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Home My WebLink AboutPermit EL18-0717 - PROLIANCE BONE & JOINT CARE - MOVE 2 THERMOSTAT WIREPROLIANCE BONE & JOINT CARE 150 ANDOVER PARK W ELI8-0717 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 0223100010 Permit Number: EL18-0717 150 ANDOVER PARK W Project Name: PROLIANCE BONE & JOINT CARE Issue Date: 8/20/2018 Permit Expires On: 2/16/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: OPEN FRAME LLC 14900 INTERURBAN AVE S #130 C/O JSH PROPERTIES INC, TUKWILA, WA, 98168 PATRICK CONVERSE PO BOX 70 , FALL CITY, WA, 98024 ALL STAR HEATING & A/C INC (ELECT) PO BOX 70 , FALL CITY, WA, 98024 ALLSTSH933JB 111 Phone: (425) 766-1941 Phone: (425) 222-7652 Expiration Date: 8/3/2019 DESCRIPTION OF WORK: MOVE 2 EXISTING T -STAT WIRE Valuation of single family: $0.00 Valuation of mf/comm: $300.00 Type of Work: LOW VOLTAGE Fees Collected: $76.45 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 296-46B: 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 per state or local laws re development per does not presume to give authority to violate or cancel the provisions of any other g gltruction or the performance of work. I am authorized to sign and obtain this he conditions attached to this permit. Signature: t I Date Print Name: V j C/) CO") SPS e 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 TUKW Community Develop Department Permit Center 6300 Southcenrer Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical P it No, fAA 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 5 0 ANO a.) 2 114 (Al ) 11^ King Co Assessor's Tax No.: ot7 d 3 10 - 301 Site Address: / SQ tN D Q,ti\- P4'\ W Tenant Name: Pr ot.f AK) Bove Ai 40 CO1i4 'CaNew Tenant: Suite Number: Floor: 1 PROPERTY OWNER Name: Address:fr ,e ""70 Name: 0 per. FAA iv1Q. Lin. C Phone:j+ Fax: Email: �A�'/�,1Cly Ail s lis -fi J I) Cr Address: 1 00 p 00JQ(1., PA 2... w City: 'T`(41,{ �J 1 L t% State: Zip g 1 t % CONTACT PERSON — person receiving all project communication Name: Address:fr ,e ""70 City: P. I) c 1. } State: Zip: Phone:j+ Fax: Email: �A�'/�,1Cly Ail s lis -fi J I) Cr Yes ❑.. No ELECTRICAL CONTRACTOR INFORMATION Company Name: 11 1) S.r•ii k Meal 1 epi {Ox 1 Address: e.. t 70 City: F.A I) G 1 State: ( r Ztp. C� iso 3 Y Phone: 41/)3 c)Q. 7.6 Fax: Contr Reg No.: n sTsfici 331YBExp Date: 6 30 c)o `( Tukwila Business License No.; 6,.\5 099 V 5 0 -3 Cw Valuation of Project (contractor's bid price): $ 30 0 Scope of Work 5ease provide detailed information): 1110Q ESC tS 7:s Tri W 1 tue Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New 0 Addition ❑ Service Change 0 Remodel 0 Tenant Improvement Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light W:tPermit CenteAAApplications-Handouts\Permit AppiicationslWorc Eiectricai Permit Application Revised i-1-2017.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $155.91 (including an attached garage) ❑ Garages, pools, spas and outbuildings $83.54 ea ❑ Low voltage systems (alarm, furnace thermostat) $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 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 OW N19R ELECTRICAL CONTRACTOR: Signatu Print Name: /2ur4ll Ck ,i130Pc Mailing Address: IQ•O 7 Date: 0 h ) g Day Telephone: V.5 76-6 / ? 'I/ ra LMag•-n)P City Slate Zip W:Wermit CenteMpplications-HandoutsWermit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh Page 2 of 2 0 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 08/20/2018 11:24:47 AM CREDIT CARD SALE VISA CARD NUMBER: **********3255 K TRAN AMOUNT: $76.45 APPROVAL CD: 09609G RECORD #: 000 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 Page 1 of 2 https://classic.convergepay.comNirtualMerchant/transaction.do?dispatchMethodprintTra... 8/20/2018 Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 08/20/2018 11:24:47 AM CREDIT CARD SALE VISA CARD NUMBER: **********3255 K TRAN AMOUNT: $76.45 APPROVAL CD: 09609G RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy https://classic. convergepay.comNirtualMerchant/transaction. do?dispatchMethod=printTra... 8/20/2018 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT I QUANTITY PAID $76.45 EL18-0717 Address: 150 ANDOVER PARK W Apn: 0223100010 $76.45 Credit Card Fee $2.23 Credit Card Fee R000.369.908.00.00 I 0.00 I $2.23 ELECTRICAL $70.69 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 I 0.00 $70.69 TECHNOLOGY FEE $3.53 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15188 R000.322.900.04.00 0.00 $3.53 $76.45 Date Paid: Monday, August 20, 2018 Paid By: PATRICK CONVERSE Pay Method: CREDIT CARD 09609G Printed: Monday, August 20, 2018 11:25 AM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: ithi.-7Z6 Type of Inspection: 6- f Date Called: Address: 15.-0 Hof Special Instructions: "r- S r ATS Date Wanted: a.m. . . Requester: Phone No: VrApproved per applicable codes. il El 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. rvt CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-3670 Projec: Type of Inspection: Address't14060 vettloh Li) Date Called: I Special Instructions: 7.s4 t int.4("1", 4-°..`rf-4-e— P c1414- Co A 44-erS4- Date Wanted: a.m. p.m. Requester: Phone No: RI Approved per applicable codes. Corrections required prior to approval. COMMENTS: inspec or: 0 R*NSPGT10N FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. ALL STAR HEATING & A/C INC kWashington State Department of ,Labor & Industries Home Espanol Contact Safety & Health Claims & Insurance Page 1 of 2 ;Search L&I AZIndex ltelp My 141 Workplace Rights Trades & Licensing ALL STAR HEATING & A/C INC Owner or tradesperson Principals CONVERSE, PATRICK N, PRESIDENT CONVERSE, PATRICK, AGENT Doing business as ALL STAR HEATING & A/C INC WA UBI No. 601 703 920 PO BOX 70 FALL CITY, WA 98024 425-222.7652 KING County Business type Corporation Governing persons PATRICK NEIL CONVERSE PATRICK NEIL CONVERSE; License Verify the contractor's active registration / license /certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties HVAC/RFRG License no. ALLSTSH933JB Effective — expiration 04/02/2007— 08/03/2019 Designated administrator ..................... Sturza, Serghei License type Electrical Administrator Bond Great American Fidelity Insurance Co Bond account no. 2214137 Received by L&I 08/03/2015 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. License no, STURZS*840JD $4,000.00 Effective date 01/24/2014 Expiration date Until Canceled Workers' comp Help us improve https://secure.lni.wa.gov/verify/Detail.asp c?UBI=601703920&LIC=ALLSTSH933JB&SAW= 8/20/2018 ALL STAR HEATING & A/C INC__Do you know if the business has employees? Ifarify the business is up-to-date on workers' comp premit, , 4.41 Account is current. L&I Account ID 933,780-00 ............................. Doing business as ALL STAR HEATING & AIR CONDITI Estimated workers reported Quarter 2 of Year 2018 "21 to 30 Workers" L&I account contact T1 / IDA HAYNES (360)902-5635 - Email: HAYN235@Ini.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 safely 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=601703920&LIC=ALLSTSH933JB&SAW= 8/20/2018