HomeMy WebLinkAboutPermit EL14-0461 - SUPER SAVER FOODS - TENANT IMPROVEMENTSUPER SAVER FOODS
3725 S 144T ST
EL1 4-0461
Parcel No:
Address:
City of Tukwila
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
0040000115
3725 S 144 ST
Project Name: SUPER SAVER FOODS
ELECTRICAL OTC PERMIT
Permit Number: EL14-0461
Issue Date: 5/13/2014
Permit Expires On: 11/9/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
SILVERDALE-TUKWILA LLC
5209 LAKE WASHINGTON BLVD NE #,
KIRKLAND, WA, 98033
TREVOR PETERSON
23124 25 AVE W , LYNNWOOD, WA,
98036
K E PETERSEN ELECTRIC INC
Phone: (425) 775-1199
Phone: (425) 775-1199
23124 25TH AVE W , LYNNWOOD,
WA, 98036
KEPETEI148JP Expiration Date: 11/30/2014
/1/
DESCRIPTION OF WORK:
REMODEL ELECTRICAL FOR NEW CUSTOMER SERVICE AREA. ELIMINATE TWO CHECKSTANDS. RELOCATE THREE
EXISTING REFRIGERATED CASES. ELIMINATE POWER FOR ICE MACHINE.
Valuation of single family: $0.00
Valuation of mf/comm: $6,500.00
Type of Work: TENANT IMP
Fees Collected: $114.82
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer Distric: VALLEY VIEW SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Date: �'
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. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature: �J
Print Name: 6)91�
Date: 4-1-5- " I
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: ***ELECTRICAL PERMIT CONDITIONS***
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.
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 TUK' �A
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical l rmit No.
Project No.
i
Date Application Accepted:
Date Application Expires:
(For once 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: Z,� t I Li()" Suite Number: Floor:
Tenant Name: �t>( )6c 1 h f7? New Tenant: Yes ❑ .. No
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
Name VOf f�-n
Address:zziZll z6 t\%e- W
City: SIVw- State: A ZiP9 c
Phone: 7') Il� Fax: �0At
Email: rFP} rlC �L- 144Q(i,G1'9&
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ic` 11 e ice, E ?elti1 *e—
Address: L L Z LI Z6 I r` AV 'vJ
City: Alait.)00
) State: viet. Zip: etzbo1
Phone: LtZ 116-iielq Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
1
_____640z1420
file,
Lzz? -
Orierie.8 ea-X.6 yvvithi'vle._,
Will service be altered? ❑ Yes jErNo Adding more than 50 amps? ❑ YesNo
Type of Use: N((--VVAti o\ 0 0-- ' -Cd,r/, ` Ed,1"5~ d c(1 -(
Type of work:
❑ New 0 Addition ❑ Service Change 0 Remodel %Tenant Improvement
❑ Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy 0 Seattle City Light
H:\Applications\Forms-Applications On Line\20I4 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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Page 1 of 2
�'6F-
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $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) $65.00
❑ Temporary service (generator) $80.90
❑ Manufactured/mobile home service $86.25
(excluding garage or outbuilding)
❑ Carnivals $80.60
Number of concessions $10.80 ea
Each ride and generator truck $10.80 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: 1411 ?I ;/4 \ Date: 6-1 -1
14
`
Print Name: ��� P�jp�( Fe.Ve-P-A'47.14 Day Telephone: ��r'� � "'� ZtJ
Mailing Address: Z 1 Z11 74 Ave_ '56
City State Zip
H:\Applications\Forms-Applications On Line \2014 Applications\Electrical Permit Application Revised 1-1-14.docx
Revised: July 2013
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Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK _
ACCOUNT
QUANTITY
PAID
$114.82
EL14-0461 Address: 3725 S 144 ST
Apn: 0040000115
$114.82
ELECTRICAL
$109.35
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$109.35
TECHNOLOGY FEE
$5.47
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R2113
R000.322.900.04.00
$5.47
$114.82.
