HomeMy WebLinkAboutPermit EL19-0332 - THE ADECCO GROUP - RELOCATE HVAC THERMOSTATS, NEW ZONE DAMPER AND NEW THERMOSTATTHE ADECCO GROUP
14220 INTERURBAN AVE S
130
ELI 9-0332
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.Qov
ELECTRICAL OTC PERMIT
3365901881
14220 INTERURBAN AVE S 130
Project Name: THE ADECCO GROUP
Permit Number: EL19-0332
Issue Date: 4/16/2019
Permit Expires On: 10/13/2019
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SHELBY COMPANY LLC-FWC
1015 3RD AVE #900 INTEGRATED REAL
ESTATE SVCS, SEATTLE, WA, 98104
DANIEL KIM
3132 NE 133 ST , SEATTLE, WA, 98125
PSR-HVAC & MECHANICAL SERVICES
PO BOX 27073 , SEATTLE, WA, 98165
PSRHVMS922N.
Phone: (206) 367-2500
Phone: (206) 367-2500
Expiration Date: 4/21/2020
DESCRIPTION OF WORK:
Valuation of single family: $0.00
Valuation of mf/comm: $872.00
Type of Work: LOW VOLTAGE
Fees Collected: $101.88
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 Signa
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
Date:
2017
2017
2017
2015
y
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 toviolate orcancel the provisions ofany other
state orlocal laws regulating construction o,thepprfonnanoeofwnrk. |amauthorized tosign and obtain this
development permit and agree tnthe conditions attached tothis permit.
Signaturk:
~
:+6//|C1
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 orabandoned for aperiod nfl8Udays from the last inspection.
PERMIT CONDITIONS:
l: 'ELECTRICAL PERMIT [0ND0DNS*~~
2: Acopy ofthe electrical work permit shall beposted nrotherwise made readily accessible tothe Electrical
Inspector ateach 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/n accordance with NFP47O NEC, and requirements for electrical installations,
Chapter 296-468VVACand the Washington Cities Electrical Code.
5: When any portion ofthe electrical installation is tobehidden from view hypermanent placement nfparts
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 togrant this authority are therefore not valid.
7: Any change inthe scope ofwork described bythe 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: (2O6)4]8'935V
2100 ELECTRICAL FINAL
7003 RUUGH'|NELE[TR|[AL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUK
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://vvvvw.TukwilaWA.gov
Electrical Permit No. g/.' -0 3 3;
Project No.
Date Application Accepted: (--/— —/ q
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:
Tenant Name:
1+22.0 ktecrotrhain Av S
The- AD pcco &rm.?
PROPERTY OWNER
Name:
S kel 67 Company LLC.
Address:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Dctvci 1
K;
Address: &32. NE. /31,4 s.t
City: &mil, State: WA Zip: %as.
e,
Phone:206., u 7._ zoo Fax: 2D6 _368_ 68s6
Email:
ek&VI:i8e1 . ki',..& g c)srote,chow6rt,,1 ei,viit
King Co Assessor's Tax No.: 336560( ci8" t
Suite Number: SO Floor:
New Tenant:
g Yes El..No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: psR. Not e.cjet atex;.ce,...1
Address: 3132. NE 13,3,4 st
City: sextt e- State: WA zircigt 25
Phone:20e _367_ 2s0
Fax: 206_3a_ 6 8.56
0
Contr Reg No.: psgiv myt243T Exp Date: +730/2.0
Tukwila Bu ness License No.; 0 6134-la
.512tiVMSI22 ND 4/2.1 /2 0
Valuation of Project (contractor's bid price): $ 272-
Scope of Work (please provide detailed information): ge_Aoc,ovte- (4) fow- --therevvsixts •
V'&w zone, olpur 00,4 (1) n.m," lifterroo std.:
1 vo>fk 11 (1)
Will service be altered? tJ Yes SC No
Type of Use: Corbirver-eiovl Of-fit.e
Adding more than 50 amps? El Yes 1:2'No
Type of work:
0 New El Addition [1] Service Change 0 Remodel
Low Voltage 0 Generator 0 Fire Alarm CI Telecommunication
Property Served by:
Puget Sound Energy 111 Seattle City Light
