HomeMy WebLinkAboutPermit EL11-0951 - STARBUCKSSTARBUCKS
3301 S NORFOLK ST
EL1 1 -0951
Parcel No.:
Address:
City oPfukwila
•
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
0323049024
3301 S NORFOLK ST TUKW
Project Name: STARBUCKS
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL11 -0951
10/14/2011
04/11/2012
Owner:
Name: ASSOCIATED GROCERS
Address: P.O. BOX 3763 , SEATTLE, WA
Contact Person:
Name: DREW MACKEY
Address: 3623 EAST MARGINAL WY S , SEATTLE WA
Contractor:
Name: EVERGREEN POWER SYSTEMS INC
Address: 3849 1 AV S , SEATTLE WA
Contractor License No: EVERGPS950BE
Phone: 206 774 -1356
Phone: 206 774 -1400
Expiration Date: 01/05/2013
DESCRIPTION OF WORK:
PROVIDE AND INSTALL SEATTLE CITY LIGHT'S 400A 208/120V 3 PHASE 4 -WIRE METER AND
CT. ALSO INSTALL (1) PVC CONDUIT FROM THE STARBUCKS CT CAN TO AND UP THE POWER
POLE. CONDUIT ONLY - NO WIRE.
Value of Electrical: NRES: $3,800.00
RES: $0.00
Fees Collected:
Type of Fire Protection: N/A National Electrical Code Edition:
Electrical service provided by:
Permit Center Authorized Signature
I hereby certify that I have read an
governing thi will be com
The granting of this permit does
construction or the erformanc: of w
$157.50
2008
Date: i U1 i f t
ed this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
of pr . e to give authority to violate or cancel the provisions of any other state or local laws regulating
rk. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: /`) y`
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 -0951 Printed: 10 -14 -2011
•
PERMIT CONDITIONS
Permit No. EL11 -0951
* *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 -0951 Printed: 10 -14 -2011
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.TukwilaWA.crov
Electrical Permit No
1-------E ECTRICAL PERMIT APPLICATION
�� ��plications anti plans must be complete in order to be accepted for plan review.
pplications will not be accepted through the mail or by fax.
* *Please Print **
SITE LOCATION
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
Site Address:
Tenant Name: STARBUCKS
Property Owners Name: SABEY CONSTRUCTION
Mailing Address: 12201 TUKWILA INTL BLVD
o 2-221)1-1--41021
TUKWILA
Floor:
❑ Yes J ..No
WA 98168
Zip
City
State
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: DREW MACKEY
Mailing Address: 3623 EAST MARGINAL WAY SOUTH
E -Mail Address: DMACKEY @EVERGREENPS.NET
Day Telephone:
SEATTLE
(206) 774 -1356
WA 98134
City State
Fax Number: (206) 774 -1401
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Contact Person:
EVERGREEN POWER SYSTEMS
3623 EAST MARGINAL WAY SOUTH
DREW MACKEY
E -Mail Address:
DMACKEY @EVERGREENPS.NET
Contractor Registration Number: EVERGPS950BE
SEATTLE WA 98134
City State zip
Day Telephone: (206) 774 -1356
Fax Number: (206) 774 -1401
Expiration Date: 01/05/2012
Valuation of Project (contractor's bid price): $ 3,800
Scope of Work (please provide detailed information): JOB #3233 - PROVIDE & INSTALL SCL'S 400A 208/120V 3PHASE
4WIRE METER & CT. ALSO INSTALL ONE 4" PVC CONDUIT FROM THE STARBUCKS CT CAN TO AND UP
THE POWER POLE. CONDUIT ONLY. NO WIRE
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes gl No
Type of Use: COMMERCIAL
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
▪ Seattle City Light
❑ Service Change
❑ Fire Alarm
H:\Applications\rorms- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
❑ Remodel m 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 CHANCES
❑ 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.
1 HEREBY C FY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF ER ' Y BY THE LAWS 0 THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER 1 R ELECTRICAL ONTRACTOR:
Signature:
Print Name:
Mailing Address: 3623 EAST MARGINAL WAY SOUTH
IDate Application Accepted:
Date: 10/14/2011
Day Telephone: (206) 774 -1356
SEATTLE
City
W,D- 5e\'31
State
Date Application Expires:
Staff Initials:
H:\Applications'Forms- Applications On Line\20 10 Applications,7 -2010 - Electrical Permit Application.doc
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Page 2 of 2
Zip
0 •
�J��1�A wq� City of Tukwila
C d y
1908
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.: 0323049024
Address: 3301 S NORFOLK ST TUKW
Suite No:
Applicant: STARBUCKS
RECEIPT
Permit Number: EL11 -0951
Status: PENDING
Applied Date: 10/14/2011
Issue Date:
Receipt No.: R11 -02257
Initials:
User ID:
JEM
1165
Payment Amount: $157.50
Payment Date: 10/14/2011 03:25 PM
Balance: $0.00
Payee: DREW W MACKEY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 02551D
ACCOUNT ITEM LIST:
Description
157.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 157.50
Total: $157.50
doc: Receipt -06 Printed: 10 -14 -2011
7
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 12, (206) 431 -36
Permit Inspection Request Line (206) 431 -2451
Project:
„ .j1 '
Type of Inspection:
Address: fi3a I n
� (Ole ic
Date Called:
Special Instructions:
Date Wanted:
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
Jr
Inspector: Date: /2 44 1
ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
_
•
1•
,r • •
•
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Cu 451
PERMIT NO.
• CITY OF'.-TUKWILA BUILDING DIVISION
6300 Soutikenter Blvd., #100, Tukwila. WA 98188 va. (206) 431-3670
Permit Inspection Request Line (206) 431-2451
6j_ce-.5 Project:
Type of Inspection:
00 (
Address: , .-1 A
Date Called:
Special Instruction:
.. —
Date Wanted:.
.m.
Requester:
Phone No:
Approved pet applicable codes. El Corrections required prior to approval. 8
•
• OMMENTS: •• •
1. u61&) CoNiNpr,
Inspector:
Date: 0/10/11
REINSPECT.ION rEE REQUIRED. Prior to next inspection. fee must be
paid at 630•Southcenter Blvd.. Suite 100. Call to schedule reinspection.
_ - -
— .
.1.0115 etnaweeekelsel. SA.21,1■16.
Contractors or Tradespeople Pr Friendly Page
•
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
EVERGREEN POWER SYSTEMS INC
2067741400
3623 E Marginal Way S
Seattle
WA
98134
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602451324
Active
EVERGPS950BE
Electrical Contractor
1/5/2005
1/5/2013
General
Unused
Electrical Administrator INFORMATION
License MACKEJE216JN
Name MACKEY, JAMES E
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
HOPKINS, JAMES
Agent
01/05/2005
Bond Amount
MACKEY, JAMES E
President
01/05/2005
52BSBFC2870
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
2
HARTFORD FIRE INS
CO
52BSBFC2870
01/03/2009
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
12/19/2008
1
INS CO OF THE WEST
2136450
01/03/2005
Until Cancelled
01/15/2009
EROMA00567
$4,000.0001 /05/2005
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EJONV00338
6/6/2006
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EBLAG00295
1/6/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EHRAL00865
12/8/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EROMA00567
5/24/2010
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EVANS00322
6/19/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lnilbbip/Print.aspx 10/14/2011