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Home My WebLink AboutPermit EL18-1099 - INNOVATIVE FOUNDATION SOLUTION - WIRE NEW MEETING AND CONFERENCE ROOMINNOVATIVE FOUNDATION SOLUTIONS 4855 S 13 PL ELI 8-1099 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.Rov ELECTRICAL OTC PERMIT 2613200055 4585 S 134TH PL INNOVATIVE FOUNDATION SOLUTIONS Permit Number: Issue Date: Permit Expires On: EL18-1099 12/20/2018 6/18/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: KEELER PROPERTIES LLC 4585 5 134TH PL , TUKWILA, WA, 98168 JAY ROSANDER 16806 113 LN SE , RENTON, WA, 98055 CUSTOM ELECTRICAL SERVICES LLC 3716 AUBURN WAY N STE 102, AUBURN, WA, 98002 CUSTOES893J2 ,,, Phone: (425) 780-1537 Phone: (425) 282-4971 Expiration Date: 4/22/2019 DESCRIPTION OF WORK: WIRE NEW MEETING/CONF ROOM EXPIRED PERMIT EL18-0544 Valuation of single family: $0.00 Valuation of mf/comm: $1,000.00 Type of Work: REMODEL Fees Collected: $109.68 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW,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: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature: |hearby certify that 1 have read and examined this permit and know the same to be true and correct. All provisions of Iaw and ordinances governin: this work will be complied with, whether specified herein or not. The granting of this permit does state nr|o '' regulating Signature: Print Name: n AtistiAttailPf ^ ail give authority to violate or cancel the provisions of any other e performance of work. I am authorized to sign and obtain this ons attached to this permit. Date:/ �' � This permit shall become null artd void if the woris not commenced within 180 days for the date of issuanceor if the work is suspended or abandoned for a period of 180 days from the last inspection. PERMIT CONDITIONS: 1: ~~~EL[[TK|[ALPERMIT CDNO|TlONS~~~ 2: A copy of the electricaJ workpermit shall be posted or otherwise made readily accessible to the Electrical Inspector at each work site. 3: Approved plans shall be maintairied 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 construeci 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) 488'9350 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKDp'ILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. CJ Y/ 10q(1 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 � ,JI King Co Assessor's Tax No.: Site Address: � �l7"� t� L Suite Number: Floor: Tenant Name: t );4.0 - l vC Fa .r O A -1—l. W1 'r L- 1/4/ ri S New Tenant: ❑ Yes ®:.No PROPERTY OWNER Name: . V --r) ./^,,f•I OL -7 -12 -- Address: 32,1kJ 3u °r► , jjt\i ST,E- 'tet 7 City: {� „ig.4.4State: 14 Zip: c 9oz..„_ Name: Email:EC'r(Lt c Ai_ Se li``�o ( LvSTQmc(, Phone: Fax: Contr Reg No.: Exp Date: Address: 5 /1(- 5 JA" - P7 4 Y� City: State: Zip: CONTACT PERSON - person receiving all project communication Name: . V --r) ./^,,f•I OL -7 -12 -- Address: 32,1kJ 3u °r► , jjt\i ST,E- 'tet 7 City: {� „ig.4.4State: 14 Zip: c 9oz..„_ PhoneCk2ss2,g -ticl/ (Fax: Email:EC'r(Lt c Ai_ Se li``�o ( LvSTQmc(, ELECTRICAL CONTRACTOR INFORMATION Company Names S,�yy) E LEcrg-L c Address: ft.Y"‘- t4, C d :.r -i---A-f--7” City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ / d 'C) C v n Scope of Work (please provide detailed information): 113113t Pte c1-1 �� 7, `'f e �e o• r� Will service be altered? ❑ Yes Ei No Adding more than 50 amps? ❑ Yes 10 No Type of Use: Type of work: ❑ New ❑ Addition 0 Service Change L " Remodel 0 Tenant Improvement ❑ Low Voltage ❑ Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ® Puget Sound Energy 0 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 $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) ❑ 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) '10 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 ***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 1 HAV A AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY WS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING 0 Signature: Print Name: ICAL CO TRACTOR: Mailing Address: 02_ (4, W:\Permit CenterkApplications-Handouts\Permit Applications\PDF's\Electrical Permit Application Revised I-1-17.docx Revised: January 2017 bh Date: Z(2 -o 1 1 g Day Teleph e: -i Z—s -7 go ( 5-3 / 7C) 1 v l3,JR-A v.i ft c 5) City State Zip Page 2 of 2 Page 1 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 12/20/2018 02:18:57 PM CREDIT CARD SALE VISA CARD NUMBER: **********1796 K TRAN AMOUNT: $109.68 APPROVAL CD: 081817 RECORD #: 000 CLERK ID: Rachelle 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 h0ps://classic.convergepay.comNirtualMerchant/transaction.dedispatchMethod=printTr... 