HomeMy WebLinkAboutPermit EL18-0476 - CHICK-FIL-A - TEMP POWER - 100 AMP 120/240 VOLT SINGLE PHASE TEMPORARY CONSTRUCTION SERVICECHICK-FIL-A
TEMP POWER
17333 SOUTHCENTER PKWY
ELI 8-0476
Parcel No:
CityAddress:
of Tukwila
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.TukwiIaWA.gov
ELECTRJCAL OTC PERMIT
2623049066 Permit Number: EL18'0476
17333 SOUTHCENTER PKWY
Project Name: CHICK-FIL-A - TEMP POWER
Issue Date: 5/23/2018
Permit Expires On: 11/19/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
KOMETANI MICHAEL
l823HAL[KOADR,HONOLULU, WA,
96821
CHRIS PSACHOS
98032
Contractor:
Name: SOUTHGATE ELECTRIC INC
Address: 23444 3UTHAVE S#101,KENT, WA,
98032-2807
License No: SOVTME|366P1
Lender:
Name:
Address:
I
Phone: (206) 878-2866
Phone: (206) 878-2866
Expiration Date:
DESCRIPTION OF WORK:
100 AMP 120/24VOLT SINGLE PHASE TEMPORARY CONSTRUCTION SERVICE
Valuation nfsingle family: $0.00
Valuatiori of mf/comm: $500.00
Type of Work: TEMP SERVICE
Fees Collected: $86.65
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
laternational Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signature:
2015
20152015
2015
2015
National Electrical Code:
WA Cities ElectricaCode:
WAC 296-46B:
WA State Energy Code:
2017
20172017
2015
Date: )-.3~���
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 peand ague to the conditions attached to this permit.
Signature: 1 tY/ Date: Sr 2 ? -ic5'
Print Name: Per SitiFiLAM9f,
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 TUKR'ILA
Community Development Department
Permit Center
6300 SouthcenterBlvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
0
Electrical Permit No. Li-. 1 9 -olt-7
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: 17333 Southcenter Parkway
Tenant Name: Chick-Fil-A
PROPERTY OWNER
Name: Chris Psachos
Name:
4 G Development
Phone: (206) 878-2866 Fax: (206) 878-8380
Address:
Tukwila Business License No.; BUS -0994362
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Chris Psachos
Address: 23444 30th Ave S
City: Kent State: WA Zip: 98032
Phone: (206) 878-2866 Fax: (206) 878-8380
Email: chris@southgateinc.com
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ® Yes ❑ „No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Southgate Electric Inc.
Address: 23444 30th Ave S
City: Kent State: WA Zip: 98032
Phone: (206) 878-2866 Fax: (206) 878-8380
Contr Reg No.:
SOUTHEI366P1 Exp Date: 08/30/2018
Tukwila Business License No.; BUS -0994362
Valuation of Project (contractor's bid price): $ 500
Scope of Work (please provide detailed information): 100 amp 120/240 volt single phase temp construction service
Will service be altered? 0 Yes ® No Adding more than 50 amps? I1 Yes ❑ No
Type of Use: Construction tools
Tune of work:
0 New 0 Addition ❑ Service Change 0 Remodel 0 Tenant Improvement
0 Low Voltage ❑ Generator 0 Fire Alarm ❑ Telecommunication m Temporary Service
Property Served by:
m Puget Sound Energy ❑ Seattle City Light
W:1Pe mit Colter \Applications-HandoutsTorrnit Applications\PDF'slElcctrical Pcrmit Application Revised I-1-17.doiac
Reviscd: 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 contract.
MISCELLANEOUS FEES
kTemporary service (residential) $66,30
Temporary service (generator) $82.52
O 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 figurc 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:
Signature:
Print Name: Pat Brennan
Mailing Address: 23444 30th Ave S Kent WA 98032
W,Tenni t Cauer1Applicatiate,HanluuulParmit Applications Wl. slEl ctrical Pcrmil Appli
evised: January 2017
bh
Date: 05/23/2018
Day Telephone: (206) 878-2866
n Revisal 1-1-17_ducx
City
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS I ACCOUNT I QUANTITY
PAID
PermitTRAK
$86.65
EL18-0476 Address: 17333 SOUTHCENTER PKWY Apn: 2623049066
$86.65
ELECTRICAL
$82.52
PERMIT FEE MISCELLANEOUS R000.322.101.00.00
0.00
$82.52
TECHNOLOGY FEE
$4.13
TECHNOLOGY FEE R000.322.900.04.00
0.00
$4.13
TOTAL FEES PAID BY RECEIPT: R14564
$86.65
Date Paid: Wednesday, May 23, 2018
Paid By: SOUTHGATE ELECTRIC INC
Pay Method: CHECK 67339
Printed: Wednesday, May 23, 2018 3:57 PM 1 of 1
SYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 43
Permit Inspection Request Line (206) 438-9
Project: /
Ty -of I Acy:
Address: /735 .
5
Dat ailed:
Special Instructio s:
,7f\ 5J 3:64•Lji t
f
Date Wanted:
fPgir-i;
Requester:
Crizi 5-
Phone No:
26 7/3 6( K
A
ppproved per applicable codes.
0 Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
RENSPEcTIOt4 FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100, Call to schedule reinspection.
SOUTHGATE ELECTRIC INC
k Washington State Department of
4 Labor & Industries
0
Horne Espafiol Contact: !Search L&I
Safety & Health Claims & Insurance
Page 1 of 3
SiAitCH
A -Z Index I I elp My L'.1d
Workplace Rights Trades & Licensing
SOUTHGATE ELECTRIC INC
Owner or tradesperson
Principals
PSACHOS, CHRIS, PRESIDENT
Brennan, Pat J, VICE PRESIDENT
Psachos, Debbie K, SECRETARY
PSACHOS, CHRIS, AGENT
PSACHOS, BARBARA, SECRETARY
(End: 08/03/2001)
STEIGERS, HERBERT C
(End: 09/30/2011)
Doing business as
SOUTHGATE ELECTRIC INC
WA UI31 No.
578 089 488
23444 30TH AVE S STE 101
KENT, WA 98032
206-878-2866
KING County
Business type
Corporation
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.
SOUTHEI366P1
Effective — expiration
10/21/1964— 08/30/2019
Designated administrator
BRENNAN, PATRICK JOSEPH
License type
Electrical Administrator
Bond
CB1C
Bond account no.
611625
Savings
No savings accounts during the previous 6 year period.
License Violations
Active.
Meets current requirements.
License no
BRENNPJ066RC
$4,000.00
Effective gate
10/28/1978
Expiration date
Until Canceled
Help us improve
https://seeurelni.wa.gov/verify/Detail.aspx?UBI=578089488&LIC=SOUTHEI366P1&SAW= 5/23/2018
SOUTHGATE ELECTRIC INC
Infraction no.
EDORN00251
Issue date
03/20/2014
Violation city
Kent
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.
Infraction no.
EJONV02984
Issue date
04/30/2013
Violation city
KENT
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.
Infraction no.
EBJOR00314
Issue date
01/02/2013
Violation city
Kent
Type of violation
ELECTRICAL CITATION
Description
Covering or concealing installations prior to
inspection.
Infraction no.
EBJOR00313
Issue date
01/02/2013
Violation city
Kent
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
$4,000.00
Satisfied
.......................
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
..........................
RCW/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.
L&I Account ID Account is current.
Page 2 of 3
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=578089488&LIC=SOUTHEI366P 1 &SAW= 5/23/2018