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HomeMy WebLinkAboutPermit EL19-0080 - HABITAT FOR HUMANITY - REPLACE WITH LED TUBESHABITAT FOR HUMANITY 1185 ANDOVER PARK W ELI 9-0080 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 3523049093 Permit Number: EL19-0080 1185 ANDOVER PARK W Project Name: HABITAT FOR HUMANITY Issue Date: 1/28/2019 Permit Expires On: 7/27/2019 Owner: Name: Address: Contact Person: Name: ICON OWNER POOL 1 WEST LLC 2 N RIVERSIDE STE 2350 , CHICAGO, WA, 60606 JUNIOR SEGURA Address: 3723 SERENE WAY, LYNNWOOD, WA, 98087 Contractor: Name: LIGHTS INC Address: 3723 SERENE WAY, LYNNWOOD, WA, 98087 License No: LIGHTI*830R7 Lender: Name: Address: Phone: (206) 949-3188 Phone: (425) 478-7747 Expiration Date: 12/28/2019 DESCRIPTION OF WORK: REPLACE EXISTING FLOURESCENTTUBES IN FIXTURES WITH LED TUBES IN STORE Valuation of single family: $0.00 Valuation of mf/comm: $5,022.00 Type of Work: TENANT IMP Fees Collected: $221.73 Electrical Service Provided by: PUGET SOUND ENERGY 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: 2017 2017 2017 2015 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: Print Name: '1,(e%CY)C.\ Date: t—Z%— \ \ 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 296-466 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://www.TukwilaWA.gov Electrical Permit No. G L) no 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 Site Address: 1 \ Tenant Name: �/ Jung Co Assessor's Tax No.: A J f Suite Number: Floor: Eta � V v '•' - r New Tenant: ❑ Yes ©'.No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name: \ J�� `v�� J� \per t Address: 7 z3 5„2e�4Y�f'_ City: yY1 �W O0C/ State: Zip: .� Phone:242cr '"11 t t$4 Fax: D Email: `S,e�jva Q `\ 1n4S 1 V1C „cow, ELECTRICAL CONTRACTOR INFORMATION Company Name: � C C Address: 3 ..T�. s Y"" ,1've �ek,.. y City: L hh,,, 0 State: (A) IC Zip:C111 — Phone: (.7 31; ; ax: Contr Reg No.: L Gtilin y,0 3 Date:12/.2g-/(c Tukwila Business License No., Valuation of Project (contractor's bid price): $ ��2 {� -t, C.` Scope of Work (please provide detailed information): s ?lc2 1 S w .Pi u o{ e c e'rt '�' -� u i1 fr)(1vCeS LEP s }`0(-2 Will service be altered? ❑ Yes ©No Adding more than 50 amps? Q Yes © o Type of Use: Tyne of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel EKTenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light W:\Permit Center\Applications-HandoutslPermit Applications \PDF's\Electrical Permit Application Reavised 1-17.19.docx Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings $180.00 (including an attached garage) El Garages, pools, spas and outbuildings $120.00 ea 0 Low voltage systems (alarm) $60.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $120.00 (no added/altered circuits) 0 Service change with added/altered circuits $100.00 number of added circuits $10.00 ea El Circuits added/altered without service change $60.00 (up to 5 circuits) O Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea 0 Meter/mast repair $80.00 O Low voltage systems $60.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $60.00 E3 Temporary service (generator) $90.00 0 Manufactured/mobile home service $100.00 (excluding garage or outbuilding) O Carnivals ..... . ..... .......... ..... . ......... „. $100.00 Number of concessions $11.00 ea Each ride and generator truck S11.00 ea ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% I ECHNOLOGY 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 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: Print Name: `f-ckY\C6C. Mailing Address: 312. 3 1/0 Day Telephone: J'lvlV")e0 City Date: ZS"- 2°6 9-Liff 3 in Liu State Zip W:Tennit Center \Applicetions-Handouls1Permit Applications \PDFsElectrical Permit Application Revised I-17-19docx Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID 73 EL19-0080 Address: 1185 ANDOVER PARK W Apn: 3523049093 $221.73 Credit Card Fee $6.46 Credit Card Fee R000.369.908.00.00 0.00 $6.46 ELECTRICAL $205.02 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $205.02 TECHNOLOGY FEE $10.25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R16665 R000.322.900.04.00 0.00 $10.25 $221.73 Date Paid: Monday, January 28, 2019 Paid By: FRANCISCO SEGURA Pay Method: CREDIT CARD 028286 Printed: Monday, January 28, 2019 11:03 AM 1 of 1 SYSTEMS 0 CO CITY OF TUKNILA 0017340000802374464500 Date: 01/28/2019 I1:02:09 mq CREDIT CARD SALE VISA CARD NUMBER: **********5891 K TnAN AMOUNT: $22I.73 APPROVAL CD: 828286 RECORD #: 000 CLERK ID: Bill x {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT Thank you! merchant Copy CO TUKWILA ETRAKIT 6200 SOVTHCENTER gLVD TUKWILx, WA 98188 206-433-1878 CITY OF TUKWILA Date: 81/28/2819 11:02:09 AM CREDIT CARD SALE VISA CARD NUMBER: *******^**5891 K TRAN AMOUNT: $221.73 APPROVAL CD: 028286 RECORD #: 000 CLERK In: Bill Thank you! Customer Copy 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 Projec : tiss kr e of Inspec n: Address: ate Called: Special Instructions: ,e-0 .....,,,,Ap 5a,--ei Date Wanted: . . ._ Requester: Phone No: Approved per applicable codes. COM ENTS: Corrections required prior to approval. nspecto ate: REINSPECTION �EE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Horne Espanol Contact Safety & Health Claims & Insurance 4111111hk Washington State Department of Labor & Industries A-Z Index Help My L&I Workplace Rights Trades & Licensing LIGHTS INC Owner or tradesperson Principals SEGURA, FRANCISCO, PARTNER/MEMBER SIMPSON, DEWAYNE, PARTNER/MEMBER Segura, Francisco, AGENT Doing business as LIGHTS INC WA UBI No, 604 150 933 Parent company ALLSTAR LIGHTING LLC 3723 SERENE WAY LYNNWOOD, WA 98087 425-478-7747 SNOHOMISH County Business type Limited Liability Company Governing persons FRANCISCO JR SEGURA DEWAYNE SIMPSON; License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. LIGHTI*830R7 Effective — expiration 12/28/2017— 12/28/2019 Designated administrator Segura, Francisco Jr Active. Meets current requirements. Active. Meets current requirements. License type License no. Electrical Administrator SEGURFJ899CP Bond Travelers Cas and Surety Co of America Bond account no. 106777982 $4,000.00 Received by L&I Effective date 12/27/2017 12/27/2017 Expiration date Until Canceled Savings , No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. IWorkers' comp Help us improve L&I Account ID 656,,, .... Doing business as LIGHTS INC Estimated workers reported Quarter 3 of Year 2018 "1 to 3 Workers" L&I account contact T3 / KAYLENE MONIER (360)902-6627 - Email: BRKB235@lni.wa.gov ,10111 Do you know if the business has employees? If 'iitr jerify the business is up-to-date on workerscomp premiu 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. 0 Washington State Dept. of Labor & Industries. Use of this rile is subject to the laws of the state of Washinoton, Help us improve