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HomeMy WebLinkAboutPermit EL19-0222 - TUKWILA VILLAGE / BUILDING A - CONDUIT ONLYTUKWILA VILLAGE BUILDING A 14200 TUKWILA INTL BLVD ELI 9-0222 Parcel No: Address: ��^��x m,� Tukwila v�U~� uvn o��m`���na entmfCommunity Development 63O0SouthoenterBoulevard, Suite #1O0 Tukwila, Washington 98188 9hone/2O6-4]1'8670 Inspection Request Line: 206'438'9350 VVebsite:http://www.Tukwi|aVVA.gox ELECTRICAL OTC PERMIT 1523049242 Permit Number: EL19-022Z Project Name: TUKWILA VILLAGE - BUILDING A Issue Date: 3/I4/2019 Permit Expires On: 9/10/2019 Owner: TUKWILA CITY OF 6200SDUTHCENTER8LVD'TUKVV|LA, WA, 98188 Contact Person: Address: POBOX Q49'8JMNER,WA, 9839O Contractor: Name: EVERGREEN STATE ELECTRIC INC Address: POBOX 849'SUK4NER,WA, 98390 License No: [V[RGSE006UA Lender: Name: "I Phone: (253)770{K656 Phone: (253)77040656 Expiration Date: 4/1/2020 DESCRIPTION OF WORK: CONDUIT ONLY PERMIT FOR ELECTRICAL PERMIT TO BE APPLIED FOR AT A LATER DATE Valuation cdsingle family: $0.00 Valuation ofmf/comm: $100.00 Type of Work: NEW Fees Collected: $69.62 Electrical Service Provided by: SEAlTLECITY LIGHT Water District: 125 Sewer0stdct: V«LLEYV|EVV 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: ized Signature: National Electrical Code: WA Cities Electrical Code: VV4CZ96-46M: Code: 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. 1 am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: /6(6�p Date: -5 1/� Print Name: a,{� [_ad 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 lnspector. 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 TUKJIIJI Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical PermNo. 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 King Co Assessor's Tax No.: Site Address: je+2--raliam 66tA ith-kAktik,„A, sto Suite Number: Tenant Name:lag/AM 1/d/AA., 600/46 "A'' PROPERTY OWNER Name1WWW4 1)/1/& aligi.Ongbitg Address:01-0-‘ I' ?7W ACJg.S. City: pumao 4 State: (2) Zip.,037c4. CONTACT PERSON — person receiving all project communication Name: m 64A 044,,,,,,,6,if1/4) Address: Po eat_ 9 it,' City: .5uxwit State: t2/j, Zip -w3 Phone:.25-3_6e64692_ Fax: 0-3_ 770 _i 767 Email: k-t) ved I, a Ile— .- Veyfiu te... , c-c.JA4,1, New Tenant: Floor: .....Yes ELECTRICALCONTRACTOR INFORMATION Company Name: AxELCPI2I li. Address: rb City: State: Zip. Phone: Fax-• )13- 776-/ 7.c) Contr Reg No.:Eum65660.-, SA Exp Date: 20 Tukwila Business License No.; bas, _Ocict _72.toi Valuation of Project (contractor's bid price): $ /OLD Scope of Work (please provide detailed information): 5 e,oevebt (4etad Will service be altered? Li Yes 0 No Adding more than 50 amps? El Yes Ei No Type of Use: ork: New 0 Addition 0 Service Change 0 Remodel p Tenant Improvement 0 Low Voltage E] Generator El Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 0 Puget Sound Energy iff Seattle City Light 1-1:kApplicationsWorms-Applicatiuns On Line\2014 Applications \Electrical Permit Applical ion Revised I -1-14.docs Rcvised: July 2013 bh RESIDENTIAL NEW RESIDENTIAL SERVICE Ill New single family dwellings $152.85 (including an attached garage) El] Garages, pools, spas and outbuildings $81.90 ea • Low voltage systems (alarm, furnace thermostat) $59,85 ea RESIDENTIAL REMODEL AND SERVICE CHANGES El Service change or alteration $81.90 (no added/altered circuits) D Service change with added/altered circuits $81.90 number of added circuits $11.55 ea • Circuits added/altered without service change $54.60 (up to 5 circuits) D Circuits added/altered without service change $54.60 (6 or more circuits) $7.65 ea ▪ Meter/mast repair $68.25 D Low voltage systems $59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES Ei Temporary service (residential) $65.00 ID Temporary service (generator) $80.90 D Manufactured/mobile home service $86.25 (excluding garage or outbuilding) El Carnivals $80.60 Number ofconcessions $10.80 ea Each ride and generator truck ........ ........$10.80 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. 1 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: Print Na e: Mailing Address: 3/1741744b&-Ligki caze7 City Day Telephone: Date: ee—/ Slate 0,5z179—(2__ HAApplicat ions \Forms -Applications On Line\ 2014 ApplicationstElectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 INSPECTION RECORD Retain a copy with permit INSPECTION NO. t E • MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection F equest Line (206) 438-9350 Project* "". TYPe of Inspection: Address: Date Called: Special Instructions: ©ate Wanted: a.m. p.m. Requester: Phone No: proved per applicable codes. El Corrections required prior to approval. Date: Q( a REINSPECT! • FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. P R1lIT N CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection► Request Line (206) 438-9350 Project: , Type of t nspectio : Address: } Date Called: Special [nst -uctions: Date Wanted: Requester: Phone No: 37 proved per applicable codes. CO Corrections required prior to approval. nspecto Date: REINSPECTI©tJ FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: tf- Address: Date Called: Special Instructions: Date Wanted: --t G � 7 a p'm�', Requester: Phone No: Approved per applicable codes. Ej Corrections required prior to approval. COMMENTS: t Inspector: REINSPECTION f EE REQUIRED. Prior to next inspection. ee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection_ INSPECTION RECORD Retain a copy with permit , INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 D-41- 0.)