HomeMy WebLinkAboutPermit EL18-0419 - NORTHWEST HEALTHCARE - RELOCATE 2 SWITCHES, INSTALL 6 DUPLEX RECEPTACLESNORTHWEST HEALTHCARE
7100 FORT DENT WAY
SUITE 210
ELI 8-0419
Parcel No:
Address:
Project Name:
City of Tukwila
a
of
__,_--'Community Development
6300 Southcenter Boulevard, Suite #100
Tukwlla, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-430'9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
2954900440
7100 FORT DENT WAY 210
NORTHWEST HEALTHCARE
Permit Number: EL18-0413
Issue Date: 5/2/2018
Permit Expires On: 10/29/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
JOHN C RADOVICH DEV CO
2D35D2NDAVSE#S-1,MERCER
ISLAND, WA, 98040
MARTIN CHAVERO
407 S 306 ST , FEDERAL WAY, WA,
98003
MCH ELECTRIC LLC
407S3O6TH5T,FEDERAL WAY, WA,
98003
M[H[LEL856iP
1
Phone: (253) 250-5195
Phone: (253) 250-5195
Expiration Date: 6/17/2019
D[SCRIPTION OF WORK:
RELOCATE 2 SWITCHES, INSTALL 6 DUPLEX RECEPTACLES
Valuation af single family: $0.00
Valuation of mf/comm: $1,500.00
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:
nternationaI Residential Code Edition:
laternational Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities EectricalCode:
WAC 296-46B:
WA State Energy Code:
Date:
2017
2017
2017
2015
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 ; gree to the conditions attached to this permit.
Signature:
Print Name:
Date:
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.
S: 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 TUKTIOA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.EIOV
0
Electrical Permit No. E 18 —04
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: 1 100 Z-0 10-T 0 2.14
Tenant Name: t• 011P --‘,t-‘ kAl Z.S-"c AAA 12 -
PROPERTY OWNER
Name:
a)ST V\ "f)qt4.A.-lcAr2Z.
Address: -1 ( 0 0 12- c i a_ r -I) 1 p - 1- Lx) 11,-(1
City: State:
lb kl IA, L Ak Zip:qf>icd?
CONTACT PERSON - person receiving all project
communication
Name:
-ko:\A....,,,, C\J\ cx_i v., 0
Address: Lt 0-1
City:P ri)S2,6 1- WIA9 State: Zip: otece
phonTis 70 _is. 0 s...tciFtx:
Email
kA avir w--- • c 67 1-kc.,61, - LIgC7k.P-C.; • Co
King Co Assessor's Tax No.:
Suite Number: 2_ L 0 Floor:
New Tenant: 0 Yes T.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Q._ C NA 1.7-A C_:c r,‘- C. -
Address:
k--4. c)-1
City : State:
(‘---5:1)S11,04.. LI.N.,,
U A
Zip:
°Lc -03
Phone. Fax:
( 2 S3 ) ZS° Sl4i SF
Contr Reg No.:
Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 1. . S
Scope of Work (please provide detailed information): (Z., fLoCA €,
p (2-tcna-,cAcLE3
Will service be altered? 0 Yes No Adding more than 50 amps? D Yes 0 No
Type of Use:
Type of work:
O New 47- Addition D Service Change 0 Remodel 0 Tenant Improvement
O Low Voltage D Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
O Puget Sound Energy 0 Seattle City Light
W:\Permit CenterkApplications-HandoutsTermit Applications‘WorthElectrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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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 contrac
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
O 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 ELECTRICA CONTRACTOR:
Signature:
Print Name:
Date: S Z l
v V CAN 0k -Lf EY 0 Day Telephone:
Mailing Address: 14 O`1 S 3 061- t4 S i2 t D IZA L w P` `'t ' °r ?UU3
City state
W:IPermit CcntcMpplicalions-HadoutsU'ermit Applications1WordU:Icctrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Page 2 of 2
DESCRIPTIONS
PermitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT
QUANTITY
PAID
0.83
EL18-0419
Address: 7100 FORT DENT
AY 21'.
A
2954900440
0.83°
Credit Card Fee
$3.81
Credit Card Fee
R000.369.908.00.00
0.00
$3.81
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: R14406
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Wednesday, May 02, 2018
Paid By: MARTIN CHAVERO
Pay Method: CREDIT CARD 005910
Printed: Wednesday, May 02, 2018 3:13 PM 1 of 1
CRWSYSTEMS
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 438-9350 11
Project: I 1
Type of Inspection:
•
Address:
0
Date Called:
Special Instructions:
Date Wanted:
.
p.m.
Requester:
Phone No:
Approved per applicable codes. ij 0 Corrections required prior to approval.
COMMENTS:
..,.‘r
Inspector: f
/
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
MCH ELECTRIC LLC
Washington State Department of
Labor & Industries
0
I I erne EsiNuiel Celli 'act.
Safety & Health Claims & Insurance
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MCH ELECTRIC LLC
Owner or tradesperson
Principals
MARTIN, CHAVERO, PARTNER/MEMBER
MARTIN, CRAVERO, AGENT
Doing business as
MCH ELECTRIC LLC
WA UBI No
603 513 566
407 S 306th St
FEDERAL WAY, WA 98003
253-250-5195
KING County
Business type
Limited Liability Company
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.
MCHELEL856LP
Effective --- expiration
06/17/2015— 06/17/2019
Designated administrator
PORTER, JEREMY T
License type
Electrical Administrator
Bond
American Contractors lndem CO
Bond account no
100277817
Active.
Meets current requirements.
License no
PORTEJT971 PO
$4,000.00
Received by L&I Effective date
06/17/2015 06/06/2015
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
EJORP07450
Issue date
10/26/2017
Violation city
FEDERAL WAY
Type of violation
Satisfied
RCVV/VVAC
19.28.161 RCW
Violation amount
$250.00
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MCH ELECTRIC LLC
ELECTRICAL CITATION
Description
Failing to provide proper supervision to an
electrical trainee as required by chapter 19.28
RCW. ELVIN MORALES SANCHEZ AND
MARVIN MOSES
Infraction no.
ELYOD00960
Issue date
02/26/2016
Violation city
FEDERAL WAY
Type of violation
ELECTRICAL CITATION
Description
Failure of the electrical contractor to ensure
the assigned electrical administrator/master
electrician is a member of the firm or a full
time supervisory employee of the firm as
required. THIRD QUARTER OF 2015
Infraction no.
ELYOD00961
Issue date
02/26/2016
Violation city
FEDERAL WAY
Type of violation
ELECTRICAL CITATION
Description
Failure of the electrical contractor to ensure
the assigned electrical administrator/master
electrician is a member of the firm or a full
time supervisory employee of the firm as
required. FOURTH QUARTER OF 2015
Satisfied
..................
RCWNVAC
19.28.061 RCW
Violation amount
$1,000.00
Satisfied
RC WNVAC
19.28.061 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.
L&I Account ID
527,921-01
.............................
Doing business as
MCH ELECTRIC
Estimated workers reported
Quarter 1 of Year 2018 "Less than 1 Workers"
L&I account contact
T3 / KAYLENE MONIER (360)902-6627 - Email: BRKB235@lni.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 allowed to bid
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
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