HomeMy WebLinkAboutPermit EL10-0990 - INSOMNIAX COFFEEINSOMNIAX CAFE
12401 EAST MARGINAL
wys
EL1O-0990
Cit* 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
ELECTRICAL PERMIT
Parcel No.: 7345600490
Address: 12401 EAST MARGINAL WY S TUKW
Tenant Name: INSOMNIAX COFFEE
Permit Number: EL10 -0990
Issue Date: 12/06/2010
Permit Expires On: 06/04/2011
Owner:
Name: GROUP HEALTH COOPERATIVE
Address: JIM DOUMA PROPERTY MGMT , 521 WALL ST 98121
Contact Person:
Name: JOE SCHULER
Address: 13301 SE 26TH ST , BELLEVUE WA 98005
Contractor:
Name: PRIME ELECTRIC INC
Address: 13301 SE 26 ST , BELLEVUE WA 98005
Contractor License No: PRIMEEI134BT
Phone: (425)747 -5200
Phone: 425 747 -5200
Expiration Date: 01/30/2011
DESCRIPTION OF WORK:
INSTALL 40 AMP BREAKER TO FEED 30KVA TRANSFORMER WHICH WILL FEED PANEL BOARD
WITH NEW CIRCUITS FOR COFFEE KIOSK. INSTALL 12 CIRCUITS FOR SMALL APPLIANCES
AND COFFEE MAKER.
Value of Electrical Work: NRES: $15,200.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: SCL
Permit Center Authorized Signature:
Fees Collected: $367.70
National Electrical Code Edition: 2008
Date: (2-k �I /w
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 performance of work. I am authorized to sign and obtain this electrical permit and agree to the conditions on the back
of this permit. _ 1
Signature: Date:
Print Name: -D e' SCih -i L'f
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 0-0990 Printed: 12 -06 -2010
• •
PERMIT CONDITIONS
Permit No. EL10 -0990
* *ELECTRICAL **
1: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the
Electrical Inspector at each work site.
2: Approved plans shall be maintained at the construction site and shall be readily available to the
Electrical Inspector.
3: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical
installations, Chapter 296 -46B WAC.
4: 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.
5: 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.
6: 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.
doc: EL -9/09
EL10 -0990 Printed: 12 -06 -2010
CITY OF TUKWILA.
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
Electrical Permit,. g),10-090/0
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 Address: 12401 East Marginal Way South
Tenant Name: Insomniax Coffee
Property Owners Name:
Mailing Address:
King Co Assessor's Tax No.:
Suite Number: Breakt Floor: First
New Tenant: ❑ Yes J..No
Sabey Corporation
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Joe Schuler
Mailing Address: 13301 SE 26th St
Day Telephone: (425) 747 -5200
Bellevue WA 98005
E -Mail Address: jschuler @primeelectric.com
City State
Fax Number: (425) 747 -5552
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Prime Electric
13301 SE 26th St
Contact Person: Prime Electric
E -Mail Address: jschuler @primeelectric.com
Bellevue
City
Day Telephone:
Fax Number: (425) 747 -5552
WA 98005
State
Zip
Contractor Registration Number: PRIMEEI 137 BT Expiration Date:
Valuation of Project (contractor's bid price): $ 15,200
Scope of Work (please provide detailed information): Install 40 amp breaker to feed 30KVA transformer which will feed
Panel board with new circuits for coffee kiosk. Install 12 circuits for small appliances and coffee maker
Will service be altered? ❑ Yes 21 No Adding more than 50 amps? ❑ Yes I No
Type of Use:
Type of work:
❑ New j Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
m Seattle City Light
H:\Applications\Forms - Applications On Line\2010 Applications W-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, 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.
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:
I
Print Name. e7 e ,S C 0 r -r Day Telephone: (425) 747 -5200
Bellevue
Date: 12/06/2010
Mailing Address:
13301 SE 26th St.
City
State
98005
Zip
IDate Application Accepted:
Date Application Expires:
Staff Initials: 1
H: \Applications\Forms•Applications On Line ‘2010 Applications \7 -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.: 7345600490 Permit Number: EL10 -0990
Address: 12401 EAST MARGINAL WY S TUKW Status: PENDING
Suite No: Applied Date: 12/06/2010
Applicant: INSOMNIAX COFFEE Issue Date:
Receipt No.: R10 -02435
Payment Amount: $367.70
Initials: LAW Payment Date: 12/06/2010 11:28 AM
User ID: 1632 Balance: $0.00
Payee: PRIME ELECTRIC INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 18024 367.70
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 367.70
Total: $367.70
doc: Receiot -06 Printed: 12 -06 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6A0 '.047C10
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project:
Type of Inspection:
frfoci
Address: t vi o t 6 ��� '
Date Called:
Special Instructions:
Date Wanted:
/2 /v
m. (p.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
OpizoLGer-ia-A5 ikittv>e
Inspector:
N:1; f \
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: / 24, 0 /,0
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
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PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: I (01-66
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Type of Inspection:
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Date Called:
Special Instructions:
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Date Wanted:
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Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Inspector:
Date: /2/001/4, 0
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prilo Friendly Page
1
Electrical Contractor
A business licensed by LEI 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
PRIME ELECTRIC INC
4257475200
13301 Se 26Th St
Bellevue
WA
98005
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601004783
Active
PRIMEEI134BT
Electrical Contractor
1/30/1987
1/30/2011
General
Unused
Master Electrician INFORMATION
License WOODEDT970K8
Name WOODEY, DAVE T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
TYRRELL, WAYNE F
Violation Amount
01/01/1980
1/6/2009
TYRELL, NANCY
ELECTRICAL CITATION
01/01/1980
$250.00
TYRELL, WAYNE
Agent
01/01/1980
ELECTRICAL CITATION
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
3
INS CO OF THE WEST
1200697
01/30/1992
Until Cancelled
01/30/2011
$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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EHOUD00390
1/6/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
E46320
6/6/2005
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,000.00
EHAGR00280
1/14/2009
WAC 296 -46B- 901(15)
ELECTRICAL CITATION
Satisfied
$250.00
EHAGR00281
1/14/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 12/06/2010