HomeMy WebLinkAboutPermit EL11-0654 - SHABELLE MINI MARTSHABELLE MINI MART
14822 TUKWIIA
INTERNATIONAL BL
EL1 1 -0654
City ofitukwila •
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
ELECTRICAL PERMIT
Parcel No.: 0041000143 Permit Number: EL11 -0654
Address: 14822 TUKWILA INTERNATIONAL BL TUKW Issue Date: 07/20/2011
Permit Expires On: 01/16/2012
Project Name: SHABELLE MINI MARKET
Owner:
Name: STEINBERG DOUG
Address: 26415 MILITARY RD S , KENT WA
Contact Person:
Name: ANDREW STUPPI
Address: 2803 108 AV E , EDGEWOOD WA
Contractor:
Name: AV FIRE SECURITY & ELECT LLC
Address: 1602 EMERALD ST , MILTON WA
Contractor License No: AVFIRSE952PM
Phone: 425 531 -4207
Phone: 253 -255 -2250
Expiration Date: 10/20/2011
DESCRIPTION OF WORK:
CONNCTING HOOD SUPRESSION TO EXISTING FIRE ALARM
Value of Electrical: NRES: $1,000.00
RES: $0.00
Fees Collected: $96.60
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature: MC Date: 01( 9171 L
I hereby certify that I have read and
governing this work will be complie
ex.
with,
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 . • p
construction o perfo c wo
Signature:
Print Name:
e 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.
0
if
ADO/ Sip
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.
Date:
doc: EL -4/10
EL11 -0654 Printed: 07 -20 -2011
•
PERMIT CONDITIONS
Permit No. EL11 -0654
* *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 -4/10
EL11 -0654 Printed: 07 -20 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http. //www. TukwilaWA. qov
Electrical Permit No.
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
\\ ,, l King Co Assessor's Tax No.: DD- t t O0 Ot1'
Site Address: 1 i•..) n2 - TTr't e.c- r r�a_,1 \v cJL Suite Number: Floor:
Tenant Name: New Tenant: ❑ Yes ❑..No
Property Owners Name: e'Dp l
Mailing Address: 1 N 5'2 -2- �- --a-( 'V o �(� w'•t� ��%
State Zip
City
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: -{t , cJ 73
c,,,R
2-S0\---5-:WO--- Mailing Address: . E
E -Mail Address: C.,-""ek`7_CJ) -ire--.C_U —
Day Telephone: Lac 511 ^ LAW?
Z�c ooe� �ji f r37 Z
City State Zip
Fax Number: 2-S 7 - $'KO '1170
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
IVY S
City
E -Mail Address: p G..V - CO r•-�
Contractor Registration Number: aVZ-t r se. 9 S Z ?r,
I/.)a gritt
State Zip
Day Telephone: Q.SrS3/ -Lao -2
Fax Number: 2.5 ?— $ltiC)" lc. ?C)
Expiration Date: it) - 'LO' 2-0 t
Valuation of Project (contractor's bid price): $ 100 0
Scope of Work (please provide detailed information):
o O t'
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
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
HAApplications \Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Apphcamon.doc
hh
Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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 ELE I, RIC. i ONTRACTOR:
Signature: IMPL,g I I
Print Name: iJ 1 y
Mailing Address: 2 8 (3 6 /O6-01
IDate Application Accepted: 01 17 ^
Day Telephone:
F D
City
Date:
--7po,((
.L25. 5 3/ . 51 ?a 7
UM- j .'7<=1
I
Date Application Expires:
H:\Applications\Forms- Applications On Line\2010 Applications \7.2010 - Electrical Permit Application.doc
bh
Page 2 of 2
State Zip
Stafflnitials: JO �/
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.: 0041000143 Permit Number: EL11 -0654
Address: 14822 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED
Suite No: Applied Date: 07/20/2011
Applicant: SHABELLE MINI MARKET Issue Date:
Receipt No.: R11 -01514
Payment Amount: $96.60
Initials: JEM Payment Date: 07/20/2011 10:03 AM
User ID: 1165 Balance: $0.00
Payee: ANDREW STUPPI
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 100236
ACCOUNT ITEM LIST:
Description
96.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 96.60
Total: $96.60
doc: Receiot -06 Printed: 07 -20 -2011
INSPECTION RECORD i t^ 0 p 5-
Retain a copy with permit �
INSPECTION NO. 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:
�4/0
Address: 1 021
Q
•
Date Called:
Special Instructions:
-Date Wanted:
L2-
Requester:
Phone No:
4rApproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
Inspector:
Date: 671z2/8
7 etS\
F-7 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Prater 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
AV FIRE SECURITY & ELECT LLC
4255314207
2805 108Th Ave E
Edgewood
WA
98372
Pierce
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602547993
Active
AVFIRSE952PM
Electrical Contractor
10/14/2005
10/20/2011
General
Unused
nses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
AVFIRFA952KP
AV FIRE ALARM
MONITORING
Electrical
Contractor
General
Unused
5/17/2005
5/17/2007
Out Of
Business
Business Owner Information
Name
Role
Effective Date
Expiration Date
PESTERFIELD, LESLIE R
Agent
10/14/2005
Bond Amount
STUPPI, ANDY
Partner /Member
10/14/2005
SI6065
MINICHIELLO, VINCE
Partner /Member
10/14/2005
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
3
Contractors Bonding
& Insurance Co
SI6065
04/29/2010
Until Cancelled
$4,000.00
04/29/2010
2
WESTERN SURETY CO
14966513
05/03/2007
Until Cancelled
05/03/2010
$4,000.0005/18/2007
1
ACCREDITED SURETY
& CAS CO
10037940
10/04/2005
05/03/2007
$4,000.0010/14/2005
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
https: // fortress .wa.gov /lni/bbip/Print.aspx 07/20/2011