HomeMy WebLinkAboutPermit EL09-0257 - SUBWAYSU
3725S144ST
EL09M257
Citgiif Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206- 431 -3665
Web site: http://www.ci.tukwila.wa.us
Parcel No.: 0040000115
Address: 3725 S 144 ST TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0257
Issue Date: 04/16/2009
Permit Expires On: 10/13/2009
Tenant:
Name: SUBWAY
Address: 3725 S 144 ST , TUKWILA WA
Owner:
Name: SILVERDALE - TUKWILA LLC ET A Phone:
Address: 9777 WILSHIRE BLVD #1009 , BEVERELY HILLS CA
Contact Person:
Name: GEORGIA GEDDIS Phone: 425 397 -9060
Address: 2228 131) DR NE , LAKE STEVENS WA
Contractor: &t Pt €11S c, i2 t(.
Name: Phone:
Address:
Contractor License No: EYp I 1 14#44 Expiration Date: 1.2,12.9-1 -a
DESCRIPTION OF WORK:
WIRING IN BAIN, FREEZER, FRIDGE, AND OVEN (10 CIRCUITS - OTHER CONTRACTOR
PROVIDING THE SERVICE)
Value of Electrical: NRES: $4,000.00 Fees Collected: $150.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided b'r: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
th,
Date:
°Lit/111i )
ed 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 the performance of vyork. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: 5CG at, keti bu y
Date: 4// 4
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 -4/07
EL09 -0257 Printed: 04 -16 -2009
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206 - 431 -3665
Web site: http://www.ci.tukwila.wa.us
Parcel No.: 0040000115
Address: 3725 S 144 ST TUKW
Suite No:
Tenant: SUBWAY
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0257
ISSUED
04/16/2009
04/16/2009
1: ** *ELECTRICAL * **
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.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local
laws regulating construction or the performance of work.
Signature:
CI
Print Name: 5cC / Gtr1 2rn bVkci
Date: / /0 �!
doc: Cond -Elec
EL09 -0257 Printed: 04 -16 -2009
CITY OF TUKIWILO
Community Development Department
Permit Cegter
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://Www.ci.tukwila.wa.us
Electrical Permit No. fV7 L
Project No.
(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
Site Address: 3725 S 144TH ST
Tenant Name: SUBWAY SANDWICH
Property Owners Name: -nr . 111
Mailing Address:
5 �D rI"
4 '4 +h ST
King Co Assessor's Tax No.: 001 000 121/1(
Suite Number: Floor:
New Tenant: ® Yes ❑ .. No
ItKV -h(/_
City
State
IP
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: GEORGIA GEDDIS
Mailing Address: 2228 130TH DR NE
E-Mail Address: GEDDISELECTRIC@AOL.COM
Day Telephone:
LAKE STEVENS
city
Fax Number:
(425) 397 -9060
WA 98258
State
(425) 397 -9060
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
GEDDIS ELECTRIC, INC
2228 130TH DR NE
LAKE STEVENS WA 98258
GEORGIA GEDDIS
GEDDISELECTRICQAOL.COM
Contractor Registration Number: GEDDIEI991 R4
City
Day Telephone:
Fax Number:
Expiration Date:
state
(425) 397 -9060
(425) 397 -9060
12/31/2009
Zip
Valuation of Project (contractor's bid price): $ 14-) U L '
Scope of Work (please provide detailed information): 1028 SQ FT SUBWAY SANDWICH STORE, LOCATED INSIDE THE
"TRADING POST' NO LIGHTING, WIRING IN BAIN, FREEZER, FRIDGE, OVEN 10 CIRCUITS SOMEONE ELSE
DOING THE SERVICE
Will service be altered? ❑ Yes
No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
Seattle City Ligh:
H:1Applicaaons\Potms- Applications On Lin Ai -2009 - Weaned Permit Application doe
nh
❑ Remodel ® Tenant Improvement
❑ Telecommunication ❑ 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)
$145.60
$78.00 ea
$57.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $78.00
(no added/altered circuits)
❑ Service change with added/altered circuits $78.00
number of added circuits $11.00 ea
❑ Circuits added/altered without service change $52.00
(up to 5 circuits)
❑ Circuits added/altered without service change $52.00
(6 or more circuit:.) $7.30 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $57.00
(alarm, furnace thermostat)
MULTI- FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $60.00
❑ Temporary service (generator) $75.00
❑ Manufactured/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions $10.00 ea
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.
