The URL can be used to link to this page

Home My WebLink AboutPermit EL18-0767 - CLEARSIGN COMBUSTION - INSTALL 120V CIRCUIT EXTENSION FOR WATER PUMP INDICATOR LIGHTCLEARSIGN COMBUSTION 12870 INTERURBAN AVE S ELI 8-0767 Parcel No: Address: Project Name: Citv of Tukwila of --p__—Community Development 6300 Southcenter BoulevardSuite #100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206'438'935U Web site: httn://wnww.Tuhvvi|aWA.mmv ELECTRICAL OTC PERMIT 2716000010 12870 INTERURBAN AVE 5 CLEARSIGN COMBUSTION Permit Number: EL18'0767 Issue Date: 9/5/2018 Permit Expires On: 3/4/2019 Owner: Name: Address: Contact Person: Name: Address: BOEING EMPLOYEES' CREDIT UN 1277OGATEWAY DR,TUKVV|U\WA, 98168 DAVID MARX 27505 135TH AVE SE , KENT, WA, 98042 Contractor: Name: POWER FIX LLC Address: 275O513SAVE SE'KENT, WA, BO04Z license No: POVVERFL842RG Name: Address: ''' Phone: (206) 349-6842 Phone: (206) 349-6842 Expiration Date: 12/7/2018 DESCRIPTION OF WORK INSTALL 120V CIRCUIT EXTENSION FOR WATER PUMP INDICATOR LIGHT Valuation of single family: $0.00 Valuatiori of mf/comm: $900.0O Type of Work: ADDITION Fees Collected: $104.94 Electrical Service Provided by: SEATTLE CITV LIGHT 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 FueI Gas Code: 2015 2015 2015 2015 2015 ^ AuthorizedPennbCpn�rSignature: b�wu Natiorial Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 r1 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 a ree to the conditions attached to this permit. Signature: ( 1/1/1/�"�- Date: Print Name: I efivn! / D (� Pt2-4C 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 TUKW4 Community Develops Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pat No. Project No. Date Application Accepted: Date Application Expires: (For o,i ce use on l ) 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 �1E King Co Assessor's Tax No.: / Site Address: Z S 70 _T/Iv / �^z fQ''�^/ S Suite Number: Floor: Tenant Name: CLc • -S ,)S 77 .-t/ New Tenant: ❑ Yes PROPERTY OWNER Name: Address: / ? ,3 J- Name: City: K'r State: h,, Zip:5,0 o3Z City: K r State: mei Zip: le Z Address: Email: Eo t2E-GpC(c S, v--,c:E fr,A9eGM R IL, te.1 City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Address: / ? ,3 J- Address: 77S. /3 rw c ....Cr City: K'r State: h,, Zip:5,0 o3Z City: K r State: mei Zip: le Z Phone: 204 3y 7.6E y2Fax: Email: Eo t2E-GpC(c S, v--,c:E fr,A9eGM R IL, te.1 ELECTRICAL CONTRACTOR INFORMATION Company Name: x -/--C- TT Address: / ? ,3 J- / ( t - L E c e Tc. / City: K'r State: h,, Zip:5,0 o3Z Phone: Fax: 0-06,3Y? G8 Y2. Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $_ ` 00 Scope of Work (please arovide detailed information): /'vs '"rte �Zvl/ t,,.ze r 6 x reki 2 E / Tb 1Z /-4 N Will service be altered? ❑ Yes [' N Type of Use: Type of work: ❑ New ❑ Low Voltage e. S Adding more than 50 amps? %%r"Lc"Zol'M vt/7 0 Yes No Addition 0 Service Change 0 Remodel 0 Tenant Improvement 0 Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service Puget Sound Energy 0 Seattle City Light W:\Permii CemeMpplications-Handouts\Permit ApplicationsMonl%Electrical Permit Application Revised 1-1-2017.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 ees are based on the valuation of the electrical cont ac 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 OR ELECTRICAL CONTRACTOR: Signature: Date: / Print Name Dot -v10 n1. ,'tT2x Day Telephone: '20 (, 3 4{ 7 c c -{Z Mailing Address: /302 6._e -A./772 K S ccv `, / f� E'�! r /A),9 750t2_ © City State Zip W:Wermii CenteAApplications•HandouI Wendt ApplicationslWord\Electrical Permit Application Revised 1.1-2017.doca Revised: January 2017 bh Page 2 of 2 r\ti ILA Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $104.94 EL18-0767 Address: 12870 INTERURBAN AVE S Apn: 2716000010 $104.94 Credit Card Fee $3.06 Credit Card Fee I R000.369.908.00.00 0.00 I $3.06 ELECTRICAL $97.03 PERMIT FEE MULTI-FAM/COMM 1 R000.322.101.00.00 0.00 I $97.03 TECHNOLOGY FEE $4.85 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15334 R000.322.900.04.00 0.00 $4.85 $104.94 Date Paid: Wednesday, September 05, 2018 Paid By: DAVID MARX Pay Method: CREDIT CARD 64531G Printed: Wednesday, September 05, 2018 3:37 1 of 1 PM SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 09/05/2018 03:36:42 PM CREDIT CARD SALE VISA CARD NUMBER: **********1696 K TRAN AMOUNT: $104.94 APPROVAL CD: 64531G RECORD #: 000 CLERK ID: Rachelle X (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://elassic.convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTran... 9/5/2018 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 09/05/2018 03:36:42 PM CREDIT CARD SALE VISA CARD NUMBER: **********1696 K TRAN AMOUNT: $104.94 APPROVAL CD: 64531G RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy Page 2 of 2 https://classic.convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTran... 9/5/2018 INSPECTION RECORD Retain a copy with permit INSPECTION NO, PERMIT NO. CITY OF TUKWILA BUILDING DIVISION (206) 431-3670 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 Project: 71.4.41/140; A Al Type of Inspection: / Address: ...I-, /2-4f 10 1,11-ruic6 Date Called: Special Instructions: 1JAI cid Inid(c4f04_ Date Wanted: 7 a.m p.m. Requester: Phone No: Approved per applicable codes. 0Corrections required prior to approval. COMMENTS: Date: o?(0 REINSPECT1014 FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: POWER FIX LLC Washington State Department of Labor & Industries 0 Finnic Fs}}aixrI Contact Search L&I Page 1 of 2 SEARCH A -Z index tlelp My 1&I Safety & Health Claims & Insurance Workplace Rights Trades & Licensing POWER FIX LLC Owner or tradesperson Principals MARX, DAVID M, DIRECTOR Doing business as POWER FIX LLC WA UBI No. 603 539 248 27505 135TH AVE SE KENT, WA 98042 206-349-6842 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 Active. Meets current requirements. License specialties GENERAL License no. POWERFL842RG Effective — expiration 12/07/2016— 12/07/2018 Designated administrator Marx, David M License type Master Electrician Bond Travelers Cas and Surety Co of America Bond account no. 106636850 Received by L&I 12/07/2016 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. MARX`DM886N6 $4,000.00 Effective date 11/28/2016 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 637,530-00 Doing business as GLOBE ELECTRIC Estimated workers reported Account is current. Help us improve httns://secure.lni.wa.gov/verifv/Detai1.aspx?UB1=603539248&LTG=POWERFL842RIG&SAW= 9/5/2018 POWER FIX LLC Quarter 2 of Year 2018 "4 to 6 Workers" F 11,1 account contact ••••• T5 / MARVIN GREEN (360)902-4967 - Email: GRMB235@Ini.wa.gov p 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=603539248&LIC=POWERFL842RG&SAW= 9/5/2018