HomeMy WebLinkAboutPermit EL19-0492 - AEROGO - ADD RECEPTACLESAEROGO
1170 ANDOVER PARK W
ELI 9-0492
Parcel No:
Address:
City of Tukwila
a
ent of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206'431'3670
lnspection Request Line: 206'438-9350
Web site: http://www.TukwilaWA.Rov
ELECTRICAL OTC PERMIT
3523049099 Permit Number: EL19-0492
1170 ANDOVER PARK W
Project Name: AEROGO
Issue Date: 6/10/2019
Permit Expires On: 12/7/2019
Owner:
Name:
Address:
PHILLIPS PROPERTIES LLC
PO BOX 1186 , MUKILTEO, WA, 98275
Contact Person:
Name: JON OSBORNE
Address: l28Z8NDRTHUPWAY ' SUITE Z05'
BELLEVUE, WA, 98005
Contractor: ,
Name: TITAN ELECTRIC INC
Address: 12828 NORTHUP WAYSUITE 205'
BELLEVUE, WA, 98005
License No:
Lender:
Name:
Address:
TnxNE|96300
Phone: (206) 633-2811
Phone: (206) 633-2811
Expiration Date: 9/2/2020
DESCRIPTION OF WORK:
INSTALL (2) RECEPTACLS
Valuation of single family: $0l0
Valuation of mf/comm: $800l0
Type of Work: TENANT IMP
Fees Collected: $97.27
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Buliding Code Edition:
Internatiorial 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:
Date:
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 perrnit does not presume to give authority to violate or cancel the provisions of any other
state or loca laws regulating coi or the performance of work. 1 am authorized to sign and obtain this
developme ee conditi ns attached to this permit.
Signature
Print J~ y�
Date: 42/61//77
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
lnspector 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 pairts
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 R0UGH'1NELE[TR|LAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUK
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. E
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
Site Address:
King Co Assessor's Tax No.:
1170 Andover Park W, Tukwilla, WA 98188
Tenant Name: AeroGo
Suite Number:
PROPERTY OWNER
Name: Jon Osborn
Address: 12828 Northup Way, Suite 205
Name:
Phone: 206.633.2811 Fax:
City: Bellevue State: WA
Address:
Phone: 206.633.2811 Fax:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: Jon Osborn
Address: 12828 Northup Way, Suite 205
Address: 12828 Northup Way, Suite 205
Phone: 206.633.2811 Fax:
City: Bellevue State: WA
Zip: 98005
Phone: 206.633.2811 Fax:
Email: permits@titanelectric.net
Floor: 1 s t
New Tenant: _...Yes LJ No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Titan Electric, Inc
Address: 12828 Northup Way, Suite 205
City: Bellevue State: WA Zip: 98005
Phone: 206.633.2811 Fax:
Contr Reg No.:TITANEI9630B Exp Date: 9/2/2020
Tukwila Business License No.; BUS -0992893 12/31/18
Valuation of Project (contractor's bid price): $ 800 . 00
Scope of Work (please provide detailed information): Titan Job 1911521 16777.
Install (2) receptacles.
Will service be altered? jJ Yes El No
Type of Use:
Adding more than 50 amps? El Yes EXI No
Type of work:
0 New 0 Addition 0 Service Change
0 Low Voltage 1: Generator 0 Fire Alarm
Property Served by:
Puget Sound Energy 0 Seattle City Light
WAPermit Center \ Applications-Handoots1Permit Applications \PDF's \Electrical Permit Application Revised I -1-17.docK
Revised: January 2017
bh
Et Remodel
0 Telecommunication
0 Tenant Improvement
El Temporary Service
Paoelilf2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $155,91
(including an attached garage)
O Garages, pools, spas and outbuildings $83.54 ea
O Low voltage systems
(alarm, furnace thermostat) ....... „ ..... $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $83.54
(no added/altered circuits)
O Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
D Circuits added/altered without service change $55.69
(up to 5 circuits)
O Circuits added/altered without service change $55,69
(6 or more circuits) $7.65 ea
O Meter/mast repair $69.62
O Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
O Temporary service (residential) $66.30
Temporary service (generator) $82.52
O Manufactured/mobile home service $87,98
(excluding garage or outbuilding)
O Carnivals .................. ...... ... $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 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 1 IIAVE 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT,
BUILDING OWNER7 0 CTRICAL CONTRACTOR:
N
Signature:
Date: 6/6/2019
Print Name: David Crook Day Telephone: 2 0 6 . 6 3 3 . 2 8 1 1
Mailing Address:
12828 Northup Way, Ste 205 Bellevue,
coy
WAPertnit CenteetApplications-HandoutsWerrnit ApplicationstPDF's \ Electrical Permit Application Revised 1-1-17.docx
Revised: January 2017
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WA 9 8 0 0 5
State Zip
Page7M2
Cash Register Receipt
City of Tukwila
Receipt Number
DESCRIPTIONS 1
PermitTRAK
ACCOUNT 1
QUANTITY
PAID
$97.27
EL19-0492 Address: 1170 ANDOVER PARK W
Apn: 3523049099
$97.27
ELECTRICAL
$92.64
PERMIT FEE MULTI-FAM/COMM
R000.322,101.00.00
0.00
$92.64
TECHNOLOGY FEE
$4.63
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17839
R000.322.900.04.00
0.00
$4.63
$97.27
Date Paid: Monday, June 10, 2019
Paid By: TITAN ELECTRIC INC
Pay Method: CHECK 26483
Printed: Monday, June 10, 2019 10:29 AM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy 'with permit
INSPECTION NO. P RMT N
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 nspec o :
Address: •••,-,
t i (
Date Called:
Special Instructions:
Date Wanted:
.
P-
•
Requester:
Phone No: 2e)
70
66,
Approved per applicable codes.
Corrections required prior to approval.
0 ENTS:
REINSPECTI N FEE REQUIILED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Cat!, to schedute reinspection.
Washington State Department of
Labor & industries
Howe Contact
Safety & Health Claims & Insurance
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Workplace Rights Trades & Licensing
TITAN ELECTRIC INC
Owner or tradesperson
Principals
BURKE, PATRICK 0, PRESIDENT
CROOK, TRAVIS J, VICE PRESIDENT
FUNG, LAWRENCE H, SECRETARY
FUNG, LAWRENCE H, AGENT
Doing business as
TITAN ELECTRIC INC
WA UBI No.
602 250 925
12828 Northup Way
Ste 205
BELLEVUE, WA 98005
206-633-2811
KING County
Business type
Corporation
Governing persons
PATRICK
OUNIVON
BURKE
TRAVIS JAY CROOK;
LAVVRENCE M FUNG;
Certifications & Endorsements
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.
TITANEI963OB
Effective — expiration
09/02/2004— 09/02/2020
Designated administrator
CROOK, TRAVIS
License type
Electrical Administrator
Bond
Lexon Ins Co
Bond account no.
9808431
Active.
Meets current requirements.
License no.
CROOKT*011PB
$4,000.00
Received by L&I Effective date
08/08/2011 08/03/2011
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
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