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Permit EL18-0905 - LANDLORD WORK - ELECTRICAL WIRING WITH LIGHTING AS IS
LANDLORD WORK 17250 SOUTHCENTER PKWY UNIT 140 ELI 8-0905 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: http://www.TukwIIaWA.Rov ELECTRICAL OTC PERMIT 7888920020 Permit Number: 17250 SOUTHCENTER PKWY Unit140 Project Name,. LANDLORD WORK Issue Date: Permit Expires On: EL18-0905 10/19/2018 4/17/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: WIG PROPERTIES LLC -SS 4811 134TH PL SE , BELLEVUE, WA, 98006 VICTOR FIELD 5746 BOSTON HARBOR RD NE , OLYMPIA, WA, 98506 NORTH PACIFIC ELECTRIC INC 5746 BOSTON HARBOR RD NE , OLYMPIA, WA, 98506-1836 NORTHPE957JA Phone: (360) 701-1076 Phone: (360) 943-6020 Expiration Date: 4/4/2019 DESCRIPTION OF WORK: ELECTRICAL WIRING WITH LIGHTING ASIS Valuation of single family: $0.00 Valuation of mf/comm: $9,000.00 Type of Work: TENANT IMP Fees Collected: $272.13 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: 10 H! "� 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 a agree to the conditions at ,ached to this permit. Signature: Print Name: / � r Date/ ( 2cr 02o/S) 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 TUK Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. I Li 3 - 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 �^t771 7 i Q� c Site Address: King Co Assessor's Tax No.: /•j c25o Soo T c''ni%s4 /39R kw 4-/ SVr7z- /''U Tenant Name: -'✓� ��v c w� • Suite Number: / U Floor: PROPERTY OWNER Name. !v VICTaiR,e c--6 Name: ezN 60( Contr Reg No.: Exp Date: City: 3430 (�-lo'rzS tate: Address: Phone: f� Fax: Email:_ -_- City Q l/ V 6 State:�1 Zip: CONTACT PERSON - person receiving all project communication Name. !v VICTaiR,e c--6 City: 00,71I.poit State. 1.4_9 Zip s-6 6 Address: Contr Reg No.: Exp Date: City: 3430 (�-lo'rzS tate: Zip: Phone: f� Fax: Email:_ -_- • .• "1.1 ,(/f Y r-evo• New Tenant: ❑ Yes ELECTRICAL CONTRACTOR INFORMATION Company Name: A)0,777, )0,7 /7,,c/Ac Fery`/C/ itic Address: 5�11� o't ew /% qc'.Q �� /de City: 00,71I.poit State. 1.4_9 Zip s-6 6 Phone:36o. q/3 . 0 0 Fax: 347 0 -- 5 y'3 - 6 g6 Z Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): ' 7 ( - 'r'e (,06 ' 1" iS: Will service be altered? Yes 0 No Adding more than 50 amps? Type of Use: SP c-/ 77'//.Jo_ 6X44 T i /N 7'O .2. _5-‘,/ Yes ❑ No Type of work: ❑ New 0 Addition 0 Service Change pa Remodel 0 Tenant Improvement ❑ Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: Puget Sound Energy 0 Seattle City Light W:1Pcnnit CentenApplications•Hardoutswermil ApplicationsW/onllElectrical Permit Application Revised I-1-2017.docx Revised: January 2017 bh 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, fumace 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 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 OWNERQJ ELECTRICAL CONTRACTrO . Signature: Print Name: Mailing Address: t e:r (g° &S 77A/ / h4e8o2 Qp .,�c• W:\Permit CenteMpplications-Handouts\Pcnnit Applications\Word\Electrical Permit Application Revised I-1-2017.docx Revised: January 2017 bh Date: Day Telephone: 3 b /�(0 7 ocy.,9©/1 way its ---©6 City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $272.13 EL18-0905 Address: 17250 SOUTHCENTER PKWY Unit140 Apn: 7888920020 $272.13 PERMIT FEE MULTI-FAM/COMM TECHNOLOGY FEE TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R15664 R000.322.101.00.00 R000.322.900.04.00 0.00 0.00 $259.17 $12.96 $272.13 Date Paid: Friday, October 19, 2018 Paid By: NORTH PACIFIC ELIECTRIC INC Pay Method: CHECK 18133 Printed: Friday, October 19, 2018 9:20 AM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit 144N-0,01 INSPECTION NO, PERMIT 0. 7id CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-35O Project: Df,lrispectij6 •••''' _ Address: ft( ate Called: Special Instructions: Date Wanted: . P. • Requester: Phone No: OMMENTS: Approved per applicable codes. Corrections required prior to approval. Inspector: Date: REINSPECTION EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. NORTH PACIFIC ELECTRIC INC 0 Washington State Department of Labor & Industries Horne Espanol Contact Safety & Health Claims & Insurance 0 Page 1 of 3 AZIndex Help M,vi.MI Workplace Rights Trades & Licensing NORTH PACIFIC ELECTRIC INC Owner or tradesperson Principals KULLMANN, BERNHARD M, PRESIDENT Rodgers Kee & Pearson PS, AGENT DITLEVSON, RICHARD, AGENT (End: 03/22/2011) C Scott Kee, AGENT (End: 04/09/2013) Doing business as NORTH PACIFIC ELECTRIC INC WA UBI No. 602 117 535 5746 Boston Harbor Rd NE OLYMPIA, WA 98506 360-943.6020 THURSTON 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 GENERAL License no. NORTHPE957JA Effective — expiration 04/0112005— 04/04/2019 Designated administrator KULLMANN, BERNHARD Active. Meets current requirements. License type License no, Master Electrician KULLMBM974BU Bond OHIO CAS INS CO Bond account no. 3670240 $4,000.00 Received by L&I Effective date 04/01/2005 04/01/2005 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EZINS00380 Satisfied RCW/WAC Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602117535&LIC=NORTHPE957JA&SAW= 10/19/2018 NORTH PACIFIC ELECTRIC INC Issue date 19.28.101 RCW 01/03/2018 '! Violation amount Violation city $250.00 OLYMPIA Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain a valid 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. ECHAP01594 Issue date 04/09/2014 Violation city OLYMPIA 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. Infraction no. ECHAP01584 Issue date 02/10/2014 Violation city OLYMPIA 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 $1,000.00 Satisfied .................... _... RCW/WAC 19.28.101 RCW Violation amount $250.00 AVON 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 284,080-02 ...... ....................... Doing business as NORTH PACIFIC ELECTRIC INC Estimated workers reported Quarter 2 of Year 2018 "7 to 10 Workers" L&I account contact T4 / CASSANDRA SMITH (360)902-5632 - Email: SMCA235@Ini.wa.gov Account is current. 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 Page 2 of 3 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602117535&LIC=NORTHPE957JA&SAW= 10/19/2018