HomeMy WebLinkAboutPermit EL18-0894 - ALEXANDER LOZANO LAW - INSTALL DATA WIREALEXANDER LOZANO LAW
16400 SOUTHCENTR PKWY
308
ELI 8-0894
Parcel No:
Address:
City of Tukwila
0
Department 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.gov
ELECTRICAL OTC PERMIT
2623049021
16400 SOUTHCENTER PKWY 308
Project Name: ALEXANDER LOZANO LAW
Permit Number: EL18-0894
Issue Date: 10/16/2018
Permit Expires On: 4/14/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
RADOVICH PROPERTIES LLC
2835 82ND AVE SE STE 5 1, MERCER
ISLAND, WA, 98040
CORRIE BENDER
1402 LAKE TAPPS PKWY SE - SUITE 104
-158 , AUBURN, WA, 98052
PACIFIC BUSINESS SYSTEMS INC
22013 26TH ST E , SUMNER, WA,
98391
PACIFBS991JT
11!
Phone: (253) 261-0900
Phone: (253) 862-7600
Expiration Date: 4/30/2019
DESCRIPTION OF WORK:
INSTALL DATA WIRE
Valuation of single family: $0.00
Valuation of mf/comm: $2,000.00
Type of Work: LOW VOLTAGE
Fees Collected: $127.02
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: /6:6
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 agree to the conditions attached to this permit.
Signature:
Print Name:
Date: C ^
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 TUKIVAA
Community Develop Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
ham://www.TukwilaWA.gnv
Electrical Pat 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
King Co Assessor's Tax No.:
Floor: 3'
Site Address: 1 is9 �� 6. v)1 l_P T t-� f K1./ y Suite Number: ") n 2
Tenant Name: 4 j ‹c ><- 1---c.) .2-ccOjG 6-4 t✓ New Tenant;
PROPERTY OWNER
Name:0 /Y( _ 4 _ r
Address:
/r r j4-- tl� 14.ior r ieewv S r IO q-/.:
Name: ✓ (_,
-
Phone: 2 S) ,,z Z 7z•Z x:
Email: G6 .^,r.'G cZ2 P2S -4},k, c� r
Address:
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name:0 /Y( _ 4 _ r
Address:
/r r j4-- tl� 14.ior r ieewv S r IO q-/.:
City: 1./6 ve^ State: �//4 Zip:
p. 4e172
-
Phone: 2 S) ,,z Z 7z•Z x:
Email: G6 .^,r.'G cZ2 P2S -4},k, c� r
Yes ❑,. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: r l G;c•S S S•
(` � [J tl 'Sin „S 7,
Address: .
lzlay Gc 1 (t* S6—
City Jb L se: j// to Zip , 7
� A.,
Phones
3 /' z 7(, G o.
Contr Reg No.: 14 C i• j S q Exp Date: /3
/ % E / /
r r-
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): vl C Tf 1) P4. 4 S`
Will service be altered? 0 YesNo
Adding more than 50 amps? 0 Yes ,.cr No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel
Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication
Property Served by:
uget Sound Energy ❑ Seattle City Light
W:1Pennit Center.Applications-HandoutsWPermit Applications\WordlElectrical Permit Application Revised 1-1-2017,docx
Revised: January 2017
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❑ Tenant Improvement
❑ 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, 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
014yvoltage systems $61.05
�/J (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 ELE TRICAL CONTRACTOR:
Signature:
Print Name:_//'( l/
Mailing Address: /"a
Lc k
/0y_/ss,
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-I-2017.docx
Revised: January 2017
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Date: /(j
Day Telephone: 2 -S ) 7‘e...) 0
slate
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS ACCOUNT
PermitTRAK
QUANTITY
PAID
$127.02
EL18-0894 Address: 16400 SOUTHCENTER PKWY 308 Apn: 2623049021
$127.02
ELECTRICAL
$120.97
PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00
0.00
$120.97
TECHNOLOGY FEE
$6.05
TECHNOLOGY FEE R000.322.900.04.00
TOTAL FEES PAID BY RECEIPT: R15638
0.00
$6.05
$127.02
Date Paid: Tuesday, October 16, 2018
Paid By: PACIFIC BUSINESS SYSTEMS
Pay Method: CHECK 9466
Printed: Tuesday, October 16, 2018 2:05 PM 1 of 1
SYSTEMS
31
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431 -
Project: tozio Jo Ltv
Type of Inspection:
Address:
(cp. 00—Y -C N Pf-
Date Called:
Special Instructions:
5 F
LI
Date Wanted:
a.m.
0 . .
Requester:
Phone No:
z?,5b3 1 73()
Approved per applicable codes. Corrections required prior to approval.
OMMENTS:
nspector:
Date:
(0 /
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection,
INSPECTION NO,
INSPECTION RECORD
Retain a copy with permit
(14P
AY)
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -
Permit Inspection Request Line (206) 438-9350
Project:
/,-97.Ashic) LA-.. ll
Type of Inspection:
0 tAt+ ii\l/
Address:.
-C— P 347
Called:
_.,
Special Instructions:
CAtt, :.4 rn rte
b ct-CA'
Date Wanted:
0
a.m.
. .
Requester:
Phone No: ,z,v40 5.63
173
kpproved per applicable codes. Corrections required prior to approval.
OMMENTS:
nspe tor:
rj
Date:
d
REINSPECTIOtI 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) 431-38-?
Permit Inspection Request Line (206) 438-9350
Project: ZDZAJO
Type of Inspection:
MA-
Address-' �' Pt- ( •o j
�Date
•
Date Called:
Wanted:/ ry
a.m
Special Ins ruf ctions:
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
orrections required prior to approval.
kfFaJ5 i/;r
Inspector:
61
Date:
of
n REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Soithcenter Blvd., Suite 100. Call to schedule reinspection.
PACIFIC BUSINESS SYSTEMS mail,
A k Washington State Department of
kl Labor & Industries
0
Horne Espanol Contact Search L&I
Page 1 of 2
A-7, Index I lelp 1.KI
Sa'ety & Health Claims Sr Insurance Workplace Rights
PACIFIC BUSINESS SYSTEMS INC
Owner or tradesperson
Principals
BENDER, CORRIE D, PRESIDENT
BENDER, CORRIE, AGENT
Doing business as
PACIFIC BUSINESS SYSTEMS INC
WA UBI No
601 601 545
22013 26TH ST E
SUMNER, WA 98391
253-862-7600
PIERCE County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
LIMITED ENERGY
HVAC/RFRG
License no.
PACIFBS991JT
Effective — expiration
04/30/2001— 04/30/2019
Designated administrator
BENDER, CORRIE D
Active.
Meets current requirements.
License type License no.
Master Electrician BENDECD962NF
Bond
Ohio Cas Ins Co
Bond account no.
32S404296
Received by L&I
06/14/2013
Bond history
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
07/28/2013
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
Account is current.
Trades & Licensing
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601601545&LIC=PACIFBS991JT&SAW= 10/16/2018