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Home My WebLink AboutPermit EL19-0336 - MAINSPRING HEALTH - NSTALLING 13 DUPLEX RECEPTACLES. 7 NEW SWITCHESMAINSPRING HEALTH 6840 FORT DENT WAY 160 ELI 9-0336 Parcel No: City of Tnnk"""^8a �� Department of Community Development 6300 SuotMcenterBomlevard, Suite0100 Tukwila, Washingtmn98188 Phone: 206'431-3670 Inspection Request Line: 206-438'9350 Web site: http://mmxwv.Tukmi|aWA.mnv ELECTRICAL OTC PERMIT 2954900425 6840 FORT DENT WAY 160 Project Name: MAINSPRING HEALTH Permit Number: EL19'0336 Issue Date: 4/17/2019 Permit Expires On: 10/14/I019 Address: Contact Person: Address; License No: Lender: Name: Address: JONNCRAQOVCHDEVCO 283582NDAVSE #S-1,MERCER ISLAND, WA, 98040 MARTIN CHAVERO M0ELECTRIC ULC MCHELE056LP ''' Expiration Date: 6/17/2019 DESCRIPTION OF WORK: INSTALLING 13DUPLEX RECEPTACLES. 7NEW SWITCHES RELOCATE lSEXISTING ZX4LIGHTS Valuation of single family: $0.0 Valuation ofmf/comm: $12,000l0 Type ofWork: TENANT IMP Fees Collected: $338.86 Electrical Service Provided by: PUGETSOUND ENERGY Water District: TUKVV|LA Sewer District: TUKWILA Current Codes adopted hythe City ofTukwila: International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: Permit Center Authorized Signature: National Electrical Code: VVACities Bectrica|Code: VVAC296'4GB: VVAState 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. | am authorized to sign and obtain this development permit and m8r—to the conditions attached to this permit. Signature: 0, Print Name: x~«C 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: l: 'ELECTRICAL PERMIT OOND[OON5*** 2: Acopy ofthe electrical work permit shall beposted orotherwise 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 in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter Z96'468VVACand the Washington Cities Electrical Code. 5: When any portion of the electrical installation is to be hidden from view by permanent placement of parts ofthe building, such equipment shall not beconcealed until ithas been inspected and approved bythe Electrical Inspector. G: 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 orrelated 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) 430'9350 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. ft( ou (0 1 Project No. Date Application Accepted: (11-- t I 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 ,25 F 0 oiR King Co Assessor's Tax No.: Site Address: 4(8 0 F 12_7-- 7.kJ Suite Number: 6, 0 Tenant Name: /‘-it Ck1.1,3( T (+.1__ New Tenant: PROPERTY OWNER Name: j 0V-A 0 cZ_PrO01 \ c kA Address: 2.4SYS ce2 0(7 A.) s --- lAs I City: State: k-k-) A -Zip:Cr (t3OLIC CONTACT PERSON - person receiving all project communication Name: C\r\_0..•-) 0 Address: Lk 0 -1 S .-3 o6 4-1-# 5 't"-• City: State: Zip: Phon 2:53) „2_36 svcfai: rwG) EmailLA•G.:A \,‘ . c_ 0 A.C.,6.k - 1-`1- L c,-.12-ke • co Floor: 4 cAY Yes D..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Fe-L. • C • Address: S City: State: State: F- c-Pc A L wc1 Ls A_ Zip: Phone: Fax: S 2.5 0 (jt.256) s 1 -12- -7 Con eg No.:A(-4 tc.: LmLig5PePate: /,7 / l 1 Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Ptifi o o Scope of Work (please provide detailed information):k 1 iS1\AA CiLS S x 12s1Loco.,--rE lS \ G, 47 Will service be altered? EJ Yes jp No Adding more than 50 amps? Yes Type of Use: Type of work: El New 0 Addition 0 Service Change 0Remodel El Low Voltage 0 Generator El Fire Alarm 0Telecommunication Property Served by: Puget Sound Energy El Seattle City Light WAPermit CenterVipplicatiom-HandoutsTermit Applic etions\PDFs \Electrical Permit Application Pseisert I -17- I 9.dom Tenant Improvement Temporary Service 3 Page I of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $180.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $120.00 ea ❑ 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 ❑ Circuits added/altered without service change $60.00 (up to 5 circuits) ❑ Circuits added/altered without service change $60.00 (6 or more circuits) $10.00 ea ❑ Meter/mast repair $80.00 ❑ 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 ❑ Temporary service (generator) $90.00 ❑ Manufactured/mobile home service $100.00 (excluding garage or outbuilding) ❑ 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 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: Mailing Address: Date: LI y �� 't °I ai\_ (WON( C) Day Telephone: Cr1.5 3.) 