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HomeMy WebLinkAboutPermit EL19-0485 - DELIVERY EXPRESS - BRANCH CIRCUIT DEMOLITION AND FORKLIFT CHARGER RELOCATIONDELIVERY EXPRESS 405 EVANS BLACK DR ELI 9-0485 Parcel No: Address: �_^�x« ^�������xuv^U�� 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 0223100036 Permit Number: 405 EVANS BLACK DR Project Name: DELIVERY EXPRESS Issue Date: Permit Expires On: ELl9'O4Q5 6/5/2019 12/2/2019 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: IVY JERRY L+DEBORAH] 450 FERGUSON DR, MOUNTAIN VIEW, WA, 94043 SCOTT GLASSMEYER PO BOX 58744 , SEATTLE, WA, 98138 S C G ELECTRIC INC PO BOX 58744 , SEATTLE, WA, 98138- 1744 SCGELI*099NH ''' Phone: (206) 824-2656 Phone: (206) 824-2656 Expiration Date: 8/13/2019 DESCRIPTION OF WORK: BRANCH CIRCUIT DEMOLITION AND 50A/208V FORKLIFT CHARGER RELOCATION, Valuation of single family: $0.00 Valuation of mf/comm: $1,500.00 Type ofWork: TENANT IMP Fees Collected: $130.83 Electrical Service Provided by: PU6ET 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 FueI Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature: Aoteta , cA)1 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: Date: 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. 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 TUK Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://wvnv.TulcwilaWA.gov Electrical Permit No. ELIc _Q 1i Project No, Date Application Accepted: Date Application Expires: (For offlce ue 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 Address: Tenant Name: King Co essor's Tax No.: Suite Number: New Ten PROPERTY OWNER Name: C /51------ Address:93,_,..., ) ii_f_ Name. ..,..-3— 5 City: te3,a)l-Sta e: Zip p Contr Reg NoSG21 i099Exp Datet5- ,3 Email: Address: i-Nrie City: ‘,... ir, • 1 -- Sate: Zizsv±04:.. CONTACT PERSON — person receiving all project communication Name: C /51------ Address:93,_,..., ) ii_f_ wilier City: te3,a)l-Sta e: Zip PhoncICO g.14,.....Qw- FaxCa:0 c:6,,,a4„gz?j Contr Reg NoSG21 i099Exp Datet5- ,3 Email: ELECTRICAL CONTRACTOR LNFORMAT1ON Company Name: , Address. wilier City: Statek, Ztlqr-33 PhorAc055.-GF;axca,G.) Contr Reg NoSG21 i099Exp Datet5- ,3 Tukwila Business License No.; H- / Valuation of Project (contractor's bid price): $ Scope of Work (p ase provide detailed information): Will service be altered? El Yes Type of Use: Type of work: 0 New 0 Addition 0 Service Change D Remodel 0 Low Voltage 0 Generator 0 Fire Alarm 0Telecommunication Adding more than 50 amps? ED Yes LJ No P o.e erved b Puget Sound Energy 0 Seattle City Light CenteMpplications-HandoutsWermit Applications \ PDFstElectrical Permit Application Revised 1-17-19.doct Tenant Improvement 0 Temporary Service 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 0 Service change or alteration $120.00 (no added/altered circuits) O 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 D 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 O Temporary service (generator) $90.00 O 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 $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: Date: Print Name: Mailing Address: Day Telephone: WAPerrnit Center‘Applications-liandoutsTennit Applications \PDFs \Electrical Permit Application Revised 1-17-Mel:Nix Page 2 of 2 Cash Register Receipt City of Tukwila Receipt Number DESCRIPTIONS PermitTRAK 1 ACCOUNT 1 QUANTITY PAID $130.83 EL19-0485 Address: 405 EVANS BLACK DR Apn: 0223100036 $130.83 Credit Card Fee $3.81 Credit Card Fee R000.369.908,00.00 0.00 $3.81 ELECTRICAL $120.97 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $120.97 TECHNOLOGY FEE $6.05 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R17818 R000.322.900.04.00 0.00 $6.05 $130.83 Date Paid: Wednesday, June 05, 2019 Paid By: SCOTT GLASSMEYER Pay Method: CREDIT CARD 01265G Printed: Wednesday, June 05, 2019 3:37 PM 1 of 1 CRIVVY5 TE M CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206-433-1870 CITY OF TUKWILA 0017340000802374464500 Date: 06/05/2019 03:36:09 PM CREDIT CARD SALE VISA CARD NUMBER: **********4574 K TRAN AMOUNT: $130.83 APPROVAL CD: 01265G RECORD #: 000 CLERK ID: kandace X {CARDHOLDER'S SIGNATURE) I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) Thank you! Merchant Copy INSPECTION RECORD Retain a copy with permit INSPECTION NO. P RMT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431- Proje Type Address:e Ca ed: Specia Lrtstructions:'Date -13(14-1 16r- Wanted: a. P.m. 'Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. COMMENTS: nspector: Date: 7 REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedute reinspection. Washington State Department of Labor & Industries H ($mEspanol Contact Safety & Health Claims & Insurance Search L&I AZ ndex My 1.X -I Workplace Rights Trades & Licensing S C G ELECTRIC INC Owner or tradesperson Principals GLASSMYER, SCOTT C OM&R CORP, AGENT Doing business as S C G ELECTRIC INC WA UBI No. 601 307 341 PO BOX 58744 SEATTLE, WA 98138-1744 206-824-2656 KING County Business type Corporation Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Not allowed to have apprentices. License Verify the contractors active registration /license / certification (depending on trade) and any past violations. Electrical Contractor Active. Meets current requirements. License specialties GENERAL License no. SCGELI*099NH Effective — expiration 08/08/1991— 08/13/2019 Designated administrator GLASSMYER, SCOTT License type Master Electrician Bond CBIC Bond account no. 656688 Savings No savings accounts during the previous 6 year period. License Violations No license violations during the previous 6 year period. Active. Meets current requirements. License no. GLASSS*972KT 84,000.00 Effective date 08/01/1991 Expiration date Until Canceled Help us improve Workers' comp Public Works Requirements Workplace safety and health SVashington State Dept of Labor & Industries Use CA this site iS subject to the laws of the state of Washington Help us irnprove