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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 bh 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