Loading...
HomeMy WebLinkAboutPermit EL12-0067 - 76 GAS STATION76 GAS STATION 15060 TUKWILA INTERNATIONAL BL EL12-0067 City OTwkwila • 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.: 0041000680 Permit Number: EL12 -0067 Address: 15060 TUKWILA INTERNATIONAL BL TUKW Issue Date: 01/27/2012 Permit Expires On: 07/25/2012 Project Name: 76 GAS STATION Owner: Name: DESMOIRE FRANK SR Address: FAMILY TRUST , 5245 BALL CT Contact Person: Name: SHANNON HENRY Address: PO BOX 1422 , AUBURN WA Contractor: Name: EAGLE ELECTRIC OF AUBURN LLC Address: PO BOX 1422 , AUBURN WA Contractor License No: EAGLEEA911LC Phone: 253- 833 -9230 Phone: 253 833 -9230 Expiration Date: 06/06/2013 DESCRIPTION OF WORK: RETRO EXISTING FLOUESCENTS WITH LED'S Value of Electrical: NRES: $1,200.00 RES: $0.00 Fees Collected: $115.50 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Date: '` ):7— ` .Z 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 p:i.mit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t .- pe I. rmance of work. I am auth.:riz d to sign and obtain this electrical permit. Signature: . /.AA A. . I . Dater Print Name: r This permit shall become null and void if the work is not com>Onced 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 inspectio doc: EL -4/10 EL12 -0067 Printed: 01 -27 -2012 • PERMIT CONDITIONS • Permit No. EL12 -0067 * *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 EL12 -0067 Printed: 01 -27 -2012 CITY OF TUK A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.cLtukwila.wa.us Electrical Permit No. CL_ 1a- -0Cj (0 7 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 � Co Assessor's Tax No.: Site Address: LS D 6 0 A ; Gs I A ((ins Suite Number: Floor: Tenant Name: 16 (Qc( ! - r,61,,, Property Owners Name: Mailing Address: New Tenant: ❑ Yes ❑ .. No City State Zip CONTACT PERSON — Who do we contact when your permit Is ready to be issued Name: Mailing Address: o ' 6 L E -Mail Address: Day Telephone: Eg City State Z aka. c« Fax Number: .fa deck ELECTRICAL CONTRACTOR INFORMATION Company Name: e Mailing Address: ? �u ,Cn9�k `{,2Z Contact Person: `Jl\o -r�y� i' 1 -r/ E -Mail Address: Contractor Registration Num er: Valuation of Project (contractor's bid price): $ _A-u\ it - .uA q807--:\ City State Zip Day Telephone: cc����n' ��c crOM Number: , ---8 `(. L Expiration Date: te (47/ 13 Scope of Work (please provide detailed information): w Lib I,S �k.tS�tn�, -�oY�SCa.✓�7� Will service be altered? ❑ Yes Nc 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\Fonns- Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 Adding more than 50 amps? ❑ Yes >6 No ❑ Remodel ❑ 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 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 ELECTRICAL CONTRA T R: Signature) V [� • Print Name: S )'11e-NC3r\_ rt. -e-r) Day Telephone: Mailing Address: V() i p x l - ? 2) (■) Date Application Accepted: City Date: vJ .-v Smte 5o7) Date Application Expires: Staff Initials: HAApplications\Fonns- Applications On Line ‘2010 Applications \7 -2010 - Electrical Pennit Application.doc bh Page 2 of 2 1 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 RECEIPT Parcel No.: 0041000680 Permit Number: EL12 -0067 Address: 15060 TUKWILA INTERNATIONAL BL TUKW Status: PENDING Suite No: Applied Date: 01/27/2012 Applicant: 76 GAS STATION Issue Date: Receipt No.: R12 -00332 Initials: WER User ID: 1655 Payment Amount: $115.50 Payment Date: 01/27/2012 01:56 PM Balance: $0.00 Payee: EAGLE ELECTRIC OF AUBURN TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1428 115.50 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 115.50 Total: $115.50 doc: Receiot -06 Printed: 01 -27 -2012 INSPECTION RECORD 0./.41,066 Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 Z -(206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 4� Special Instructions: Type of Inspection: /©0 Date Called: Date Wanted: Requester: 62--k Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: i Inspector: r,r 1. I Date: o Utz /� REINSPECTION FEE REQUIRED. Prior to next inspection: fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople ter 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 EAGLE ELECTRIC OF AUBURN LLC UBI No. 602921724 Phone 2538339230 Status Active Address Po Box 1422 License No. EAGLEEA911LC Suite /Apt. License Type Electrical Contractor City Auburn Effective Date 6/3/2009 State WA Expiration Date 6/6/2013 Zip 98071 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status EAGLEEC140PB EAGLE ELECTRIC CO Electrical Contractor General Unused 10/2/1986 10/2/2002 Archived EAGLEEC161PD EAGLE ELECTRIC CO Electrical Contractor Residential Unused 10/4/1984 12/31/1986 Archived EAGLEEL991BU EAGLE ELECTRIC LLC Electrical Contractor General Unused 1/31/2001 1 /31 /2011 Expired Electrical Administrator INFORMATION License FISCHJT921P9 Name FISCHER, JEFFREY T Status Active Business Owner Information Name Role Effective Date Expiration Date FISCHER, JEFFREY T Agent 06/05/2009 5/11/2010 MCMANUS, BRIAN Partner /Member 06/03/2009 $250.00 FISCHER, JEFFREY T Partner /Member 06/03/2009 ELECTRICAL CITATION 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 1 RLI INS CO LSM0095335 06/02/2009 Until Cancelled $4,000.00 06/03/2009 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 Cocle Type Status Violation Amount EBEAK00277 5/11/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EPEJP00218 10/25/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 01/27/2012