12/20/2018 Page 2 of 2 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 12/20/2018 02:18:57 PM CREDIT CARD SALE VISA CARD NUMBER: **********1796 K TRAN AMOUNT: $109.68 APPROVAL CD: 081817 RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy https://classic.convergepay.comNirtualMerchant/transaction.do?dispatchMethod=printTr... 12/20/2018 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $109.68 EL18-1099 Address: 4585 S 134TH PL Apn: 2613200055 $109.68 Credit Card Fee $3.19 Credit Card Fee R000.369.908.00.00 0.00 $3.19 ELECTRICAL $101.42 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 I $101.42 TECHNOLOGY FEE $5.07 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R16195 R000.322.900.04.00 0.00 $5.07 $109.68 Date Paid: Thursday, December 20, 2018 Paid By: CUSTOM ELECTRICAL SERVICES LLC Pay Method: CREDIT CARD 081817 Printed: Thursday, December 20, 2018 2:19 PM 1 of 1 SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMfl N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 0 Permit Inspection Request Line (206) 438-9350 Project/ . kit a1k-rivi yob . A Type of Inspection: Atiq Address:q51cL5-‘ 43 , Date Called: ,--- 'Special Instructions: 900 112c 7Z0 /5-3 7 Date Wanted: a. .m. Requester: j'Al Phone No: 1/2-c2i7.- i/q7( Approved per applicable codes. 0 Corrections required prior to approval. COMMENTS: Inspector: "Jii Date: REINSPECTIONFEE REQUIR D. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. CUSTOM ELECTRICAL SERVICe LLC llome Vspanol Contact Safety & Health Washington State Department of kJ Labor & Industries !Search L81 A -Z [11(.1(!x Help Claims & Insurance Workplace Rights CUSTOM ELECTRICAL. SERVICES LLC Owner or tradesperson Principals ROSANDER, JAN (JAY) EARL, PARTNER/MEMBER RICHTER, JEFF, PARTNER/MEMBER Doing business as CUSTOM ELECTRICAL SERVICES LLC WA UBI No 602 924 637 3802 Auburn Way N # 307 AUBURN, WA 98002 425-282-4971 KING County Business type Limited Liability Company Governing persons JEFF LOUIS RICHTER JAY ROSANDER; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. CUSTOES893J2 Effective — expiration 04/22/2011— 04/22/2019 Designated administrator Rosander, Jan Earl License type Electrical Administrator Bond Travelers Cas and Surety Co of America Bond account no. 105274344 Active. Meets current requirements. Active. Meets current requirements. License no ROSANJ*917KR $4,000 00 Received by L&I Effective date 02/04/2013 04/06/2011 Expiration date Until Canceled Travelers Cas & Surety Co Bond account no. 105274344 $4,000 00 Page 1 of 6 My L&I Trades & Licensing Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602924637&L1C=CUSTOES893J2&SAW= 12/20/2018 CUSTOM ELECTRICAL SERVICErLC Received by L&I 04/22/2011 Impaired date 01/28/2013 Savings No savings accounts during the previous 6 year period. License Violation, Infraction no. EJORP07678 Issue date 07/11/2018 Violation city AUBURN Type of violation ELECTRICAL CLATION Description Failing to provic..) proper supervision to an electrical trainee as required by chapter 19.28 RCW. (UNSUPEiSISED ELECTRICAL TRAINEE JONAHAN DAVIS) I Infraction no. EJORP07679 Issue date 07/11/2018 Violation city AUBURN Type of violation ELECTRICAL CITATION Description Failing to provic proper supervision to an electrical trainee, as required by chapter 19.28 RCW. (UNSUPERVISED ELECTRICAL TRAINEE JORD...N SEFFENS) E r Infraction no. EJ0RP07677 Issue date 07/11/2018 Violation city AUBURN Type of violation ELECTRICAL CI ATION Description Employing an iniividual for the purposes of chapter 19.28 FCCHI who does not possess a valid certificate competency or training certificate to doelectrical work. (EMPLOYING FRANZ ESTEVE.i TO PERFORM ELECTRICAL WORK OUSIDE HE SCOPE OF HIS SPECIALTY ELECTRICAL CERTIFICATION) tri 0 e Infraction no. ECJEF00210 Issue date 04/02/2018 Violation city AUBURN Type of violation ELECTRICAL CI Description Employing an ir chapter 19.28 R valid certificate certificate to do 7ATION .ividual for the purposes of W who does not possess a f competency or training lectrical work. Effective date 04/06/2011 Expiration date Until Canceled Satisfied RCM/VAC 19.28.161 RCW Violation amount 5500.