1 HEREBY CERTIFY 1 HAT 1 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: V
.`�
i
Print Name: GEORGIA EDDIS
Mailing Address: 2228 '30TH DR NE LAKE STEVENS WA 98258
Date: 04/15/2009
Day Telephone: (425) 397 -9060
Date Application Accepted:
(7
City
Date Application Expires: ._._
State
Staff Initials:
Zip
i
H AppkcationsWomw- Applicano® On Li e\1 -2009 - EIecnical Permit Application.doc
bh
Page 2 of 2
•
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206- 431 -3670
Fax: 206 -431 -3665
Web site: http://www.ci.tukwila.wa.us
RECEIPT
Parcel No.: 0040000115 Permit Number: EL09 -0257
Address: 3725 S 144 ST TUKW Status: PENDING
Suite No: Applied Date: 04/16/2009
Applicant: SUBWAY Issue Date:
Receipt No.: R09 -00582
Initials:
User ID:
Payee:
JEM
1165
Payment Amount: $150.00
Payment Date: 04/16/2009 08:38 AM
Balance: $0.00
RANDY W GEDDIS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credi: Crd VISA -
Authorization No. 081420
ACCOUNT ITEM LIST:
Description
150.00
Account Code Current Pmts
ELECTRICAL PERMIP - NONR
000.322.101.00.0 150.00
Total: $150.00
PYM ENT
RECEIVED
doc: Receiot -06
Printed: 04 -16 -2009
INSPECTION RECORD 02,57 Retain a copy with permit at CTION NO. IT NO.
CITY OF TUKWILA BUILDING DIVISION -
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: S AWA/
Type of Inspection: 2,00
Address:
Date Called:
Special Instructions:
Date Wanted:
0(0/05-
a.m
p.m.
Requester:
Phone No:
Approved per applicable codes. El Corrections required prior to approval.
CO MENTS:
C911 lapritup tik-ot
or4A-L,
Inspector:
Date:
DS
D
LI $60.00 REINSPECTION FEE REQUIRED. Prior to inspect on fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
(Receipt No.:
Date:
t
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION P-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
Project: `
Type of Inspection:
1 1
f
Address:
3.77c 5. MY ST.
Date Called:
Special Instructions:
Date Wanted:
8
a:m:
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
1Ptmicn DA/ &)c aM tAM 1464#11S- TO
- 1141-11b4 At., LOCIONNT5 owl CL-9C (oJ4I 5
FoR k EC)ORTE goo
- (A) oust, C OL2Enti- m ft 1 S rP
APP 2 5I9Pi LJfrA,?wl R
-- 7/(1 'T fit, OAT p Co-6(.4 e04 5700,
Inspector:
Date: a oU b!
El $60.00 REINSFbECTION FEE RE UIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P RMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -,
CO -0257
Project: C J��41
Type of Inspection: /:
` }
v
Address•,
.�"IZ'�S- l� 5T�
Date Called:
�""
Special Instructions:
Date Wanted:
, /
o 7 /7
a.m
p.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
D
K
CdVCk i I &LtJL1 144,M62
dof EpsnAl(1 opa WAAi.[.
(Inspector:
Date:
LI $60.00 REINSpECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Untitled Page
Page 1 of 2
Electrical Contractor
A business licensed by LFtI 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
GEDDIS ELECTRIC INC
4253979060
2228 130TH DR NE
LAKE STEVENS
WA
98258
SNOHOMISH
Corporation
UBI No.
Status
License No.
License Type
Effective Date
602165892
ACTIVE
GEDDIEI991 R4
ELECTRICAL CONTRACTOR
12/24/2001
Expiration Date 12/27/2009
Suspend Date
Specialty 1 GENERAL
Specialty 2 UNUSED
Business Owner Information
Name
Role
Effective Date
Expiration Date
GEDDIS, RANDY W
AGENT
12/24/2001
Bond
Amount
GEDDIS, RANDY W
PRESIDENT
12/24/2001
LPM4055089
TINNELL, STEVE W
SECRETARY
12/24/2001
GEDDIS, GEORGIA M
VICE PRESIDENT
12/24/2001
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
COLONIAL
AM CAS Ft
SURETY
OF MD
LPM4055089
12/18/2001
Until
Cancelled
$4,000.00
12/24/2001
Infraction / Citation Information
Infration /Citation
Date
RCW Code
https://fortress.wa.gov/lni/bbip/Detail.aspx
Type
Status
Violation
04/16/2009