HomeMy WebLinkAboutPermit EL10-0777 - 7-ELEVEN7- ELEVEN
14057 INTERURBAN AV S
EL 10-0777
Citylkf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Li ne: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 3365900865
Address: 14057 INTERURBAN AV S TUKW
Tenant Name: 7- ELEVEN
ELECTRICAL PERMIT
Permit Number: EL10 -0777
Issue Date: 09/30/2010
Permit Expires On: 03/29/2011
Owner:
Name: THE SOUTHLAND CORPORATION
Address: C/0 TAX DEPT , PO BOX 711 75221
Contact Person:
Name: RICK DESJARDINES Phone: 253 - 886 -1214
Address: 15419 SE 228 ST , KENT WA 98042
Contractor:
Name: REMI -D ELECTRIC
Address: 15419 SE 288 ST , KENT WA 98042
Contractor License No: REMIDEL918B 1
Phone: 253 - 886 -1214
Expiration Date: 01/21/2011
DESCRIPTION OF WORK:
REPLACE SOFFIT LIGHTS WITH LED
Value of Electrical Work: NRES: $700.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $84.00
National Electrical Code Edition: 2008
Date: `"! 3o- (v
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 cif- t),iis
construction
Signature:
Print Name: C
permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
erformance of work. I am authorized to sign and obtain this electrical permit.
Date: q
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 -9/09
ELI 0-0777 Printed: 09 -30 -2010
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�J,�,� ►a "'qs 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
Parcel No.: 3365900865
Address:
Suite No:
Tenant: 7- ELEVEN
14057 INTERURBAN AV S TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0777
ISSUED
09/30/2010
09/30/2010
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: Q c{ t
Date: 1
doc: Cond -Elec
ELI 0-0777 Printed: 09 -30 -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 No. L. ( ,0 - 0` 77 7
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
Site Address: 1"10 i ki aktio
Tenant Name: 7 elevo,,
Property Owners Name: 50t5ikAxik'l G*t_p
Mailing Address: SN41115
King Co Assessor's Tax No.: 33 (p cqQ — 0 e (0
Suite Number: Floor:
New Tenant: ❑ Yes ..No
City
State
Zip
CONTACT PERSON. - Who do we contact when your :;permit is =ready to be issued
Name: "R4 1,0
Mailing Address: 151-{1 1 Z.& 2/- '6"kST
E -Mail Address: ?t-eigt p cd,I dAc, •Cowl
Day Telephone:
r�tr f
City
Fax Number:
2531%-1 ZIP!
wA qz,
State Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
city
Day Telephone:
Fax Number:
State
Zip
Contractor Registration Number: ti Expiration Date:
Valuation of Project (contractor's bid price): $
!00 9
Scope of Work (please provide detailed information): 1Z h02-- c� �) `! 1 cAJ] � L1Ec
Will service be altered? ❑ Yes
Adding more than 50 amps? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change r..1 Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
Puget Sound Energy
❑ Seattle City Light
HAApplications \Forms-Applications On Line \2010 Applications \7 -2010- Electrical Permit Application.doc
bh
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, fumace 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 -
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.
BUILDING9,YVNER OR ELECTRICAL CONTRACTOR:
Signatur
Print Name:
Address: 151 s 1»
Day Telephone:
Date: / 23.4°
)6r6.10- I a LI
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Forms - Applications On Line \2010 Applications \74010 - 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.: 3365900865 Permit Number: EL10 -0777
Address: 14057 INTERURBAN AV S TUKW Status: APPROVED
Suite No: Applied Date: 09/30/2010
Applicant: 7- ELEVEN Issue Date:
Receipt No.: R10 -01951
Payment Amount: $84.00
Initials: WER Payment Date: 09/30/2010 01:46 PM
User ID: 1655 Balance: $0.00
Payee: RICK DESJARDINES
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 033627
ACCOUNT ITEM LIST:
Description
84.00
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 84.00
Total: $84.00
doc: Receiot -06 Printed: 09 -30 -2010
INSPECTION NO.
INSP.ECTION� ;RECORD'..
Retain a copy with permit
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project:
7-if
Type of Inspection:
Address/�s:
/n6.
Date Called:
Instructio
Date Wanted:
icSpecial
a.m.
Requester:
Phone No:
Approved per applicable codes. E Corrections required prior to approval.
COMMENTS:
nspector:
Date:
091) 5 i'i
n REINSPECTION `FEE REQUIRED I Prior to next inspection, f e must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD
Retain a copy with permit *(NO -0
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 vyi(206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: 7-1/
Type of Inspection:
;IA00
Address:
I '/ °5.1 l,Jr t
Date Called:
Special Instruction :
Date Wanted:
(� y
a.m.
p.m.
Requester:
Phone No:
❑ Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
LX A -5 (?4.)1(97
e1Po%
T,
Inspector:
n REINSPECTION EE REQUIRED. Prior to next inspectiofi, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
02 -01 -2011
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RICK DESJARDINES
15419 SE 228 ST
KENT WA 98042
RE: Permit No. EL10 -0777
14057 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 03/29/2011.
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 03/29/2011, 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,
Bill Rambo
Permit Technician
File: Permit File No. EL10 -0777
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Prater Friendly Page
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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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
REMI -D ELECTRIC LLC
2538861214
15419 Se 288Th St
Kent
WA
98042
King
Limited
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Liability Company Specialty 2
602808951
Active
REMIDEL918B1
Electrical Contractor
1/21/2009
1/21/2011
General
Unused
Electrical Administrator INFORMATION
License DESJARG934CO
Name DESJARDINS, RICK G
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
DESJARDINS, RICK G
Partner /Member
01/21/2009
DESJARDINS, MOLLY S
Partner /Member
01/21/2009
Bond Information
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Dat(
1
DEVELOPERS SURETY
8 INDEM CO
356924C
01/20/2009
Until Cancelled
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
https: // fortress .wa.gov /lni/bbip/Print.aspx
09/30/2010