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Home My WebLink AboutPermit EL10-0302 - PETROCARDPETRO CARD 13435 INTERURBAN AV S EL1 0-0302 City Of 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: / /wwwci.tukwila.wa.us Parcel No.: 0003000028 Address: 13435 INTERURBAN AV S TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL10 -0302 Issue Date: 04/26/2010 Permit Expires On: 10/23/2010 Tenant: Name: PETROCARD Address: 13435 INTERURBAN AV S , TUKWILA WA Owner: Name: THORP PROPERTIES INC Phone: Address: 26313 97TH AVE S , KENT WA Contact Person: Name: VANESSA GREENE Phone: 206 - 786 -6962 Address: 21706 66 AV W , MOUNTLAKE TERRACE WA Contractor: Name: LIGHT DOCTOR LLC Phone: 425 - 481 -5001 Address: 21706 66 AVE W , MOUNTLAKE TERRACE WA Contractor License No: LIGHTDL954L8 Expiration Date: 06/28/2011 DESCRIPTION OF WORK: RETROFIT OF EXISTING LIGHTING FOR CANOPY & POLE LIGHTS Value of Electrical: NRES: $26,467.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: $556.90 National Electrical Code Edition: 2008 Date: 110--�_�� 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 rf of work. I am authorized to sign and obtain this electrical permit. Signature: Date: L _2"( I c Print Name: 'ra+(1 G 1 SCO�J C C O\ 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 ELI 0-0302 Printed: 04 -26 -2010 Parcel No.: 0003000028 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 13435 INTERURBAN AV S TUKW PETROCARD PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0302 ISSUED 04/26/2010 04/26/2010 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: f Avkc\sCCSe .) ( Date: doc: Cond -Elec ELI 0-0302 Printed: 04 -26 -2010 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://Www.ci.tukwila.wa.us lectrical'Peruiit 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 Address: 13k S ad1kAtir- IcC..tA. ?'Jc\ S Tenant Name: C7 Crl_x_e1 King Co Assessor's Tax No.: 060 36O —50:11( Suite Number: Floor: New Tenant: ❑ Yes 5L.No Property Owners Name: \l a5S Zip Mailing Address: cJ1■V14,02_ Q 5 PVC. Tu u st.A0- City State PNT ACTIVE'S ON o do,we'' contact whemyour, permit'is ready to be issued' Name: \i Q _, �l Z AJI, - Day-Telephone: 2-a-e - - -LPCI LPL - Mailing Address: Z 901a) t) Le t ALE, 110 1 flC _ AA AR. T-e. Aace_ KA 61,e01- City State Zip E -Mail Address: \'C e_ Co hCX&- DOi_\Cij Com Fax Number: 4Z6 • Z7S • 44°15 ELECTRICAL`: Company Name: tan Mailing Address: 21, L Lf ' �dk W (1t L Mci.L +:. T�2� ACLC -SL ti�r atIsbatb State Zip Day Telephone: 42s • 14%1 sjtoi Fax Number: A•125 • 27•'S • - 1,44CI S Expiration Date: CD, ZS 12 o 1 \ Contact Person:1.V12S�. E -Mail Address: \)QreAk.12_@ I V LAA- CleCtW , COev - '1,, Contractor Registration Number: LICVA MCA City Valuation of Project (contractor's bid price): $ Z.IQ 41.Q1" Scope of Work (please provide detailed information): CCLA D 4 R)1.-SL ti\C�lll �- \tc .. Jr11A Yin 01- �` 1n t a ' o �/ Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes (o Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel a Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light la Applicffiionsl 'hoG^:-Applications On Line \1-2009 - Electrical Permit Application.doc bh 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 PERMIVAPPLICATION�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 ELECTRICAL CONTRACTOR: Signature: Print Name: ci— ire2ne� Date: 4 as • 1(5 Day Telephone: Zap •12510 •C19glj2_ Mailing Address: 21 o U k.2a'4 Ate VJ (111.Y0- 16,YCR. ' Q,LA 1CQ a T City State Zip Date Application Accepted: Date Application Expires: Staff Initials: HMpplicationsWonns- Applications On lineU -2009 - Electrical Permit Application.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.: 0003000028 Permit Number: EL10 -0302 Address: 13435 INTERURBAN AV S TUKW ' Status: PENDING Suite No: Applied Date: 04/26/2010 Applicant: PETROCARD Issue Date: Receipt No.: R10 -00707 Initials: User ID: Payee: WER 1655 Payment Amount: $556.90 Payment Date: 04/26/2010 11:31 AM Balance: $0.00 FRANCISCO SEGURA TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 011762 ACCOUNT ITEM LIST: Description 556.90 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 556.90 Total: $556.90 PAYMENT RECEIVED doc: Receiot -06 Printed: 04 -26 -2010 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 981.88 (206)431 -36 Project: �� (7 Type of Inspection: 4,0® ° Address: f 3 11 35- , Air J2.6 Date Called: Special Instructions: Date Wanted: 5 lo3 a.m. p.m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: Inspector: Ins jlgeAkie(S4 D ate: DS 03 f o $60.00 REINSCTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: -'+e. YFY. �wk�e•w.ab�>il._iA4+[�.fi�a:..n" w ':iltewV. I INSPECTION RECORD Retain a copy with permit fro -0302 PERMIT NO. CITY OF TUKWILA BUILDING DIVISION f- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION NO. Project: l /J'_ Y �'► JtD i> Type of Inspection: ;1 00 Address: / 3 / 3 7 ��r 1 (J Date Called: CJ, tun on) M 6514 cl r— Special Instructions: Date Wanted: /z7 a:m m. Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: I 6Q411 OAIDi CJ, tun on) M 6514 cl . Inspector: ✓/t� (; 1%.1 ef 0 Y Date: Zi 10 ❑ $60.00 REINSFECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Contractors or Tradespeople Peer Friendly Page • Electrical Contractor A business licensed by LW 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 Light Doctor Llc 4254815001 21706 - 66Th Ave W Mountlake Terrac Wa 98043 Snohomish Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602503496 Active LIGHTDL954L8 Electrical Contractor 6/28/2005 6/28/2011 General Unused ADMINISTRATOR INFORMATION License THOMALD926C5 Name Thomas, Lawrence Daniel Status Active Business Owner Information Name Role Effective Date Expiration Date Nielsen, Kurt R Partner /Member 06/28/2005 Bond Amount Nielsen, Donald P Partner /Member 06/28/2005 2063005 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 FEDERATED MUTUAL INS CO 2063005 05/23/2009 Until Cancelled 19.28.161 RCW ELECTRICAL CITATION $4,000.0007/02/2009 $500.00 1 TRAVELERS CASUALITY AND SURETY 104451378 05/23/2005 Until Cancelled 10/01/2009 ENESM00230 $4,000.0006/28/2005 19.28.161 RCW Assignment of Savings Information No records found for the previous 6 year period Insurance Information No records found for the previous 6 year periodd Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type Infractions /Citations Information Infraction / Citation Date RCW Code Type Status Violation Amount ENESM00231 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00229 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00228 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00230 3/10/2008 19.28.161 RCW ELECTRICAL CITATION Satisfied $500.00 ENESM00227 2/28/2008 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 EOKAD00262 9/27/2005 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 EJORP02971 5/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EJORP02972 5/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EJORP02973 5/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $2,000.00 EJ0RP02975 5/20/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $500.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 04/26/2010