HomeMy WebLinkAboutPermit EL18-0724 - EXAMWORKS - CARD ACCESS SECURITY, 3 CARD ACCESS DOORS, 2 CAMERAS, 120 VOLT POWER BY OTHERSEXAMWORKS
16300 CHRISTENSEN RD
UNIT 355
ELI 8-0724
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.Rov
ELECTRICAL OTC PERMIT
2523049078 Permit Number: EL18-0724
16300 CHRISTENSEN RD Unit355
Project Name: EXAMWORKS
Issue Date: 8/21/2018
Permit Expires On: 2/17/2019
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
ROBERT MAEZ
5005 THIRD AVE 5 , SEATTLE, WA,
98134
MCKINSTRY CO LLC (ELECTRICAL)
PO BOX 24567 , SEATTLE, WA, 98124
MCKINCL942DN
!/1
Phone: (206) 383-1427
Phone: (206) 762-3311
Expiration Date: 3/15/2020
DESCRIPTION OF WORK:
CARD ACCESS SECURITY, 3 CARD ACCESS DOORS, 2 CAMERAS, 120 VOLT POWER BY OTHERS
Valuation of single family: $0.00
Valuation of mf/comm: $1,800.00
Type of Work: LOW VOLTAGE
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:
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:
2017
2017
2017
2015
Date: L! ^.—f -16
Aft
LAIN
y
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 regula ' - : onstruction or the performance of work. I am authorized to sign and obtain this
development permit , d a: ee�to the nditionattached to this permit.
Signature:
Print Name:
X,2 (-}c
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 TUKW
Community DeveloprnVepartmen1
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Pet No. e- 72 if
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
King Co Assessor's Tax No.:
Site Address: 162)00 C444Z671:WSEN 42-0 35C Suite Number:',SS Floor:
Tenant Name: EXAMkAne.
PROPERTY OWNER
Name: •Dv jt 0 PO( LL
Address:
Name: ExAmw042,K s
Pho7e6„. 3cf& _ 5 208Fax:
Email: IDAV10 C2(0/ ip AfrkIN/S1V-SP COM
Address: t 10300 C4442,15TENtEN
ko
•
1 1 3 5' _<
City: -ctie_tm L.49- S :
Zip: cig. 1
CONTACT PERSON — person receiving all project
communication
Name: •Dv jt 0 PO( LL
Address:
City: State: Zip:
Pho7e6„. 3cf& _ 5 208Fax:
Email: IDAV10 C2(0/ ip AfrkIN/S1V-SP COM
6
New Tenant: aYes
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Co V CD Lc_c__
Address: 5510 c .3 go Acip s—N
City: ./.„4,fte Statew4 Zip:
Phone, _a8-3_ H2-7Fax:
Contr Reg No.: \W4D62
Tukwila Business License No.;
# c006) +7044-
Valuation of Project (contractor's bid price): $ 'ODD
,
Scope of Work (please provide detailed information): A
1
Cil /4-E tItrzlaS
(vF4 12V 47r4 .13y
Will service be altered? 0 Yes No
Type of Use:
Type of work:
O New 0 Addition 0 Service Change 0 Remodel
Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
Property Served bv:
O Puget Sound Energy re Seattle City Light
WAPermit CenteMpplications-HandoutsaPermit Applications \ Wordeentrical Permit Application Revised I-1-20 17.docx
Revisal: January 2017
bh
Adding more than 50 amps? 0 Yes 0 No
O Tenant Improvement
O Temporary Service
Page 1 of 2
ioak
t.tJ
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 OWNER tt„?V= LECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address: S—COAv ( '
W:Wermit Center\Applications-HatabutsWermit Applications \ Word \Electrical Permit Application Revised 1- 1.20I7.dacx
Revised: January 2017
bh
Date: g r-21 ( 8
Day Telephone:2,6, 3'"- 1+27
— L/f �eI 34
City State Zip
Page 2 of 2
•
Cash Register Receipt
City of Tukwila
Receipt Number
R15205
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$130.83
EL18-0724 Address: 16300 CHRISTENSEN RD Unit355 Apn: 2523049078
$130.83
Credit Card Fee
$3.81
Credit Card Fee
1
R000.369.908.00.00
0.00
$3.81
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
1
R000.322.101.00.00
I
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15205
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Tuesday, August 21, 2018
Paid By: ROBERT MAEZ
Pay Method: CREDIT CARD 06780D
Printed: Tuesday, August 21, 2018 10:53 AM 1 of 1
SYSTEMS
Page 2 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 08/21/2018 10:52:47 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********4338 K
TRAN AMOUNT: $130.83
APPROVAL CD: 06780D
RECORD #: 000
CLERK ID: Bill
Thank you!
