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Home My WebLink AboutPermit EL12-0227 - JACKSONS FOOD STOREJACKSONS FOOD STORE 13138 INTERURBAN AV S EL1 2-0227 City oeTukwila � 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.: 0003000108 Address: 13138 INTERURBAN AV S TUKW Project Name: JACKSONS FOOD STORE ELECTRICAL PERMIT Permit Number: EL12 -0227 Issue Date: 03/09/2012 Permit Expires On: 09/05/2012 Owner: Name: PACWEST ENERGY LLC Address: 3450 COMMERCIAL CT , MERIDIAN ID Contact Person: Name: MIKE JACKSON Phone: 425 - 773 -4677 Address: 3509 NE 187 CT , LAKE FOREST PARK WA Contractor: Name: TRI -M ELECTRIC LLC Address: 3509 NE 187 ST , LAKE FOREST PARK WA Contractor License No: TRIMEL981PS Phone: 425 - 778 -0200 Expiration Date: DESCRIPTION OF WORK: DISCONNECT ELECTRICAL SERVICE FOR DEMOLITION AND PROVIDE TEMPORARY 200 AMP SEVICE FOR CONSTRUCTION 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: $75.60 National Electrical Code Edition: 2008 Date: 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 pe •• d es not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the m aut . • ized to sign and obtain this electrical permit. Signature: Print Name: /KE 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 -0227 Printed: 03 -09 -2012 lb PERMIT CONDITIONS II Permit No. EL12 -0227 * *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 -0227 Printed: 03 -09 -2012 Site Address: Tenant Name: CITY OF TUKWII A Community Developm)epartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: / /www.TukwilaWA.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 ** 13138 vTf PUIZZAn) JI YF 5 King Co Assessor's Tax No.: Suite Number: Floor: �d.¢F,�'w�� '�k4 ,�` "Y� � Y � art. Name: pAL w SST1 ,6v/ Address: ...q�5D G-1 wl eCl 4 L CT City: Pi- .4v it-re G----T— State: tio4 Zip: /D /� � City: xig- ei � rttio State: 1 Zip: �d.¢F,�'w�� '�k4 ,�` "Y� � Y � art. �p� h �'x "x 5� •Wk�i � 6 � � . .. . . Address: 360 1 .6_77L - City: Pi- .4v it-re G----T— State: tio4 Zip: /D /� � Name: A,,,... ..J g5 " Address: N.--,....- 7'h Tukwila Business License No.; City: t 1R -r State: Zip /5 c- Phoneifz6.773_,./.6,7 7 Fax:4 770 101 b Email: _1� f'i t. r✓l , G IL° -fir 1G �/ if-e Vim. COY✓' Valuation of Project (contractor's bid price): $ ' Q) Scope of Work (please provide detailed information): OCT // New Tenant: ❑ Yes�No Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ T t Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh o l Page 1 of 2 Company Name: --R f -i(1 _ Et_ tGTk/ G Address: 360 1 .6_77L - City: Pi- .4v it-re G----T— State: tio4 Zip: /D /� � Phone: q 3 77 - 4/6 7 7 Fax: t�Zc 775 , /09 G Contr Reg No. : -rgy 5�* /p5Exp Date: jc I/O / 1 'Z ( / Tukwila Business License No.; Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ T t Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication Temporary Service Property Served by: ❑ Puget Sound Energy Seattle City Light H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh o l 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) Asit 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 Value 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 EL TRICAL CO RACTOR: Signature: Print Name: Mailing Address: / Date: ,///0/ Day Telephone: Lif 773-V67 7 ig7 T7' C- Kf r City H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh VV� qS /5 -1 State Zip Page 2 of 2 • • 1-LA w City of Tukwila �� by 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.: 0003000108 Permit Number: EL12 -0227 Address: 13138 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 03/09/2012 Applicant: JACKSONS FOOD STORE Issue Date: Receipt No.: R12 -01001 Initials: User ID: Payee: WER 1655 Payment Amount: $75.60 Payment Date: 03/09/2012 10:50 AM Balance: $0.00 MICHAEL JACKSON TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 082150 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: 03 -09 -2012 INSPECTION RECORD Retain a coy with ermit MEN' IN ECTION NO. copy permit NO. CITY OF'TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 f-, (206) 431 -3670 Permit Inspection Request Line (206) 431 -2451 Project: A4 r. 5 Type of Inspection: 2-too Address: .1'3 ((five Date Called: Special Instructions:. Date Wanted:. 3/lo a. m. Requester: Phone No Approved per applicable codes. COMMENTS:' —>C1( 40W DA/4 tiA4)1- ElCorrections required prior to approval. Inspector: ,% fel tivelo,„ 6 _ , I /I n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING risioN 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: je---- r ��/ Q !r� cam- vN Type of Inspection: 2.100 Address: (313X / JnJ 6- Date Called: Special Instructions: Date Wanted:. I (j).1 Requester: Phone No: ElApproved per applicable codes. El Corrections required prior to approval. COMMENTS: ?A/ !mid W G w try boat cat ?aatilbt eg nnJkc. ...--Ln c.. 1oiJ rdik fig.04t DF 6 "/ AAA 6r tJ ,Jh T 4 64e-c4 1 7,E Date: 03 4 5112,.... 7 � ri REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Inspector: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. itit-oto CITY OF' TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 IZ.. (206) 431 -36 Permit Inspection Request Line (206) 431 -2451 Project: -"1 Type of Inspection: 6' K 7002.- Address: 5; 5 Y /r fr Jn 6 J A Date Called: Special Instructions: Date Wanted:. a.m. lsz P Requester: Phone No: 'Approved per applicable codes. Corrections required prior to approval. /Z COMMENTS: 5601u- Inspector: Nfiti (Is Date: 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 eer 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 TRI -M ELECTRIC LLC UBI No. 602232853 Phone 4257780200 Status Active Address 3509 Ne 187Th Ct License No. TRIMEL'981 PS Suite /Apt. License Type Electrical Contractor City Lake Forest Park Effective Date 10/10/2002 State WA Expiration Date 10/10/2012 Zip 98155 Suspend Date County King Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Master Electrician INFORMATION License MARCHMS976L6 Name MARCHI, MIKE S Status Active Business Owner Information Name Role Effective Date Expiration Date MARCHI, MICHAEL S Partner /Member 10/10/2002 12/28/2009 THORNTON, ROBERT M Partner /Member 10/10/2002 $250.00 JACKSON, MICHAEL J Partner /Member 10/10/2002 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 CBIC 5E6867 10/10/2002 Until Cancelled $4,000.00 10/15/2002 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 EHRAL00708 12/28/2009 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBUTH00225 9/28/2006 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 03/09/2012