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HomeMy WebLinkAboutPermit EL12-0102 - 7-ELEVEN7-ELEVEN 14207 TUKWILA INTERNATIONAL BL EL12 -0102 City ofi'ukwila • Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -43 1 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov ELECTRICAL PERMIT Parcel No.: 1610000295 Permit Number: EL12 -0102 Address: 14207 TUKWILA INTERNATIONAL BL TUKW Issue Date: 02/07/2012 Permit Expires On: 08/05/2012 Project Name: 7 ELEVEN Owner: Name: 7 -11 INC #22866 Address: PO BOX 711 , DALLAS TX Contact Person: Name: JASON COPPINGER Address: 1354 PACIFIC PL #101 , FERNDALE WA Contractor: Name: EXPRESS ELECTRIC Address: 1354 [ACIFIC PL #101 , FERNDALE WA Contractor License No: EXPREEI06501 Phone: 360 - 927 -0465 Phone: Expiration Date: 03/21/2012 DESCRIPTION OF WORK: add circuits for tv monitors & low voltage speakers Value of Electrical: NRES: $500.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: Fees Collected: National Electrical Code Edition: Date: $75.60 2008 I hereby certify that I have read and examine: s p ' and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether s - . fied herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the perfo;zn nc_ • ' ork. I am authorized to sign and obtain this electrical permit. Signature: Print Name: DateV7/1 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 EL12 -0102 Printed: 02 -07 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0102 * *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 -0102 Printed: 02 -07 -2012 .1w CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 0 L —V l- o, Project No. Date Application Accepted: Date Application Expires: (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 Ll ' r/' ,, King Co Assessor's Tax No.: Site Address: 1 `I �7 1 LLJ44 llGt. ifern tt`oi'ia i 13 i✓d. Suite Number: Floor: Tenant Name: El& PROPERTY OWNER Name: 3,4S6 0 (-OpPavik3 e,-- Address: r ;Pi Pq< 4'44 Pt- Name: Phone: 340_ 0127 - oil(or Fax: 3(?o-6 ! 1-bzZ/ Email: /�� T 1p<da E t pre%)�G/'tC.Gorv1 Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: 3,4S6 0 (-OpPavik3 e,-- Address: r ;Pi Pq< 4'44 Pt- City: Fe/lie/J.4,4 State: w+ Zip:gf2ifor Phone: 340_ 0127 - oil(or Fax: 3(?o-6 ! 1-bzZ/ Email: /�� T 1p<da E t pre%)�G/'tC.Gorv1 New Tenant: ❑ Yes El ..No ELECTRICAL CONTRACTOR INFORMATION Company Name: - (prfS5 �(�C-f riG Address: / 9/_ T/ L P1. 1-10/ ''JJ I I City: State: -Wiel Zip: Dlg2,10 od„ t(L Phone640) b71 _ 0113 Fax: 9 b-u l 212.( Contr Reg No.: gXp12iExQ 66ol Exp Date: 3' ( 2_, Tukwila Business License No.: Valuation of Project (contractor's bid price): $ brGv Scope of Work (please provide detailed information): !DD Gee & Vot rt0 Moutt4 Ls Lou° uo Cr y s a!%v S Will service be altered? ❑ Yes iff-No Adding more than 50 amps? ❑ Yes Er Type of Use: Type of work: ❑ New Er Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ck- Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: VJ Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 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 $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 OWNE OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: ciisokr 0, 30, 0857 H:WpplicationsWorms- Applications On Line \201 I Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Date: 2'2--/ Day Telephone�UO}'6 7 1 — 0) 1 3 %i l i hcim W'A 4022-g City J State Zip 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.eov RECEIPT Parcel No.: 1610000295 Permit Number: EL12 -0102 Address: 14207 TUKWILA INTERNATIONAL BL TUKW Status: APPROVED Suite No: Applied Date: 02/07/2012 Applicant: 7 ELEVEN Issue Date: Receipt No.: R12 -00533 Initials: User ID: TLS 1670 Payment Amount: $75.60 Payment Date: 02/07/2012 08:00 AM Balance: $0.00 Payee: EXPRESS ELECTRIC INC CHAD KING TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 194533 ACCOUNT ITEM LIST: Description 75.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 75.60 Total: $75.60 doc: Receiot -06 Printed: 02 -07 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY - OF'TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 fz, (206) 431 -3670 Permit inspection Request Line (206) 431 -2451 0,12-002-- Project: ✓ f 1 Type of Inspection: /00 Address: l I ilt0 i 1 . 1.6. Date Called: Special Instructions: Date Wanted:. °g . . .m Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. COMMENTS: Ij !ST sJ icy JM FINN A 461 Ni 0414 Date: o2 off' ?L. REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople P$er Friendly Page • Electrical Contractor A business licensed by LEt1 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 EXPRESS ELECTRIC INC 3606710113 Po Box 30857 Bellingham WA 98228 Whatcom Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601472979 Active EXPREEI065D1 Electrical Contractor 3/21/1994 3/21/2012 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status EXPREE'088CL EXPRESS ELECTRIC Electrical Contractor General Unused 2/13/1992 2/13/1996 Archived VELOCEC927RA VELOCITY ELECTRIC CORPORATION Electrical Contractor Residential Unused 12/1/2008 12/1/2010 Re- Licensed Master Electrician INFORMATION License ALTMAD'975D7 Name ALTMAN, DAN Status Active Business Owner Information Name Role Effective Date Expiration Date GREENBERG, MARK HAZEN Violation Amount 01/01/1980 1/26/2009 ALTMAN, DANIEL EUGENE ELECTRICAL CITATION 01/01/1980 $250.00 THULIN, GREGORY E Agent 02/01/2006 ANDERSON, ROGER FLOYD Treasurer 02/23/2004 DORN,JIM Agent 01/01/1980 02/01/2006 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 DEVELOPERS SURETY a INDEM CO 851440C 01/03/2000 Until Cancelled $4,000.00 03/23/2001 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 ENASE00307 1/26/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 02/07/2012