HomeMy WebLinkAboutPermit EL18-0992 - CENTURYLINK - DAMAGE REPAIRS TO POWERCENTURYLINK
14631 51ST AVE S
ELI 8-0992
Parcel No:
Address:
Project Name:
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.gov
0040000647
14631 51ST AVE S
CENTURYLINK
ELECTRICAL OTC PERMIT
Permit Number: EL18-0992
Issue Date: 11/20/2018
Permit Expires On: 5/19/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
ZAPATA ZACHARY T
14631 51ST AVE S GREEN IRIS M
+ANDREW, TUKWILA, OR, 98168
JANA HAMMER
29191 NW WEST UNION RD , NORTH
PLAINS, OR, 97133
MCCOY ELECTRIC CO INC
2014 SE 9TH AVE , PORTLAND, OR,
97214
MCCOYEC381JT
Phone: (503) 534-7521
Phone: (503) 234-7521
Expiration Date: 7/30/2019
DESCRIPTION OF WORK:
MAKE REPAIRS TO POWER PED HIT BY A VECHILE
Valuation of single family: $0.00
Valuation of mf/comm: $2,000.00
Type of Work: SERV CHNG
Fees Collected: $130.83
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
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: I 1 _ Z
2017
2017
2017
2015
—I
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 agr•e to the conditions attached to this permit.
Signa
Print Name: -e V ►1/1 A.)/1/5
Date: ///- 1/r
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::: ���ww..IlikwilawA.gov
Electrical Permit No. -C (✓ 6 - 0 q°12_
Project No.
Date Application Accepted: II— Z 0 — 18
Date Application Expires: S-19-11
(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: �ST AVE. SOUTH
Tenant Name: CENTURYLINK
King Co Assessor's Tax No.: 1729
Suite Number: Floor:
New Tenant: 0 Yes
PROPERTY OWNER
Name: JANA HAMMER
Address: 29191 NW WEST UNION RD
Name: CENTURYLINK
Phone: (503) 234-7521 Fax: (503) 234-9473
Email: JANAH@MCCOYELECTRIC.COM
Address: PO BOX 11600
City: MONROE
State: LA
Zip: 71211
CONTACT PERSON — person receiving all project
communication
Name: JANA HAMMER
Address: 29191 NW WEST UNION RD
City: NORTH PLAINS State: OR Zip: 97133
Phone: (503) 234-7521 Fax: (503) 234-9473
Email: JANAH@MCCOYELECTRIC.COM
..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: MCCOY ELECTRIC
Address: 29191 NW WEST UNION RD
City: NORTH PLAINS State: OR Zip: 97133
Phone: (503) 234-7521 Fax: (503) 234-9473
Contr Reg No.: 600089036 Exp Date: 07/31/2019
Tukwila Business License No.; BUS -0996478
Valuation of Project (contractor's bid price): $ 2,000
Scope of Work (please provide detailed information): MAKE REPAIRS TO POWER PED HIT BY A VEHICLE
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes ® No
Type of Use:
Tvpe of work:
O New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
O Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
® Puget Sound Energy 0 Seattle City Light
W: Pcrmil Cenuel1Appliwiionf-Handou UWctmi ApplkauoniWtW Ekslrical Pena Application Revised 1-1-17.docs
Revised: January 2017
bh
Ann,. 1 '4'1
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 583.54
number of added circuits 512.00 ea
❑ Circuits added/altered without service change 555.69
(up to 5 circuits)
❑ Circuits added/altered without service change 555.69
(6 or more circuits) 57.65 ea
❑ Meter/mast repair .......................................................569.62
❑ 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) 566.30
O Temporary service (generator) 582.52
O Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals 582.21
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 OWNER OR ICAL CONTRACTOR:
Signature:
Date: 11/20/2018
Print Name: ZACK ARMSTRONG Day Telephone: (503) 234-7521
Mailing Address: 29191 NW WEST UNION RD NORTH PLAINS OR 97133
City
W:Wcrmil Center\Applicvian-Hwdauts\Permit Applicalionau'DF5\Elcctrical Permit Application Revised 1-1-17.docx
Revised: Janson, 2017
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State Zip
Pao,. of
Page 1 of 2
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 11/20/2018 11:59:39 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********9955 K
TRAN AMOUNT: $130.83
APPROVAL CD: 07677D
RECORD #: 000
CLERK ID: jazzel
X
{CARDHOLDER'S SIGNATURE}
1 AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
https://classic.convergepay.com!VirtualMerchant/transaction.do?dispatchMethod=printTr... 11/20/2018
Date:
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
11/20/2018 11:59:39 AM
CREDIT CARD SALE
VISA
CARD NUMBER:
TRAN AMOUNT:
APPROVAL CD:
RECORD #:
CLERK ID:
**********9955
$130.83
07677D
000
jazzel
Thank you!
