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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