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Home My WebLink AboutPermit EL12-0206 - SAHALE SNACKSSAHALE SNACKS 3411 S 120 PL EL1 2-0206 City d.Tukwila 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 Parcel No.: 1023049069 Address: 3411 S 120 PL TUKW Project Name: SAHALE SNACKS ELECTRICAL PERMIT Permit Number: EL12 -0206 Issue Date: 03/05/2012 Permit Expires On: 09/01/2012 Owner: Name: SABEY CORPORATION Address: 12201 TUKWILA INTL BLVD 4THFL , SEATTLE WA Contact Person: Name: JACK ROFFLER Phone: 360 357 -4179 Address: 2803 29 AV SW , TUMWATER WA Contractor: Name: OLYMPIC TELEPHONE INC Address: 2803 29 AV SW , TUMWATER WA Contractor License No: OLYMPTI0063H Phone: 360 357 -4179 Expiration Date: 06/08/2012 DESCRIPTION OF WORK: VOICE /DATA CABLING Value of Electrical: NRES: $6,235.00 RES: $0.00 Type of Fire Protection: SPRINKLERS /AFA Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e ' governing this work will be complied Fees Collected: $212.90 National Electrical Code Edition: 2008 Date: 1 ed this permit and know the same to be true and correct. All provisions of law and ordinances whether specified 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 performan - of work. I am authorized to sign and obtain this electrical permit. IF Signature: v/% _ ION Date: Print Name: 3 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 -0206 Printed: 03 -05 -2012 • • PERMIT CONDITIONS Permit No. EL 12 -0206 * *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: Arty 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 -0206 Printed: 03 -05 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 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 Site Address: 34 I I oab' 'P( Tenant Name: PROPERTY OWNER Name: C`ien -Fry mt;Lls ) Jc ci< Rc -PLL,r Name: e „ lct ,, s ocidc3 City : rum�,� to y State: ZiPq I a U-� Address: 34 1 c ,,d Vet) c acre, Email:QiYloin as Olt Ili (P rhale City: - lA.NA/CIGL .., State: , Zip :9g Ito? CONTACT PERSON — person receiving all project communication Name: C`ien -Fry mt;Lls ) Jc ci< Rc -PLL,r Address: A0 ,J,Q qth alio, s co City : rum�,� to y State: ZiPq I a U-� Phone: . Fax: Email:QiYloin as Olt Ili (P rhale King Co Assessor's Tax No.: Suite Number: Floor: �( New Tenant: ❑ Yes �][.No l01-2fi -046 ELECTRICAL CONTRACTOR INFORMATION .. ..: Company Name:- (- i:.�.._..._._: .n Te_lcP Address: " ' " - State: ' C►ty. lb lL'- _ _- Z Y(� ip:Q c Phone: r? -1 �,7U 'n 1i �' ' 'y nG- -Fax. 3. "..7 Sy Contr Reg No.: obi ` p ate: i„ I �� 1V b . � Tukwila Business License Nd ::"() 4 (yid Valuation of Project (contractor's bid price): $ to • a �°). Uc) Scope of Work (please provide detailed information): I , c Will service be altered? ❑ ,Yes t4 No Type of Use: __- - ..... .... . .... Type of work: • No ❑ New ❑ Addition Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Service Change ❑ Fire Alarm Seattle City Light ❑ Remodel _ ^❑ ,_- Tenant Improvement ❑ Telecommunication , It:. • _ Temporary Service H: \Applications \Forms - Applications On Line12011 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 hotrte service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea • ',I1 I.';,.. =..f ,Y Adt ?i'O.1? r • PERMIT APPLICATIONNOTES Value of Construction — In'alI 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 ELECTRI AL CONTRACTOR:' " ` "'"'" '' S ignatur Print r�( Mailing Address: �Sb'3 d`L"h Q)f. Sti Day Telephone: Date: s -5--R TTmttlte^ w cL q%S City 7 State Zip H:\Applications\Forns- Applications On Line\2011 Applications \Electrical Permit 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.: 1023049069 Address: 3411 S 120 PL TUKW Suite No: Applicant: SAHALE SNACKS RECEIPT Permit Number: EL12 -0206 Status: PENDING Applied Date: 03/05/2012 Issue Date: Receipt No.: R12 -00899 Initials: User ID: Payee: JEM 1165 Payment Amount: $212.90 Payment Date: 03/05/2012 08:50 AM Balance: $0.00 JACK ROFFLER, OLYMPIC TELEPHONE TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 004139 ACCOUNT ITEM LIST: Description 212.90 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 212.90 Total: $212.90 doc: Receiot -06 Printed: 03 -05 -2012 INSPECTION RECORD /�� ®09 ��d Retain a copy with permit v INSPECTION NO. PERMIT NO. CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 - Permit Inspection Request Line (206) 431 -2451 Project:. A �[ 5 q Type of Inspection: 14/ �/� Address: . I Da te Called: Special Instructions: Date Wanted:. am: Re uester:03 Phone No: Approved per applicable codes. E Corrections required prior to approval. „rgi COMMENTS: --r Date: O` / 3�f � r ❑ REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 K. (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 641-0% Project: ��i cif\�� Type of Inspection: ob3 7 i Address: � 11( 5' 1Lo p t.., Date Called: Special Instructions: Date Wanted:. 3 3 m. P.m. Requester: J RTS Pe sc-k4Elk, koori tAh n4 OD Phone No: • Approved per applicable codes. Corrections required prior to approval. COMMENTS: i ---' 0q4f4 1A) 1\10. a I tl SAC fitt,d-ozJAIK atudc, 0,4 J RTS Pe sc-k4Elk, koori tAh n4 OD Inspector: 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 ter 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 OLYMPIC TELEPHONE INC 3603574179 2803 29Th Ave Sw Tumwater WA 98512 Thurston Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 601156288 Active OLYMPTI0063H Electrical Contractor 6/8/2000 6/8/2012 Telecommunications Electrical Administrator INFORMATION License ROFFLJR005LH Name ROFFLER, JACK R JR Status Active Business Owner Information Name Role Effective Date Expiration Date BARTON, DOUGLAS E Cancel Date 01/01/1980 Amount ROFFLER, JACK R JR 3 01/01/1980 52432461 BERSCHAUER, MARK A 05/19/2012 01/01/1980 BEAN Et GENTRY Agent 01/01/1980 LIBERTY NORTHWEST INS CORP 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 2 CBIC SC4684 06/08/2001 Until Cancelled $4,000.00 05/29/2001 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 3 Liberty Northwest Ins Corp 52432461 05/19/2011 05/19/2012 $1,000,000.00 04/28/2011 2 LIBERTY NORTHWEST INS CORP 524324461 05/19/2010 05/19/2011 $1,000,000.00 05 /17/2010 1 ZURICH COMMERCIAL PPS28917111 05/19/2000 05/19/2010 $0.00 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 https: / /fortress. wa. gov /lni /bbip /Print.aspx 03/05/2012