-).)-. Projec t 1 .. . P Type of I ect n_ '+ Pf r .i i �1 Address (r #I Date Called: Special Instructions: L (� � CO V\C k) # U '� tt , Date Wanted: Requester: �J l) Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: Inspec Date: RE1NSPE'T!ON FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectian. INSPECTION RECORD Retain a copy with permit INSPECTION NO. P RTtT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367 Permit Inspection Request Line (206) 438-9350 Projec Type of Ins : Address: Date Called: Special Instructions: !Date Wanted: Requester: Phone No: 77 Approved per applicable codes. Corrections required prior to approval. COMMENTS: 60 P Inspector: `Date: t1 REINSPECT! N FEE REQUIRED. Prior to next inspection` fee must` be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectiun. INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 5outhcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project:I. , 4_ Type of Inspection: j4 Address. / i 2430 7-7. 6 .. Date Called: Special Instructions: Date Wanted: (f(2 .a.rrf7.4 Requester: •-V-11- ZThrr'f Phone No: 377 321 ' Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 1 I REINSPECTION FEE REQUIRED. Prior to next inspection. fee m st e paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspectioit. INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection,Request Line (206) 438-9350, Projec pe o I ectio : Address: Date Called: pecial Instructions: =Da i anted: Requester: Phone No:537‘ 4.- . proved per applicable codes. Corrections required prior to approval. REINSPECTION FEE REQUIRED. Prior to next inspection. fee rust be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Spec al Instruction LJApproved per applicable codes. COMMENTS: Corrections required prior to approval. 5194 c& L44-6,1 Inspector: Date: RE1NSPEC"Tf N FEE REQUIRED. Prior to next inspection. fee rtust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID 69.62 EL19-0222 Address: 14200 TUK ILA INTL BLVD Apn: 152 049242 69.62 ELECTRICAL $66.30 PERMIT FEE MULTI-FAM/COMM R000322101.00,O0 0.00$6630 TECHNOLOGY FEE . 2 TECHNOLOGY FEE R000.322,900 04.00 0.00 $3.32 TOTAL FEES PAID BY RECEIPT: R17160 $69.62 Date Paid: Thursday, March 14, 2019 Paid By: EVERGREEN STATE ELECTRIC INC Pay Method: CHECK 1088 Printed: Thursday, March 14, 2019 11:19 AM 1 of 1 City of Tukwila Department of Community Development 1/2/2020 MITCH CHAMBERLIN PO BOX 849 SUMNER, WA 98390 RE: Permit No. EL19-0222 TUKWILA VILLAGE - BUILDING A 14200 TUKWILA INTERNATIONAL BLVD Dear Permit Holder: Allan Ekberg, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 2/8/2020. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 2/8/2020, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File No: EL19-0222 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 H 0111C Etipa n 01 CO otact Safety & Health Claims & Insurance Washington State Department of / Labor & industries A-Z Index 1.4el p . My L&I Workplace Rights Trades & Licensing EVERGREEN STATE ELECTRIC INC Owner or tradesperson Principals CHAMBERLIN, MITCHELL, PRESIDENT CHAMBERLIN, LYNDA K, VICE PRESIDENT CHAMBERLIN, LYNDA, AGENT WILKINSON, JESSICA, SECRETARY (End: 12/26/2012) Doing business as EVERGREEN STATE ELECTRIC INC WA UBI No 601 521 666 PO BOX 849 SUMNER, WA 98390 253-770-0656 PIERCE County Business type Corporation Governing persons LYNDA K CHAMBERLIN MITCHELL D CHAMBERLIN; License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. EVERGSE066JA Effective — expiration 04/01/1994— 04/01/2020 Designated administrator CHAMBERLIN, MITCHELL Active. Meets current requirements. Active. Meets current requirements. License type License no, Master Electrician CHAMBM*977KG Bond Contractors Bonding & Insurance Co Bond account no 5J5622 $4,000.00 Received by L&I Effective date 04/24/2012 04/01/2012 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations Infraction no. Help us improve /4.741 EJORP05671 Satisfied Issue date RCW/WAC 08/15/2013 19.28.101 RCW Violation city Violation amount SUMNER $4,000.00 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 electricatelecommunication installation or alteration as referenced in WAC 296-46B-901. (THIS CITATION WAS ISSUED IN MATRIX FORMAT. THIS CITATION IS INTENDED TO COVER SEVERAL PROJECTS) Infraction no. EJORP05672 Issue date 08/15/2013 Violation city SUMNER Type of violation ELECTRICAL CITATION Description Energizing electrical equipment without an electrical inspection as referenced in WAC 296-46B-901. Satisfied RCW/WAC 19.28.101 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. L&I Account ID Account is current. 546,299-01 Doing business as EVERGREEN STATE ELECTRIC INC Estimated workers reported Quarter 4 of Year 2018 "21 to 30 Workers" L&I account contact T1 / LINDSEY BOOTH (360)902-5596 - Email: B000235@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 No inspections during the previous 6 year period. 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