HomeMy WebLinkAboutPermit EL18-0778 - HOLADAY PARKS - INSTALL 2 CIRCUITS, 12 LIGHTS AND 3 RECEPTACLESHOLADAY PARKS
4650 S 134 PL
ELI 8-0778
Parcel No:
Address:
City of Tukwila
Deportment of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: htto://www.TukwilaWA.eov
2616600030
4650 S 134TH PL
Project Name: HOLADAY PARKS
ELECTRICAL OTC PERMIT
Permit Number: EL18-0778
Issue Date: 9/10/2018
Permit Expires On: 3/9/2019
Owner:
Name:
Address:
BC & G LLC
4600 S 134TH PL , SEATTLE, WA, 98168
Contact Person:
Name: CONNIE HARDIN
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
4600 5 134 PL , SEATTLE, WA, 98168
HOLADAY-PARKS INC
4600 S 134TH PL, TUKWILA, WA,
98168
HOLADI*836K2
Phone: (206) 250-4530
Phone: (206) 248-9700
Expiration Date: 5/22/2019
DESCRIPTION OF WORK:
INSTALL 2 CIRCUITS, 12 LIGHTS AND 3 RECEPTACLES
Valuation of single family: $0.00
Valuation of mf/comm: $2,500.00
Type of Work: LOW VOLTAGE
Fees Collected: $154.65
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW,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:
Da
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 loc .ws reg ating construction or the performance of work. I am authorized to sign and obtain this
developm nt • nd .gree o the conditi• attached to this permit.
Signature:
Print Name:
Dat
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 Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaW A gov
if WI c(
Electrical Permit No. 100 c01 ti I 1 0
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
Site Address:1110Sb
Tenant Name:
PROPERTY OWNER
Name: ck Lc -N.
Address:Lk kOD-0 cskK
Name: r
1 le
Emai 1 :ri min e \,..,\6D ,)\.0Arle,c3lucktf)it,k
Contr Reg No.:.Vk OLAbtia31. a -Exp Date: iq
AddressLk•ke,00
S
Cit3.44..t
Sat)s_
Zi agi (...
CONTACT PERSON - person receiving all project
communication
Name: ck Lc -N.
Address:Lk kOD-0 cskK
State: ZipCw toy
Phone:goo zogsl Fax
Emai 1 :ri min e \,..,\6D ,)\.0Arle,c3lucktf)it,k
King Co Assessor's Tax No.: ,(,0 (.0 (6 0()7)
Suite Number: Floor:
New Tenant: -D Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
L IN v (..?-4-" ['CS
Addressqlo co
City/ State: 0,,____ zipcint0(
Phone: lb 6, zs--0.uls--3 fiax:z6(5. 2 (4 g. ,)66
Contr Reg No.:.Vk OLAbtia31. a -Exp Date: iq
Tukwila Business License No.; ikts_ 13 kop .3.5-7
Valuation of Project (contractor's bid price): $ a
Scope of Work (please provide detailed information):
t?
Will service be altered? Yes No
Type of Use: UJ 4-t
New
0 Low Voltage
O Addition
O Generator
Adding more than 50 amps? Ei Yes
No
O Service Change
O Fire Alarm
get Sound Energy 1:1 Seattle City Light
WAPermit CenteriApplications-liandouts Permit Applications 1 PDFs\Electrical Permit Application Revised I- 1-17.docx
Revised: January 2017
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O Remodel
O Telecommunication
0 Tenant Improvement
0 Temporary Service
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:
�JDate: �7�
Print Name: 0_p) f\, to Q ` 1 `D�� [ t n Day Telephone: /.�i0 � U 14S-36
Mailing Address: `((pOD ��L P� Fa -�Q CtEl to
City
W:\Permit Center\Applications-Handouts\Permit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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State Zip
Page 2 of 2
Page 1 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 09/10/2018 12:53:19 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********1947 K
TRAN AMOUNT: $154.65
APPROVAL CD: 02896G
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
httos://classic.convergepay.comNirtualMerchant/transaction.do?dispatehMethod=printTra... 9/10/2018
Page 2 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 09/10/2018 12:53:19 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********1947 K
TRAN AMOUNT: $154.65
APPROVAL CD: 02896G
RECORD #: 000
CLERK ID: Rachelle
Thank you!
