HomeMy WebLinkAboutPermit EL11-0955 - UNIFIED GROCERSUNIFIED GROCERS
3301 S NORFOLK ST
EL1 1 -0955
City oftukwila
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
Project Name: UNIFIED GROCERS
ELECTRICAL PERMIT
Permit Number: EL11 -0955
Issue Date: 10/17 /2011
Permit Expires On: 04/14/2012
Owner:
Name: ASSOCIATED GROCERS
Address: P.O. BOX 3763 , SEATTLE, WA
Contact Person:
Name: JASON PECOTTE Phone: 206 551 -7195
Address: 900 N 34 ST, STE 108 , SEATTLE WA
Contractor:
Name: TITAN ELECTRIC INC
Address: 900 N 34 ST, SUITE 108 , SEATTLE WA
Contractor License No: TITANEI963OB
Phone: 206 - 633 -2811
Expiration Date: 09/02/2012
DESCRIPTION OF WORK:
REPLACE (18) T -5 FIXTURES, (12) EVAPORATORS, AND (6) OUTLETS (BANANA ROOM)
Value of Electrical: NRES: $9,500.00 Fees Collected: $264.50
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by:
Permit Center Authorized Signature:
National Electrical Code Edition: 2008
Date: 1 ON L I
I hereby certify that I have read and 4xarned this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
governing this work will be complie
The granting of this pe
construction or the pe
oes not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ance of • rk. am authorized to sign and obtain this electrical permit.
o l
Signature: 4♦ Date: /0 1 i 7 / J
Print Name: Z-351$ r ( Ply to T 1=
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 -0955 Printed: 10 -17 -2011
• •
PERMIT CONDITIONS
Permit No. EL11 -0955
* *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
E L 11 -0955 Printed: 10 -17 -2011
CITY OF TUKWII
Community Developmeni ✓epartment
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.Tukw i laW A.gov
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 **
King Co Assessor's Tax No.: 0)jZ,SoL -1 02-Li
Site Address:33=' 1 S" "'`- '1141 - �'-" -' - V Suite Number: Floor:
Tenant Name: V' pJ k Ft ..V1
Name:
Address: 3,0 5.k_rN 1au4-= utAC..sT-
City:
State: W A' Zip: cq l l5
.! ti't$r ire✓ c g �' a0'd Pnz• 42e i'.:. „` a'E `y d$E tl �.iiC; .� fir.✓.. t�f t''+, >..;
Name: �. „
1�.� pIBC -oT'r_
Address: cOa N 341-1-1 61124; [_T w 0`3
City:sr�,rTua State: a Zip:I s l 63
Contr Reg No .:-.^ITA►icLq %30.-,El7 xpDate: t - "2- • l' _
Phone: 20( — 5 1 Ins -Fax: —
Email: , )gi.50^) p (Z Ti rA lei IS-Lac-tic) C 1
New Tenant: ❑ Yes
Company Name: --r-` �, ::-L t54..--r K., t (..
Address: q 00 t.l 34Tr x.; ST 0T Si- 10 %1
l
City: 5 b .E t aert- Zip. nsio3
VA: o
Phone: 2o(0 C. 32_, Ili, i I Fax: 20.p 314_ 2_12-‘e,
Contr Reg No .:-.^ITA►icLq %30.-,El7 xpDate: t - "2- • l' _
Tukwila Business License No.;
Valuation of Project (contractor's bid price): 1 COO
Scope of Work (please provide detailed information):
12 v-1) tA"c�E (I S� ' S Ft)c -r vt btE ,s %WA? dKA -Re- -S Chi j ■>~. r u 'S
Will service be altered? ❑ Yes �To
Type of Use: Z N ' \ Q u ` - ' ' � - � � 4 (C_
Type of work:
❑ New ❑ Addition
❑ Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy Seattle City Light
Adding more than 50 amps? ❑ Yes No
❑ Service Change
❑ Fire Alarm
H:\Applications \Forms - Applications On Line\201 1 Applications\Electrical Permit Application Revised 8 -9 -1 1.docx
Revised: August 2011
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Remodel ❑ Tenant Improvement
Telecommunication ❑ Temporary Service
Page I of 2
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 $8I.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
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 OW : R OR ELECT '. L CONTRACTOR:
Signature: ,�
Print Name: •011-.) /..t 1 E c.c.
Mailing Address:
Day Telephone:
Date: I 0/11///
2 QG SS 1 --I 155-
9 O v xl 31T 14 9Ti 03 -rTU VA 9163
City State Zip
H; 1Applications\Forms •Applications On Line12011 Applications'Electrical Pertnit Application Revised 8- 9- 11.docx
Revised, August 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.: 0323049024
Address: 3301 S NORFOLK ST TUKW
Suite No:
Applicant: UNIFIED GROCERS
RECEIPT
Permit Number: EL11 -0955
Status: PENDING
Applied Date: 10 /17 /2011
Issue Date:
Receipt No.: R11 -02268
Payment Amount: $264.50
Initials: JEM Payment Date: 10/17 /2011 12:48 PM
User ID: 1165 Balance: $0.00
Payee: TITAN ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 12264 264.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 264.50
Total: $264.50
doc: Receiot -06 Printed: 10 -17 -2011
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INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.' PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 fig, (206) 431 -3670
• . Permit Inspection Request Line (206) 431 -2451
Project:` If , _ `
cc) &OAS
Type of Inspection:
2400
Address: �
• � D t �134O141%.
Date Called:
Special Instructions:
•
Date Wanted:.
a.m.
Requester:
Phone No:
t[Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
r�
(Date: it 116 1t)
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Per 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
l
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
TITAN ELECTRIC INC
2066332811
900 N 34Th Ste 108
Seattle
WA
98103
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602250925
Active
TITANEI9630B
Electrical Contractor
9/2/2004
9/2/2012
General
Unused
iated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
TITANE*986Q5
TITAN
ELECTRIC
Electrical
Contractor
General
Unused
11/25/2002
11/25/2004
Expired
Electrical Administrator INFORMATION
License CROOKT'011 PB
Name CROOK, TRAVIS
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
FUNG, LAWRENCE H
Agent
09/02/2004
Bond Amount
BURKE, PATRICK D
President
09/02/2004
9808431
FUNG, LAWRENCE H
Secretary
09/02/2004
ELECTRICAL CITATION
CROOK, TRAVIS J
Vice President
09/02/2004
COLONIAL AM CAS &
SURETY OF MD
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
2
Lexon Ins Co
9808431
08/03/2011
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
08/08/2011
1
COLONIAL AM CAS &
SURETY OF MD
LPM4066933
08/03/2004
Until Cancelled
08/03/2011
$4,000.0008/10/2004
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
EREEB00416
8/10/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EREEB00206
2/20/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ECHAE00321
8/25/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip/Print.aspx 10/17/2011