HomeMy WebLinkAboutPermit EL09-0686 - JACKSONS FOOD STOREJAC
ONS FOOD STORES
13138 INTERURBAN AV S
ELO9-0686
City ®f 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.: 0003000108
Address: 13138 INTERURBAN AV S TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0686
Issue Date: 11/05/2009
Permit Expires On: 05/04/2010
Tenant:
Name: JACKSONS FOOD STORES
Address: 13138 INTERURBAN AV S , TUKWILA WA
Owner:
Name: EQUIVA SERVICES LLC Phone:
Address: PROPERTY TAX DEPT , PO BOX 4369
Contact Person:
Name: KILEY TURNER Phone: 208 - 345 -2982
Address: 416 E 41ST ST , BOISE ID
Contractor:
Name: YOUNG ELECTRIC SIGN CO Phone: 208 - 345 -2982
Address: 416 E 41ST ST , GARDEN CITY ID
Contractor License No: YOUNGES101OF Expiration Date: 12/21 /2010
DESCRIPTION OF WORK:
INSTALL (1) INTERNALLY ILLUMINATED WALL SIGN ON THE SOUTHEAST WALL OF THE
BUILDING
Value of Electrical: NRES: $100.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition: 2008
$60.00
Date: { 1 -4 - D 9
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 es 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 electrical permit.
Signature:
rieM
Date: /
Print Name: l.,l frOin M ( (V14
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 -0686 Printed: 11 -05 -2009
Parcel No.: 0003000108
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
13138 INTERURBAN AV S TUKW
JACKSONS FOOD STORES
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0686
ISSUED
11/03/2009
11/05/2009
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.
Print Name: C (-I fF07<r) (V1- 10/1 I
Date: //1/9 5/401) 7
doc: Cond -Elec
EL09 -0686 Printed: 11 -05 -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 No. L—Qq— 0 W' �o
Project No.
(For office use only)
ELECTRICAL PERMIT APPLICATION
Applications and plans must he complete in order to be accepted for plan review.
Applications will not he accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
King Co Assessor's Tax No.: 0003000108
Site Address: 13138 Interurban Ave. S Suite Number:
Jacksons Food Stores
Tenant Name:
Property Owners Name: PacWest Energy, LLC
Mailing Address: 3450 E. Commercial Ct.
Meridian
New Tenant:
Floor:
m Yes ❑..No
ID
83642
rite
State
Lip
CONTACT PERSON - Who do Ise contact II hen your permit is ready to be issued
Name: Kiley Turner
Mailing Address: 416 E. 41st Street
Day Telephone: (208) 345 -2982
Boise ID 83714
E -Mail Address: kturner @yesco.com
<' m
Fax Number:
State
(208) 345 -3064
Lip
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Young Electric Sign Compay
Mailing Address: 416 E. 41st Street
Contact Person:
Kiley Turner
Boise
ID 83714
E -Mail Address: kturner @yesco.com
Contractor Registration Number: YoungES101 OF
Day Telephone:
Fax Number:
Expiration Date:
State
(208) 345 -2982
(208) 345 -3064
12/21/2010
hp
Valuation of Project (contractor's bid price): S 100
Scope of Work (please provide detailed information):
building.
Install (1) internally illuminated wall sign on the Southeast wall of
Will service he altered? ❑ Yes ® No
Type of Use: 4 amps @ 120 volts hooking into existing circuit.
Type of work:
® New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
Pu Yet Sound Energy
Seattle City Light
Adding more than 50 amps? ❑ Yes ® No
❑ Service Change
❑ Fire Alarm
11 App.:anon, 1 oun,- Application, On I me 1.2u0u . 1-lecv ical Permit Apph.aoon do.
bh
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL. SERVICE
❑ NcMt single Tamil) dv\eIlings $1.15.6(
(including an attached garage)
❑ Garages. pools. spas and outbuildings S78.00 ea
❑ Lock voltage systems
(alarm. furnace thermostat) S57.00 ea
RESIDEN'TIAI. REMODF :I. AND SERVICE ("LANCES
❑ Service change or alteration S78.00
(no added/altered circuits)
❑ Service change N'.ith added /altered circuits S78.00
number of added circuits S11.00 ea
❑ Circuits added/altered tt ithout service change $52.00
(up to 5 circuits)
❑ Circuits added/altered tt ithout sen ice change S52.00
(6 or more circuits) S7.30 ea
❑ Meter /mast repair $65.0(
❑ 1.(m voltage s) stems $57.1111
(alarm. furnace thermostat)
\Il LTI- FANIILV AND CON1MER(IA1.
