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HomeMy WebLinkAboutPermit EL18-0769 - UNIVERSAL HOSPITAL SERVICES - ADD RECEPTACLES AND SWITCHINGUNIVERSAL HOSPITAL SERVICES 849 INDUSTRY DR ELI 8-0769 Parcel No: Address: of _-p_'_---'Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-431'3670 nspection Request Line: 206-430'9350 Web site:http://vmmwJ[ukmilaVVA.gov 2523049034 849 INDUSTRY DR ELECTRICAL OTC PERMIT Project Name: UNIVERSAL HOSPITAL SERVICES Permit Number: EL18-0769 Issue Date: 9/6/2018 Permit Expires On: 3/5/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: BKM TUKWILA 17OIQUAIL STSTE100,NEWPORT BEACH, WA, 92660 JAMES O'HARA 13236 BALD MOUNTAIN RO SE, MONROE, WA, 98272 J&S ELECTRIC LLC 1323GBALD MOUNTAIN RD6E, MONROE, WA, 98272 JSELEEL822BS ''' Phone: (425) 931-3657 Phone: Expiration Date: DESCRIPTION OF WORK: TENANT IMPROVEMENTS, ADD RECEPTACLES AND SWITCHING PER DRAWINGS, PROVIDE RING AND STRING FOR LOW VOLTAGE Valuation of single family: $0.00 Valuation of mf/comm: $2,00000 Type of Work: TENANT IMP Fees Collected: $13083 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 FueI Gas Code: 2015 20152015 2015 2015 National Electrical Code: WA Cities Etectrical Code: WAC 296-46B: 2017WA State Energy Code: Permit Center Authorized Signature: 20172017 2015 ~ �� Date: ����ym~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 regulating construction or the performance of work. I am authorized to sign and obtain this development p rmit an agree to the conditions attached to this permit. Signature: Print Name: '..YV1e Q 1 Acx 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 TUKWA Community Develop Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pi it No. 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 To i/ \ a, Site Address: Tenant Name: -`` King Co Assessor's Tax No.: `1 1(1U. U g±(' ` (((�� Suite Number: Floor: c Q t oS \ J -1C '1 I c, S New Tenant: Yes 0.. No PROPERTY OWNER Name: \GYv�ILS 01 V\a•'o� }3230 Address: . i'aQA Nu,vvtcu ' v1 'R D Sc Name: Phone: 4z5 931-3657Fax: Email: (� aQS � eleGA�t�. �c.v�ao Cern Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: \GYv�ILS 01 V\a•'o� }3230 Address: . i'aQA Nu,vvtcu ' v1 'R D Sc City: n(� State: Zip: V �� 95 7� Phone: 4z5 931-3657Fax: Email: (� aQS � eleGA�t�. �c.v�ao Cern ELECTRICAL CONTRACTOR INFORMATION Company Name:rt" 4,S ��c `� L� �j - . Address:Vt 2.36, City: ,1 A 0{t .Oe.- State: w,ec Zip:8 212 t Phone: �-a896 Fax: Contr Reg No.: SSE L EEL 822 BSExp Date: //0/20z0 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 2% ° Scope of Work (please provide detailed information): \ Zd\av1 lV A (coo e.w'o, S Ck(nn RQ Cel*a_ c lLS (7.Yly W t cnf. 1" e. r Cr FauJ i r�qS v f c3 ‘1 1 Ut 'C hl �pc' GNB( \io\ J Will service be altered? 0 Yes Adding more than 50 amps? 0 Yes RI No Type of Use: Type of work: ❑ New ❑ Low Voltage Prope y Served by: Puget Sound Energy ❑ Addition O Generator ❑ Service Change ❑ Fire Alarm ❑ Seattle City Light WAPermit Center\Applications-Handouts\Permit Applications\WmdaEbetrical Permit Application Revised 1-1-2017.docx Revised: January 2017 bh ❑ Remodel ❑ Telecommunication OfTenant Improvement 0 Temporary Service 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, fumace 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 OR ELECTRICAL CONTRACTOR: Signature: Print Name: 0.wwe S ©14-accu Mailing Address: \-52—% V 9`f1\ o l.n4Al`' W:\Pennit Center\Applicat Revised: January 2017 bh St -HardoutsWennit ApplicationstWordlElccirical Permit Application Revised 1-I-2017.docx Date: 9/7/i Day Telephone: \( t3\N" 06 \)30. 