HomeMy WebLinkAboutPermit EL13-1053 - UNIFIED GROCERS - TENANT IMPROVEMENTUNTIED GROCERS INC
3301 S NORFOLK ST
EL1 3-1053
City otefukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-43 1-3670
Fax: 206-431-3665
Web site: http://www.TukwilaWA.gov
Parcel No.: 0323049024
Address: 3301 S NORFOLK ST TUKW
Project Name: UNIFIED GROCERS, INC.
ELECTRICAL PERMIT
Permit Number: EL13-1053
Issue Date: 10/22/2013
Permit Expires On: 04/20/2014
Owner:
Name: ASSOCIATED GROCERS
Address: P.O. BOX 3763 , SEATTLE, WA 98124
Contact Person:
Name: KAT WALKER
Address: 600 WASHINGTON AV S , KENT WA, 98032
Contractor:
Name: HOLMES ELECTRIC CO
Address: PO BOX 338 , RENTON, WA 98035
Contractor License No: HOLMEEC549BH
Phone: 253 234-2835
Phone: (253)479-4000
Expiration Date: 10/31/2014
DESCRIPTION OF WORK:
EXTEND (1) 480V CIRCUIT TO (4) LOCATIONS FOR ELECTRIC DOORS. WORK TO BE DONE IN
THE "PERISHABLES" BUILDING.
Value of Electrical:
NRES: $2,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by:
Permit Center Authorized Signature:
I hereby certify that I have read andl
governing this work will be complie
exams
with
Fees Collected: $140.20
Washington Cities Electrical Code: 2011
Date: 101t41;
ied this permit and know the same to be true and correct. All provisions of law and ordinances
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 • - perform • • .work. I am authorized to sign and obtain this electrical permit.
Signatur=. ///,. I/fif.''
Date: /94'0.1
Print Name: �t17GCi-ez,r/
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: EL -7/13
EL13-1053 Printed: 10-22-2013
• •
PERMIT CONDITIONS
Permit No. EL 13-1053
**ELECTRICAL**
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical Inspector
at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations, Chapter
296-46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -7/13
EL13-1053 Printed: 10-22-2013
CITY OF TUKWIdli
Community Developmeirbepartment
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www. Tukw1IaWA.gov
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: 33#) 3 11 g. 1 k.
Tenant Name: Unified 6Lg aieg, 'l7G
King Co Assessor's Tax No.: pb2 1D 2`7
Suite Number: Floor:
New Tenant: ❑ Yes ONNo
PROPERTY;OWNER':..
Name: ani/ -ii / bhed uee irl e.
Address: 3301 s yl a Ql' I, (l i -
City: S6aA LL
State: km h Zip:O //
'.CONTACT,PERSON =person receiving all project' :: _ :•' ,
communication- . - .. .., ._ ..,,,; t�; _
Name: Eaj, whiz,
P
Address: / i 7j ala s, l„h/i8 Izm
�/
l /ke
City: �611.1.,A/�
tate: VA Zip:90032
117
Phone: 26323 42,06 .q/.t?�F� Fax: 263 2;54zgiz
Email: J .,, �/1%'l1/UVtek&hti1 g. 014
:: ELECTRICA.L_ CONTRACTOR INFORMATION;'
Company Name: HO ) mi S m i C
/ D
, , e
Address: ! u--- VLg /7' n.q vi WV
cZip:-1Q
City: Eei� lLStatte: n
04(3z
Phone: 2,
6 Q 22.1.1 25Fax: 255 i.p 2.I q
Contr Reg No.:pote e5 p xp Date: IA(131,/11 "1
Tukwila Business License No.; 50 - 7xma1 2 1,0 tyn
�y e+
Valuation of Project (contractor's bid price): $ 2 / L /'
Scope of Work (please provide detailed information): tXtt/'14 yg/7�y ✓4/ Gig iT" h 7 ./ CG(it 1
1,62 11€6/7 -le d,vQ s. (�l' k be �oni in Mi.Mi.�'�er� i'�'h�b1/8" bldo.
