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HomeMy WebLinkAboutPermit EL11-0788 - SHABELLE MINI MARTSHABET 1LE 14822 TUKWILA INTERNATIONAL BL EL11-0788 City off ukwila • 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 Address: 14822 TUKWILA INTERNATIONAL BL TUKW Project Name: SHABELLE Permit Number: EL11 -0788 Issue Date: 08/23/2011 Permit Expires On: 02/19/2012 Owner: Name: STEINBERG DOUG Address: 26415 MILITARY RD S , KENT WA Contact Person: Name: ELDON BROWN Address: PO BOX 58984 , RENTON WA Contractor: Name: E G ELECTRIC CONTROL Address: PO BOX 58984 , RENTON WA Contractor License No: EGELEC *000OR Phone: 206 830 -8258 Phone: 206 738 -3628 Expiration Date: 09/19/2012 DESCRIPTION OF WORK: CONNECTION FOR EXHAUST HOOD TEMP SENSOR Value of Electrical: NRES: $180.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complie The granting of this permit does not pre construction or the performance of wo Signature: Print Name: Fees Collected: $63.00 National Electrical Code Edition: 2008 Date: ()tit ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified herein or not. e to give authority to violate or cancel the provisions of any other state or local laws regulating authorized to sign and obtain this electrical permit. .,V Date: g"--;°- '-'/2—d //' 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 -0788 Printed: 08 -23 -2011 • PERMIT CONDITIONS • Permit No. EL11 -0788 * *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 EL1 1-0788 Printed: 08 -23 -2011 CITY OF TUKW1 Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Pell No. .6LU 01' U 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 King Co Assessor's Tax No.: 0014 1 rn" Site Address: / � � -� 6< /te tea, /,s * 15G'.,/ Suite Number: Floor: Tenant Name: s/►, . /ace Property Owners Name:' Mailing Address: ex/ New Tenant: ❑ Yes ❑ .. No City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Day Telephone: Mailing Address: City E -Mail Address: Fax Number: State Zip ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: /C yo F7 rs94 City Contact Person: ,lt % "AO ,t AO R//" Day Telephone: - E -Mail Address: ,f} Fax Number: Contractor Registration Number: Y2 6fii`4 DDD C/� Expiration Date: CAS Rm State Zip Valuation of Project (contractor's bid price): i/ ffb Scopee of Work lease provide detailed information): e.(//i/e _'71149 if/ 412)(1 a ar 74" Will service be altered? ❑ Yes X,No Adding more than 50 amps? ❑ Yes la No Type of Use: Type of work: ,New ❑ Addition ❑ 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 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings $152.85 $81.90 ea $59.85 ea Low voltage systems (alarm, furnace thermostat) 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, fumace 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 $10.50 ea PERMIT APPLICATION NOTES - Value of Construction – In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review – Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 90 days. The extension shall be requested in writing and justifiable cause demonstrated. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE LAWS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Mailing Address: Day Telephone: � � Date: 8 .2-7— 2 o c7 A c9‘ SAD 9 27$ 14- qs =ho State Zip Date Application Accepted: Date Application Expires: Staff Initials: H:1Applications\Forms- Applications On Line12010 Applications \7 -2010 - Electrical Permit Application.doc Revised: May 2011 bh Page 2 of 2 0 0 w 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.Qov RECEIPT Parcel No.: 0041000143 Permit Number: EL11 -0788 Address: 14822 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED Suite No: Applied Date: 08/23/2011 Applicant: SHABELLE Issue Date: Receipt No.: R11 -01829 Payment Amount: $63.00 Initials: JEM Payment Date: 08/23/2011 09:34 AM User ID: 1165 Balance: $0.00 Payee: E. G. ELECTRIC CONTROL TRANSACTION LIST: Type Method Descriptio Amount Payment Cash Authorization No. ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 08 -23 -2011 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 I. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: 4.54.1i6e V{/{r Type of Inspection: 00 Address: pig22, 1— 1 8 Date Called: Special Instructions: Date Wanted: . Z. a.m. m. Requester: Phone No: IL Approved per applicable codes. 11 Corrections required prior to approval. 6 COMMENTS: 4 . LW,/ Inspector: Date: 2 11 REINSPECTION FEE REQUIREb. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule-reinspectioh. Contractors or Tradespeople : ter Friendly Page • Electrical Contractor A business licensed by L81 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 E G ELECTRIC CONTROL 2068308258 Po Box 58984 Renton WA 98058 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601854831 Active EGELEC'0000R Electrical Contractor 9/19/2000 9/19/2012 General Unused Master Electrician INFORMATION License BROWNEG978RT Name BROWN, ELDON G Status Active Business Owner Information Name Role Effective Date Expiration Date BROWN, ELDON G Owner 01/01/1980 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 Go. oreat American Ins. 6138161 04/05/2011 Until Cancelled $4,000.0004/04/2011 2 HARTFORD FIRE INS 52BSBEF4230 09/30/2006 Until Cancelled 04/05/2011 $4,000.0009/28/2006 1 CBIC SD1847 09/19/2000 Until Cancelled 09/30/2006 $4,000.00 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 08/23/2011