9821 City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $130.83 EL18-0769 Address: 849 INDUSTRY DR $130.83 Apn: 2523049034 Credit Card Fee $3.81 Credit Card Fee 1 R000.369.908.00.00 I 0.00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 I $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15337 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Thursday, September 06, 2018 Paid By: JAMES O'HARA Pay Method: CREDIT CARD 116080 Printed: Thursday, September 06, 2018 9:09 AM 1 of 1 SYSTEMS Page 1 of2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 09/06/2018 09:08:18 AM CREDIT CARD SALE VISA CARD NUMBER: **********6115 K TRAN AMOUNT: $130.83 APPROVAL CD: 116080 RECORD #: 000 CLERK ID: Bill 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 https://classic.converg,epay.comNirtualMerehant/transaction.do?dispatchMethod=printTran... 9/6/2018 INSPECTION NO. INSPECTION RECORD Retain a copy with permit cr PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Projectkivegal ii.u.)pit. I :Type of InspectionV 1 Addres 4,A inAt/tc rdie., Date Called: q Special Instructions: Date Wanted: 1. Requesteo. 1, yl OM ie.) Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Ok- 7-1 inspecT.r. REtP4PECTION 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 (206) 431 - Permit Inspection Request Line (206) 438-9350 Project: U ✓&W,1405P1 Ins en:� Type/6i �Uo0 � - Address: ��qfNrrnn). Datelied: Special Instructions( �M�/ Date Wanted: 7 p.m. Requester: r— �..✓41 L y Phone No: q 731 36c 7 Approved per applicable codes. Corrections required prior to approval. COMMENTS: u1/4411/ Cn�d�'iZ Inspector: Date: REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. J&S ELECTRIC LLC Home Espanol Contact Search L&I Page 1 of 2 srmittii A -Z intim Help My MI Trades:& Licensing Safety & Health Claims & Insurance Workplace Rights °Mk Washington State Department of Labor & Industries J&S ELECTRIC LLC Owner or tradesperson Principals O'HARA, JAMES MICHAEL, PARTNER/MEMBER JEWETT, SASHA MARIE, PARTNER/MEMBER JEWETT, SASHA, AGENT Doing business as J&S ELECTRIC LLC WA UBI No 604 036 838 13236 BALD MOUNTAIN RD SE MONROE, WA 98272 360-863-2898 SNOHOMISH County Business type Limited Liability Company Governing persons SASHA JEWETT JAMES MICHAEL OHARA; 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. JSELEEL822BS Effective — expiration 01/10/2018— 01/10/2020 Bond American Contractors Indem CO Bond account no. 100376492 Received by L&I 01/10/2018 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. $4,000.00 Effective date 01/04/2018 Expiration date Until Canceled Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workerscomp premiums. L&I Account ID Account is current. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=604036838&LIC=JSELEEL822BS&SAW= 9/6/2018 J&S ELECTRIC .I,LC 658,828-00 Doing business as J & S ELECTRIC L _C Estimated workers eported Quarter 2 of Year ..018 "1 to 3 Workers" L&I account contacr T1 / NICHOLE CM' 3W (360)902-5634 - Email: CANI235@Ini.wa.gov Public Wor .cs Strikes and Debarments Verify the contractc is eligible to perform work on public works projects. Contractor Striker No strikes have bt xi issued against this contractor. Contractors not a. awed to bid No debarments hr:. a been issued against this contractor. Workplace safety and health No inspections dur'.. g the previous 6 year period. Page 2 of 2 Washington State Dept.: f Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us i nprove https://secure.lni va.gov/verify/Detail.aspx?UBI=604036838&LIC=JSELEEL822BS&SAW= )/6/2018