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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