HomeMy WebLinkAboutPermit EL19-0205 - DOUBLETREE HOTEL - CIRCUIT EXTENSION FOR FIRE CONTROL PANELSThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL19-0205
DOUBLETREE HOTEL
16500 SOUTHCENTER PKWY
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RECORDS
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DOUBLETREE HOTEL
16500 SOUTHCENTER PKWY
ELI 9-0205
Parcel No:
Address:
�~^�xx ^�� Tukwila
=.�~�x�x o��m`��Kna
'
Department mfCommunity Development
6300SouthcenterBoulevard, Suite #1n0
Tukwila, Washington 9818O
Phmne:3OG-81-3670
Inspection Request Line: Z06'438-9]SU
Web site: http://www.TukwilaWA.Rov
ELECTRICAL OTC PERMIT
6437300020 Permit Number: EL19-0205
Project Name; DOUBLETREE HOTEL
Issue Date: 3/7/2019
Permit Expires On: 9/3/2019
Owner:
Name:
Contact Person:
Name:
Address:
Contractor:
Name:
165005OUTH[ENTERPKVVY,
RUBENCARDONA
SUPERIOR HVA[&ELECTRICAL
Address: l4900INTERURBAN AVE S, STEl30'
License No: SUPERHE869LQ
Lender:
Address:
'''
Phone: (206)743'7460
Phone: (206)674~4666
Expiration Date: 5/18/2020
DESCRIPTION OF WORK:
CIRCUIT EXTENSION FOR FIRE CONTROL PANELS
Valuation ofsingle family: $IOO
Valuation ofmf/comm: $508.00
Type of Work: ADDITION
Fees Collected: $85.94
Electrical Service Provided by: PUGETSOUND ENERGY
Water District. TVKVV|LA
Sewer District: TUKWILA
Current Codes adopted bV the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
ized Signature��
National Electrical Code:
VVACities Electrical Code:
VVACZ96'468:
VVAState Energy Code:
2017
20172017
2015
APAk
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(.?"lc) ,!l
Date: 3 %`iq
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. Whereapprovedplans have been issued, revisions to the plans and additional review may be
required.
PERMIT INSPECTIONS IREQUIRED
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. ' 1..1 °' 02 0 5
Project No. ^�
Date Application Accepted: I 11
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
King Co Assessor's Tax No.:
Site Address: /!` 5CL) -r('r' ,t} ,p�/l j Suite Number: Floor: / fZ
Tenant Name: 07O,Ofe_ 1-ee— 441-7-(. I New Tenant: ❑ Yes No
PROPERTY OWNER
Name:
I� //
)H t�' �-nec_ )lc-C,
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: 19In Ott(I
►'J<.'
Address:
/6 6 li`P_ it X r7(i%
City: &cionGn ( State: A, 1 Zip:
Phone:
0Tfi%`74/' - /-i60
Email: r()b-\0_ic"-.K rit)rhi,t;'i0,-eIeC
ELECTRICAL CONTRACTOR INFORMATION
Company Name:6) e I J, 4C
C / ►
Address:73e5/6 "2
.-c
�%
Z6
City: State:
Zip: c,� -�
Phone: �6.-_ 3^sv6ryx:
Contr Reg No. 621/e s,,6yL axp Date:
c
Tukwila Business License No..,
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information
D((-)2i ! 5
1-)e4'n G--) J r /i-, % P_ C'Gv 2:
Will service be altered? ❑ Yes i No Adding more than 50 amps? Q Yes ►! No
Type of Use:
Type of work:
❑ New / Addition ❑ Service Change ❑ Remodel El Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle City Light
er.Applications-Handouts\Permit Applications'PDFs\Electrical Permit Application Revised I-17-19.doc'
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
o 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
O 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
O 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
0 Temporary service (generator) $90.00
El Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
0 Carnivals ............ .. . .. ........... .............. .......... $100.00
Number of concessions $11.00 ea
