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Home My WebLink AboutPermit EL18-0274 - NIMBLE PHARMACY - ADD POWER POLE BEHIND COUNTERNIMBLE PHARMACY 12832 INTERURBAN AVE S ELI 8-0274 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 2716000010 12832 INTERURBAN AVE S Project Name: NIMBLE PHARMACY Permit Number: EL18-0274 Issue Date: 3/20/2018 Permit Expires On: 9/16/2018 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: BOEING EMPLOYEES' CREDIT UN 12770 GATEWAY DR , TUKWILA, WA, 98168 KRISTINA GOETZ 287 SW 41 ST , RENTON, WA, 98057 CAPITAL LIGHTING COMPANY INC 287 SW 41 ST, RENTON, WA, 98057 CAPITLC866RS Phone: (425) 251-0244 Phone: (425) 251-0244 Expiration Date: 12/10/2018 DESCRIPTION OF WORK: ADDING POWER POLE BEHIND COUNTER AT FRONT ENTRANCE. ADDING 6 20 AMP OUTLETS Valuation of single family: $0.00 Valuation of mf/comm: $3,937.00 Type of Work: TENANT IMP Fees Collected: $178.48 Electrical Service Provided by: SEATTLE CITY LIGHT 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:�U 1 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 _: ree to the conditions attached to this permit. Signature. L t' - • Print Name: \-\n C 1 \Nk. 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 TUKWPA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No, '51-1 0- 027 it 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: 12832 Interurban Ave S Tukwila WA 98168 Suite Number: Floor: 1 New Tenant: 0 Yes El ..No Tenant Name: Nimble Pharmacy PROPERTY OWNER Name: Kristina Goetz Name: Nimble Pharmacy City: Renton State: WA Zip: 98057 Address: 1134 Crane St Suite 150 Email: kristinag@capitallightingwa.com City: Menlo Park State: CA Zip: 94025 CONTACT PERSON — person receiving all project communication Name: Kristina Goetz Address: 287 SW 41st Street City: Renton State: WA Zip: 98057 Phone: (425) 251-0244 Fax: Email: kristinag@capitallightingwa.com ELECTRICAL CONTRACTOR INFORMATION Company Name: Capital Lighting Address: 287 SW 41st Street City: Renton State: WA Zip: 98057 Phone: (425) 251-0244 Fax: Contr Reg No.: CAPITLC866RS Exp Date: alio 1 y Tukwila Business License No.; 0992928 Valuation of Project (contractor's bid price): $ 3,937 Scope of Work (please provide detailed information): Adding power pole behind counter at front entrance Adding 6 20A outlets Will service be altered? EJ Yes ga No Adding more than 50 amps? 1:1 Yes IJ No Type of Use: Type of work: 0 New 0 Addition 0 Service Change 121 Remodel 0 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 CenterNApplications-HandoinsTermit ApplicationAPDFAElectrical Permit Application Revised 1-1- l7.docx Revised: January 2017 bit Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) $155.91 $83.54 ea $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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** 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: Print Name: Kristina Goez Mailing Address: 287 SW 41st Street Renton WA 98057 Date: 03/20/2018 Day Telephone: (425) 251-0244 City W:\Permit CenterApplications-Hmido l Wermit Applcations\PDFs\Ckctrical Perini Application Revised 1-1-17.docx Revised: January 2017 bh State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID ....................................... PermitTRAK EL18-0274 Address:12832 INTERURBAN AVE S' Apn: 2716000010 Credit Card Fee $5.20 Credit Card Fee R000.369.908.00.00 0.00 $5.20 ELECTRICAL $165.03 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $165.03 TECHNOLOGY FEE $8.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R14041 R000.322.900.04.00 0.00 $8.25 $178.48 Date Paid: Tuesday, March 20, 2018 Paid By: TOM GERMANN Pay Method: CREDIT CARD 60733J Printed: Tuesday, March 20, 2018 11:49 AM 1 of 1 CRWSYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Insp ction Request Line (206) 438-9350 Project: Aioqi 4)* -1 • Type of Inspection:6il Address: 1 r 2- 1 Date Called: Special Instructions: PC\-jt5k_ qet'LV Date Wanted: a.m. . . Requester: Phone No: 2e,c, iApproved per applicable codes. COMMENTS: ElCorrections required prior to appr al. Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. CAPITAL LIGHTING COMPANY Home Espanol Contact Search L&I Page 1 of 2 SEASCH Y' A -Z Index Help My I &1 Safety & Health Claims & Insurance Workplace Rights Trades & Licensing 0 Washington State Department of Labor & Industries CAPITAL LIGHTING COMPANY INC Owner or tradesperson CALDWELL, C MICHAEL Principals CALDWELL, C MICHAEL, PRESIDENT PSACHOS, CHRIS G, VICE PRESIDENT Caldwell, C Michael, AGENT WA UBI No. 601 004 603 287 SW 41ST ST RENTON, WA 98057 425-251-0244 KING County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. CAPITLC866RS Effective — expiration 12/10/2014-12/10/2018 Designated administrator ............... Psachos, Chris License type Electrical Administrator Bond Contractors Bonding & Insurance Co Bond account no. SF9198 Received by L&I 12/10/2014 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. Active. Meets current requirements. License no. PSACHC*892JD $4,000.00 Effective date 12/09/2004 Expiration date Until Canceled 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. 510,541-00 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601004603&LIC=CAPITLC866RS&SAW= 3/20/2018 CAPITAL LIGHTING COMPANYJC Doing business as CAPITAL LIGHTING Estimated workers reported Quarter 4 of Year 2017 "21 to 30 Workers" L&I account contact T4 / STEPHEN TASSONI (360)902-4819 - Email: TASS235@lni.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 @ 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=601004603&LIC=CAPITLC866RS&SAW= 3/20/2018