HomeMy WebLinkAboutPermit EL18-0907 - CITY OF TUKWILA / INTERURBAN SHOP - LABOR AND MATERIALS TO INSTALL DEDICATED CIRCUITCITY OF TUKWILA
13900 INTERURBAN AVE S
ELI 8-0907
Parcel No:
Address:
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
0003000049
13900 INTERURBAN AVE S
Project Name: CITY OF TUKWILA
Permit Number: EL18-0907
Issue Date: 10/19/2018
Permit Expires On: 4/17/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
TUKWILA CITY OF
6200 SOUTHCENTER BLVD , TUKWILA,
WA, 98188
MATT BLACKBURN
2001 SIXTH AVE - SUITE 1776 ,
SEATTLE, WA, 98121
BLUE CORE POWER LLC
2001 SIXTH AVE - SUITE 1776 ,
SEATTLE, WA, 98121
BLUECCP841NN
Phone: (206) 397-5600
Phone: (206) 397-5600
Expiration Date: 8/15/2020
DESCRIPTION OF WORK:
LABOR AND MATERIALS TO INSTALL (1) NEW DEDICATED CIRCUIT
Valuation of single family: $0.00
Valuation of mf/comm: $1,870.00
Type of Work: TENANT IMP
Fees Collected: $130.83
Electrical Service Provided by: SEATTLE CITY LIGHT
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:
Date: 10
2017
2017
2017
2015
9,4e
tia',
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 and agree to the conditions attached to this permit.
Signature: Cil9 Date: I00I1Q
Print Name:
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 TUKWiC
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
®O
Electrical Permit No. FLI OtO
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: 13900 Interurban Ave South
Tenant Name: City of Tukwila
PROPERTY OWNER
Name: Matt Blackburn
Name: City of Tukwila
City: Seattle State: WA Zip: 98121
Address: 13900 Interurban Ave South
Email: matt.blackburn@bluecorepower.com
City: Tukwila State: WA
Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: Matt Blackburn
Address: 2001 6th Ave, Suite 1776
City: Seattle State: WA Zip: 98121
Phone: (206) 397-5600 Fax:
Email: matt.blackburn@bluecorepower.com
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes O.. No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: BlueCore Power LLC
Address: 2001 6th Ave, Suite 1776
City: Seattle State: WA Zip: 98121
Phone: (206) 201-0300 Fax:
Contr Reg No.: BLUECCP8411d Exp Date: 08/15/2020
Tukwila Business License No.; BUS -0998248
Valuation of Project (contractor's bid price): $ 1,870
Scope of Work (please provide detailed information): Labor and materials to install (1) new dedicated circuit
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use: Office
Type of work:
❑ New 0 Addition 0 Service Change ❑ Remodel 0 Tenant Improvement
0 Low Voltage ❑ Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ 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
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, 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)
O 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
O Meter/mast repair $69.62
O 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
***El- ECTIVE 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:
Date: 10/18/2018
Print Name: Alycia Ivins Day Telephone: (206) 201-0300
Mailing Address: 2001 6th Ave, Suite 1776, Seattle, WA 98121
City
W:\Permit Center\Applications-Handouts\Perm t Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
bh
State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT QUANTITY
PAID
130.83
EL18-0907 Address: 13900 INTERURBAN AVE S
Apn: 0003000049
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: R15669
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Friday, October 19, 2018
Paid By: ALYCIA IVINS
Pay Method: CREDIT CARD 02539Z
Printed: Friday, October 19, 2018 2:38 PM 1 of 1
SYSTEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 10/19/2018 02:37:50 PM
CREDIT CARD SALE
MASTERCARD
CARD NUMBER: **********8275 K
TRAN AMOUNT: $130.83
APPROVAL CD: 02539Z
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
Page 1 of 2
https://classic. convergepay.com/V irtualMerchant/transaction.do?dispatchMethod=printTr... 10/19/2018
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO, PERMIT N
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
(206) 431
Project: ry VIK,
Type of Inspection:
I
Address:
/
/ 3po Ali k 9
Date Called:
Special Instru ions:
Date Wanted:
ARequester:
a.
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
OMMENTS:
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fe6 must be
paid at 6300 Southcenter Blvd.. Suite 100. Cott to schedule reinspection.
1 INSPECTION RECORD
TION NO. 1
Retain a copy with permit atil-Oct°7
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
Project: ei „r),,
Type of Inspection:
Date:
foAoh g
Address:
/3 Do arda
Date Called:
-,
Special Instruct' ns:
1 eic--r.
Date Wanted:/pJ
. .
Requester:
Nifp
Phone No:
el , - .--,
i -CO 6 I /
n -.
'',.
r
ElApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
NAP eprit6r A‘AesracCr
/JD
Inspector:
L
c__ ifil
/ ty446c
Date:
foAoh g
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedute reinspection.
BLUE CORE POWER LLC
A Washington State Department of
Labor & Industries
Home L,spanoi Contact
Safety & Health Claims & Insurance
Page 1 of 2
A-% Index Help My 110
Workplace Rights Trades & Licensing
BLUE CORE POWER LLC
Owner or tradesperson
Principals
Blackburn, Matthew R, PARTNER/MEMBER
Blackburn, Sandra A, AGENT
Doing business as
BLUE CORE POWER LLC
WA UBI No.
603 622 678
2001 6th Ave Ste 1776
SEATTLE, WA 98121
206-397-5600
KING County
Business type
Limited Liability Company
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.
BLUECCP841NN
Effective — expiration
08/15/2016— 08/15/2020
Designated administrator
BARKER, JEFFREY G
License type
Electrical Administrator
Bond
American Contractors Indem CO
Bond account no.
100317749
Received by L&I
08115/2016
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.
BARKEJG077RD
$4,000.00
Effective date
08/01/2016
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.
200,307-02
Doing business as
BLUE CORE POWER LLC
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603622678&LIC=BLUECCP841NN&SAW= 10/19/2018