HomeMy WebLinkAboutPermit EL18-0996 - PENSKE - REPLACE EXISTING DEF DISPENSERPENSKE
12840 48 AVE S
ELI 8-0996
Parcel No:
Address:
c
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
ELECTRICAL OTC PERMIT
0004800018 Permit Number: EL18-0990
12840 48TH AVE S
Project Name: PENSKE
Issue Date: 11/26/2018
Permit Expires On: 5/25/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
STRANDER FAMILY L L C
P 0 BOX 88636 , TUKWILA, WA, 98138
ROBERT JACK
680 THORNTON CK LN , CLE ELUM,
WA, 98922
MASCO1T EQUIPMENT CO INC
Address: 435 NE HANCOCK ST, PORTLAND, OR,
97212
License No: MASCOEC957C8
Lender:
Name:
Address:
11)
Phone: (509) 607-3596
Phone: (503) 282-2587
Expiration Date: 6/5/2019
DESCRIPTION OF WORK:
REPLACE EXISTING DEF DISPENCER
Valuation of single family: $0.00
Valuation of mf/comm: $1,200.00
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:
2017
2017
2017
2015
Date: ( ``)_t f
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 4aermit does n
state or local laws regulating constr
development permit and agree to t
to give authority to violate or cancel the provisions of any other
he performance of work. I am authorized to sign and obtain this
ditions attached to this permit.
Signature:
Print Name:
Date: (1''
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 TUIOLA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. E L 0 (9. �D
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
�
1 Q King Co Assessor's Tax No.:
Site Address: / p �j /r� 7' 'Ave Suite Number:
New Tenant:
Tenant Name:
PROPERTY OWNER
Name: :i� D .... t is
s
Name:�'S_k�
City:C I Zip
(✓�/l State: w
-zz.
Phone:.3---z5.e 735,1 :
Address:
State: ACJ � pr, Zipia72 l
�j
Phone:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: :i� D .... t is
s
Address: / -- -j _ .6 ta \ C j Z
�Or GAJ 1
City:C I Zip
(✓�/l State: w
-zz.
Phone:.3---z5.e 735,1 :
f�
Email: iE /�Fc(� (aw re, CteC, tc-c) `,„.\
Floor:
❑ Yes ❑ ..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: V� J�
c D f LC 14-at�,
Address: 45,5— — f
„1/4J/
1_ (, , CoG
(4
City (-t
State: ACJ � pr, Zipia72 l
�j
Phone:
Fax:
Contr Reg No.: Exp Gate:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ /028 r
S ope of Work (please provide detailed information): DC ► P �xi 1M)/
5C
Will service be altered? ❑ Yes No
Type of Use: 4 ` ! / 4 E—
Type of work:
Adding more than 50 amps? ED Yes No
❑ New 0 Addition 0 Service Change Remodel Tenant Improvement
❑ Low Voltage ❑ Generator 0 Fire Alarm ❑ Telecommunication Temporary Service
Property Served by:
L V Puget Sound Energy ❑ Seattle City Light
W:\Permif Center\Applications-Handouts\Permit Applications \PDFs\Electrical Permit Application Revised I-1-17.docx
Revised: January 2017
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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
O Low voltage systems
(alarm) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
0 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
❑ 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
O 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
***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 0
Signature:
Print Name:
Mailing Address:
CTRL L CONTRACTOR:
Date: /
Day Telephone: `�t
716^-14j) C\. ) . lY,Lic An (Ar - 2
City State Zip
W:\Permit CenterlApplications-Handouts\Permit Apptications\PDF's\Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
I ACCOUNT
I QUANTITY
PAID
$130.83
EL18-0996 Address: 12840 48TH AVE S
Apn: 0004800018
$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: R15891
R000.322.900.04.00
0.00
$6.05
$130.83
Date Paid: Monday, November 26, 2018
Paid By: ROBERT JACK
Pay Method: CREDIT CARD 075564
Printed: Monday, November 26, 2018 11:10 AM 1 of 1
SYSTEMS
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 11/26/2018 11:10:28 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********2206 K
TRAN AMOUNT: $130.83
APPROVAL CD: 075564
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/VirtualMerehant/transaction.do?dispatchMethod=printTr... 11/26/2018
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
Project:
0/ S6L
Type of Inspection:
Al Ili
Address: b
VI '(3 la A'
Date Called:
Special Instructions:
_ ,SL - ®LSP ,
Date Wanted:
2b' p.m.
Requester:
Phone No:
514
6
7 3C76/
Vc1Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
crAlki/
Inspector:
Jrht.E^%�
Date:
I J REINSPECT! 1 FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
MASCOTT EQUIPMENT CO IN
Washington State Department of
Labor & Industries
Page 1 of 3
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Workplace Rights Trades & Licensing
MASCOTT EQUIPMENT CO INC
Owner or tradesperson
Principals
MASCOTT, WILLIAM J, PRESIDENT
FLITCRAFT, TERRI J, SECRETARY
VANDEVORD, ARIC, AGENT
WHITE, JIM, AGENT
(End: 05/05/2015)
Doing business as
MASCOTT EQUIPMENT CO INC
WA UBI No.
601 376 971
435 NE HANCOCK ST
PORTLAND, OR 97212-3997
503-282-2587
Business type
Corporation
Governing persons
WILLIAM
J
MASCOTT
WILLIAM J JR MASCOTT;
BONNIE J MASCOTT;
WILLIAM J MASCOTT JR;
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.
MASCOEC957C8
Effective — expiration
02/28/2005— 06/05/2019
Designated administrator
WHITE, JAMES R
License type
Electrical Administrator
Bond
DEVELOPERS SURETY & INDEM CO
Bond account no.
557436C
Active.
Meets current requirements.
License no.
WHITEJR044RG
$4,000.00
Received by L&I Effective date
02/28/2005 11/04/2004
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
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MASCOTT EQUIPMENT CO INC
bk
License Violations
Infraction no.
EANGE00367
Issue date
05/15/2018
Violation city
PORTLAND
Type of violation
ELECTRICAL CITATION
Description
Failing to make corrections within fifteen days
of notification by the department. Where an
extension has been requested and granted,
this penalty applies to corrections not
completed within the extended time period.
Infraction no.
EROJE01365
Issue date
04/17/2018
Violation city
PORTLAND
Type of violation
ELECTRICAL CITATION
Description
Failing to provide proper supervision to an
electrical trainee as required by chapter 19.28
RCW.
Infraction no.
EROJE01129
Issue date
06/02/2017
Violation city
PORTLAND
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. (MATRIX FORMAT 53
CITATIONS)
Infraction no.
ESTLU00326
Issue date
01/13/2017
Violation city
PORTLAND
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.
ESTBS00567
Issue date
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.161 RCW
Violation amount
$250.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$95,400.00
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$1,000.00
Satisfied
RCW/WAC
Page 2 of 3
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MASCOTT EQUIPMENT CO IN
07/28/2016 19.28.101 RCW
Violation amount
$250.00
Violation city
PORTLAND
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
296-468-901.
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
984,093-00
Doing business as
MASCOTT EQUIPMENT CO INC
Estimated workers reported
Quarter 3 of Year 2018 "51 to 75 Workers"
L&I account contact
T5 / KRISTEN WATERS (360)902-5592 - Email: POKE235@lni.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
Check for any past safety and health violations found on jobsites this business was responsible for.
Inspection results date
12/02/2013
Inspection no.
316895887
Location
8184 State Hwy 104
Kingston, WA 98346
Violations
Page 3 of 3
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