HomeMy WebLinkAboutPermit EL09-0332 - 7-ELEVEN7- ELEVEN
680 STRANDE
ELO9-0332
Parcel No.:
Address:
Suite No:
City ®f Tukwila 0
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
680 STRANDER BL TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL09 -0332
05/26/2009
11/22/2009
Tenant:
Name: 7- ELEVEN
Address: 680 STRANDER BL , TUKWILA WA
Owner:
Name:
Address:
Contact Person:
Name: PAUL FARROW
Address: 2918 SE LIBERTY PL , GRESHAM OR
Contractor:
Name: LIBERTY PLACE VENTURER LLC
Address: 2918 SE LIBERTY PLACE , GRESHAM OR
Contractor License No: LIBERPV916B6
Phone:
Phone: 503 - 913 -9249
Phone: 503 - 618 -1053
Expiration Date: 01/26/2011
DESCRIPTION OF WORK:
MOVE POWER POLE TO NOVELTY CASE (ICE CREAM) OVER ONE AISLE USING EXISTING
CIRCUIT
Value of Electrical:
Type of Fire Protection:
NRES: $250.00
RES: $0.00
UNKNOWN
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
)4,2
$60.00
2005
Date: )
I hereby 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 p 1 rmance of wt9rk. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
( /i't ✓c c) 7slvd"r -C7
Date: 5.- 2l. b9
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 -0332
Printed: 05-26-2009
Parcel No.:
Address:
Suite No:
Tenant:
•
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
680 STRANDER BL TUKW
7- ELEVEN
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0332
ISSUED
05/26/2009
05/26/2009
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: ,r tom! Date: 2 J— °5
Print Name:
doc: Cond -Elec
EL09 -0332 Printed: 05 -26 -2009
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
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: (Oy 0 /1 "1O6e Suite Number: Floor:
Tenant Name: 7— -.1-6-"10/67 ft--) New Tenant: ❑ Yes 43-...No
Property Owners Name: 7 11 &Oe e,
Mailing Address:
City
State Zip
CONTACT PERSON = Who do we Contact when your permit.is''r..eiidyto be,' issued'
Name: Day Telephone:
Mailing Address:
City State Zip
E -Mail Address: Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: J /13E27t/ PGRCC dc'/t 7 6 ' l.LG
Mailing Address: ZCl /' S 6 e_Ae RP7 PL- G2c7 -0,-,1 O e 97080
City State Zip
Contact Person: /14(I L el/1/20'' Day Telephone: 5-03 - /3° 9 41549
E -Mail Address: Fax Number:
Contractor Registration Number: ./36-72 /OY 9/ (v 13
Expiration Date:
Valuation of Project (contractor's bid price): $ � CO3
a9
Scope of Work (please provide detailed information):
/Y7O ✓/ /U (f— f o w��' PDAG Th /) b1/6-J-T y C r4 . (. c CQ�fi-vi.) oiit
dw€ ,*/ SSG , l.I9A16- ers77s' &- C.QKT.
Will service be altered? ❑ Yes „"No Adding more than 50 amps? ❑ Yes .12r5lo
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change 2emodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\ApplicationsWorms -Applications On Line \I -2009 - Electrical Permit Application doc
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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 circuits) ............. ..... $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 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 ELECTRICAInCONTRACTOR:
Signature:
Print Name:
Mailing Address:
PA C. Y;:yeeo W
2� /8 S E G /BE7 r'7 /2L
Date: 5- 2 L - 051
Day Telephone: 503 — q/3 ' qa `% 9
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:1ApphcationetForms- Applications On Line 1I -2009 - Electrical Permit Applicaoon.doc
bh
Page 2 of 2
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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.:
Address: 680 STRANDER BL TUKW
Suite No:
Applicant: 7- ELEVEN
RECEIPT
Permit Number: EL09 -0332
Status: PENDING
Applied Date: 05/26/2009
Issue Date:
Receipt No.: R09 -00779
Payment Amount: $60.00
Initials: WER Payment Date: 05/26/2009 02:11 PM
User ID: 1655 Balance: $0.00
Payee: LIBERTY PLACE VENTURER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 078144
ACCOUNT ITEM LIST:
Description
60.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 60.00
Total: $60.00
T
ECEVED
doc: Receiot -06 Printed: 05 -26 -2009
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
INSPECTION RECORD
Retain a copy with permit
6LL7-O3Z
P MIT NO.
Project: 7_, I
Type of Inspection: , /OO
Address: a0 C J 1
Date Called:
r1
Special Instructions:
Date Wanted:
Oc ��
](/
a.m.
p•
Requester:
Phone No:
14 Approved per applicable codes. 0 Corrections required prior to approval. -
COMMENTS:
- rAit,
Inspector:
c-P\
Date: l5 0b v7
ri $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
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Page 1 of 2
Electrical Contractor
A business licensed by L1tI 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
Liberty Place Venturer
LLC
UBI No. 602457255
Phone 5036181053 Status ACTIVE
Address 2918 Se Liberty Place License No. LIBERPV916B6
Suite /Apt. License Type ELECTRICAL
CONTRACTOR
City GRESHAM Effective Date 1/26/2009
State OR Expiration 1/26/2011
Date
Zip 97080 Suspend Date
County OUT OF STATE Specialty 1 GENERAL
Business Type Limited Liability Company Specialty 2 UNUSED
Parent
Company
ADMINISTRATOR INFORMATION
License HAVENDM922Q1
Name Havener, David MICHAEL
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
Farrow, Paul
PARTNER /MEMBER
01/26/2009
Bond
Amount
Farrow, Sandra
PARTNER /MEMBER
01/26/2009
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
https: // fortress .wa.gov /lni/bbip/Detail.aspx
05/26/2009