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Home My WebLink AboutPermit EL11-0578 - 7-ELEVEN7- ELEVEN 14057 INTERLJRBAN AV S EL1 1 -0578 Parcel No.: 3365900865 Address: City ‘if 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 14057 INTERURBAN AV S TUKW Tenant Name: 7- ELEVEN ELECTRICAL PERMIT Permit Number: EL11 -0578 Issue Date: 06/29/2011 Permit Expires On: 12/26/2011 Owner: Name: Address: Contact Person: Name: Address: THE SOUTHLAND CORPORATION C/O TAX DEPT , PO BOX 711 75221 PAUL FARROW 2918 SE LIBERTY PLACE , GRESHAM OR 97080 Contractor: Name: LIBERTY PLACE VENTURER LLC Address: 2918 SE LIBERTY PLACE , GRESHAM OR 97080 Contractor License No: LIBERPV916B6 Phone: 503 - 618 -1053 Phone: 503 - 618 -1053 Expiration Date: 01/26/2013 DESCRIPTION OF WORK: INSTALLATION OF ONE CIRCUIT FOR ROLLER GRILL Value of Electrical Work: NRES: $400.00 Fees Collected: RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service Provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: $71.40 National Electrical Code Edition: 2008 jib(' Date: -�c/ 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 wit}`t, whether specified herein or not. The granting of this permit does not pr construction or the performance of wo of this permit. Signature: Print Name: ume to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit and agree to the conditions on the back Date :6 / 2-g 20-6 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 -0578 Printed: 06 -29 -2011 PERMIT CONDITIONS Permit No. EL 11 -0578 * *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 -0578 Printed: 06 -29 -2011 CITY OF TUK A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.gov Electrical Permit No. Project: No. 57 8' (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 ) r King Co Assessor's Tax No.: 3'3(D Q — 0 ( c Site Address: 1 L(0S-7 ( 11.-/4Pi''U � CIA/C_ S Suite Number: Floor: Tenant Name: 7 %t/ New Tenant: ❑ Yes ❑ .. No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: E -Mail Address: City State Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Lt 8 /3 (qc GV 'et/,- �C'U'ee ' r, Mailing Address: a- ( cS�� L t 6 ei- -4-� -( P(CSC. ee_. Cf e YlQG.(„ O(2 g 7 8O VVl City State Zip Contact Person: Pot) rd VA 1 DC� Day Telephone: 3 -6 r - (d S-3 E -Mail Address: fp U c h tM E, ety,uec 4 , /V Fax Number: b'03 -- 665 ( 2 Contractor Registration Number: Expiration Date: Valuation of Project (contractor's bid price): $ 4 er-) Scope of Work (please provide detailed information): tri s -1-Q ((Q -1(00 /o /(ee"' of oU- Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes ENo Type of Use: Type of work: ❑ New ErAddition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 1 of 2 RESIDENTIA L 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 R ELECTRICAL CONTRACTOR: Signature: % Date: e 7 04 08u ieo& a Print Name: Day Telephone: 60 � — 7g ,F:5'� j Mailing Address: Zip City State Date Application Accepted: Date Application Expires: Staff Initials: 1 I -I \Applications\Forms- Applications On Line \20I0 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 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.ov RECEIPT Parcel No.: 3365900865 Permit Number: EL11 -0578 Address: 14057 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 06/29/2011 Applicant: 7- ELEVEN Issue Date: Receipt No.: RI 1 -01348 Initials: User ID: WER 1655 Payment Amount: $71.40 Payment Date: 06/29/2011 02:53 PM Balance: $0.00 Payee: SERGEY MOGULEVSKIY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 064451 ACCOUNT ITEM LIST: Description 71.40 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 71.40 Total: $71.40 doc: Receiot -06 Printed: 06 -29 -2011 . . • INSPECTION RECORD Retain*a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Ia._ V4206) 431-367 Permit Inspection Request Line (206) 431-2451 Project: 7,1 I Type of Inspection: zip° Address: Date Called: Special Instructions: Date Wanted: (.,1 Requester: Phone No: pproved per applicable codes. Corrections required prior to approval. COMMENTS: t 6644 A\ ri REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be 1-1 paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: Date: 00/30/11 Contractors or Tradespeople Peer 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 LIBERTY PLACE VENTURER 5033205782 2918 Se Liberty Place Gresham OR 97080 Out Of State Limited Liability Company LLC UBI No. 602457255 Status Active License No. LIBERPV916B6 License Type Electrical Contractor Effective Date 1/26/2009 Expiration Date 1/26/2013 Suspend Date Specialty 1 General Specialty 2 Unused Electrical Administrator INFORMATION License MOGULSY913D5 Name MOGULEVSKIY, SERGEY Y Status Active Business Owner Information Name Role Effective Date Expiration Date FARROW, PAUL Partner /Member 01/26/2009 3/1/2010 FARROW, SANDRA Partner /Member 01/26/2009 5250.00 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 CBIC PG1722 01/20/2009 Until Cancelled $4,000.00 01/26/2009 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 EMURD00313 3/1/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied 5250.00 EJONV00887 4/7/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied 5250.00 EJONV00888 4/7/2009 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip/Print.aspx 06/29/2011