Customer Copy
K
Page 2 of 2
https ://c las sic. convergepay. comNirtualMerchant/transaction. do?dispatchMetho d=printTr... 11/20/2018
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
ACCOUNT QUANTITY
PAID
PermitTRAK
EL18-0992 Address: 1463151ST AVE 5 Apn: 0040000647
$130.83
$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
R000.322.900.04.00
0.00
$6.05
TOTAL FEES PAID BY RECEIPT: R15880
$130.83
Date Paid: Tuesday, November 20, 2018
Paid By: KEVIN NILSEN
Pay Method: CREDIT CARD 07677D
Printed: Tuesday, November 20, 2018 12:00 PM 1 of 1
SYSTEMS
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 -
Permit Inspection Request Line (206) 438-9350
Project:
liA1
Typ f In ec ion: .7
i v
Address71[1
'ill01- 5-1
Date Called:
Special Instructions:
Date Wanted:
p. .
Requester:
KiClie Ai
Phone Noza (,, S77 zgy
Approved per applicable codes. OCorrections required prior to approval.
OMMENTS:
0
A
NJ
Inspector: r.N.71
Date:
REINSPECTIOI FEE REQUIRED. Prior to next inspectiorf fee m st be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
MCCOY ELECTRIC CO INC
k Washington State Department of
/ Labor & Industries
0
Name 17",spanol Contact [Search L&I
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Workplace Rights Trades & Licensing
MCCOY ELECTRIC CO INC
Owner or tradesperson
Principals
Landon, Jason J, PRESIDENT
Landon, Ryan M, TREASURER
CT CORP SYSTEMS, AGENT
LANDON, MAX N, PRESIDENT
(End: 12/17/2012)
LANDON, MARLENE A, TREASURER
(End: 12/17/2012)
Doing business as
MCCOY ELECTRIC CO INC
WA UBI No
600 089 036
29191 NW West Union Rd.
P0,Box 1550
NORTH PLAINS, OR 97133
503-2U-7521
Business type
Corporation
Governing persons
MAX
N
LANDON
JASON J LANDON;
RYAN M LANDON;
MARLENE A LANDON;
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.
MCCOYEC381JT
Effective — expiration
04/30/1962— 07/30/2019
Designated administrator
Armstrong, Zachary D
License type
Master Electrician
Bond
DEVELOPERS SURETY & INDEM CO
Bond account no.
849755C
Active.
Meets current requirements.
License no.
ARMSTZD880P5
$4,000.00
Received by L&I Effective date
12/16/2005 01/07/2006
Expiration date
Until Canceled
Help us improve
https://seeure.lni.wa.gov/verify/Detail.aspx?UBI=600089036&LIC=MCCOYEC381if&SAW= 11/20/2018
MCCOY ELECTRIC CO INC .^,
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
This company has multiple workers' comp accounts.
Active accounts
L&I Account ID
583,859-02
Doing business as
MCCOY ELECTRIC CO INC
Estimated workers reported
Quarter 3 of Year 2018 "11 to 20 Workers"
L&I account contact
T3 ! KAYLENE MONIER (360)902-6627 - Email; BRKB235@Ini.wa.gov
Track this contractor 9
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
No inspections during the previous 6 year period.
Page 2 of 2
i; Washington Stale Dept. of Labor & Industries. Use o1 this site is subjecte stale of Washington.
Help us improve
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