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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 bh 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 bh 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 Search L&I Page 1 of 3 SEARCH A -Z [actor 11 elp My 1,&I Workplace Rights Trades & Licensing 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 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603513566&LIC=MCHELEL856LP&SAW= 5/2/2018 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. Page 2 of 3 (D 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=603513566&LIC=MCHELEL856LP&SAW= 5/2/2018