HomeMy WebLinkAboutPermit EL18-0601 - EXAMWORKS - INSTALL 16 RECEPTACLES & 8 SWITCHESEXAM WORKS
16300 CHRISTENSEN RD
UN1T355
ELI 8-0601
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
2523049078 Permit Number: EL18-0601
16300 CHRISTENSEN RD Unit355
Project Name: EXAM WORKS
Issue Date: 7/5/2018
Permit Expires On: 1/1/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
TALON RIVERVIEW PLAZA LLC
720 OLIVE WAY STE 1020 , SEATTLE,
WA, 98101
BILL MAHONEY
13550 39TH AVE NE , SEATTLE, WA,
98125
AMERICAN ELECTRICAL CONTRA INC
13550 39TH AVE NE, SEATTLE, WA,
98125-3808
AMERIEC923KF
1
Phone: (206) 679-7579
Phone: (206) 679-7579
Expiration Date: 5/31/2020
DESCRIPTION OF WORK:
INSTALL 16 RECEPTACLES & 8 SWITCHES
Valuation of single family: $0.00
Valuation of mf/comm: $14,700.00
Type of Work: TENANT IMP
Fees Collected: $397.42
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:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-468:
WA State Energy Code:
Date:
2017
2017
2017
2015
S1�
,�.
Alb
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 • - agree to the conditions attached to this permit.
Signature:
Print Name:
(( c :3 ir2
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.
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 TUICHS
Community Development JDepa
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http:r"wrrw.TukwiIaW:A.;ov
E LOtbATION
1
ELECTRICAL PERMIT APPLICATION
complete in order to be accepted for plan review.
be accepted through the mail or by fax.
**Please Print"
Applications and plans must'be
Applications will iEot
Site Address: 16300 CHRISTENSEN ROAD
T*nant Name: EXAM WORKS
King Co Assessor's Tax No.:
Suite Number: 355
PI OPERtY OWNER
Company Name: AMERICAN ELECTRICAL CONTR
PERSON - )Pram ren wing all project
N me: PINNACLE
Ntne:
Abdress: 1450 114TH AVE SE STE 205
Contr Reg No.: AMERIEC923K} Exp Date: 05/20/2020
At/dress:
CI': BELLEVUE State: WA
Zip:
9004
CONTACT
communication
Company Name: AMERICAN ELECTRICAL CONTR
PERSON - )Pram ren wing all project
Ntne:
BILL MAHONEY
Contr Reg No.: AMERIEC923K} Exp Date: 05/20/2020
At/dress:
13550 39TH AVE NE
Ci'.y:
SEA Ft LE State: WA zip:4125
Phone:
(206) 679-7579 Fax:
Er>
all: BILL.MAHONEY@aCOMCAST.NET1
Floor: 3
New Tenant: ® Yes ❑..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: AMERICAN ELECTRICAL CONTR
Address: 13550 39TH AVE NE
City: SEA'1 TLE State: WA Zip: 98125
Phone: (206) 679-7579 Fax:
Contr Reg No.: AMERIEC923K} Exp Date: 05/20/2020
Tukwila Business License No.; 0997457
Valuation of Project (contractor's bid price):
4,7
Scope of Work (please provide detailed information):
INSTALL 16 RECEPTACLES, 8 SWITCHES
W service be altered? ❑ Yes ® No
T } e of Use:
TJ of is
❑ New 0 Addition
❑ Low Voltage 0 Generator
Pro?eerty Served bv:
, ❑ Puget Sound Energy 0 Seattle City Li
W \ra,m c u ApplkasionAPDPAElearica1 Pauli
: iml: Jammy 2017
Adding more than 50 amps? 0 Yes No
❑ Sice Change
O Fine Alarm
-17.
❑ Remodel
❑ Telecommunication
• Tenant Improvement
O Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
New single family dwellings $15 91
(including an attached garage)
Garages, pools, spas and outbuildings $ 54 ea
Low voltage systems
(alarm, furnace ther tat) $61 05 ea
RESIDENTIAL. REMODEL AND SERVICE CHANES
Service change or alteration $8334
(no added/altered circuits)
Service change with added/altered circuits 34
number of added circuits SI AO ea
Circuits added/altered without service change
(up to 5 circuits)
Circuits added/altered without service change S5
(6 or more circuits)
Meter/mast repair
Low voltage systems
(alarm, furnace thermostat)
$59
5
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical coruract_
MISCELLANEOUS FEES
O Temporary service (residential) S66.30
0 Temporary service (generator) $82.52
O Manufacttutd/mobile home service $87.98
(excluding garage or outbuilding)
O Carnivals
Number of concessions S82.21
$11.02 ea
Each ride and generator truck S11.02 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
P LICATION NOTES
Value of Construction — In all cases, a value of construction
to possible revision by the Permit Center to comply with
Expiration ef Plan Review — Applications for which no
The Building Official may grant one extension of time for
and justifiable cause demonstrated.
unt should be entered by the applicant. This figure will be reviewed and is subject
fee schedules.
issued within 180 days following the date of application shall expire by limitation.
al period not to exceed 90 days. The extension shall be requested in writing
I HEREBY CERTIFY THAT1 HAVE READ AND
PENALTY OF PERJURY BY THE LAWS OF THE STA
tlrLDING OW i ELECERICALCO GTO
THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
F WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR TI -IIS PERMIT.
