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Permit EL19-0850 - 200TH ST / GREEN RIVER BRIDGE - 160 FT CONDUIT ON BRIDGE AND REINSTALL LIGHT
200T" ST/GREEN RIVER BRIDGE 200T" ST BRIDGE @ GREEN RIVER ELI 9-0850 Parcel No: Address: City of Tukwila a � Deportment o^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 200TH ST BRIDGE @ GREEN RIVER Project Name: 200TH ST/GREEN RIVER BRIDGE Permit Number: EL19'0850 Issue Date: 10/17/2019 Permit Expires On: 4/14/2020 Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: License No: Lender: Name: Address: TUKWILA CITY OF h2UO9OUTMCENTERBLVD ,TUKVV|UA, WA, 98188 SARAH HETZEL 71DGRIFFIN PK1g3Ol'ENUM[LAVV WA, 98022 BIG MOUNTAIN ELECTRIC INC 30028 SE 392ST'EmUN1[LAVV WA, 98022 BIGMOME91654 ''' Phone: (360) 802-4400 Phone: Expiration Date: 9/21/2021 DESCRIPTION OF WORK: INSTALL 160 FT OF CONDUIT ON THE BRIDGE AND REINSTALL LIGHT Valuation of single family: $0.00 Valuation of mf/comm: $1,000.00 Type of Work: TENANT IMP Fees Collected: $106/0 Electrical Service Provided by: Water District: Sewer District: Current Codes adopted by the City of Tukwila: International Building Code Edition: Internationa Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International FueI Gas Code: Permit Center Authorized Signature: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: 2017WA State Energy Code: 2017 2017 2015 /0010 |hearbycertify that 1 have read arid 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 authoritto 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 agree to the conditions attached to this permit, Signature: Date: 1O -7—/q This permit shall becon-e 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 i n s pecti on. PERMIT CONDITIONS: 1: **~ELE[TR|C4LPERMIT ODND[[0NS*~* 2: Acopy ofthe electrical work permit shall beposted nrotherwise madereadilyaccesaibietotheE|ecthm| lnspector at eath work site. 3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector. 4: Alt 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 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit N©. rwci-oaro 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: 5 a -co King Co Assessor's Tax No.: Suite Number: Tenant Name: New Tenant: PROPERTY OWNER Name: Address: 1 1 y G_( ‘ A.40,1 Rut evug -301 e Name: „ vi Address: Contr Reg No.: 161.6-1\46 smEr'f/ 001 Exp Date: ct /-1 i Address: City: Evv c_t co.,) State: \.,..)1,4 City: State: Zip: CONTACT PERSON — person receiving all project communication Name: Address: 1 1 y G_( ‘ A.40,1 Rut evug -301 e City: Ev\AAA.LIGtw State: ‘ipc Zip: el Aro 2:t Address: Contr Reg No.: 161.6-1\46 smEr'f/ 001 Exp Date: ct /-1 i Tukwila Business License No.; 13(45 — oi 1, L 0 City: Evv c_t co.,) State: \.,..)1,4 Zip: 9 yott, Phone: `'.1) Lc)- z. -Li ii w Fax: Email: so- e 6 Floor: 11 Yes EJ.No ELECTRICAL CONTRACTOR INFORMATION Company Name: L3- V\AOUor\ TP% -.N) &leak-, Address: 1 1 y G_( ‘ A.40,1 Rut evug -301 e City: Ev\AAA.LIGtw State: ‘ipc Zip: el Aro 2:t Phone: 3 Lo_gui ... (71 4 00 Fax: Contr Reg No.: 161.6-1\46 smEr'f/ 001 Exp Date: ct /-1 i Tukwila Business License No.; 13(45 — oi 1, L 0 Valuation of Project (contractor's bid price): $ 00C) (1`) Scope of Work (please provide detailed information): -f\\ 0s, c,)-1c)L.,- Gr,dyc. Will service be altered? LJ Yes Type of Use: Adding more than 50 amps? LJ Yes Type of work: D New 0 Addition 0 Service Change rg4temodel 0 Tenant Improvement 0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: APuget Sound Energy ---12145( Seattle City Light W: \Permit CenterVipplicions-HandoutsWrmt Applicatianal2DFs 1 E lect ricalPe nit Application Revised 1-17- 19.docx Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE 0 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 O Service change or alteration $ (no added/altered circuits) O Service change with added/altered circuits $100.00 number of added circuits $10.00 ea LJ 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 O Low voltage systems $60.00 (alarm, fumace 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% IECHNOLOGY 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: 7 1 OfChvl IPS/ Date: lu— 17-1 9 Day Telephone: 3 Go- .c02-4-11-100 GU q6Y61 W:liPerrnit Center \Applications-HandoutsTermit Applications1PDFs1Electrical Permit Application Revised I 7-I9.dncx City State Zip Page 2 of 2 DESCRIPTIONS PerrnitTRAI< Cash Register Receipt City of Tukwila ACCOUNT 1 QUANTITY I PAID $106.49 EL19-0850 Address: 200TH ST BRIDGE @ GREEN RIVER Apn: $106.49 ELECTRICAL $101.42 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $101.42 TECHNOLOGY FEE $5.07 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R18848 R000.322.900.04.00 0.00 $5.07 $106.49 Date Paid: Thursday, October 17, 2019 Paid By: BIG MOUNTAIN ELECTRIC INC Pay Method: CHECK 3380 Printed: Thursday, October 17, 2019 12:11 PM 1 of 1 CRW SYSTEMS INSPECTION NO. INSPECTION RECORD Retain a copy with permit ci,( P7 MGNO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project: Type oi" fnspection: �w Address: Date Called: Special Instructions: (cirr Date Wanted: a.m. p.m. Requester Phone No: Approved per applicable codes. COMMENTS: orrections required prior to approval. w -r -Inspector: Date: 6�2-c) REINSPECTION EE 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. PllMUT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project' T e of Inspec£ivn: Address: Da e Called: Special Instructions: Date Wanted: -i a.m. p.m. Requester: _gUtJ Phone No:2.--C3 C )] 5- D Approved per applicable codes. Corrections required prior to approval. REINSPECTION FEE REQUIRED. Prior to next inspection, tee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Home Espanol Contact Safety & Health Claims & Insurance ;k Washington State Department of Labor & Industries Search L&I A -Z Index HOP Stirt‘f4til My L&I Workplace Rights Trades & Licensing BIG MOUNTAIN ELECTRIC INC Owner or tradesperson Principals HETZEL, DAVID M, PRESIDENT HETZEL, SARAH Y, SECRETARY HETZEL, SARAH Y, AGENT Doing business as BIG MOUNTAIN ELECTRIC INC WA UBI No. 602 936 459 718 GRIFFIN AVE PMB 301 ENUMCLAW, WA 98022-3418 253-632-1345 KING County Business type Corporation Governing persons DAVID M HETZEL SARAH Y HETZEL; 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. BIGMOME91654 Effective — expiration 08/24/2009— 09/21/2021 Designated administrator Hetzel, David M License type Master Electrician Bond North American Spec Ins Co Bond account no. 2217370 Received by L&I 07/07/2016 Bond history 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. HETZEDM911JH $4,000.00 Effective date 08/09/2016 Expiration date Until Canceled Certifications & Endorsements Help us improve