Loading...
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