HomeMy WebLinkAboutPermit EL09-0431 - 7-ELEVEN7- ELEVEN
680 STRANDER BL
ELO9-043 1
Parcel No.:
Address:
Suite No:
Cityef 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
ELECTRICAL PERMIT
Permit Number: EL09 -0431
Issue Date: 07/21/2009
Permit Expires On: 01/17/2010
Tenant:
Name: 7- ELEVEN
Address: 680 STRANDER BL , TUKWILA WA
Owner:
Name: Phone:
Address:
Contact Person:
Name: DAVE HAVENER Phone: 503 - 789 -5284
Address: 1919 MAHAN ST , PORT ORCHARD WA
Contractor:
Name: LIBERTY PLACE VENTURER LLC Phone: 503 - 618 -1053
Address: 2918 SE LIBERTY PLACE , GRESHAM OR
Contractor License No: LIBERPV916B6 Expiration Date: 01/26/2011
DESCRIPTION OF WORK:
MOVE ELECTRICAL BOXES TO BE IN PLACE FOR NEW COUNTER CONFIGURATION. NO NEW
CIRCUITS
Value of Electrical: NRES: $800.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$84.00
National Electrical Code Edition: 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 rmann cp ofyvork. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
�I4 ✓ c Y d4JC n�ci2
Date: 7- 2-1- 5
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 -0431 Printed: 07 -21 -2009
Parcel No.:
Address:
Suite No:
Tenant:
• •
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite 14100
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 -0431
ISSUED
07/21/2009
07/21/2009
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:
Print Name: )A ✓ t V a 4- "-<:-.7a
Date: -7 Z O
doc: Cond -Elec
EL09 -0431 Printed: 07 -21 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ciluicwila.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
Site Address: &84) si 12AA)
Tenant Name:
)- c.1-E ✓ )
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes O..No
Property Owners Name: SOc.t 74-1- r -'() Wt2P
Mailing Address:
City
CONTACT PERSON :Who do we contact when your peTrmi> isready,q,b "e issued
Name: AV(.:' FIAVL '5??
Mailing Address: / 6/ f n,f,4 •J S j
E -Mail Address:
State
Zip
Day Telephone: -7Sc2- a-8
o /Li 0 ii#420
City
ELECTRICAL CONTRACTOR INFORMATION
WA- 834..
State Zip
Fax Number:
Company Name: J- /QC -27-7 Pc, 1/910-1-, 12-& T?
Mailing Address: c;19 18 s'- G i 13 e 2 T y P - 4 is &ylc;-S"H•A e 0 it `) v 8 D
/� City State Zip
Contact Person: 0 (-L-- r;412 2 0a.> Day Telephone: ST) 3-9 ) 3 -9 ail 9
E -Mail Address:
Contractor Registration Number: Expiration Date:
Fax Number:
Valuation of Project (contractor's bid price): $ °
Scope of Work (please provide detailed information):
) O V/ U L- LC C i .(( 1 C✓- L 4-t1 KC S 70
t i ti P)-.4C u) u ►v7 7 .
Gt`ZGC.A rr5 .
0 ry /= l Crt /z-A. T7 D rt , AR)
Will service be altered? ❑ Yes ..ErNo Adding more than 50 amps? ❑ Yes .❑ —P�'o
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change .0'Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:\Applications\Fonns- Applications On Lne \7 -2009 - Electrical Permit Application.doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $145.60
(including an attached garage)
❑ Garages, pools, spas and outbuildings $78.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $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 APPLICATIOI 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 ELECTRIC L CONTRACTOR:
Signature:
Print Name: i ✓ e.( .4 ✓d
Mailing Address:
Date: 7 — 2 / 5
Day Telephone: 57) 3'" 7 g5- S Z g
City
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H.^Appli cation? Forms -Appli cations On Li nel I -2009 • Electra c al Permit Appli canon. doe
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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
Parcel No.:
Address: 680 STRANDER BL TUKW
Suite No:
Applicant: 7- ELEVEN
RECEIPT
Permit Number: EL09 -0431
Status: PENDING
Applied Date: 07/21/2009
Issue Date:
Receipt No.: R09 -01136
Payment Amount: $84.00
Initials: WER Payment Date: 07/21/2009 01:17 PM
User ID: 1655 Balance: $0.00
Payee: LIBERTY PLACE VENTURER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 032333
ACCOUNT ITEM LIST:
Description
84.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 84.00
Total: $84.00
PAYM ENT
RECEIVED
doc: Receiot -06
Printed: 07 -21 -2009
INSPECTION RECOR11,07-0f31
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: 7-i)
Type of Inspection: 21 D�
Address:
Date Called:
Special Instructions:
Date Wanted:
Ds O
i
a
Requester:
Phone No:
CA, Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
(ApyL
Inspector:
Date: r„
Mi Oil
to inspection, fee m s
LJ$60.00 REINSPECTION FEE REQUIRED. Prior p t 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 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 Liberty Place Venturer
UBI No. 602457255
LLC
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
07/21/2009