HomeMy WebLinkAboutPermit EL10-0409 - JACKSONS FOOD STOREJACKSON'S FOOD STORE
13138 INTERURBAN AV S
EL 10-0409
City oftukwila
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: EL10 -0409
Issue Date: 06/02/2010
Permit Expires On: 11/29/2010
Tenant:
Name: JACKSON'S 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: FRED WEBER Phone: 503 -519 -4009
Address: 1593 SE DEXTER LANE , GRESHAM OR
Contractor:
Name: NORTHWEST PUMP & EQUIPMENT CO Phone:
Address: 2800 NW 31STAVE , PORTLAND OR
Contractor License No: NORTHPE066MF Expiration Date: 07/23/2010
DESCRIPTION OF WORK:
INSTALL LED AND REMOVE HID CANOPY LIGHTS. ADD LIGHTING CONTACTOR.
Value of Electrical: NRES: $6,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$195.70
National Electrical Code Edition: 2008
Date: � - � -IV
I hereby certify that I have read and - • "ned this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be co - ie • ith, whether specified herein or not.
The granting of this per doe : not pre ` e to give authority to violate or cancel the provisions of any other state or loc -flaws regulating
construction or the p ' orm• ce • I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date:
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 0-0409 Printed: 06 -02 -2010
•
C 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.tulcwila.wa.us
Parcel No.: 0003000108
Address:
Suite No:
Tenant:
13138 INTERURBAN AV S TUKW
JACKSON'S FOOD STORE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0409
ISSUED
06/02/2010
06/02/2010
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
ordinances governing this work wi
The granting of this permit d
laws regulating construct
Signature:
Print Name:
tions and will comply with them as outlined. All provisions of law and
d with, whether specified herein or not.
e to give authority to violate or cancel the provision of any other work or local
mance of work.
Date:
doc: Cond -Elec
EL1 0-0409
Printed: 06 -02 -2010
CITY OF TUKWILA.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://Www.ci.tukwila.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 **
3'6 � King Co Assessor's Tax No.: 11t O 300 — 010 (g
Site Address: 131 _L(/l7 u , I S Suite Number: Floor:
Tenant Name: - CLCKS(1,.,.„, j O cc 5 r LA.-€ �(9 i New Tenant: ❑ Yes No
Property Owners Name: t_Q�V� [Se ✓v.i 1�1.� (� Z
Mailing Address: P YUff ri 7�- V6 �1 - e t 0 • �L J
�� City
:1CONTACT PERSON `Who do we contact when your Perin ready.to be issued <
Name:
State
Zip
Mailing Address:
E -Mail Address:
fate Zip
LECTRICAL CONTRACTOR °INFORMATION
Company Name: - IA p(Jt 4,10 `1'" Eq. (A lT
Mailing Address: acc i Kiu.l 31 S PaTr(A, O i ` q 7a� V
c City State Zip
Contact Person: h'. W/ ee Day Telephone:. n - �(C('' �U)t
E -Mail Address: � f.l 14(�..� o--,_ Fax Number: �()- c.Ci ` I� (a
Contractor Registration Number: YlO( 1 Ae 0% OC2 Expiration Date:
Valuation of Project (contractor's bid price): $ C 0 () 0 1%-ED
Scope of Work (please provide detailed informat•on): u l,._
C 0- - 1 I
61 ()Tr, (0iriuCt!L
Will service be alter d ❑f �Yes No / , Adding more than 50 amps9 ❑ Yes No
Type of Use: I �Sl ?VO 'Y LE �- t ci ucu a vv 4- ! ti Ind t C(NA-t-U
T YP e of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel 15;:trenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro.e erved b •
Puget Sound Energy
El Seattle City Light
H:\Applications\Porms- Applications On Ltne\2010 Applications \I -2010 - Electrical Permit Application.doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added /altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
PERMIT APPLICATION NOTES
IDate Application Accepted:
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
PENALTY OF PERJURY B
BUILDING OWNE
Signatur
Print N
Mailing Address:
E READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
AWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
CTRICAL CONTRACTOR:
z
,ccou AJLA/ 3
Day Telephone:
City
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line \2010 Applications \1-2010 - Electrical Permit Application.doc
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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
RECEIPT
Parcel No.: 0003000108 Permit Number: EL10 -0409
Address: 13138 INTERURBAN AV S TUTOR Status: PENDING
Suite No: Applied Date: 06/02/2010
Applicant: JACKSON'S FOOD STORE Issue Date:
Receipt No.: R10 -00977
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $195.70
Payment Date: 06/02/2010 01:23 PM
Balance: $0.00
FRED WEBER
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 073250
ACCOUNT ITEM LIST:
Description
195.70
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 195.70
Total: $195.70
PAYMENT
RECEIVED
doc: Receiot -06 Printed: 06 -02 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERMIT NO.
R'+
a
r
(206)431 -3670
Project;
t.Jl C 7
Type of Inspection:
/Q(i
Address:
l3l3? Wri)46
Date Called:
Special Instructions:
Date Wanted:
6/0y
(a,.; P.
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
CAPLECalo4 5 t'1hDf,
�i
Date :064 Y t 0
ri $60.00 REINSPECTION FEE REQ IRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
Receipt No.:
Date:
�K,�cvFat ad'•- .,r.,:• -' ._ .. �.- "- G= "".1.._'r�„•= +.r'r�.:r'S .^ •r_= .�.vt�+. <.- '1,�`� ry 4.':�
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
O'f07PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION tat-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Proje Co� S (of
Type of Inspection:
poo
Address: 3 n or 6
Date Called:
Special Instructions:
Date Wanted:
4 03
a.m.
a
Requester:
Phone No:
0 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
LOOS( fit Pht1T"
ihIbiciere Cl kr.ot T5 Canh c_.i—ok,\
Date: 06/03/10
r7 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
«,.:..., r?.... . + -e. ,341C.„n"OZz%�isa.fG = a...:.;sa•-,,Aa.i2,1,x*s :. -xar :r- tilfax .rv�'�iefrr.- e-P.7.s
Contractors or Tradespeople P ter Friendly Page
•
Electrical Contractor
A business licensed by L &I 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 & 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'971PP
Name Gauntlett, Philip
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
Miller, Gregory
&Nbsp;
01/01/1980
Mathews, Mark
&Nbsp;
01/01/1980
Mathews, Robert J
aNbsp;
01/01/1980
Walker, Jerry
Agent
01/01/1980
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
OLD REPUBLIC INS CO
YLI226796
06/16/1994
Until Cancelled
$4,000.00
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip /Print.aspx 06/02/2010