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Permit EL18-1103 - NATERA - PULL IN RT UNIT FEEDER. 50A
NATERA 3215 S 116 ST 109 ELI8-1103 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.gov ELECTRICAL OTC PERMIT 0923049066 Permit Number: EL18-1103 3215 S 116TH ST 109 Project Name: NATERA Issue Date: 12/26/2018 Permit Expires On: 6/24/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: EPROPERTY TAX INC DEPT 207 PO BOX 4900 , SCOTTSDALE, WA, 85261 SHANNON SCHWARTZ 918 CEDAR AVE , MARYSVILLE, WA, 98270 H & M ELECTRIC INC PO BOX 799 , MARYSVILLE, WA, 98270 License No: HMELEI*077KR Lender: Name: Address: Phone: (360) 658-0501 Phone: (360) 658-0501 Expiration Date: 5/19/2019 DESCRIPTION OF WORK: PULL IN RT UNIT FEEDER. 50A Valuation of single family: $0.00 Valuation of mf/comm: $1,200.00 Type of Work: NEW Fees Collected: $130.83 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: VALLEY VIEW 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 296-468: WA State Energy Code: 2017 2017 2017 2.015 l,/ t Permit Center Authorized Signature: W Date: IC( 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 agree to the conditions attached to this permit. Signature /� Date: /o?-07- Print o?--Print Name: Aie5 h nn25Q 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 1900 PLUMBING FINAL 9002 ROUGH -IN GAS PIPING 8005 ROUGH -IN PLUMBING 9001 UNDERGROUND CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical PermitNo. Project No. Date Application Expires ((or ojce 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 Address: Q l - 116 Tenant Name: A)aiefie1/4- Su elect King Co Assessor's Tax No.: Suite Number: /8 9 Floor: () New Tenant: PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON - person receiving a.11 project communication Name: 441,i c la, t c t C. NAkirmo0 Lnw Address: (1 ff (e_00,( cx j € City: o "'0,k ysu I j t e State: (1 Zip: G° it�T o� ,)syr) Fax: Phone: 3GO l J�✓ l Email: I ' `1'0�e (j . A g l� cow\ ® Yes ❑ ..No ELECTRICAL CONTRACTOR INFORMATION'. Company Name: Ci M e (e t f C Address: q{� �,aTGr A Ue- City:pI/�,CYSCI��It' State: 604- Zip: 370 Phones: - 0 CEO) Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): S)U 11 I r'N RT 0tr\50,6, Will service be altered? ❑ Yes g] No Adding more than 50 amps? ❑ Yes El No Type of Use: Type of work: 4 New ❑ Addition 0 Service Change 0 Remodel 0 Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: ❑ Puget Sound Energy 0 Seattle City Light W1Permit Center\Applications-Handouts\Permit Applications \PDF's\ElectricalPermit 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 ❑ 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) 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 $11.02 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPLICATION NOTES - Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: '� - Date: /2 `-6 - / c -e Print Name:5t! p• Day ( //Telephone: 36D 6? r� 7 Mailing Address: q [$ Coi c r #-v e I V S i t lo- IN1i4 j 1 v ` Q Y City State Zip W:Nermit Center\Applications-Handouts \Permit Applications \PDF's\Electrical Permit Application Revised I-1-17.docx Revised: January 2017 bh 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: 12/26/2018 09:43:35 AM CREDIT CARD SALE VISA CARD NUMBER: **********2974 K TRAN AMOUNT: $130.83 APPROVAL CD: 116234 RECORD #: 000 CLERK ID: Rachelle {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 https ://classic.convergep ay .com/V ntualMerchant/transaction. d o?di spatchMetho d=printTr... 12/26/2018 0 CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA Date: 12/26/2018 09:43:35 AM CREDIT CARD SALE VISA CARD NUMBER: **********2974 K TRAN AMOUNT: $130.83 APPROVAL CD: 116234 RECORD #: 000 CLERK ID: Rachelle Thank you! Customer Copy Page 2 of 2 https://classic.convergepay. comNirtualMerchant/transaction.do?dispatchMethod=printTr... 12/26/2018 SCRIPTION ACCOUNT QUANTITY4. PAID PermitTRAK $130.83 EL18-1103 Address: 3215 5 116TH ST 109 Apn: 0923049066 $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 $6.0S TECHNOLOGY FEE TOTAL°FE AID BY RECEIPT: °R16233 R000.322.900.04.00 0.00 $6.05 130.83 Date Paid: Wednesday, December 26, 2018 Paid By: H & M ELECTRIC INC Pay Method: CREDIT CARD 116234 Printed: Wednesday, December 26, 2018 9:43 AM 1 of 1 .. _LAa SYSTEMS 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: A/ Arekk Type of Inspection: At Ai, Address: - ,. 3A..-- ... 5 r- Date Called: Special Instructions: Guitvkt°P\ Date Wanted: . . Requester: stwai Phone 14°A;G: 7fil 1,633 pApproved per applicable codes. D Corrections required prior to approval. COMMENTS: Date: 42t /(1 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. H & M ELECTRIC INC Washington State Department of ZiLabor & Industries 0• Page 1 of 2 Houle Espanol Contact Search L&I A -Z Inckx Help My UM Safety & Health Claims & Insurance Workplace Rights & M ELECTRIC INC Owner or tradesperson Principals MCCANN, KENNETH F, PRESIDENT MCCANN, JOSEPH F, VICE PRESIDENT CHMELIK, SITKIN & DAVIS PS, AGENT Doing business as H & M ELECTRIC INC WA UBI No. 601 461 695 PO BOX 799 MARYSVILLE, WA 98270 360-658-0501 SNOHOMISH County Business type Corporation Governing persons JOSEPH F MCCANN KENNETH F MCCANN; License Verify the contractor's active registration / Iicense / certification (depending on trade), and any past violations. Electrical Contractor License specialties GENERAL License no. HMELEI*077KR Effective — expiration 05/19/1993— 05/19/2019 Designated administrator MCCANN, JOSEPH F License type Electrical Administrator Bond Merchants Bonding Co (Mutual) Bond account no WA28643 Active. Meets current requirements. Active. Meets current requirements. License no. MCCANJF077LF $4,000.00 Received by L&I Effective date 10/28/2013 12/13/2013 Expiration date Until Canceled Bond history Savirigs No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Trades & Licensing Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601461695&LIC=HMELEI*077KR&SAW= 12/26/2018 H & M ELECTRIC INC 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 844,746-00 Doing business as H & M ELECTRIC INC Estimated workers reported Quarter 3 of Year 2018 "31 to 50 Workers" L&I account contact T2 / DALE RIUTTA (360)902-4834 - Email: RIUD235@Ini.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 No inspections during the previous 6 year period. Page 2 of 2 ©Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601461695&LIC=HMELEI*077KR&SAW= 12/26/2018