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $500.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $500.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00 Page 2 of 6 Help us improve https://secure.lni va.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893.12&SAW= 12/20/2018 CUSTOM ELECTRICAL SERVIS LLC %my; Infraction no. EMABQ04476 Issue date 06/15/2016 Violation city Auburn Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. THIS CITATION IS ISSUED IN A MATRIX AND IS INTENDED TO COVER MULTIPLE DAYS OF ELECTRICAL VIOLATIONS Infraction no. ELYOD01052 Issue date 05/26/2016 Violation city Auburn Type of violation ELECTRICAL CITATION Description Obtaining an electrical work permit for an unlicensed electrical contractor (See also WAC 296-46B-901). Infraction no. ELYOD01051 Issue date 05/26/2016 Violation city Auburn Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. THIS CITATION IS ISSUED IN A MATRIX AND IS INTENDED TO COVER MULTIPLE VIOLATIONS Infraction no. ESMYR00289 Issue date 08/11/2015 Violation city RENTON Type of violation ELECTRICAL CITATION Description Failing to get an inspection or obtain an 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. ESEA000780 Issue date 05/12/2015 Satisfied ...................... RCW/WAC 19.28.161 RCW Violation amount $3,325.00 Satisfied ........ _......... _... RCW/WAC 19.28.101 RCW Violation amount $175.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $1,225.00 Satisfied RCW[WAC 19.28.101 RCW Violation amount $500.00 Satisfied RCW/WAC 19.28.101 RCW Page 3 of 6 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 12/20/2018 CUSTOM ELECTRICAL SERVICEX.,C Violation city Violation amount RENTON $250.00 Type of violation ELECTRICAL CITATION Description Failing to obtain or post an electrical/telecommunications work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296.46B-900 (3)(6), effective after 12/30/2008 see WAC 296- 46B•901. Infraction no. EOWET00260 Issue date 03/26/2015 Violation city RENTON Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Infraction no. EOWET00259 Issue date 03/26/2015 Violation city RENTON Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Infraction no. EWINP00606 Issue date 02/24/2015 Violation city RENTON Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Infraction no. EWINP00607 Issue date 02/24/2015 Violation city RENTON Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Satisfied RC VV/WAC 19.28.161 RCW Violation amount $500.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $500.00 Satisfied RCW/WAC 19.28.271 RCW Violation amount $500.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Page 4 of 6 Help us improve https://secure.lni.xa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 12/20/2018 CUSTOM ELECTRICAL SERVIt LLC Infraction no. EWINP00592 Issue date 02/23/2015 Violation city RENTON Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Employing Robert Worley and Terry M Bishop Infraction no. EWINP00593 Issue date 02/23/2015 Violation city RENTON Type of violation ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. Employing Robert Worley, Terry M Bishop, and Zachary Johnson. Satisfied RCW/WAC 19.28.271 RCW Violation amount $500.00 Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 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 135,910-02 Doing business as CUSTOM ELECTRICAL SERVICES LLC Estimated workers reported Quarter 3 of Year 2018 "21 to 30 Workers" L&I account contact T2 / KATHY ULRICH (360)902-4829 - Email: WITE235@Ini.wa.gov Track this contractor 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 bld No debarments have been issued against this contractor. Workplace safety and health No inspections during the previous 6 year period. Page 5 of 6 dustries. Use Of this site is suhject m the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 12/20/2018 CUSTOM ELECTRICAL SERVICEC Page 6 of 6 Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893,12&SAW= 12/20/2018