Customer Copy
https://classic.convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTra... 9/10/2018
Cash Register Receipt
City of Tukwila
Receipt Number
R15363
DESCRIPTIONS
ACCOUNT QUANTITY
PAID
PermitTRAK
$154.65
EL18-0778 Address: 4650 5134TH PL Apn: 2616600030
$154.65
Credit Card Fee
Credit Card Fee
PERMIT FEE MULTI-FAM/COMM
R000.369.908.00.00
R000.322.101.00.00
0.00
0.00
$4.50
$143.00
TECHNOLOGY FEE
$7.15
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15363
R000.322.900.04.00
0.00
$7.15
$154.65
Date Paid: Monday, September 10, 2018
Paid By: CONNIE HARDIN
Pay Method: CREDIT CARD 02896G
Printed: Monday, September 10, 2018 12:53 PM 1 of 1
SYSTEMS
HOLADAY-PARKS INC
Washington State Department of
Labor & Industries
Page 1 of 3
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Safety & Health Claims & Insurance Workplace Rights
HOLADAY-PARKS INC
Owner or tradesperson
Principals
Connell, Dan, PRESIDENT
Giri, Bijit, VICE PRESIDENT
Freel, Jerry L, VICE PRESIDENT
Pizzey, Grace, SECRETARY
Beck, David, TREASURER
Pizzey, Grace, AGENT
Doing business as
HOLADAY-PARKS INC
WA UBI No.
578 004 089
Attn: Anita Dias
4600 S 134th Place
TUKWILA, WA 98168
206-248-9700
KING County
Business type
Corporation
Governing persons
DAVID
BECK
DAN CONNELL;
JERRY FREEL;
BIJIT GIRI;
GRACE PIZZEY;
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.
HOLADI*836K2
Help us improve
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HOLADAY-PARKS INC
Effective — expiration
05/22/2017— 05/22/2019
Designated administrator
GIBSON, JERAMIE W
License type
Electrical Administrator
Liberty Mutual Ins Co
Bond account no.
023039138
Received by L&I
05/22/2017
Bond
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.
GIBSOJW94OLZ
$4,000.00
Effective date
05/11/2017
Expiration date
Until Canceled
Page 2 of 3
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
177,231-00
Account is current.
Doing business as
HOLADAY PARKS INC
Estimated workers reported
Quarter 2 of Year 2018 "Greater than 100 Workers"
L&I account contact
T4 / CASSANDRA SMITH (360)902-5632 - Email: SMCA235@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 safety and health
Check for any past safety and health violations found on jobsites this business was responsible for.
Inspection results date
09/22/2016
Inspection no.
317940948
Location
1007 Stewart St
Seattle, WA 98101
No violations
Help us improve
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INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERM1 NO.
CITY OF TUKWILA BUILDING DIVISION
6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: tt f (./
-k-01,44,1 ig-L5
Type of Inspection: A- ,
Address:
4 6 cp -5. dit PL .
Date Called:
Special Instructions:
cfcrS
(2 ir-5
3 1.605
Date Wanted:
0fi
a.
.m.
Requester:
Phone No:
Approved per applicable codes. 0 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,
HOLADAY-PARKS INC
Inspection results date
08/09/2016
Inspection no.
317940177
Location
1011 Western Ave, Suite 1000
Seattle, WA 98104
Inspection results date
05/05/2016
Inspection no,
317940156
Location
4600 S 134th PI
Tukwila, WA 98168
Inspection results date
06/11/2014
Inspection no.
317319382
Location
1011 Dexter Ave
Seattle, WA 98102
Inspection results date
05/08/2014
Inspection no.
317278497
Location
2nd and 110th Ave
Bellevue, WA 98004
No violations
No violations
No violations
No violations
Page 3 of 3
(d) Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington.
Help us improve
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