Will service be altered? ❑ YesNo Adding more than 50 amps? ❑ Yes No
Type of Use: 1Q/ll%l/ fgfig t
Type of work:
❑ New ❑ Addition
0 Low Voltage ❑ Generator
Property Served by:
ug un gy
❑ Service Change
'❑ Fire Alarm
Seattle City Light
H:\Applications\Forms-Applications On Line\2011 Applications\Electrical Permit Application Revised 8.9-11.docx
Revised: August 2011
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0 Remodel
®.. Tenant Improvement
0 Telecommunication ' 0 Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$152.85
$81.90 ea
$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) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured/mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
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! 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
kov� WAS Iwg—
Mailing Address: (iYl W O1 A I v t V'► UW e 0
H:Wpplications\Forms-Applications On Line \2011 Applications'Electrical Permit Application Revised 8-9-1 I.docx
Revised: August 2011
bh
Date: . L K! Itt I3
Day Telephone: Z 3 ' ' te.36
wPr Itb03z41'1' State Zip
Page 2 of 2
ID
J��1 A wq City of Tukwila
'�y Department of Community Development
61 6300 Southcenter Boulevard, Suite #100
Q �" �� Tukwila, Washington 98188
��1+\ r"� 2 Phone: 206-431-3670
Fax: 206-431-3665
190E Web site: http://www.TukwilaWA.eov
RECEIPT
Parcel No.: 0323049024 Permit Number: EL13-1053
Address: 3301 S NORFOLK ST TUKW Status: APPROVED
Suite No: Applied Date: 10/22/2013
Applicant: UNIFIED GROCERS, INC. Issue Date:
Receipt No.: R13-02934
Initials:
User ID:
JEM
1165
Payment Amount: $140.20
Payment Date: 10/22/2013 12:36 PM
Balance: $0.00
Payee: HOLMES ELECTRIC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 576041
ACCOUNT ITEM LIST:
Description
140.20
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 140.20
Total: $140.20
rinr• Roraint-na
Printed: 10-22-2013
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367
Permit Inspection Request Line (206) 431-2451
Project: 1
Type of Inspection:
Address:�3 �
� _ 9 L�
L�Tc�
Date Called:
Special Instructions:
Date Wanted:
�/
p.m
Requester:
Phone No:
Approved_per applicable codes.
COMMENTS:
LJ Corrections required prior to approval.
Inspector:
Date:
A2Il�
REINSPECTION FEE REQUIRED. Prior to next inspection, fe -must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer Friendly Page
Electrical Contractor
A business licensed by LEtI to contract electrical work within the scope of its specialty. Electrical
Contractors must maintain a surety bond or assignment of savings account. They also must have a
designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time
supervisory employee.
Business and Licensing Information
Name HOLMES ELECTRIC CO UBI No. 177003752
Phone 2534794000 Status Active
Address Po Box 338 License No. HOLMEEC549BH
Suite/Apt. License Type Electrical Contractor
City Kent Effective Date 1/8/1946
State WA Expiration Date 10/31/2014
Zip 98035 Suspend Date
County King Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Master Electrician INFORMATION
License HILLME*973KR
Name HILLMAN, ED
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOLMES, JERAY A
Agent
01/01/1980
Bond Amount
HOLMES, MICHAEL J
President
01/01/1980
929558590
RICHARDS, MICHAEL W
Secretary
01/01/1980
ELECTRICAL CITATION
RICHARDS, EUGENEM
11 /08/2012
01/01/1980
10/15/2010
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
4
Western Surety Co
929558590
12/08/2012
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
11 /08/2012
3
HARTFORD FIRE INS
52BSBFB9243
12/08/2008
Until Cancelled
12/08/2012
$4,000.0012/09/2008
2
AMCASUALTY
9239830
12/08/1984
Until Cancelled
02/09/2009
$4,000.0009/14/2008
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons/Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
Infractions/Citations Information
Infraction / Citation
Date
RCW Code•
Type
Status
Violation Amount
ESHA000715
7/25/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EREEB00495
10/8/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns://fortress.wa.gov/lni/bbio/Print.asox
10/22/2013