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Home My WebLink AboutPermit EL11-0679 - CASH AND CARRYCASH AND CARRY 230 ANDOVER PK E EL1 1 -0679 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 Parcel No.: 0223100100 Address: 230 ANDOVER PK E TUKW Project Name: CASH AND CARRY ELECTRICAL PERMIT Permit Number: EL11 -0679 Issue Date: 07/25/2011 Permit Expires On: 01/21/2012 Owner: Name: ANDOVER PARK PROPERTY LLC Address: 5936 6TH AVE S , SEATTLE WA Contact Person: Name: ROSS MANSFIELD Address: 10220 N NEVADA #60 , SPOKANE WA Contractor: Name: ENERGY INDUSTRIES (WA) LLC Address: 10220 N NEVADA STE 60 , SPOKANE WA Contractor License No: ENERGIW960RW Phone: 509 844 -7804 Phone: 509 - 844 -8345 Expiration Date: 03/22/2013 DESCRIPTION OF WORK: RETROFIT LIGHTS Value of Electrical: NRES: $14,586.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: $350.50 2008 01 I hereby certify that I have read and ex ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie • with, hether specified herein or not. The granting of thi permit does not pr- y e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or - performance of workIauthorized to sign and obtain this electrical permit. Signature: 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 -4/10 EL11 -0679 Printed: 07 -25 -2011 • * *ELECTRICAL ** PERMIT CONDITIONS Permit No. EL11 -0679 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 arty 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 -0679 Printed: 07 -25 -2011 • N 3i % II 1 VI I V/•mVIALPI Community Development Department Permit Center 6300 SouthcenterBlvd., Suite 100 Tukwila, WA 98188 htta: /MWww, ci. tkwila. wa, us • Electrical Permit No. L- H U..011 - 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 Ad King Co Assessor's Tax No.: 02 t O 0100 Site Address: 240 Qh "vim /Q/'K' EQ' Suite Number: Floor. Tenant Name: :lira o� New Tenant: ❑ Yes ❑..No Property Owners Name: Mailing Address: City stare zip CONTACT PERSON —Who do we contact when your permit is ready to be issued Name: IpoS.f AlabetsAea Day Telephone: 509 ° f14 APAP Mailing Address: 4D S f . / a n t i,r49 &en e r � mWakes- t w H:Avd State Zip E-Mail Address: Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: �/It't / ..L/r4sdriel Mailing Address: /62 b 2 .veon?IP ., 49 40 v 44i u/1 ,0924, teal A City staco Zip Contact Person r�S "id "di Day Telephone: � 9 ^ "r4 - 7,0� E•MailAddcess:40. ' et, at'Aei,Qe.1{t!i:a's .Cviir Fax Number: 379 .9- 462 54.9' Contractor Registration Number: C/1/4"oe ' on ' AO 4 Expiration Date: 49, - 22 /2042 Valuation of Project (contractor's bid price): $ /4, AP 6. Scope of Work (please provide detailed information): Jet' {ro0 / 4111* Will service be altered? ❑ Yes [3- No Adding more than 50 amps? ❑ Yes ® No Type of Use: Type of work; ❑ New ❑ Addition ❑ Service Change [$ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service bh Page 1 of 2 Puget Sound Energy ❑ Seattle City Light On riaalm10 Appatad .1.2Ol O. E mutnl halal Applicadaarka 1 RESIDENTIAL NEW RESIDENTJAL 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 CH NGES ❑ Service change or alteration $81.90 (no added/altered circuits) ❑ Service change with added/altered circuits $81.90 number of added circuits $11.55 ca ❑ 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 I 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. 1 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 PBRMIT. Signature: %i►Y Y.:.: Print Name: U; . 74fa,l iy Mailing Address: /0 2 ZD 111 #</41/Qe44 .? ` Date Application Accepted: ( I n I 1 Date: Day Telephone: 4 9J "' 3 - Arc* 0, At a tv/¢ ,992ide City State zip Date Application Expires: H:1A On liae12010 Applimfi®17,2010 - Electrical Permit Appamtlmadm bh Page 2 of 2 8 Staff Initials: 1 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.: 0223100100 Permit Number: EL11 -0679 Address: 230 ANDOVER PK E TUKW Status: APPROVED Suite No: Applied Date: 07/25/2011 Applicant: CASH AND CARRY Issue Date: Receipt No.: R11 -01569 Payment Amount: $350.50 Initials: JEM Payment Date: 07/25/2011 04:31 PM User ID: 1165 Balance: $0.00 Payee: ENERGY INDUSTRIES TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 317550 ACCOUNT ITEM LIST: Description 350.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 350.50 Total: $350.50 doc: Receiot -06 Printed: 07 -25 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit 6)/- 0m RM NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: AM Type of Inspection: �/iJ 0 Address: 750 I Date Called: Special Instructions: Date Wanted:. VI m. p.m Requester: Phone No: Approved per applicable codes. a Corrections required prior to approval. COMMENTS: Inspector: (Date: 09027 ' + REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit( • „INSPECTION NO. PERMIT N0. f CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Cik'i' Project: Y Type of Inspection: 7 Address: �f ��) ✓/ Zo ,5' I3(�sf• i3 Date Called: • Special Instructions: Date Wanted:. � � m. Requester: Phone No: • EjApproved per applicable codes. ECorrections required prior t� approval. 1,11` COMMENTS: ekt 'Inspector: Date.: 6: mill ri e REINSPECTION FEE REQUIRED.TPrior to next inspection, fee must.b paid at 6300 Southcenter Blvd., Suite 100. Call to schedule. rein`spectioii:. Contractors or Tradespeople *ter 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 ENERGY INDUSTRIES (WA) LLC 5094625483 10220 N Nevada St Ste 60 Spokane WA 99218 Spokane Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602461654 Active ENERGIW960RW Electrical Contractor 2/22/2005 3/22/2013 General Unused Electrical Administrator INFORMATION License ZARZHV`022JD Name ZARZHITSKY, VICTOR Status Active Business Owner Information Name Role Effective Date Expiration Date BHB SERVICE (WA) INC Agent 12/17/2004 9/28/2007 FILER, JAY Partner /Member 01/01/2005 $250.00 KIMURA, DARREN T Partner /Member 12/17/2004 ELECTRICAL CITATION 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 1 TRAVELERS CAS it SURETY CO 104432696 12/01/2004 Until Cancelled $4,000.00 12/17/2004 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 ESTAD00289 9/28/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESTAD00286 9/28/2007 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ESTAD00284 9/28/2007 19.28.161 RCW ELECTRICAL CITATION Satisfied $250.00 EVANS00238 2/19/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EVANS00236 2/19/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EVANS00234 2/19/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EVANS00235 2/19/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOKAD01309 4/25/2008 19.28.041 RCW ELECTRICAL CITATION Satisfied $500.00 EOKAD01308 4/25/2008 19.28.161(6) RCW ELECTRICAL CITATION Satisfied $500.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 07/25/2011