2 S O S `T" WAPermit Center\Applications-HandoutsU'ermd Applications\PDFs'ElectricalPermit Applicatio iced 1.17-19.docx -9 E-2 >-L WA -Li City State 9 3 0d3 Zip Page 2 of 2 • 40 Cash Register Receipt City of Tukwila DESCRIPTIONS ACCOUNT QUANTITY PAID PermitTRAK $338.86 EL19-0336 Address: 6840 FORT DENT WAY 160 Apn: 2954900425 $338.86 Credit Card Fee $9.87 Credit Card Fee R000.369.908.00.00 0.00 $9.87 ELECTRICAL $313.32 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $313.32 TECHNOLOGY FEE $15.67 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17426 R000.322.900.04.00 0.00 $15.67 $338.86 Date Paid: Wednesday, April 17, 2019 Paid By: MARTIN CHAVERO Pay Method: CREDIT CARD 044407 Printed: Wednesday. April 17. 2019 12:01 PM 1 of 1 0 CO CITY OF TUKWIL4 0017340000802374464500 Date: 04/17/2019 VISA CARD NUMBER: T84N AMOUNT: APPROVAL [D: nE[Vno #: CLERK ID: X 12:00:20 PM CREDIT CARD SALE ******+*+*3892 K $338.86 044407 000 1azzeI {CARDHOLDER'S SIGNATURE} I AGREE TO PAY THE ABOVE TOTAL AMOUNT A[[VnoIm6 TO THE CARD ISSUER AGREEMENT Thank you! Merchant Copy CO TUKWILA ETRAKIT 6208 SVUTM[ENTER BLVo TUKWILA^ WA 98188 206-433'1870 CITY OF TUKWILA Date: 04/17/2019 VISA CARD NUMBER: TRAN AMOUNT: APPROVAL [D; RECORD #/ CLERK ID: 12:00:30 PM CREDIT CARD SALE **********3093 $3]8'86 044407 000 jazzel Thank you! Customer Copy K INSPECTION RECORD Retain a copy with permit INSPECTION NO. P T NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431- 6 Permit Inspection Request Line (206) 438-9350 project: Address: pecial Ins u n COMMENTS; Type of Inspection: ate Called: Date Wanted: Requester: Phone No: Corrections required prior to approval. I" 4 Inspector: Date: REINSPECTION 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. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-357 Permit Inspection Request Line (206) 438-9350 Project: 5 'Type of ns pection: / 0J jJ ITV Address: .r'" Date Called: Special Instructions: Date Wanted: a rn` p.m. Requester: Phone No: [ 7 O f 7 proved per applicable codes. COMMENTS: Corrections required prior to approval. ns pecto Date: l RE1NSPECTIOili FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Btvd.. Suite 100. Call to schedute reinspection. 0 Home E8patiol Contact Search L&I Safety & Health Claims & Insurance Washington State Department of Labor & Industries A-Z Index Help My L&I Workplace Ripts Trades & Licensing MCH ELECTRIC LLC Owner or tradesperson Principals MARTIN, CHAVERO, PARTNER/MEMBER MARTIN, CHAVERO, AGENT Doing business as MCH ELECTRIC LLC WA UBI No. 603 513 566 407 S 306th St FEDERAL WAY, WA 98003 253-250-5195 KING County Business type Limited Liability Company License Verify the contractor's active registration / license / certificatbn (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. MCHELEL856LP Effective — expiration 06/17/2015— 06/17/2019 Designated administrator PORTER, JEREMY T License type Electrical Administrator Bond Western Surety Co Bond account no. 63690570 Active. Meets current requirements. License no. PORTEJT971 PO $4,000.00 Received by L&I Effective date 06/22/2018 06/14/2018 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EJORP07450 Issue date 10/26/2017 Violation city FEDERAL WAY Type of violation Satisfied RCW/WAC 19.28.161 RCW Violation amount $250.00 Help us improve ELECTRICAL CITATION Description Failing to provide proper supervision to an electrical trainee as required by chapter 19.28 RCW. ELVIN MORALES SANCHEZ AND MARVIN MOSES Infraction no. ELY0D00960 Issue date 02/26/2016 Violation city FEDERAL WAY Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure the assigned electrical administrator/master electrician is a member of the firm or a full time supervisory employee of the firm as required. THIRD QUARTER OF 2015 Infraction no. ELY0D00961 Issue date 02/26/2016 Violation city FEDERAL WAY Type of violation ELECTRICAL CITATION Description Failure of the electrical contractor to ensure the assigned electrical administrator/master electrician is a member of the firm or a full time supervisory employee of the firm as required. FOURTH QUARTER OF 2015 Satisfied RCW/VVAC 19.28.061 RCW Violation amount $1,000.00 Satisfied RCW/WAC 19.28.061 RCW Violation amount $1,000.00 Workers' comp Do you know if the business has employees? If so, verify the business is up-to-date on workerscomp premiums. Account is current. L&I Account ID 527,921-01 Doing business as MCH ELECTRIC Estimated workers reported Quarter 4 of Year 2018 "4 to 6 Workers" L&I account contact T5 / LINDSAY BARLOW (360)9024735 - Email: BLIN235@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. e p US improve �> Washington State Dept, of Labor 8 Industries. Use of this ubjert to the laws of the state of Washington. Help us improve