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Home My WebLink AboutPermit EL09-0609 - 7-ELEVEN7- ELEVEN 14057 INTERURBAN AV S ELO9-0609 City 4Ibf 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.: 3365900865 Address: 14057 INTERURBAN AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0609 Issue Date: 09/23/2009 Permit Expires On: 03/22/2010 Tenant: Name: 7- ELEVEN Address: 14057 INTERURBAN AV S , TUKWILA WA Owner: Name: THE SOUTHLAND CORPORATION Phone: Address: C/O TAX DEPT , PO BOX 711 Contact Person: Name: DAVE HAVEWER 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: DISCONNECT /RECONNECT EQUIPMENT FOR REMODEL Value of Electrical: NRES: $950.00 Fees Collected: $88.00 RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENEGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Date: V 1 h 04-1 a ed this permit and know the same to be true and correct. All provisions of law and ordinances 'th 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 Refformance,.Of work. I am authorized to sign and obtain this electrical permit. Signature: Print Name: pie=t 1-1/ AL/42.:),c_-= Date: /7 Z 3- 65 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 -0609 Printed: 09 -23 -2009 Parcel No.: 3365900865 Address: Suite No: Tenant: 7- ELEVEN • 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 14057 INTERURBAN AV S TUKW PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0609 ISSUED 09/23/2009 09/23/2009 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: /- , et I Date: /2- 3 A,2 doc: Cond -Elec EL09 -0609 Printed: 09 -23 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.ci tukwila. wa. us Electrical Permit No. CIA . .r-eQ 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 ' King Co Assessor's Tax No.: �1'.�i.(`� l () - c Site Address: J 7�S-� �?1(A et IVU f'VS . ' Suite Number: Floor: Tenant Name: 7— C= 't-e-=lei✓'/') Property Owners Name: Mailing Address: New Tenant: ❑ Yes .-moo City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: DA-v&' ✓� Z ✓:-� Mailing Address: / 7 / /-71,4-14-74 !J Si E -Mail Address: Day Telephone: 3" 7 3 S 5' fix2r oeckAici1 vti,4 5 f City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Z--/43(-747r77 3� /p S ' -ff &/e I) f c:c Contact Person: r .../C. E -Mail Address: p /� f Contractor Registration Number: (A192 ''II V "L Iu PAt City Day Telephone: .503 9/3 9c'/' Fax Number: a-, ('1 olo State Zip Expiration Date: 01 ZL Itl Valuation of Project (contractor's bid price): $ 9 • v ° Sco e of Work (please provide detailed information): pl s e4) &Qui prndW t�►G -ynJA�� Will service be altered? ❑ Yes 0-1q Adding more than 50 amps? ❑ Yes --E1-110 Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ,—a-Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Prose Served b : Ii Puget Sound Energy ❑ Seattle City Light H:Wpplications\Forns- Applications On Line \I -2009 - Electrical Permit Application doc bh Page 1 of 2 0 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. 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 ROOR/>ELECTRI AL CONTRACTOR: Signature: i�/ .f' 4;7— Print Name: ik 1) c7( Mailing Address: Date: 9 "Z-7 -0 5' Day Telephone: J) 23 City State Zip Date Application Accepted: i 01 Date Application Expires: Staff Initials: fi ApplIcations\Fotms -Apph canons On lined -2009 - Eleclncel Permit Applicat on 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.: 3365900865 Permit Number: EL09 -0609 Address: 14057 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 09/23/2009 Applicant: 7- ELEVEN Issue Date: Receipt No.: R09 -01488 Initials: User ID: Payee: JEM 1165 Payment Amount: $88.00 Payment Date: 09/23/2009 12:11 PM Balance: $0.00 LIBERTY PLACE VENTURER TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA - Authorization No. 046005 ACCOUNT ITEM LIST: Description 88.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 88.00 Total: $88.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 09 -23 -2009 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 (to'/ XOv1 �Project: 7-(1 1 Type of Inspection: 2100 Addres[q 0 _` 5 U 6 Date Called: Special Instructions: Date Wanted: /O O/ a.m. p.m. Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: o v 664/61 El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: Date: / OQ Receipt No.: Date: Untitled Page I • Page 1 of 2 Electrical Contractor A business licensed by Lai 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 HAVEN DM922Q1 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 /Detai1.aspx 09/23/2009