Customer Copy
https://classic.convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTra... 8/21/2018
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:
(�
5
Type of Inspection:
/ t.4A-L.--
Addre
1 LAN 5f.
Date Called:
Special Instructions:
35-cRequester:
Date Wanted:
a.m
Phone No:
'^ C 17/ 1217
pi
LJ
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Date:
REINSPECTIdN FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
MCKINSTRY CO LLC
Horne Espanol Contact
Safety & Health Claims & Insurance
41111114Washington State Department of
)Labor & Industries
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Workplace Rights
MCKINSTRY CO LLC
Owner or tradesperson
Principals
ALLEN, DEAN
CHARLES, PARTNER/MEMBER
Hagar, Joseph D, PARTNER/MEMBER
Casey, Joy D, AGENT
MOORE, DOUGLAS J, PARTNER/MEMBER
(End: 03/09/2018)
ALLEN, DAVID, PARTNER/MEMBER
(End: 03/09/2018)
TEPLICKY, JOSEPH W
(BILL), PARTNER/MEMBER
(End: 03/09/2018)
BLACK, STEPHEN, AGENT
(End: 03/09/2018)
Doing business as
MCKINSTRY CO LLC
WA UBI No.
602 569 922
PO BOX 24567
SEATTLE, WA 98124
206-762-3311
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
License speciafles
GENERAL
License no,
MCKINCL942DN
Effective — expiration
03/15/2006— 03/15/2020
Designated administrator
Gochis, Kenneth
Active.
Meets current requirements.
Active.
Meets current requirements.
License type License no.
Electrical Administrator GOCHIK•841DU
Bond
Western Surety Co
Bond account no.
929523050
Received by L&I
02/25/2011
$4,000.00
Effective date
03/06/2011
Expiration date
tARCH
My 141
Trades & Licensing
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MCKINSTRY C ) LLC Page 2 of 3
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IOW
Bond history
Savings
No savings accour.ts during the previous 6 year period.
License Violations
Infraction no.
ECHAP01871
Issue date
02/08/2017
Violation city
SEATTLE
Type of violation
ELECTRICAL Cf. ATION
Description
Failing to requec. an inspection within 3
business days a':er completion of the
installation or 1 .usiness day after energizing,
whichever occu, first as referenced in WAC
296-46B-901.
t -
Infraction no.
ECHRW00688
Issue date
08/16/2016
Violation city
SEATTLE
T
r
ate
Type of violation
ELECTRICAL CI::ATION
Description ('
Failing to get an. nspection or obtain a valid
electrical/teleco bmunications work permit or
post a provision l electrical work permit prior
to beginning the electrical/telecommunication
installation or a; :ration as referenced in WAC
296-46B-901.
Infraction no.
EBOES00854
Issue date
01/21/2015
Violation city
SEATTLE
Type of violation '
ELECTRICAL CI
Description
Failing to get ar.
electrical/teleco.
post a provision,
to beginning the
installation or a.
296-46B-901.
ATION
nspection or obtain an
munications work permit or
.1 electrical work permit prior
electrical/telecommunication
ration as referenced in WAC
Until Canceled
Satisfied
........................
RC WNVAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Workers' c imp
Do you know if the
L&I Account ID
706,165-00
usiness has employees? If so, verify the business is up-to-date on workers' comp premiums.
Self Insured.
This business is certified to cover its own
workers' comp costs. No premiums due.
Doing business as
MCKINSTRY CO
Estimated workers reported
N/A
L&I account contact
(360)902-4817
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