HomeMy WebLinkAboutPermit EL11-0813 - 7-ELEVEN7-ELEVEN
14462 34 AV S
EXPIRED
02 -2(x12
EL1 1 -0813
City oilTukwila •
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.: 0040000074
Address: 14462 34 AV S TUKW
Project Name: 7- ELEVEN
ELECTRICAL PERMIT
Permit Number: EL11 -0813
Issue Date: 08/30/2011
Permit Expires On: 02/26/2012
Owner:
Name: THE SOUTHLAND CORPORATION
Address: C/0 TAX DEPT , PO BOX 711
Contact Person:
Name: JAMES DUNCAN Phone: 253 - 686 -7288
Address: 5113 PACIFIC HY E, SUITE 18 , FIFE WA
Contractor:
Name: IDEAL SERVICES INC
Address: 5113 PACIFIC HY E #13 , TACOMA WA
Contractor License No: IDEALSI011 J2
Phone: 253 475 -8884
Expiration Date: 04/22/2013
DESCRIPTION OF WORK:
LED LIGHTING RETROFIT - SWITCH OUT FIXTURES
Value of Electrical:
NRES: $1,500.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Date:
$115.50
2008
e-30- I/
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 ' ve author to violate or cancel the provisions of any other state or local laws regulating
construction or the performance of work. I . , �, and obtain this electrical permit.
Signature: � Date: 0-6
"
Print Name:
�1CuYf1
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 -0813 Printed: 08 -30 -2011
• PERMIT CONDITIONS •
Permit No. EL 11 -0813
* *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
EL 11 -0813 Printed: 08 -30 -2011
CITY OF TUKW
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. t 1l k g 13
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
r _ 3q King Co Assessor's Tax No.:
Site Address: ("l Suite Number:
Tenant Name:
Property Owners Name:
Mailing Address:
New Tenant:
Floor:
❑ Yes .No
City
State Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: j P v lA -Di PCa n e 4 (`'`Day Telephone: 7-S3 ` .ego- 7Z8
Mailing Address: 4.--( Fpiel b i ci g P/ u q.d `71
n �p ,, , 1 City State Zip or.
E -Mail Address: PP,Ynh lr l J 4- cl l e I 116. • CCIY►il Fax Number: 23-3 4' 75 YID
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person: JPy .eJ (7 Anfc I
E -Mail Address: is2+/h'1 CIS e 1 n e. e
Contractor Registration Number: eo. L 5 7 (c' / f J9.
��ea4 geArviva 2.1c,
Iig- PtL6,L .1-kiii 6
9r/2-1-
City State _
r Zi
Day Telephone: 02S-3 (1 47) — Fax Fax Number: a-c3 " �� glen,
Expiration Date:
'1 /oho l3
Valuation of Project (contractor's bid price): $ 1 cbu
Scope of Work (please provide detailed information):
L &O L9 itch "i5 F1�� 6.=f- -- sw 1 k
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
H:\Applications\Forms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
Revised: May 2011
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Page 1 of 2
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
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, 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 ELECT ' CAL CONTRACTOR:
Signature:
Print Name: r I Q •ej • l■f6a,
Mailing Address: 51 13 Picrcl, L ifkm 6
Date Application Accepted:
Day Telephone:
riFE
City
Date: I f t
(AA4- W z54
State Zip
Date Application Expires:
Staff Initials:
H: 1Applications\Forms- Applications On Line12010 Applications17 -2010 - Electrical Permit Application.doc
Revised. May 2011
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Page 2 of 2
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.: 0040000074
Address: 14462 34 AV S TUKW
Suite No:
Applicant: 7- ELEVEN
RECEIPT
Permit Number: EL11 -0813
Status: PENDING
Applied Date: 08/30/2011
Issue Date:
Receipt No.: R11 -01897
Payment Amount: $115.50
Initials: WER Payment Date: 08/30/2011 02:28 PM
User ID: 1655 Balance: $0.00
Payee: JAMES DUNCAN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 336457
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 08 -30 -2011
0
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
JAMES DUNCAN
5113 PACIFIC HY E, SUITE 18
FIFE WA 98424
RE: Permit No. EL11 -0813
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 02/26/2012.
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 02/26/2012, 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,
"--,•dcl,f "--R-,t__
Bill Rambo
Permit Technician
File: Permit File No. ELI 1 -0813
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Prer Friendly Page
1
Electrical Contractor
A business licensed by L &I 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
IDEAL SERVICES INC
2534758884
5113 Pacific Hwy E
#13
Tacoma
WA
98424
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601905187
Active
IDEALSI011J2
Electrical Contractor
4/22/1999
4/22/2013
General
Unused
Master Electrician INFORMATION
License SALZERD979M2
Name SALZER, RAY D
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MENDOZA, CURRAN
Agent
01/01/1980
Bond Amount
SALZER, RAY
President
01/01/1980
6751440
SALZER, CATHY A
Secretary
06/01/2007
ELECTRICAL CITATION
SALZER, CATHY
Treasurer
01/01/1980
AMERICAN STATES INS
CO
LAMBERT, MARCIA
President
01/01/1980
12/30/2002
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
3
American States
Insurance Co
6751440
02/15/2011
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.0003/04/2011
$2,062.50
2
AMERICAN STATES INS
CO
6473071
02/07/2007
Until Cancelled
04/27/2011
EOXFJ00830
$4,000.00
02/07/2007
1
CBIC
SC0623
04/20/1999
Until Cancelled
02/03/2007
$4,000.00
04/20/1999
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
EOXFJ00832
12/17/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$495.00
EOXFJ00828
12/17/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,062.50
EOXFJ00831
12/17/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$1,155.00
EOXFJ00830
12/17/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$2,062.50
https: // fortress .wa.gov /lni/bbip/Print.aspx 08/30/2011