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HomeMy WebLinkAboutPermit EL18-0714 - LACY & PAR - PRINT EQUIPMENT AND REMOVE LIGHTS AND CIRCUITSLACY & PAR 1179 ANDOVER PARK W ELI 8-0714 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 3523049093 Permit Number: EL18-0714 1179 ANDOVER PARK W Project Name: LACY & PAR Issue Date: 8/17/2018 Permit Expires On: 2/13/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: ICON OWNER POOL 1 WEST LLC 2 N RIVERSIDE STE 2350, CHICAGO, WA, 60606 RON LABELLE 2020 MALTBY WY #102 , BOTHELL, WA, 98021 FARMERS ELEC DSIGN & CONST LLC 2020 MALTBY ROAD STE 102 , BOTHELL, WA, 98021 FARMEED904B1 11? Phone: (206) 245-4589 Phone: (360) 668-9540 Expiration Date: 1/21/2020 DESCRIPTION OF WORK: NEW TENANT. PUT IN PRINT EQUIPMENT ABOUT 16 PIECES OF EQUIPMENT. TAKING OUT SOME LIGHTS IN WAREHOUSE AND CIRCUITS IN OFFICES Valuation of single family: $0.00 Valuation of mf/comm: $29,955.00 Type of Work: TENANT IMP Fees Coileced: $690.23 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 296-466: WA State Energy Code: G 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 agree to the conditions attached to this permit. Signature: Print Name: 6�� mira( I 1-)G� Date: 2/! 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 TUKWA. Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. '6 VI4/ int 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 LL) King Co Assessor's Tax No.: Site Address: / /) ! 9r /4 Over reo.) .. w Suite Number: Floor: Tenant Name: L a < y c&. ( New Tenant: 2r Yes ❑ ..No PROPERTY OWNER {l, Pro eJ 4- K R Name: r (d e✓ J`J \ 4 + k. le w s Sc r v i� e�9AM Address: 1 _7_ v`� 6 2)4 4 eru / 6avv O ve City: S.P ct'tt 1 'Q State: W Zip: %Ilk g CONTACT PERSON - person receiving all project communication Name: c,A4 L a I (_ f__ Address: (7.,.. 2_0 I4 R l T b y kJ y / D Z City: S -3o,1, L e t( State: 4.) e Zip: A6'0Z 1 Phone: 706 - Zl/.Sys-9, Fax:36,0 _ 66q' lir bi6 Email: r©✓Y occtricl e/'Se/ 'cb'r L✓,e4, ELECTRICAL CONTRACTOR INFORMATION Company ame r/��h�e�sf Ele,c�,i, , D�S,i//✓ f Lau/,!f C Address: 2OZO /Xafl-b (4, -z'0'2 2_ City: ©f a 1' State: /, et Zip902 Phone:36o` 46 0_ 75-yo 5 yo Fax:3 6 o- G b Ss- y0 6/ Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 2.. l / (�/• 5/ L , Scope of Work (please provide detailed information): .)UC ?t%4- / r 1 ' f/.V q l +/art h/ ci m 1 4[ S © E 71,./ f "-vr -eAj f Ta r l A, 7 t> s Alo1.l'41 f -s / J, L r e k o Gil CI1-t S mac/ o L Will service be altered? ❑ Yes m No Adding more than 50 amps? 11 Yes 1Z No Type of Use: Type of work: O New ❑ Addition 0 Service Change 0 Remodel m Tenant Improvement O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light W \Permit Center Applications -Handouts \Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.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*** 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 ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: t"-D-Q4R ‘2(2- mn/ a (ct 9‘ Date: ,c//7/ / Day Telephone: `24:)6 176"- '202-0 NS aI i' cV ci / c 2 �7 City Lo�S Q FS'c� 2/ City State Zip W1Permit CenterApplications-Handouts\Pttmit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $690.23 EL18-0714 Address: 1179 ANDOVER PARK W Apn: 3523049093 $690.23 Credit Card Fee $20.10 Credit Card Fee R000.369.908.00.00 0.00 $20.10 ELECTRICAL $638.22 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $638.22 TECHNOLOGY FEE $31.91 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15178 R000.322.900.04.00 0.00 $31.91 $690.23 Date Paid: Friday, August 17, 2018 Paid By: RON LA BELLE Pay Method: CREDIT CARD 071657 Printed: Friday, August 17, 2018 12:13 PM 1 of 1 SYSTEMS Page 1 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 08/17/2018 12:12:38 PM CREDIT CARD SALE VISA CARD NUMBER: **********8928 K TRAN AMOUNT: $690.23 APPROVAL CD: 071657 RECORD #: 00C CLERK ID: Rachelle (CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy haps://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTra... 8/17/2018 Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 08/17/2018 12:12:38 PM CREDIT CARD SALE VISA CARD NUMBER: **********8928 K TRAN AMOUNT: $690.23 APPROVAL CD: 071657 RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy https://classic.convergepay.com/VirtualMerchant/transaction.do?dispatchMethod=printTra... 