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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 bh 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 bh 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 h. k i` • 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