Date Paid: Tuesday, May 13, 2014
Paid By: TREVOR PETERSON
Pay Method: CREDIT CARD 055151
Printed: Tuesday, May 13, 2014 1:52 PM 1 of 1
CFAWSYSTEMS
INSPECTION NO,
INSPECTION RECORD
Retain a copy with permit
11/'11/0(Pf
ERMIT NO.
6300 Southcenter Blvd., #100, Tukwila. WA 98188
CITY OF TUKWILA BUILDING DIVISION
(206) 431-367
Permit Inspection Request Line (206) 438-9350
Project: A 7-
rype of Inspection:
/---- /
ki1/41,it--
Address: ,„.-7 7L,5/
-
''
577
Date Called:
Special instructions: 1
CA14 1 t'K - PiliOk
Date Wanted:
Requester:
Phone No:
7?'/
14 3
pproved per applicable codes.
Corrections required prior to approval.
(peorpev(5 f-1,41>e
Inspector:
D Y2-7
Date: (1
REINSPECTION EE REQUIRE . Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
t
INSPECTION -RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO. (.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
toi-ocf‘
Project: pt.. 5,,,,e4,Type
of Inspection: /
haw464- id
Address: 372515,
�r_
Date Called:
Special Instructions:
Date Wanted:
/t
II 010
ma
p.m.
Requester:
Q �'
�v0I
Phone No:
7 t f z7 3
EiApproved per applicable codes. 9 Corrections required prior to approval.
COMMENTS:
- 4r vi r -to i Jt ► Ak
- 04 i- Coofr LJrTJ ioAkt PbJ
CckWtr,u4ir Ala-tl(
. G1r/21 FY (Mir FJ F) oil c>- Scf
3t/t r
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69k)(PK
sol
Inspector:
Jt Jc"N Date: ! 6\
1O (p/t I
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
City of Tukwila
Department of Community Development
4/1/2015
TREVOR PETERSON
23124 25 AVE W
LYNNWOOD, WA 98036
RE: Permit No. EL14-0461
SUPER SAVER FOODS
3725 S 144 ST
Dear Permit Holder:
Jim Haggerton, Mayor
Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 5/5/2015.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 5/5/2015, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: EL14-0461
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
City of Tukwila
Department of Community Development
10/1/2014
Jim Haggerton, Mayor
Jack Pace, Director
TREVOR PETERSON
23124 25 AVE W
LYNNWOOD, WA 98036
RE: Permit No. EL14-0461
SUPER SAVER FOODS
3725 S 144 ST
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric
Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null
and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if
the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 11/9/2014.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each
inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire.
Address your extension request to the Building Official and state your reason(s) for the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 11/9/2014, your permit will become null and void
and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File No: EL14-0461
6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
K E PETERSEN ELECTRIC INC
Page 1 of 2
411.1) Washington State Department of
Labor & Industries
K E PETERSEN ELECTRIC INC
Owner or tradesperson
PETERSON, TREVOR D
Principals
PETERSON, TREVOR D, PRESIDENT
Peterson, Trevor D, AGENT
PETERSEN, KRIS E
(End: 12/01/2010)
PETERSEN, JACQUELINE
(End: 12/01/2010)
Doing business as
K E PETERSEN ELECTRIC INC
WA UBI No.
600 611 850
23124 25TH AVE W
LYNNWOOD, WA98036
425-775-1199
SNOHOMISH County
Business type
Corporation
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor
License specialties
GENERAL
License no.
KEPETEI148JP
Effective — expiration
04/17/1986-11/30/2014
Designated administrator
PETERSEN, TREVOR D
License type
Electrical Administrator
Bond
No bonds during the previous 6 year period.
Insurance
No insurance accounts during the previous 6 year period.
Savings
(in lieu of bond)
Received by L&I
03/28/2014
Active.
Meets current requirements.
Active.
Meets current requirements.
License no.
PETERTD9261 M
$4,000.00
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=600611850&LIC=KEPETEI148JP&SAW= 05/13/2014