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Home My WebLink AboutPermit EL09-0773 - JACKSONS FOOD STOREJACKSONS FOOD STORE 13138 INTERiJRBAN AV S ELO9-0773 City.f Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Inspection Request Line: 206- 431 -2451 Web site: http: / /www.ci.tukwila.wa.us Parcel No.: 0003000108 Address: 13138 INTERURBAN AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0773 Issue Date: 12/04/2009 Permit Expires On: 06/02/2010 Tenant: Name: JACKSONS FOOD STORE Address: 13138 INTERURBAN AV S , TUKWILA WA Owner: Name: EQUIVA SERVICES LLC Phone: Address: PROPERTY TAX DEPT , PO BOX 4369 Contact Person: Name: JAY BROMLEY Phone: 503 - 519 -6056 Address: 2800 NW 31ST AVE , PORTLAND OR Contractor: Name: NORTHWEST PUMP & EQUIPMENT CO Phone: Address: 2800 NW 31 STAVE , PORTLAND OR Contractor License No: NORTHPE066MF Expiration Date: 07/23/2010 DESCRIPTION OF WORK: ADDING 5 CIRCUITS AND 1000' OF LOW VOLTAGE CAT5 CABLE Value of Electrical: NRES: $4,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $150.00 National Electrical Code Edition: 2008 Wad Date: Us-1-14 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 : erformance of work. I am authorized to sign and obtain this electrical permit. Signature: Date: t' Print Name: 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 -0773 Printed: 12 -04 -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 STORE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0773 ISSUED 12/04/2009 12/04/2009 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 art 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: Date: /2 doc: Cond -Elec EL09 -0773 Printed: 12 -04 -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. rLo -0773 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 1 King Co Assessor's Tax No.: Site Address: 1 313% 7-0 i( Ufl'hhVt fide. S• Suite Number: Floor: Tenant Name: New Tenant: El Yes ..No 000300 -009 Property Owners Name: GtC E lA20\t4 Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Mailing Address: 31.54-4, c- E -Mail Address: J(o•M\"ty Day Teleph ne: 563 s � `1 City State (005 (e 972- 10 Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: ADD NtA) 31•* Ave. Contact Person: ? ) , ( Csl)ct v k\,24- E -Mail Address: Contractor Registration Number: Tortid 6� City State Zip Day Telephone: <>37S15 — % Fax Number: Expiration Date: Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): /0-6 061 V C C4 S ccip �1t'k3 avj /c - Of- Will service be altered? ❑ Yes IA No Adding more than 50 amps? ❑ Yes ® No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel In Tenant Improvement dill Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H.\Applicattons \Forms- Applications On Line \I -2009 - Electrical Permit Application.doc bh 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.Q0 ❑ 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 ELECTRICAL CONTRACTOR: Signature: Print Name: � -.GN)Q-v■ v.o Mailing Address: — NO A/ 4r Date: /2- r- 0 Day Telephone: _S75-375'7/ — 4(020 973 State /r // CI City Zip Date Application Accepted: Date Application Expires: Staff Initials: HAApphcanonsTorms- Apphcanons On LineU -2009 - Electned Perron Appltcanon.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.: 0003000108 Permit Number: EL09 -0773 Address: 13138 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 12/04/2009 Applicant: JACKSONS FOOD STORE Issue Date: Receipt No.: R09 -01945 Initials: User ID: Payee: WER 1655 Payment Amount: $150.00 Payment Date: 12/04/2009 03:41 PM Balance: $0.00 STEVE DAMON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC - Authorization No. 016612 ACCOUNT ITEM LIST: Description 150.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 150.00 Total: $150.00 rinr.• RPCaint -OR Printatl. 12- n4 -7nn4 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 Permit Inspection Request Line (206) 431 -2451 Project: f �/ Type of Inspection: 00 Address: 131:37 tAtry Date Called: Special Instructions: • Date Wanted: itor .m. p• Requester: Phone No: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: D 6e4i Inspector: f 11\ Date: (1 t fib n REINSPECTIdN FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit to:T - �r15 PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Project: � �5 hw� Ac4 Type of Inspection: X00 Address: 13/3'7 4/T_ )n5 Date Called: Special Instructions: Date Wanted: J 0 / .m. p. Requester: Phone No: ❑ Approved per applicable codes. Corrections required prior to approval. 1/ COMMENTS: PoJ5 othicJ5 JcT ti Inspector: �� Date: /,o LI $60.00 REINSPECTION FEE RE UIRED. Prior to inspe /oq n , fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: � 60� -013 INSPECTION RECORD INSPECTION RECORD INSPE ION NO. Retain a copy with permit P RMIT NO. CITY OF TUKWILA BUILDING DIVISION H*." 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 z\ Project: ../- Type of Inspection: 100 - Pei'-r- 04 s, rE Address:,3 3Nif Date Called: Special Instructions: Date Wanted: Q3 .m. p.m Requester: Phone No: IDApproved per applicable codes. Corrections required prior to approval. COMMENTS: -- jeNtire ? ■ 5 it) �{ErLcer 4 041 cc (4.0)1 T� - Pei'-r- 04 s, rE IV( Inspector: Li"' Date: 06 /03 /10 ri $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: 11 -01 -2010 itj/sfT° 11 S � P Jim Haggerton, Mayor epartment of Community Development lack Pace, Director JAY BROMLEY 2800 NW 31ST AVE PORTLAND OR 97210 RE: Permit No. EL09 -0773 13138 INTERURBAN AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/01/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 12/01/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, en 'fer it Tec en fifer arshall it Technician File: Permit File No. EL09 -0773 6300 Southcenter Boulevard, Suite #100 o Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 0 Fax: 206- 431 -3665 Department of Community Development JAY BROMLEY 2800 NW 31ST AVE PORTLAND OR 97210 RE: Permit No. EL09 -0773 13138 INTERURBAN AV S TUKW Dear Permit Holder: Jim Haggerton, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 06/02/2010. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and /or receive an extension prior to 06/02/2010, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, c Bill Rambo Permit Technician File: Permit File No. EL09 -0773 6300 Southcenter Boulevard, Suite #100 0 Tukwila, Washington 98188 0 Phone: 206 - 431 -3670 0 Fax: 206 - 431 -3665 Untitled Page 0 • 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 Phone Address Suite /Apt. City State Zip County Business Type Parent Company NORTHWEST PUMP if EQUIPMENT CO 5032277867 2800 NW 31ST AVE PORTLAND OR 97210 OUT OF STATE Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 578043955 ACTIVE NORTHPE066MF ELECTRICAL CONTRACTOR 7/6/1994 7/23/2010 GENERAL UNUSED MASTER ELECTRICIAN INFORMATION License GAUNTP *971 PP Name GAUNTLETT, PHILIP Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date MILLER, GREGORY 01/01/1980 MATHEWS, MARK 01/01/1980 MATHEWS, ROBERT J 01/01/1980 WALKER, JERRY AGENT 01/01/1980 Bond Information 1 Bond I Bond https: // fortress .wa.gov /lni/bbip /Detail.aspx 12/04/2009