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Permit EL19-0743 - TAVOUR INC - 480 VOLT 50 AMP FEEDER AND HOOK UP TEMPORARY COOLING UNIT
TAVOUR INC 770 ANDOVER PAR ELI 9-0743 KE 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.gov 2623049095 770 ANDOVER PARK E Project Name: TAVOUR INC ELECTRICAL OTC PERMIT Permit Number: Issue Date: Permit Expires On: EL19-0743 9/12/2019 3/10/2020 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: LBA RVI -COMPANY XVI LLC 3347 MICHAELSON DR #200 , IRVINE, WA, 92612 BILL GEIST 33514 112TH ST SE , SULTAN, WA, 98294 BIGHORN ELECTRICAL SERVICES Address: 33514 112TH ST SE , SULTAN, WA, 98294 License No: BIGHOES924PN Lender: Name: Address: Phone: (206) 498-8058 Phone: (206) 498-8058 Expiration Date: 10/15/2020 DESCRIPTION OF WORK: ADD (10 NEW 480 VOLT 50 AMP FEEDER. HOOK UP TEMPORARY COOLING UNIT Valuation of single family: $0.00 Valuation of mf/comm: $6,000.00 Type of Work: TENANT IMP Fees Collected: $221.73 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 Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Date: F•� 1 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 agr to : conditions attached to this permit. Signature: Print Name: t R 5 I 1 h oiA S -re...3s" r Z 1 Date: Cit 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 TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TulcwilaWA.gov Electrical Permit No. L..I �—` 0 %(r3 Project No. Date Application Accepted: Date Application Expires: (For oa ce use onl 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: .3-3'0 A stJeS Vox E Tenant Name: T0. our ''1'4/14-. King Co Assessor's Tax No.: Suite Number: New Tenant: PROPERTY OWNER Name: B.%i ( IS"t` Name: L B A Re \ 4 ' City: 50 01Clrt\ State: L . Zip:ctg2c/) Address: f,00 ail►ver5i# 5-f'ree ' 5ode_ 3o2..5" City: Sen -4+1e_ State: I.�SA Zip: 15 jo/ CONTACT PERSON — person receiving all project communication Name: B.%i ( IS"t` Address: •335 pi ( i 2-tk Sj- St- City: 50 01Clrt\ State: L . Zip:ctg2c/) Phone: ,., if? g . j Fax: Phone: 20(3_ crQ8 _ 8 a5ffax: Email: 5Ml'c CA0I„ron4 err W( -N Floor: ❑ Yes .No ELECTRICAL CONTRACTOR INFORMATION Company Name: B‘-3\.u2rf\ E_iec i ul' Se \I; ce.,S Address:.3 351 ,f 112,x` St 5 E. City: - I+a rl State: oil; Zip: 9S 24 y Phone: 20(3_ crQ8 _ 8 a5ffax: Contr Reg No.: 61 c to as cny pxp,NNDate: lo/j5/ / Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 6/ ©O' (0 0 Scope ofWork (please provide detailed information): Rack. Qi) }1'e� gOV SC)e ' S"1, 0 V,/..'�.) +enrs.? Dr t took/ t,� ni r Will service be altered? ❑ Yes )4 No Adding more than 50 amps? Q Yes No Type of Use: Tvpe of work: ❑ New ❑ Addition 0 Service Change [] Remodel O Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light W:\Permit Center \Applications-Handouts\Permit Applications\PDF's\Electrical Permit Application Revised 1-17-19.docx Tenant Improvement 0 Temporary Service Page I of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O New single family dwellings (including an attached garage) O Garages, pools, spas and outbuildings O Low voltage systems (alarm) $180.00 $120.00 ea $60.00 ea RESIDENTIAL REMODEL, AND SERVICE CHANGES O 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 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 O Meter/mast repair $80.00 0 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 THIIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: LAY, (0 oLo^ 5GeLks-r Mailing Address: 3351'{11:2+%' ..5-e WAPerinit Center Applications -Handouts Permit Applications \PDFAElectrical Permit Application Revised 1-1 7-I9.domi Day Telephone: C)(Z) LICO3 80S-8 0‘434. IA) PI c1*8 L/ City State Zip Page 2 of 2 Receipt Number R18548 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $221.73 EL19-0743 Address: 770 ANDOVER PARK E Apn: 2623049095 $221.73 Credit Card Fee $6.46 Credit Card Fee R000.369.908.00.00 0.00 $6.46 ELECTRICAL $205.02 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $205.02 TECHNOLOGY FEE $10,25 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R18548 R000.322.900.04.00 0.00 $10.25 $221.73 Date Paid: Thursday, September 12, 2019 Paid By: WILLIAM GEIST Pay Method: CREDIT CARD 07504G Printed: Thursday, September 12, 2019 9:57 AM 1 of 1 (!!SYSTEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 208'433'I870 CITY OF TUKWILA 0017340080802374454500 Date: 09/12/28I9 89:56:35 AM CREDIT CARD SALE VISA CARD NUMBER: **********8809 K TRAN AMOUNT: $221.79 APPROVAL CD: 07504G RECORD #: 000 CLERK ID: Bill 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 Na INSPECTION RECORD Retain a copy with permit P MTN0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-361 Permit Inspection Request Line (206) 438-9350 Project: Type o nspec on: Address: Date C ed: Special n CJfTr(.) uc o : Date Wanted: a.m. p.m. Requester: (Leif Phone No: (12 Approved per applicable codes. 0 ENTS: Corrections required prior to approval. n s pecto- REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Home Espanol Contact Safety & Health Claims & I nsu ra nce C/ k Washington State Department of Labor & Industries Search L&I AZ Tndcx Telp My .1„&1 Workplace Rights Trades & Licensing BIGHORN ELECTRICAL SERVICES Owner or tradesperson Principals GEIST JR, WILLIAM S, OWNER Doing business as BIGHORN ELECTRICAL SERVICES WA UBI No 602 866 079 33514 112TH ST SE SULTAN, WA 98294 206-498-8058 SNOHOMISH County Business type Individual Certifications & Endorsements License Verify the contractors active registration cense / certification (depending on trade) and any past violations. Active. Meets current requirements. Electrical Contractor License specialties GENERAL License no. BIGHOES924PN Effective — expiration 10/15/2008— 10/15/2020 Designated administrator GEIST, WILLIAM S JR License type Master Electrician Bond CBIC Bond account no SI0566 Received by L&I 10/15/2008 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 GEISTWS9210D $4,000O0 Effective date 10/03/2008 Expiration date Until Canceled Workers' comp Public o k Requirements LAforkplace safety and health Help us improve