8/17/2018 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: 14 Plft- Type of Inspection: Type Address: !11glAr Date Called: .,-- Special Instructio1 s: 1... Date Wanted: . Requester: Phone No: igApproved per applicable codes. El Corrections required prior to approval. COMMENTS: 1.//7 REINSPECTIO FEE REQUIRED. Prior to next inspection. fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: Date: INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: 1---A-C1 ?ork Type of Inspection: / , Address:II 71 kw Date Called: Special Instructions: Date Wanted: !�© a.m. C Requester: Ai Phone No: 70& 'till tl Approved per applicable codes. Corrections required prior to approval. COMMENTS: Av fLvous �tutoJ5 3rd Pkeii 1.50 A OT n5 % Inspector: Date: n REINSPECTIf3N FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD TION NO. Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISMN 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431 - Project: / 4 A Type of Inspection: Address: i tlq A-P(A1 Date Called: Special Instructions: PPokir- EQui P Date Wanted: a.m . . Requester: 0 nod t_A-IsteuE Phone No: 206 2( Iv? Approved per applicable codes. Corrections required prior to approval. COMMENTS: ei,05e Pkolth___ 41,4 11 1‘)) zA-e, ,. K"). stekt..._, - 6c -Nhi-, g&ti.4_, 6.(401PriL ' 1,0siva,,e, , 6,15Jcz..6 Lis AI Inspector: Date: 6,04 8 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 2/7/2019 City of Tukwila Department of Community Development RON LABELLE 2020 MALTBY WY #102 BOTHELL, WA 98021 RE: Permit No. EL 18-0714 LACY & PAR 1179 ANDOVER PARK W Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 3/30/2019. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 3/30/2019, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Ja77e1 Salzar Permit Technician File No: EL18-0714 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 FARMERS ELEC DSIGN & CONS LC n Washington State Department of Labor & Industries name Espanol Contact Safety & Health Claims & Insurance Search L&I A -Z [ndex Help Page 1 of 2 My 1,&l iii Workplace Rights Trades & Licensing FARMERS ELEC DSIGN & CONST LLC Owner or tradesperson Principals BOOTH, JOSHUA A, PARTNER/MEMBER FARMERS ELEC DSIDN & CONST LLC, PARTNER/MEMBER BOOTH, JOSHUA A, AGENT Doing business as FARMERS ELEC DSIGN & CONST LLC WA UBI No 602 980 144 2020 Maltby Road Ste 102 BOTHELL, WA 98021 360.668-9540 SNOHOMISH County Business type Limited Liability Company Governing persons JOSHUA BOOTH ANNE BOOTH; 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, FARMEED904B1 Effective — expiration 01/21/2010— 01/21/2020 Designated administrator BOOTH, JOSHUA License type Master Electrician Bond American Contractors Indem CO Bond account no. 100295277 Active. Meets current requirements. License no, BOOTHJ*964RS $4,000.00 Received by L&I Effective date 01/26/2016 01/12/2016 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602980144&LIC=FARMEED904B 1 &SAW= 8/17/2018 FARMERS ELEC DSIGN & CONS:,L,LC Infraction no EJORP06914 Issue date 06/02/2016 Violation city BOTHELL Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate cf competency or training certificate to do electrical work. (UNCERTIFIED EMPLOYEE DANIEL BRAKKE) Satisfied ................ RCW/WAC 19.28.271 RCW Violation amount 5250.00 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 072,620-01 ._........... ............... Doing business as FARMERS ELECTRIC DESIGN & CONS Estimated workers reported Quarter 2 of Year 2018 "31 to 50 Workers" L&I account contact T1 / TYRONE COLEMAN (360)902.4807 - Email: COTI235@Ini.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 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=602980144&LIC=FARMEED904B 1&SAW= 8/17/2018