HomeMy WebLinkAboutPermit EL11-0187 - CHECKERS IIIL8i0'IiT3
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Parcel No.:
Address:
Tenant Name:
City ft 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
5476800181
10359 51 AV S TUKW
CHECKERS III
ELECTRICAL PERMIT
Permit Number: EL11 -0187
Issue Date: 03/07/2011
Permit Expires On: 09/03/2011
Owner:
Name: KIM DONG CHANG +HUI OK
Address: 10359 51ST AVE S , TUKWILA WA 98178
Contact Person:
Name: JIN PARK
Address: 14722 45 PL W , LYNNWOOD WA 98087
Contractor:
Name: DOLE'S POWER
Address: 14722 45 PL W , LYNNWOOD WA 98087
Contractor License No: DOLESPE917JF
Phone: 425 - 248 -3063
Phone: 425 - 248 -3063
Expiration Date: 04/06/2011
DESCRIPTION OF WORK:
INSTALL NATI -SWEAT HEAT CONTROLLER
Value of Electrical Work: NRES: $600.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
$79.80
National Electrical Code Edition: 2008
Date: -1-7-i, I
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 pr
construction or the performance of w
of this permit.
Signature:
Print Name:
me to give authority to violate or cancel the provisions of any other state or local laws regulating
I am authorized to si • n and obtain this electrical permit and agree to the conditions on the back
//i/ pie97
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 -9/09
EL11 -0187
Printed: 03 -07 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0187
* *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
EL11 -0187 Printed: 03 -07 -2011
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.
Project No.
01 g
(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
c l -ecLeY 9-
Site Address:
Tenant Name:
jo3t. 9 .-, L
C�►- etkerS
Property Owners Name: C 61 ,e Ck 'e r S
King Co Assessor's Tax No.: SL{? hQ— 0 E 1 •A v C°_ g Suite Number: Floor:
Irl
Mailing Address: / 0 3 S 4-
J
New Tenant:
❑ Yes
1'tdjC t4I I A •
City
Lvlk
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name:
Mailing Address: / C9- ZZ L f j 't 1 p 1iJ
E -Mail Address:
Po (AA' etr
Day Telephone: (�2 fF — 2_y6,
uuris, 14-
City State
Fax Number:
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
E -Mail Address:
Contractor Registration Number:
Do I-erS po1-e r
i e/ - A j7) ut./
/�✓ f��c► --lam
Poi -es p,P 9 / 9- T-t
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information):
6fcf,
/MM l�f L005 c� 913 ?
State Zip
Day Telephone: •-• 2-Sit — 3 0 b 3
Fax Number:
Expiration Date: L/- /0 /
/i
t 1(r 1 A) C c/e
AA ;
Sule4,--1 fra4- coti."o11ct
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes 1,1.%No'
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
'43 Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
Seattle City Light
H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
1
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 -
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 ELECTRIC #, CONTRACTOR:
Signature:
Print Name:
Mailing Address:
y 9- - c/-‘ fL pI
Date:
Day Telephone: � .2-c-- I2
MM \J o4
City State
R
Zip
IDate Application Accepted:
Date Application Expires:
1 Staff Initials:
H: lApplications\Fonns- Applications On Line\2010 Applications17 -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
Parcel No.: 5476800181
Address: 10359 51 AV S TUKW
Suite No:
Applicant: CHECKERS III
RECEIPT
Permit Number: EL11 -0187
Status: PENDING
Applied Date: 03/07/2011
Issue Date:
Receipt No.: R11 -00425
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $79.80
Payment Date: 03/07/2011 01:55 PM
Balance: $0.00
JIN PARK
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 024166
ACCOUNT ITEM LIST:
Description
79.80
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 79.80
Total: $79.80
doc: Receipt-06 Printed: 03 -07 -2011
08 -01 -2011
•
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
JIN PARK
14722 45 PL W
LYNNWOOD WA 98087
RE: Permit No. EL11 -0187
10359 51 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 09/03/2011.
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 09/03/2011, 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. EL11 -0187
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Prior Friendly Page
•
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
DOLES POWER ELECTRIC
4252483063
14722 45Th Place W
Lynnwood
WA
98087
Snohomish
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602913071
Active
DOLESPE917JF
Electrical Contractor
4/6/2009
4/6/2011
General
Unused
Electrical Administrator INFORMATION
License
Name
Status
PARK'JB928PH
PARK, JIN BAE
Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
PARK, JIN BAE
Owner
04/06/2009
4/23/2010
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
COLONIAL AM CAS &
SURETY OF
MARYLAND
LPM4078181
04/06/2009
Until Cancelled
$4,000.00
04/06/2009
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
EAARG00311
4/23/2010
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$1,000.00
EAAR000315
4/23/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EAARG00308
4/23/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJONV01197
3/19/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EAARG00313
4/23/2010
19.28.101 RCW
ELECTRICAL CITATION
Not satisfied
$1,000.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 03/07/2011