HomeMy WebLinkAboutPermit EL11-0584 - 7-ELEVEN7-ELEVEN
14462 34 AV S
EL1 1 -0584
Parcel No.:
Address:
Tenant Name:
City 111- 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
0040000074
14462 34 AV S TUKW
7- ELEVEN
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0584
06/30/2011
12/27/2011
Owner:
Name: THE SOUTHLAND CORPORATION
Address: C/0 TAX DEPT , PO BOX 711 75221
Contact Person:
Name: DAVID PALADINO
Address: 24904 SE 146 ST , ISSAQUAH WA 98027
Contractor:
Name: PALS ELECTRIC COMPANY
Address: 24904 SE 146 ST , ISSAQUAH WA 98027
Contractor License No: PALSEC *98000
Phone: 425 - 445 -7257
Phone: 425 - 557 -9455
Expiration Date: 01/06/2013
DESCRIPTION OF WORK:
INSTALL TWO DOUBLE DUPLEX RECEPTACLES IN CEILING TILE.
Value of Electrical Work: NRES: $400.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service Provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Li ;-,11,
Fees Collected:
$71.40
National Electrical Code Edition: 2008
Date: (.-L--
v `
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 • - rformance of work. I am authorized to s and obtain this electrical permit and agree to the conditions on the back
of this permit.
Signa
Print Name:
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 -0584
Printed: 06 -30 -2011
e •
PERMIT CONDITIONS
Permit No. EL 11 -0584
* *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 -0584 Printed: 06 -30 -2011
CITY OF TUKV A
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.g0 V
Electrical Permit No.
OSj
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: 14462 34TH AVE S
Tenant Name:
7- ELEVEN
Property Owners Name:
King Co Assessor's Tax No.•
Suite Number: Floor:
New Tenant: ❑ Yes
Mailing Address: 14462 34TH AVE S
TUKWILA
0 „No
WA 98168
Zip
City
State
CONTACT PERSON —Who do we contact when your permit is ready to be issued
Name: David Paladino
Mailing Address: 24904 SE 146TH ST.
Day Telephone: (425) 445 -7257
ISSAQUAH WA 98027
E -Mail Address: UALEX21 @COMCAST.NET
City
State
Zip
Fax Number:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: PALS ELECTRIC COMPANY
Mailing Address: 24904 SE 146TH ST.
Contact Person: DAVID PALADINO
E -Mail Address: UALEX21@COMCAST.NET
Contractor Registration Number: PALSEC" 98000
City State
Day Telephone: (425) 445 -7257
Fax Number:
Expiration Date: i/b /LP
Zip
Valuation of Project (contractor's bid price): $ 400
Scope of Work (please provide detailed information): T.I. Install two double duplex receptacles in ceiling tile.
Will service be altered? ❑ Yes 0 No Adding more than 50 amps? ❑ Yes 0 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel m Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
m Puget Sound Energy
❑ Seattle City Light
H:\Applications \Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
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
m 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:
Signatur
Print Name: D,c}er--r � 'J�,gl g r 7-,J o
Mailing Address: 24904 se 146th st
Date:
G
7-4 14
Day Telephone: (425) 445 -7257
Issaquah
City
State
98027
Zip
Date Application Accepted:
Date Application Expires: Staff Initials:
H\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
bh
Page 2 of 2
SET RECEIPT
RECEIPT NO: R11 -01355
Initials: WER Payment Date: 06/30/2011
User ID: 1655 Total Payment: 285.60
Payee: PALS ELECTRIC (PHONE)
SET ID: 063011 SET NAME: 7- ELEVEN
SET TRANSACTIONS:
Set Member Amount
EL11 -0581 71.40
EL11 -0582 71.40
EL11 -0583 71.40
EL11=4584 71.40
TOTAL: 71.40
TRANSACTION LIST:
Type Method Description Amount
Payment Credit C VISA 285.60
TOTAL: 285.60
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 285.60
TOTAL: 285.60
j INSPECTION RECORD ,i L
Retain a copy with permit 6f 4Cill
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431 -367
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project: 7.01 (
Type of Inspection:
2...(60
1
Address: % 41
Date Called:
Special Instructions:
Date Wanted:.
i
r�
a.m.
m
Requester:
Phone No:
Approved per applicable codes. D Corrections required prior to approval.
COMMENTS:
rf:141■
Inspector:
Date: 17✓ 6 r
ri REINSPECTION FEE REQUIR D. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
tOgir
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188; (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project: —'
(
Type of Inspection:
OV
Address: / `
3if 41/
Date Called:
Special Instructions:
Date Wanted :.
/� /
:m o.
Requester:
Phone No:
JApproved per applicable codes.
aCorrections required prior to approval.
COMMENTS:
Inspector:
Date:
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
I�r �Le_�. t_ e.Jl ."..Yaatlooki ,LM!S.B/1J!4Y'.x.ffilo".}CMJ 'a...
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
DAVID PALADINO
24904 SE 146 ST
ISSAQUAH WA 98027
RE: Permit No. EL11 -0584
7- ELEVEN
14462 34 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 12/27/2011.
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 12/27/2011, 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 -0584
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
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
PALS ELECTRIC COMPANY
4255579455
24904 Se 146Th St
Issaquah
WA
98027
King
Individual
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602249225
Active
PALSEC*980QQ
Electrical Contractor
11/18/2002
1/6/2013
General
Unused
Master Electrician INFORMATION
License PALADD *962JH
Name PALADINO, DAVID A
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
PALADINO, DAVID A
Owner
11/18/2002
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
CBIC
SE7169
10/25/2002
Until Cancelled
$4,000.00
11/26/2002
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
ELEIS00387
9/7/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 06/30/2011