Fees are based on the aluation of the electrical contract.
MISCELLANEOUS FEES
❑ femporarc service (residential)
$60.00
❑ Temporary sem ice (generator) $75.00
❑ Manufactured /mobile home ser■ ice $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 alue of construction amount should he entered by the applicant. 1 his figure 't ill he rev ie ∎ed and is subject
to possible re\ ision h) the Permit Center to comply x‘ith current fee schedules.
Expiration of Plan Review Applications for yvhich no permit is issued xvithin 180 day s fbllott ing the date of application shall expire by limitation.
The 13uilding Official may grant one extension of time for an additional period not to exceed 9(1 day s. The extension shall be requested in t\ riling
and justifiable cause demonstrated.
1111'.REBY C'FR I'II -Y" I 11 l' I HAVE READ AND EXAMINED I I IIS APPLICATION AND KNOW THE IE SAME 1'O 111 :..1 RUE LINDER
PENALTY OF PI {R.II IRY BY THE LAWS OF 1111; STAI I: 01 WASHINGTON. AND I AM Al !I IIORI %I?I) TO APPLY FOR MIS PI:RMI I.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name: Kiley Turner Day Telephone:
Mailing Address: 416 E. 41st Street Boise
t�m
Date: /er e5 f
(208) 345 -298
ID 83714
State
Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H Applications points- Apphcat:ons On I me . - 20114 - lixtrical Permit Appbcanon S.
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.: 0003000108 Permit Number: EL09 -0686
Address: 13138 INTERURBAN AV S TUKW Status: APPROVED
Suite No: Applied Date: 11/03/2009
Applicant: JACKSONS FOOD STORES Issue Date:
Receipt No.: R09 -01750
Initials:
User ID:
Payee:
WER
1670
Payment Amount: $60.00
Payment Date: 11/05/2009 02:31 PM
Balance: $0.00
YESCO
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC -
Authorization No. 010211
ACCOUNT ITEM LIST:
Description
60.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 60.00
Total: $60.00
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 11 -05 -2009
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 -3670
ProjeSL'� l (000 sioke
7u
of Inspection:
00
Address:
13 13g (47-A6
Date Called:
...-
Special Instructions:
SI Mid r• _ j
Date Wanted:
0�
ap..m.
m.
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
9
i 6614 tl\
LI $60.00 REIN PECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Date: 01 O.Z d
Receipt No.:
Date:
Untitled Page
•
•
Page 1 of 3
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 YOUNG ELECTRIC SIGN CO UBI No.
Phone 2083452982 Status
Address 416 E 41ST ST
Suite /Apt.
City GARDEN CITY
State ID
Zip 83714
County OUT OF STATE
Business Type Corporation
Parent Company
600084396
ACTIVE
License No. YOUNGES1010F
License Type ELECTRICAL CONTRACTOR
Effective Date 9/6/1990
Expiration Date 12/21/2010
Suspend Date
Specialty 1 SIGN
Specialty 2 UNUSED
MASTER ELECTRICIAN INFORMATION
License AMBROME967CK
Name AMBROSE, MARTIN E
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
YOUNG, T MICHAEL
Cancel
01/01/1980
Bond
YOUNG, PAUL C
Bond
01/01/1980
Number
WARDLE, D DUANE
Date
01/01/1980
Date
C T CORPORATION SYSTEM
AGENT
01/01/1980
Name
SMITH, NEIL B
TREASURER
11/12/1996
Bond Information
https://fortress.wa.gov/lni/bbip/Detail.aspx
11/05/2009
Bond
Bond Account
Effective
Expiration
Cancel
Impaired
Bond
Received
Bond
Company
Number
Date
Date
Date
Date
Amount
Date
Name
3
LIBERTY
MUTUAL
965 003 037
08/28/2003
Until
Cancelled
$4,000.0007/02/2003
INS CO
2
FIDELTY Et
ST4371
08/28/2002
Until
08/28/2003
$4,000.0001
/06/2003
GUARANTY
Cancelled
https://fortress.wa.gov/lni/bbip/Detail.aspx
11/05/2009