: Email: qoccal C00\, \ S.+C.X.,c — V1\)a,C. . C.C.Nv‘ New Tenant: 1 Yes ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: A \k ...i.cid- [ ctfir) ,) 4/c, Address: V. 0 tr.50x 70 City: State: kj Zip: ctpLi6 Phone: (,\f/.6 7711 (051, Fax: (..4j i27, 7qL.41 Contr Reg No.: plik54-sr, GI -3)-a B, Exp Date: gi-51 1 q Tukwila Business License No.; 90.s _ 3 Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): MO e Et 4 7-'67/0`i- 64/R'e. Will service be altered? Yes El No Adding more than 50 amps? El Yes No Type of Use: Type of work: 0 New Addition 0 Service Change ID Remodel 0 Tenant Improvement Low Voltage El Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: j24. Puget Sound Energy 0 Seattle City Light WAPemiit Center \ Applications-HandoutsTerrnit Applications1PDFsTlectrica I Permit Application Revised 1-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 ❑ 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 O 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 I HAVE READ AND EXAMINED THIS A.PPLICAlION 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 ELEC AL CONTRACTOR: Signature: � Day / Print Name: G9T/Zll /L Day Telephone: Mailing Address: City State Zip Date: d 6// W:Wcrmit Center \Applications - Revised: January 2017 bh Applications\PDFs\Etectrica'Permit Application Revised I-t-17.docx Page 2 of 2 / \ 1 Cash Register Receipt City of Tukwila Receipt; Number R13719 DESCRIPTIONS PermitTRAK ACCOUNT. QUANTITY PAID $71.71 E118-0110 Address: 7100 FORT DENT WAY Apn: 2954900440 $71.71 Credit Card Fee $2.09 Credit Card Fee R000.369.908.00.00 0.00 $2.09 ELECTRICAL $66.30 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $66.30 TECHNOLOGY FEE $3.32 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13719 R000.322.900.04.00 0.00 111.1=111 $71.71 Date Paid: Tuesday, February 06, 2018 Paid By: PATRICK CONVERSE Pay Method: CREDIT CARD 02677G Printed: Tuesday, February 06, 2018 11:13 AM 1 of 1 rrINSYSTEMS 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: : (.. Li i -LA t I Type of Inspection: AIM/ Address:,,./ /A.5.iii._ . il00 h.— Date Called: Special Instructions: 1.c 1-4-r Date Wanted: . p.m. Requester: Phone No: tizic 2.3 ( qv Approved per applicable codes. OCorrections required prior to approval. COMMENTS: Date: 0 Inspector: ri RENSPECTIOi FEE REQUIREb. Prior to next inspection, fee m st be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. ALL STAR HEATING & A/C INC, k Washington State Department of 40 Labor & Industries ne Espanol Contact Safety & Health Claims & Insurance Page 1 of 2 Search L&J A -Z Index lid!) My Workplace Rights Trades & Licensing ALL STAR HEATING & A/C INC Owner or tradesperson Principals CONVERSE, PATRICK N, PRESIDENT CONVERSE, PATRICK, AGENT Doing business as ALL STAR HEATING & A/C INC WA UBI No. 601 703 920 PO BOX 70 FALL CITY, WA 98024 425-222-7652 KING County Business type Corporation Governing persons PATRICK NEIL CONVERSE PATRICK NEIL CONVERSE; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties HVAC/RFRG License no. ALLSTSH933JB Effective — expiration 04/02/2007— 08/03/2019 Designated administrator Sturza, Serghei License type Electrical Administrator Bond Great American Fidelity Insurance Co Bond account no. 2214137 Active. Meets current requirements. Active. Meets current requirements. License no. STURZS*840JD $4,000.00 Received by L&I Effective date 08/03/2015 01/24/2014 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Help us improve haps://secure.lni.wa.gov/verify/Detail.aspx?U$I=601703920&LIC—ALLSTSH933JB&SAW= 2/6/2018 A STAR HEATING & A/C INC , 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 933,780-00 ............... Doing business as ALL STAR HEATING & AIR CONDITI Estimated workers reported Quarter 4 of Year 2017 "21 to 30 Workers" L&I account contact T1 / IDA HAYNES (360)902-5635 • Email: HAYN235@Ini.wa.gov Account is current. 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 ailowed 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 V 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=601703920&LIC=ALLSTSH933JB&SAW= 2/6/2018