HomeMy WebLinkAboutPermit EL19-1003 - EMBASSY SUITES - DISCONNECT/RECONNECT ROOFTOP UNITSEMBASSY SUITES
15920 WEST VALLEY HWY
0005800031
EXPIRED
EL19-1003
Parcel No:
Address:
CX* of Tk"°"^U
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
0005800031 Permit Number: EL19-1003
15920 WEST VALLEY HWY
Project Name: EMBASSY SUITES
Issue Date: 12/4/2019
Permit Expires On: 6/1/2020
Owner:
Name:
Address:
Contact Person:
Name:
SEATAC HOTEL OWNER LLC
350VVHUB8ARD5TSTE#250,
CHICAGO, WA, 60654
LARRY GERASIMCHUK
Address: I76ODlO5THAVE S,SNOHOM|SH,
WA, 98296
Contractor:
Name: STATIC ENERGY INC
Address: 175O01U5THAVE 5E,SNOMOm|SH,
WA, 98296
License No: STAT|E1872OZ
Lender:
Name:
Address:
11
Phone: (425) 446-0907
Phone: (206) 718-8481
Expiration Date: 9/9/2021
DESCRIPTION OF WORK:
DISCONNECT AND RECONNECT (3) ROOF TOP UNITS
Valuation of single family: $0.00
Valuation of mf/comm: $4'800.00
Type of Work: TENANT IMP
Fees Collected: $20230
Electrical Service Provided by: PUGET SOUND ENERGY
Water District: TUKWILA
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwita:
International Buildirig 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:
Date:
2017
2017
2017
2015
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 Iocal laws regulating construction or the performance of work. 1 am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature:
Print Name:
I/n(44)(
��
Date: �u�
This permit shall become null and void if the work is not commenced withiri 180 days for the date of issuance, or if
the work is susperided or abandoned for a period of 180 days from the Iast 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 placemerit 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)438-935O
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.TukwilaWA.gov
Electrical Permit No.
Project No.
Date Application Accepted:
Date Application Expires:
(For office use only)
1 -
63
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: 161 a ())
Tenant Name: E4in bc1/4391/47 6 u 11 -es,
King Co Assessor's Tax No.:
htvl1 Suite Number: Floor: reei
PROPERTY OWNER
Name: tcsi el 6,4,46ft/1(010 tr...
Address:
Name:
;„ gn
) Slitc
Ht4)%1
Address:
isci w
(}9 ortp c,7
1
City:
_.9..C1111T1 €
State: (.10
Zip: 1 6) r;
CONTACT PERSON — person receiving all project
communication
Name: tcsi el 6,4,46ft/1(010 tr...
Address:
City: Syloktom i/\ State: Le) gook., Zip: Clq)zciA
Phone: CI, 2., i.11:46..tvic,iyax:
Email: Ler, 0\ 0 sh \tic, will
New Tenant:
Yes Lfi,-.No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: (..304.4„, Em
Address:\O IGG A frkt,
City: 1,totto 0:511 State: (Oa. Zip:
Phone: ,z5,4 _ 7ib _ iNei Fax:
Contr Reg No.: 6TINTIE11a62.Date: Cl pi i
Tukwila Business License No.; 0 Ob — 0 C19 76 i c j,o
ET
T.LE-43 7000 -
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
ViSCOVW1eC+oc _caeltle-C*
- geo-F r 0 ri(11-5
Will service be altered? El Yes No Adding more than 50 amps? CD Yes
Type of Use:
Type of work:
O New 0 Addition 0 Tenant Improvement
O Low Voltage 0 Generator 0 Temporary Service
0 Service Change VRemodel
0 Fire Alarm 0 Telecommunication
Property Served by:
O Puget Sound Energy 0 Seattle City Light
WAPermit Center\ Applications-HandoutsTemit Applications1PDF's \ Electrical Permit Application Revised I-17-19.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
Ej Garages, pools, spas and outbuildings $120.00 ea
Low voltage systems
(alarm) $60,00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O 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
O 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
ID 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: L - r1 G-7 5 161C-4 Ir- Day Telephone: 926- LI (t• 6. 0904
Mailing Address: 174600 Lo' Ade_ GE Snokt2,4,1(1k ()Jct. c(C5,146
W:Wermit CanterkApplic at ions-PlandouisTe min Applications PDF'stElectr ice] Permit Application Revised I I 7- IR docx
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
Receipt Number
R19204
DESCRIPTIONS
PermitTRAK “,
ACCOUNT
QUANTITY
PAID
$202.30
EL19-1003 Address: 15920 WEST VALLEY HWY
Apn: 0005800031
$202.30
Credit Card Fee
$5.89
Credit Card Fee
R000.369.908.00.00
0.00
$5.89
ELECTRICAL
$187.06
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$187.06
TECHNOLOGY FEE
$9.35
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R19204
R000.322.900.04.00
0.00
$9.35
$202.30
Date Paid: Wednesday, December 04, 2019
Paid By: VALERIY GERASIMCHUK
Pay Method: CREDIT CARD 04018G
Drintod• vuorinocrlaw n.r,rnhpr (L1 fl1Q q•i R AM 1 nf 1
irIP11111
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
285'433-1878
CITY OF TUKWILA
8017340880802374464580
Date: 1I/04/2019 09:18:00 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********6665 K
TKAN AMOUNT: $202.30
APPROVAL CD: 84018G
RECORD #: 008
CLERK ID: Gill
X
{CARDHOLDER'S SIGNATURE}
3 AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
(MERCHANT AGREEMENT IF CREDIT VOUCHER}
Thank you!
Merchant Copy
STATIC ENERGY INC
,/ Labor & Industries (https://Ini.wa.gov)
Contractors
STATIC ENERGY INC
Owner or tradesperson
Principals
KAHL, TODD ANTHONY, PRESIDENT
KPHL, TODD ANTHONY, AGENT
ANDERSON, JENNIFER R, PRESIDENT
(End: 12/26/2017)
ANDERSON, JENNIFER R, AGENT
(End: 12/26/2017)
Doing business as
STATIC ENERGY INC
WA UBI No.
603 323 850
17600 105th Ave SE
SNOHOMISH, WA 98296
206-718-8481
SNOHOMISH County
Business type
Corporation
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.
ST.4TIEI872OZ
Effective — expiration
09/09/2013— 09/09/2021
Designated administrator
Kalil, Todd A
Active
Meets current requirements.
License type License no.
Master Electrician KAHL*TA867DR
Bond
RLI Ins Co
Bond account no.
LSM0418465
$4,000.00
Received by L&I Effective date
09/09/2013 09/04/2013
Expiration date
Until Canceled
Savings
No savings accounts during the previous 6 year period.
License Violations
Infraction no.
ESHAU01135
Issie date
02/19/2019
Vidtation city
SNOHOMISH
Type of violation
ELECTRICAL CITATION
Description
Satisfied
RCW/WAC
19.28.101 RCW
Violation amount
$100.00
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