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HomeMy WebLinkAboutPermit EL19-1016 - SOUND HEALTH - PUMP CIRCUITSSOUND HEALTH 6400 SOUTHCENTER BLVD 200 ELI9-1016 Parcel No: Address: cit of Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 286431'3670 Inspection Request Line: 206'438'9350 Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 0003200003 Permit Number: EL19'1016 6400 SOUTHCENTER BLVD 200 Issue Date: 12/6/20I9 Permit Expires On: 6/3/2020 Project Name: SOUND HEALTH Owner: Name: Address: Contact Person: Name: SOUND MENTAL HEALTH l6OOEOLIVE ST,SEATTLE, WA, 98l2Z DONALD JACK Address: 2308 S L ST , TACOMA, WA, 98405 Contractor: Name: TROY'S ELECTRIC Address: 2308 5 "L" ST , TACOMA, WA, 98405 License No: TROYSE*935JC Lender: Name: Address: 11 Phone: (206) 307-8165 Phone: (253) 241-8707 Expiration Date: 6/17/2021 DESCRIPTION OF WORK: INSTALL (5) PUMP CIRCUITS Valuation of single family: $0.00 Valuation of rnf/comm: $2,800l0 Type of Work: REMODEL Fees Collected: $150.15 Electrical Service Provided by: PUGET SOUND ENERGY Water District: TUKVV|LA Sewer Distric: TUKWILA Current Codes adopted by the City of Tukwila: Pnternational Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: Permit Center Authorized Signatu 2017 2017 2017 2015 4.2 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 local laws regulating construction or the performance of work. | am authorized to sign and obtain this development permit and agree to t - conditions attached to this permit. Signature: Date: h?"' Print Name: This permit shall become null and void if the work is not commericed 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. PERIVI|TC8N0ITION5: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the elecdca}wurkpermit 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: Alt electricat 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, W4 98188 http://www.TukwilaWA.gov Electrical Permit No. -eL -1O/ Co Project No. Date Application Accepted: _12_ Le — 1 ]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 �/ _ King Co Assessor's Tax No.: Site Address: G ("-0 0 Cb 0TH Ckj3 T �I.�/� Suite Number: Floor: t ST' Tenant Name: PROPERTY OWNER Name: r% 14.62V-7 4 Ji � 1.---5 ,C Name: GVN D j A-11-14 State Zip• Address: ("7 W0 0 S ---- Email: .M h City:y: —` vy._. woyos Stag Ziey 5 t b b CONTACT PERSON — person receiving all project communication Name: r% 14.62V-7 4 Ji � 1.---5 ,C Address: -- a3� �J City:,�. CSE6i State Zip• Phone / 30 y / Email: .M h C , fi,l t36-igar) , ‘,00l New Tenant: ❑ Yes 1:EkKO ELECTRICAL CONTRACTOR INFORMATION Company Name: 7 -Re y r 0 r ' E,e;: rt, f .kcm, Address: x308... 3d so Li St City: 7_,..,„otter State: tieg, Zip:7740 . Phone: 2,5 3 gj4 i 7707Fax: Contr Reg Noeriy o,t ., 57Ee Date:/ .p a@po (o Tukwila Business License No.; Valuation of Project (contractor's bid price): $4 49)0 Scope of Work (please provide detailed information): J At Will service be altered? [J Yes Adding more than 50 amps? ll Yes No Type of Use: Type of work: ❑ New 0 Addition LI Service Change Remodel 0 Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light W:\Permit Center\Applications-FTandouts\Permit Applications\PDF's\ElectricalPermit 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 $120.00 (no added/altered circuits) LJ Service change with added/abered circuits., ........ __$100,00 number of added circuits $10.00 ea O Circuits added/altered without service change $60.00 (up to 5 circuits) [3 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) Camivals $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),B ELECTRICAL CONTRACTOR: Signature: vi I - Print Name: Mailing Address: f9s9 s -7t Date: / /C; z,:—:2-- Y1 .P707 Day Telephone: WAPer mit Center Applications-Handouts1Perrnit Applications1PDF's \Electrical Permit Application Revised 1-17-19. do ex 1 City 1A-0- cAPV State Zip Page 2 of 2 Cash Register Receipt City of Tukwila R49238 DESCRIPTIONS I ACCOUNT I QUANTITY PAID PermitTRAK $150.15 EL19-1016 Address: 6400 SOUTHCENTER BLVD 200 Apn: 0003200003 $150.15 ELECTRICAL $143.00 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $143.00 TECHNOLOGY FEE $7,15 TECHNOLOGY FEE R000.322.900.04.00 0.00 $7.15 TOTAL`.FEES PAID BY RECEIPT: R19238 $150.15 Date Paid: Friday, December 06, 2019 Paid By: DONALD JACK Pay Method: CASH Printcrl• Frirlav flaramhar nF ?n14 a•14 PM 1 of 1 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE' M T NO 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 Inspection: Address: ©ate Called: Special Instructions: Date Wanted: Requester: Phone No» l Approved per applicable codes. COMMENTS: Corrections required prioro approval. Date: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 0 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PE' M "I` NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 438-9350 Project: Type o Inspection; Address. .. � � mate Coiled: Special Instructions: � Harte Wanted: 7 a.m. p.m. •Requester: Phone No: 1 M proved per applicable codes. Corrections required prior to approval. OMMENTS: nspecor: Date: REINSPECTIO ' FEE 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. E 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�rpe of Inspection: Date Called: -Date Wanted: Requester: Phone No: EjApproved per applicable codes. Corrections required prior to approval. COMMENTS: Date: REINSPECT{ ON FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedute reinspection. 0 Some online services are currently unavailable. See a list of service outages. (httas://lni. a n / tem -status) on; Labor & Industries (https://lni.wa.govl Contractors TROY'S ELECTRIC Owner or tradesperson Principals EDWARDS, TROY A, OWNER Doing business as TROY'S ELECTRIC 2308 S "L" ST TACOMA, WA 98405 253-241-8707 PIERCE County WA UBI No. Business type 602 712 157 Individual [cense Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active Meets current requirements. License specialties RESIDENTIAL License no. TROYSE*935JC Effective — expiration 04/03/2007— 06/17/2021 Designated administrator EDWARDS, TROY A Active Meets current requirements. License type License no. Electrical Administrator EDWART*937B3 Bond Travelers Cas and Surety Co of America Bond account no. 105788770 Received by L&I 05/24/2012 Savings Savings history License Violations Infraction no. EPEJP01100 Issue date 05/16/2019 Violation city TACOMA Type of violation ELECTRICAL CITATION Description Employing an individual for the purposes of chapter 19.28 RCW who does not possess a valid certificate of competency or training certificate to do electrical work. Juan Zambrano Mata 84,000.00 Effective date 05/23/2012 Expiration date Until Canceled Satisfied RCW/WAC 19.28.271 RCW Violation amount $250.00