Each ride and_generator truck $11.00 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 PERJLTRY 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: (.2,(41/1C.-‘
Mailing Address: 7326 ?6;()
Day Telephone:
City
Date:
- 7/3-- 71/60
rIc IAA4
State Zip
WAPermit CenteMpplicationeMandoutsTemit Applications1PDFAElestrical Permit Application Rovised I -17-1940ex
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT I QUANTITY
PAID
$85.94
EL19-0205 Address: 16500 SOUTHCENTER PKWY Apn: 6437300020
$85.94
Credit Card Fee
$2.50
Credit Card Fee
R000.369.908.00.00
0.00
$2.50
ELECTRICAL
$79.47
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$79.47
TECHNOLOGY FEE
$3.97
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17101
R000.322.900.04.00
0.00
$3.97
$85.94
Date Paid: Thursday, March 07, 2019
Paid By: RUBEN CARDONA
Pay Method: CREDIT CARD 017035
Printed: Thursday, March 07, 2019 8:54 AM 1 of 1
SYSTEMS
CO TUKWILx ETRAKIT
6200 SOUTV[ENTER uLvo
TuKwILx, WA 98188
206'433'1870
CITY OF TVKWIL4
0017340800802374464500
Date: 03/07/2019
08:53:42 An
CREDIT CARD SALE
VISA
CARD wUnesn: +********8774 x
Tx4N AMOUNT: $85.94
APPROVAL [D: 017035
RECORD #: 000
CLERK ID: 1azzel
X
{[4no*ULDEK'5 SI6NATUnsJ
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
CO TUKwILA ETRAKIT
6200 SOoT*CENTEn gLvD
TUKwILA, W4 98188
206'433-1870
CITY OF TUxwILA
Date: 03/07/2819 08:53:42 AM
CREDIT CARD SALE
vzSx
[4nD moMusn: ^~*~^*****8774 K
TRAN AMOUNT: $85.94
4ppnOv4L [o: 017035
RECORD #: 000
CLERK ID: jazzel
Thank youl
Customer Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. ERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd.. #100, Tukwila. WA 98188 (206) 43 67
Permit Inspection Request Line (206) 438-9350
Project
Type Type nspec on:
Address:
Date Called:
;Special Instructions:
k1/4) 664
2-C) 73 7`4 0
Date Wanted:
.
Requester:
Phone No:
S
Approved per applicable codes. El Corrections required prior to approval.
OMMENTS:
inspector:
Date:
REINSPECTION EE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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SUPERIOR HVAC & ELECTRICAL
Owner or tradesperson
Principals
HANSEN, STEPHEN J, PARTNER/MEMBER
HANSEN, STEPHEN J, AGENT
Doing business as
SUPERIOR HVAC & ELECTRICAL
WA UBI No,
602 974 859
Parent company
SUPERIOR HVAC & ELECTRICAL LLC
7325 166th Ave NE
Suite F260
REDMOND, WA 98052
425-283-5460
KING County
Business type
Limited Liability Company
Governing persons
INC
JSH PROPERTIES
STEVE HANSEN;
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.
SUPERHE869LQ
Effective — expiration
06/18/2014— 06/18/2020
Designated administrator
Hoover, Eric Scott
License type
Electrical Administrator
Bond
No bond accounts during the previous 6 year period.
Sayings
(in lieu of bond)
Received by L&I
06/18/2014
Release date
N/A
Savings account ID
License Violations
No license violations during the previous 6 year period.
Active.
Meets current requirements.
License no,
HOOVEES902D6
$4,000.00
Effective date
06/18/2014
Impaired date
NIA
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 Account is current.
Help us improve
56703'01
Doing business as
SUPERIOR ENGINEERING SERVICE
Estimated workers reported
Quarter 4 of Year 2018 "7 to 10 Workers"
L&I account contact
T2 1 SUSAN BETTS (360)902-4828 - BETT235@lni.wa.gov
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
01/08/2016
Inspection no.
317938320
Location
810 River Road
Puyallup, WA 98371
Violations
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