HomeMy WebLinkAboutPermit EL18-0876 - TEMPUR-PEDIC - REMOVE 1 LIGHT AND ADD 4 RECEPTACLESTEMPUR-PEDIC
17195 SOUTHCENTER PKWY
WITH DRWNICANCEL
10/24/18
ELI 8-0876
Parcel No:
Address:
e
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.eov
ELECTRICAL OTC PERMIT
2623049071
17195 SOUTHCENTER PKWY
Project Name: TEMPUR-PEDIC
Permit Number: EL18-0876
Issue Date: 10/11/2018
Permit Expires On: 4/9/2019
Owner:
Name:
Address:
KTM GROUP LLC
2940 FAIRVIEW AVE E , SEATTLE, WA,
98102
Contact Person:
Name: TRAVIS QUACKENBUSH
Address: 7056 S 220TH ST, KENT, WA, 98032
Contractor:
Name:
SEA TAC ELECTRIC INC (ELECTRICAL)
Address: 7056 S 220TH ST, KENT, WA, 98032-
1910
License No: SEATAEI077RW
Lender:
Name:
Address:
Phone: (206) 300-1902
Phone: (253) 872-5553
Expiration Date: 12/17/2019
DESCRIPTION OF WORK:
Valuation of single family: $0.00
Valuation of mf/comm: $1,200.00
Type of Work: TENANT IMP
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:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Permit Center Authorized Signature:
Date:
0
irIx
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 r} gulating construct' yfi or the performance of work. I am authorized to sign and obtain this
development per it and a: = the onditions attached to this permit.
Signature:
Print Name:
1 -1 -ti v (d 01A -"4 -11 -^.-to WYE.
Date: (4)///
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 TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. euc6-ovco
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: 17195 Southcenter Parkway
King Co Assessor's Tax No.:
Suite Number: Floor:
Tenant Name: Tempur-pedic
PROPERTY OWNER
Name: Travis Quackenbush
Name:
City: Kent State: WA Zip: 98032
Address: 17195 Southcenter Parkway
Email: travis.quackenbush@seatacelectric.com
City: Tukwila State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Travis Quackenbush
Address: 7056 S. 220th Street
City: Kent State: WA Zip: 98032
Phone: (206) 300-1902 Fax:
Email: travis.quackenbush@seatacelectric.com
New Tenant: ❑ Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Seatac Electric, Inc.
Address: 7056 S. 220th Street
City: Kent State: WA Zip: 98032
Phone: (253) 872-5553 Fax: (253) 872-4112
Contr Reg No.: seataei077rw Exp Date: 12/17/2019
Tukwila Business License No.; BUS -0994354
Valuation of Project (contractor's bid price): $ 1,200
Scope of Work (please provide detailed information): Demo one light and adding four receptacles (one
for each nightstand).
Will service be altered? ❑ Yes m No
Adding more than 50 amps? ❑ Yes m No
Type of Use: Nightstands
Type of work:
❑ New ❑ Addition 0 Service Change 0 Remodel ® Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Ea Puget Sound Energy ❑ Seattle City Light
W:\Permit Center\Applications-Handouts\Permit Applications \PDF's\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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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
***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 OWN OR E .._. RICAL ONTRACTOR:
Signature:
Print Na
Mailing Address:
7056 S.
Oth St
Date: 10/10/2018
Day Telephone: (206) 300-1902
Kent WA 98032
W:\Permit Center\Applications-Ha dwts\Permit Applications\PDrs\Electrical Permit Applicat
Revised: January 2017
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Revised I-1-17.ducx
City
State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT
QUANTITY
PAID
$130.83
EL18-0876 Address: 17195 SOUTHCENTER PKWY Apn: 2623049071
$130.83
Credit Card Fee
$3.81
Credit Card Fee
R000.369.908.00.00
0.00
$3.81
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R15596
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Thursday, October 11, 2018
Paid By: TRAVIS QUACKENBUSH
Pay Method: CREDIT CARD 014843
Printed: Thursday, October 11, 2018 11:41 AM 1 of 1
SYSTEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 10/11/2018 11:41:05 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********7349 K
TRAN AMOUNT: $130.83
APPROVAL CD: 014843
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://classic.convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTr... 10/11/2018
Page 2 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
Date: 10/11/2018 11:41:05 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********7349 K
TRAN AMOUNT: $130.83
APPROVAL CD: 014843
RECORD #: 000
CLERK ID: Rachelle
Thank you!
