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
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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
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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
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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