WAPermit Center \ Applications -Handouts \ Permit Applications\ PDF's \ Electrical Permit Application Revised I - I 7-I9.docx
0 Tenant Improvement
El Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
fl New single family dwellings $1 80.00
(including an attached garage)
0 Garages, pools, spas and outbuildings $120.00 ea
El Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
Service change or alteration .... ........ $120.00
(no added/altered circuits)
• Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
ID Circuits added/altered without service change $60,00
(up to 5 circuits)
121 Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
LI Meter/rnast repair $80.00
El Low voltage systems$60,00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
• Temporary service (residential) $60,00
111 Temporary service (generator) $90.00
• 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 ..... ..... $1 1.00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5`)/0
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:
Print Name: Da
Mailing Address: 313Z
Date: 4716/11
Day Telephone: 206-36 7- 2500
14/AState 631125
8
Zip
City
WAPermit Center \ Applications -Handouts \Permit Applications \PDF's \ Electrical Permit Application Revised I -I 7-I9.docx
Page 2 of 2
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
, PAID
$419.32
EL19-0332 Add e s: 14220 INTERURBAN AVE S 130 Apn: 3365901881
$101.88
ELECTRICAL
$97.03
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0,00
$97.03
TECHNOLOGY FEE
$4.85
TECHNOLOGY FEE
R000. 22.900.04.00
0.00
$4.85
M19-0060 Address: 14220 INTERURBAN AVE S 130 Apn: 3365901881
$317.44
MECHANICAL
$305.23
PERMIT ISSUANCE BASE FEE
R000.322.100,00.00
0.00
$33.15
PERMIT FEE
R000 322,100.00.00
0.00
$211.03
PLAN CHECK FEE
R000.322,102,00.00
0.00
$61,05
TECHNOLOGY FEE
$12,21
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17416
R000.322.900.04.00
0.00
$ 2,21
$419.32
Date Paid: Tuesday, April 16, 2019
Paid By: PSR-HVAC & MECHANICAL SERVICES
Pay Method: CHECK 013263
Printed: Tuesday, April 16, 2019 2:45 PM 1 of 1
EMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
ERMIT 0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431
Permit Inspection Request Line (206) 438-9350
Project: A
Tr<0: Inspection I
Address:
til
tililit
Date Called:
Special Instructions:
51
g -76,c,
'Date
Wanted:
. .
Requester: ,
_ .
OTr
Phone No
Approved per applicable codes. 1 1 Corrections required prior to approval.
COMMENTS:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee mis
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Horne Espanol Contact:
Safety & Health Claims & Insurance
Ck Washington State Department of
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Workplace Rights Trades & Licensing
PSR-HVAC & MECHANICAL SERVICES
Owner or tradesperson
Principals
Austin, Matthew W, PRESIDENT
CT CORPORATION SYSTEM, AGENT
HOGERTY, REAGEN P, VICE PRESIDENT
(End: 04/23/2012)
O'MALLEY, JAMES J, SECRETARY
(End: 04/23/2012)
MILLER, ROBERT J JR, PRESIDENT
(End: 12/30/2014)
HINTON, BRIAN WILLIS, CHIEF FINANCIAL
OFFICER
(End: 12/30/2014)
Doing business as
PSR-HVAC & MECHANICAL SERVICES
WA UBI No.
602 811 195
Parent cornpany Governing persons
PUGET SOUND REFRIGERATION INC INC
PO BOX 27073
SEATTLE, WA 98165
206-367-2500
KING County
Business type
Corporation
MSHC
MATTHEW AUSTIN;
NEIL BAVINS;
SRUN KHOU,
CRAIG STEINKE;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
MAINTENANCE
HVAC/RFRG
License no.
PSRHVMS922NJ
Effective — expiration
04/21/2008— 04/21/2020
Designated administrator
Jackson, William R
Active.
Meets current requirements.
License type License no.
Electrical Administrator JACKSWR897OW
Bond
International Fidelity Ins Co $4,000.00
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