HomeMy WebLinkAboutPermit EL19-1064 - IMAGINE INSTITUTE - PLUGS ROUGH-IN AND RING & STRING AND EXIT SIGNSIMAGINE INSTITUTE
16000 CHRISTENSEN RD 201
ELI 9-1064
101.
Parcel No:
Address:
City of Tukwila
t 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.Rov
ELECTRICAL OTC PERMIT
2523049077
16000 CHRISTENSEN RD 201
Project Name: IMAGINE INSTITUTE
Permit Number: EL19-I064
Issue Date: 1/6/2020
Permit Expires On: 7/4/2020
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
TALON RIVERVIEW PLAZA LLC
7ZOOLIVE WAY ST[l0ZO,SEATTLE,
WA, 98101
BILL MAHONEY
13550J9THAVE NE,SEATTLE, WA,
98125
AMERICAN ELECTRICAL CONTRA INC
1355O 99THAVE NE'SEATTLE, WA,
98125-3808
AMERIEC923KF
1
Phone: (206) 679-7579
Phone: (206) 679-7579
Expiration Date: 5/31/2020
DESCRIPTION OF WORK:
4 PLUGS ROUGH -IN AND RING & STRING, ADD 2 EXIT SIGNS
Valuation of single family: $0.00
Valuation of mf/comm: $3,400.00
Type of Work: TENANT IMP
Fees Collected: $178.48
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 ResidenUal 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:
2017Ndi)
2017
2017
2015
^p"`
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 authoritto violate or cancel the provisions of any other
state or local laws regulating coristruction 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:
— L�
PrintNa e: /J��� l, 7�~"/Lx
Date:
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: ***ELECTR|[ALPERMIT [OND|T|ONS***
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
vjolation of the provisions of the electrical code or other ordinances of the jurisciiction. 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'|NELE[TR|[AL
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. tpq- 101
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 -"I"
11)1,31
King Co Assessor's Tax No.:
Site Address: )100010 CA -1 21- G"T"'/J ,5 otV iD Suite Number: 201
Floor: 2/0
Tenant Name: 1. M A(.715:A) los-r-Truri New Tenant:
PROPERTY OWNER
Name: ? j 1 1 ma tio vick/
Address: 13.550 7ei h.% AO c AjE
Name:
Phone: ?Di° ( :77q)(7s-7 ci Fax:
Email: RI ( A. )4.01) e;\/ (6), c" a< s -i- . /..) Cr—
Address:
Contr Reg No.: Exp Date:
City:
State:
Zip:
CONTACT PERSON — person receiving all project
communication
Name: ? j 1 1 ma tio vick/
Address: 13.550 7ei h.% AO c AjE
City: secA,..H c State: opt Zip: (391fris.
Phone: ?Di° ( :77q)(7s-7 ci Fax:
Email: RI ( A. )4.01) e;\/ (6), c" a< s -i- . /..) Cr—
Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name:Am (:., 0 r 0 Ki ow wAt (,),Teikr
Address: i 5,0 §t3 4h AVE A) E
City: 5ext.4 fit State: uj,4
Zip:78 0 --
Phone: 2.010 66,1 7 ciFax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
Oe
pNcy S QDJ
) add 2 e7c4- ovs
Will service be altered? El Yes
Type of Use:
Type of work:
0 New 0 Addition 0 Service Change 0 Remodel Vi Tenant Improvement
El Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Adding more than 50 amps? ED Yes [8 No
Property Served by:
IN Puget Sound Energy 0 Seattle City Light
WAPernsit CenlerlApplications-HandoutslPermit Appficalions‘PDFAElectrical Permit Application Revised I -17-I9docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $180.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $120.00 ea
❑ Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $90.00
❑ Manufactured/mobile home service $100.00
❑ Service change or alteration $120.00 (excluding garage or outbuilding)
(no added/altered circuits) (] Carnivals $100.00
❑ Service change with added/altered circuits $100.00 Number of concessions $11.00 ea
number of added circuits .....................$10.00 ea Each ride and generator truck................ $11.00 ea
❑ Circuits added/altered without service change.. ...... $60.00
(up to 5 circuits)
❑ Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
❑ Meter/mast repair $80.00
❑ Low voltage systems $60.00
(alarm, furnace thermostat)
***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 QR ELECTRICAL CONTRACTOR:
Signature: drozzc--
Date: )2/Z(//
Print Name: JOS kr- Seo — Day Telephone: 20(o bl7 1 7571
w,h 99 2. -
Mailing Address: )?550 ?4� N�
W:Termit Center \Applications-Handouts'Permit Applications\PDFstElenrical Permit Application Revised I-17-I9.doca
City State Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
QUANTITY
PAID
$178.48
EL19-1064 Address: 16000 CHRISTENSEN RD 201 Apn: 2523049077
$178.48
Credit Card Fee
$5.20
Credit Card Fee
R000.369.908.00.00
0.00
$5.20
ELECTRICAL
$165.03
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$165.03
TECHNOLOGY FEE
$8.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R19381
R000.322.900,04.00
0.00
$178.48
Date Paid: Thursday, December 26, 2019
Paid By: JOSH STORER
Pay Method: CREDIT CARD 03439G
Printer]. Thurcriav Der.PmhPr 26. 2019 11:05 AM 1 of 1
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
I06'433-1870
CITY OF TUKWILA
0017340000802374464500
Date: I2/26/2019 I1:04:47 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********4185 K
TRAN AMOUNT: $178.48
APPROVAL CD: 03439G
RECORD #: 000
CLERK ID: Bill
X
{CARDHOLDER'S SIGNATURE)
1 AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
{MERCHANT AGREEMENT IF CREDIT VOUCHER)
Thank you!
Merchant Copy
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 438-9350
Proje+ t:' ,..
Type of inspection:
Address: a4.44 -
Date Called:
Special Instructions:
Date Wanted:
1
2
p.rr.
Requester:
Phone Na:
Approved per applicable codes.
Corrections required prior to approval.
oMMENTS:
nspec
Date:
.7
REINSPECTIONFEE REQUIRED. Prior to next inspection. tee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
Project: �
Type o nspection:
Address: 16000
D = to Called:
Special Instructions:
2-91
Date Wanted:
a.m.�
p.m.
Requester:
Phone No:
proved per applicable codes.
ections required prior to approval.
0MMENTS:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 1O0. Call to schedule reinspection.
Cr Labor & (htips://lni.wa.gov)
Contractors
DERICAN ELECTRICAL CONTRA INC
Owner or tradesperson
Principals
MAHONEY, WILLIAM P, PRESIDENT
KLEPPER, KAREN, AGENT
Doing business as
Ar!ERICAN ELECTRICAL CONTRA INC
13550 39TH AVE NE
SEATTLE, WA 98125
206-679-7579
KING County
WA UBI No, Business type
60" 827 788 Corporation
ET;ense
Verif'4 the contractor's active registration / license / certification (depending on trade) and any past violations,
.. c99q4q9r Active
Meets current requirements.
License specialties
GENERAL
License no.
AMERIEC923KF
Effective — expiration
05/06/2008— 05/31/2020
Designated administrator
MAHONEY, TAYLA B
License type
Electrical Administrator
Boncl
WESTERN SURETY CO
Bond account no
7006425
Received by L&I
05116/2008
It
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Certifications & Endorsements
OMVIBE Certifications
No active certifications exist for this business.
Apprentice Training Agent
Not allowed to have apprentices.
Active
Meets current requirements.
License no.
MAHONTB912M1
$4,000.00
Effective date
05/03/2008
Expiration date
Until Canceled
FrJorkers' Comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
Account is current.
L&1 Account ID
155736-00