Customer Copy
https://clas sic. convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTr... 10/11/2018
TO:
FROM:
DATE:
SUBJECT:
MEMORANDUM
Richard Takechi
Rachelle Ripley
November 2, 2018
Tempur-Pedic
Permit Number EL18-0876
/�1 r (51+,`l,cr
1//S//6j
Please credit $101.61 (one hundred -one dollars and sixty-one cents) for a credit card
transaction made on October 11, 2018.
The Building Official has approved an 80% refund of the permit fees paid.
Please provide the refund as follows:
Account 000.322.101.00.00: $
Account 000.322.900.04.00: $
Total: $
Thank you!
96.77
4.84
101.61
Rachelle Ripley
From: Ebony O'Neill <meiU >
Sent: Wednesday, October 24, 2018 12:18 PM
To: Rachelle Ripley
Subject: FW: Permit cancellation EL18-0876
Ebony O'Neill
Service Billing Coordinator
Office: 253-872-5553
Direct: 253-638-7513
Email: ebunvonei| cnm
From: Ebony O'NeiII
Sent: Wednesday, October 24, 2018 12:13 PM
To:'rache||erip|ey@tukvv|avva.gov <rachelleripley@tukwilawa.gov>
Subject: Permit cancellation EL18-0876
Hi Rachelle,
1 would like to cancelpermit EL1Q-OO76for the Tempupoedicproject. VVeendedupnotdoingthisp ject as the work
that we thought needed to be done, didn't. I can be the point of contact for the cancellation, however the technician
that pulled the permit was Travis Quackenbush 206-300-1902.
Thank you Racheue, please let me know if you have any questions on this.
Ebony O'Neill
Service Billing Coordinator
Office: 253-872-5553
Direct: 253-638-7513
Email: ebonv.oneille.seatacelectric.com
This email oiinatedfromout idethe[hyofTuhwi|anetmork.P|easeDO NOT open attachmerits or click
links from an unknown or suspicious oiin.
Request for Ref` d
Approved for full refund
XApproved for To refund of
Denied (provide explanation)
Signature nitials
1
SEA TAC ELECTRIC INC
Washington State Department of
Labor & Industries
c
Page 1 of 3
I Ionic 1,sixdiol Contact Search L&I
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Safety & Health Claims & Insurance Workplace Rights
SEA TAC ELECTRIC INC
Owner or tradesperson
Principals
HARGREAVES, TOM, PRESIDENT
JORDAN, TOM, VICE PRESIDENT
BEAN, ERIC, SECRETARY
BEAN, ERIC, TREASURER
HARGREAVES, TOM, AGENT
HARGREAVES, KATHERINE, SECRETARY
(End: 12/10/2008)
BURKS, ROY, VICE PRESIDENT
(End: 12115/1995)
Doing business as
SEA TAC ELECTRIC INC
WA UBI No.
601 510 212
7056 S 220TH ST
KENT, WA 98032
253-872-5553
KING County
Business type
Corporation
Governing persons
KATHERINE
M
HARGREAVES
THOMAS R HARGREAVES;
TOM JORDAN;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
SEATAEI077RW
Effective — expiration
12/16/1993— 12/17/2019
Designated administrator
Jordan, Thomas
License type
Master Electrician
Bond
DEVELOPERS SURETY & INDEM CO
Bond account no.
798649C
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
JORDAT*914LR
$4,000.00
Received by L&I Effective date
12/03/2008 12/16/2008
My
Trades & Licensing
Help us improve
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SEA TAC ELECTRIC INC Page 2 of 3
0012k
Expiration date
Until Canceled
Savings
(in lieu of bond) $4,000.00
Received by L&I Effective date
12/16/1993
Release date Impaired date
N/A N/A
Savings account ID
0290690320
License Violations
Infraction no.
ECHAP01667
Issue date
11/03/2014
Violation city
KENT
Type of violation
ELECTRICAL CITATION
Description
Failing to request an inspection within 3
business days after completion of the
installation or 1 business day after energizing,
whichever occurs first as referenced in WAC
296-46B-901.
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Infraction no.
EWHA000205 Satisfied
Issue date RCW/WAC
04/23/2014 19.28.101 RCW
Violation city Violation amount
KENT $1,250.00
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Infraction no.
ELY0D00293
Issue date
12/24/2013
Violation city
KENT
Type of violation
ELECTRICAL CITATION
Description
Failing to get an inspection or obtain an
electrical/telecommunications work permit or
post a provisional electrical work permit prior
to beginning the electrical/telecommunication
installation or alteration as referenced in WAC
296-46B-901.
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$2,000.00
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 Account is current.
536,103-01
Doing business as
Help us improve
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