HomeMy WebLinkAboutPermit EL19-0858 - STATESIDE / ALLIANCE - 2-HR LOAD BANK TESTS OF EMERGENCY STANDBY GENERATORSTATESIDE/ALLIANCE
415 BAKER BLVD BLDG
ELI 9-0858
Parcel No:
Address:
CityCI)
of Tukwila
Department of Community Development
63OOSouthcenterBoulevard, Suite #10O
Tukwila, Washington 98188
Phone: 206'431-3670
Inspection Request Line: 206-438-9350
VVebsite:hup://www.Tuhwi|aVVA.gox
0223100080
415 BAKER BLVD BLDG
Project Name: STATESIDE/ALLIANCE
ELECTRICAL OTC PERMIT
Permit Number: EL19-0858
Issue Date: 10/18/2019
Permit Expires On: 4/15/3020
Owner:
Name: CRP/AR TUKWILA OWNER LLC
Address: 2525ECAK8ELBACKRD#500'
PHOENIX, WA85016
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
AMANDA NOKES
1221 29TH ST NW , AUBURN, WA,
98001
PACIFIC POWER GROUP LLC
805 BROADWAY ST STE700,
VANCOUVER, WA, 98660
PACIFPG867D7
'''
Phone: (253) 395-9077
Phone: (360) 887-7400
Expiration Date: 3/28/2020
DESCRIPTION OF WORK:
2 HOUR LOAD BANK TESTS OF EMERGENCY STANDBY GENERATOR.
Valuation of single family: S0.00
Valuation of mf/comm: $280.00
Type of Work: GENERATOR
Fees Collected: $76.45
EIectrcaI 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 Mechariical Code Edition:
Uniform Plumbing Code Edition:
International FueI Gas Code:
Permit Center Authorized Signatur
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Date: //7 —/8--/1
�n�
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 orlocal laws regulating construction orUhem` "nnanoeofwork. 1 am authorized to sign and obtain this
development permi nd a Fet to the cond. ' as a .4..• • e ri is permit.
Signature:
Print N
This permit shall beco
the worissuspande
Date: te)077f
and void if the work is not commenced within 180 days for the date of issuance, or if
r 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 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 296-466 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 iri 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-g35U
2100 ELECTRICAL FINAL
7003 R0UGH'|NELECTR}OuL
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. L- i 9 0 5'S
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 Address: 415 Baker Blvd
Tenant Name: Stateside / Alliance - SRO# 1902109
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes m ..No
PROPERTY OWNER
Name: Amanda Nokes
Address: 1221 29TH ST NW
Name: Stateside Elec
Phone: (253) 395-9077 Fax: (253) 395-2408
Email:
Address: 415 Baker Blvd
Cit: Tukwila
State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Amanda Nokes
Address: 1221 29TH ST NW
City: Auburn State: WA Zip: 98001
Phone: (253) 395-9077 Fax: (253) 395-2408
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Pacific Power Group
Address: 805 Broadway St
City:Vancouver State: WA Zip: 98660
Phone: (253) 395-9077 Fax:
Contr Reg No.: PACIFPG867D7 Exp Date: 03/27/2020
Tukwila Business License No.; BUS -0995185
Valuation of Project (contractor's bid price): $ 280
Scope of Work (please provide detailed information): 2 hour load bank tests of emergency standby generator
Will service be altered? ❑ Yes m No Adding more than 50 amps? ❑ Yes m No
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
❑ Low Voltage m Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
Puget Sound Energy 0 Seattle City Light
H:WpplicationsWorms-Applications On Line \2014 ApplicationslElectrical Permit Application Revised 1-1-14.docx
Revised: January 2014
bh
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added/altered circuits)
❑ Service change with added/altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added/altered without service change $54.60
(up to 5 circuits)
❑ Circuits added/altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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.
1 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:
c'*vic)
Date: 10/18/2019
Print Name: Amanda Nokes Day Telephone: (253) 395-9077
Mailing Address: 805 Broadway st Vancouver WA 98660
City State Zip
H:\ApplicatiansWorms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.dacx
Revised: January 2014
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Page 2 of 2
DESCRIPTIONS
PerniitTRAK
Cash Register Receipt
City of Tukwila
ACCOUNT 1 QUANTITY I PAID
76 45
E119-0858 Address: 415 BAKER BLVD BLDG ,-Apri: 0223100080
76.45
Credit Card Fee
$2.23
Credit Card Fee
R000.369.908.00.00 0.00
$2.23
ELECTRICAL
$70.69
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00 0.00
$70.69
TECHNOLOGY FEE
$3.53
TECHNOLOGY FEE R000.322.900.04.00 0.00 $3.53
TOTAL FEES PAID BY RECEIPT: R18858
$76.45
Date Paid: Friday, October 18, 2019
Paid By: KACY TROJCAK
Pay Method: CREDIT CARD 077677
Printed: Friday, October 18, 2019 11:14 AM 1 of 1
CRIIfYS TEM .5
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 10/18/2019 11:13:24 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********8389 K
TRAN AMOUNT: $76.45
APPROVAL CD: 077677
RECORD #: 000
CLERK ID: frankie
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 f
Retain a copy with permit �
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 438-9350 _
P o�
Projett: -.6S i bt, eirit3[��
ype of Inspection:
Address:
/
Date Called:
Special Instructions:
l'°/.0)1
Date Wanted:
a.m.
p.m.
Requester:
5
Phone No:
2,53 7qo 0 32.3
Approved per applicable codes.
Corrections required prior to approval.
OMMENTS:
Inspector:
•
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
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PACIFIC POWER GROUP LLC
Owner or tradesperson
Principals
Piccini, Dante Silvio, PARTNER/MEMBER
Doll, Michael Ray, PARTNER/MEMBER
Walker, Bart Ty, PARTNER/MEMBER
Mossey, Elmer VVilliam, MANAGER
Nordstrom, William (Bill) Elme, DIRECTOR
Price, Timothy R, DIRECTOR
SW&W Legal Services, AGENT
Dawkins, Mark, PARTNER/MEMBER
(End: 03/28/2018)
Bunday, Dennis, PARTNER/MEMBER
(End: 03/28/2018)
Doing business as
PACIFIC POWER GROUP LLC
WA UBI No
602 886 195
ATTN; OKSANA GLUKHOVSKIKH 805
BROADWAY ST SUITE 700
VANCOUVER, WA 98660
360-887-7400
CLARK County
Business type
Limited Liability Company
Governing persons
JAMES
F
NORDSTROM TRUST
CHARLES J NORDSTROM;
JAMES F NORDSTROM;
JOHN D NORDSTROM;
WILLIAM E NORDSTROM;
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.
PACIFPG867D7
Effective — expiration
03/27/2014— 03/28/2020
Designated administrator
Adsero, Jody R
License type
Electrical Administrator
Bond
Travelers Cas and Surety Co of America
Bond account no.
104893446
Active
Meets current requirements.
License no.
ADSERJR871J2
$4,000.00
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