HomeMy WebLinkAboutPermit EL11-0526 - JIFFY LUBEJIFFY LUBE
6816 S 180 ST
ELi 1 -0526
Parcel No.:
Address:
Tenant Name:
City *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
3430500020
6816 S 180 ST TUKW
JIFFY LURE
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0526
06/09/2011
12/06/2011
Owner:
Name:
Address:
Contact Person:
Name:
Address:
HEARTLAND AUTO SERV INC
11308 DAVENPORT ST , OMAHA NE 68154
'CASSANDRA LUMSDEN
PO BOX 1773 , ORTING WA 98360
Contractor:
Name: COPPER CREEK ELECTRIC LLC
Address: PO BOX 1773 , ORTING WA 98360
Contractor License No: COPPECE984KP
Phone: 360 893 -6749
Phone: 360 893 -6749
Expiration Date: 05/17/2012
DESCRIPTION OF WORK:
ADD (2) CIRCUITS FOR (2) OUTLETS FOR EQUIPMENT IN COMPRESSOR/MECHANICAL ROOM
Value of Electrical Work: NRES:
RES:
$500.00
$0.00
Type of Fire Protection: UNKONWN
Electrical Service Provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read an
governing this work will be compli
Fees Collected: $75.60
National Electrical Code Edition: 2008
Date: a L o I W t
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, whether specified herein or not.
The granting of this permit does not p
construction or the performance of work
of this permit.
Signatur
e to give authority to violate or cancel the provisions of any other state or local laws regulating
am authorized to sign and obtain this electrical permit and agree to the conditions on the back
Print Name:
41 yr-) s Gl
Date: 9- 1 /
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 -0526
Printed: 06 -09 -2011
I •
PERMIT CONDITIONS
Permit No. EL11 -0526
* *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 -0526 Printed: 06 -09 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http./Auww.citukwila.waus
Electrical Permit No. a'1p
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: (O i I L ' - I �L rJ�.
Tenant Name: 3 �t'N Lk. 6-P -
Property Owners Name: �J
Mailing Address: lA t LD ') • l $i)L S+
King Co Assessor's Tax No.: �� t/" OO(/ '
Suite Number: Floor:
New Tenant: ❑ Yes p..No
51S 3
Zip
City
i I a`.
State
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: /1t/ )Cl.r rrr.L_ll.Il'1 `JC�P�In
Mailing Address: p6 r)3O 1 3
E -Mail Address: EA e C +1 Lb l,+ €,'lt v .
Day Telephone: 30 _ E5ti3— &7'/ £j
la.Yf_L) qua
City State Zip
C.61. C.c:VY) Fax Number: J d — 3-101 �(
ELECTRICAL CONTRACTOR INFORMATION
Company Name: —e e_ e
Mailing Address: r
City State Zip
3(0o 89 31' 749
E -Mail Address: 5ICCrtlrlC. by (la 1,/; n PAO] .COYY t mil? 313 1074
Contractor Registration Number: C11ppec_e q /LP Expiration Date: 2.6/
11 ty
Contact Person: Ci GV 1 n LA on ScA P,(1
Day Telephone:
Fax Number:
Valuation of Project (contractor's bid price): $ 9)6
Scope of Work (please provide detailed information): Cup 4 C r LA' S -VC).' Z 6 .+
Q.-VS ' jai erv, .` e-yv Q v■k * 1v\ CO w, .0 ' SS 0y)- r,•1 e 4. r7Jb .
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel ❑ Tenant Improvement
Property Served by:
tlk Puget Sound Energy
❑ Seattle City Light
H.\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page I 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 -
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: Al ' Date: q4//1
Print Name- ija,t)►,r-1 1 _U m 3C1Qom, Day Telephone: 3(90 893 L0 l I
Mailing Address: (3p �b)4 1-71 3 Dy 1tnC� `� ) q 34
City) State Zip
Date Application Accepted: t`
Date Application Expires:
Staff Initials:
H \Applications \Forms - Applications On Line \2010 Applications\ -2010 - Electncal 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.TukwilaWA.gov
RECEIPT
Parcel No.: 3430500020 Permit Number: EL11 -0526
Address: 6816 S 180 ST TUKW Status: PENDING
Suite No: Applied Date: 06/09/2011
Applicant: JIFFY LUBE Issue Date:
Receipt No.:
Initials:
User ID:
R11 -01175
JEM
1165
Payment Amount: $75.60
Payment Date: 06/09/2011 02:56 PM
Balance: $0.00
Payee: COPPER CREEK ELECTRIC LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2987 75.60
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 75.60
Total: $75.60
doc: Receiot -06 Printed: 06 -09 -2011
INSPECTION N0.
INSPECTION RECORD
Retain a copy with permit
Cu 1 -as2G
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: IAA(
Address: al , /120 `� . Date Called:
Special Instructions:
Type of Inspection: 40f40
Date Wanted:
�v
Requester:
Phone No:
a.m.
p.m.
Approved per applicable codes. a Corrections required prior to approval.
OMMENTS:
r NU
Inspector:
(Date: by/
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
KASSANDRA LUMSDEN
PO BOX 1773
ORTING WA 98360
RE: Permit No. EL11 -0526
JIFFY LUBE
6816 S 180 ST 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 12/06/2011.
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 12/06/2011, 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, _ D o
l --"“_
Bill Rambo
Permit Technician
File: Permit File No. EL11 -0526
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Peer Friendly Page
I
Electrical Contractor
A business licensed by L &1 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
COPPER CREEK ELECTRIC LLC
3608936749
24524 Orville Rd. /Po Box 1773
Orting
WA
98360
Pierce
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602206075
Active
COPPECE984KP
Electrical Contractor
5/17/2002
5/17/2012
General
Unused
Electrical Administrator INFORMATION
License LUMSDGS984KN
Name LUMSDEN, GAVIN S
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
LUMSDEN, GAVIN S
Partner /Member
05/17/2002
Bond Amount
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
3
TRAVELERS CAS &
SURETY CO
105240043
05/16/2009
Until Cancelled
19.28.271 RCW
ELECTRICAL CITATION
$4,000.00
04/24/2009
2
CBIC
5E9951
05/16/2004
Until Cancelled
05/16/2009
EJORP01729
$4,000.0003/26/2004
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
EJORP01715
9/6/2007
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP01714
9/6/2007
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP01730
9/6/2007
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP01729
9/6/2007
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP01719
9/6/2007
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP01720
9/6/2007
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP01725
9/6/2007
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP01724
9/6/2007
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP01709
9/6/2007
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJORP01710
9/6/2007
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 06/09/2011