Sigitnature:
Print Name:
Matiling Address: 43(...S
• Jemmy 2017
7.
Day Telephon
Seit',"1/
City
?oac-
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
I QUANTITY
PAID
$397.42
EL18-0601 Address: 16300 CHRISTENSEN RD Unit355 Apn: 2523049078
$397.42
Credit Card Fee
$11.58
Credit Card Fee
R000.369.908.00.00
I
0.00
$11.58
ELECTRICAL
$367.47
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
I
0.00
$367.47
TECHNOLOGY FEE
$18.37
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R14866
R000.322.900.04.00
0.00
$18.37
$397.42
Date Paid: Thursday, July 05, 2018
Paid By: RUSS BERGEN
Pay Method: CREDIT CARD 08221G
Printed: Thursday, July 05, 2018 1:29 PM 1 of 1
SYSTEMS
0
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 07/05/2018 01:28:41 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********4226 K
TRAN AMOUNT: $397.42
APPROVAL CD: 08221G
RECORD #: 000
CLERK ID: Bill
Thank you!
Customer Copy
Page 2 of 2
https://clas sic. convergepay. comNirtualMerchant/transaction. do?dispatchMethod=printTran... 7/5/2018
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO, P R T NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Requ st Line (206) 438-9350
(206) 431-36
Project:
tki0e446
Type of Inspection:
Al
Address: , 00 1
A)4&MA /Masi
Date Called:
_
Special Instructions:Date
er.3 s
Wanted:
p.m.
Requester:
Phone No: 24126
s75-377,/
pa
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
Y-0(,(2/
Project:
OCZ-5
Type of Insi
..,/
,
itOGC11— I I
Address:
' 1
Date Called:
Special Instructions:
(1,3q(
Date Wanted:
7 of
.
P• •
'Requester:
Phone No:
p 7 cit e
Approved per applicable codes. OCorrections required prior to approval.
commENTS:
Inspector:
Date: tOE(0
REINSPECTION EE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection,
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:
irk) t4,5
Type of Inspection:4,/ t,
4D 04 ki- a
Address: , )
/4 5C-)0 C/P/AA /—(5fis 674
Date Called:
Special Instructions: —0.-
41. 35-5
Date Wanted:
7(i 7
.m.
Requester:
Phone No:24t2L
sly 436,
ElApproved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
J
Date:
07(t.711)?
REINSPECT! N FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Inspector:
6\1,fsh,
AMERICAN ELECTRICAL CONT INC
Horne Espanol Contact
Safety & Health Claims & Insurance
0 Washington State Department of
Labor & Industries
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A-7. I nd ex 1 I ell) My I.& I
Workplace Rights Trades & Licensing
AMERICAN ELECTRICAL CONTRA INC
Owner or tradesperson
Principals
MAHONEY, WILLIAM P, PRESIDENT
KLEPPER, KAREN, AGENT
Doing business as
AMERICAN ELECTRICAL CONTRA INC
WA UBI No.
602 827 788
13550 39TH AVE NE
SEATTLE, WA 98125
206-679-7579
KING County
Business type
Corporation
License
Verify the contractors active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
AMERIEC923KF
Effective — expiration
05/06/2008— 05/31/2020
Designated administrator
MAHONEY, TAYLA B
License type
Electrical Administrator
Bond
WESTERN SURETY CO
Bond account no.
70506425
Received by L&I
05/06/2008
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.
MAHONTB912M1
$4,000.00
Effective date
05/03/2008
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
155,736-00
Account is current.
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602827788&LIC=AMERIEC923KF&SAW= 7/5/2018
AMERICAN ELECTRICAL CONT/1A INC
Doing business as
AMERICAN ELECTRICAL CONTRACTOR
Estimated workers workers reported
Quarter 1 of Year 2018 "7 to 10 Workers"
L&I account contact
T3 / STEPHANIE HENDERSON (360)902.5598 - Email: HSTE235@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
Check for any past safety and health violations found on jobsites this business was responsible for.
Inspection results date
11/12/2015
Inspection no.
317938324
Location
3600 15th avenue west
Seattle, WA 98119
No violations
Page 2 of 2
tt) Washington State Dept. of Labor & Industries, Use of this site is subject to the laws of the slate of Washington.
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