HomeMy WebLinkAboutPermit EL12-0359 - MICHAELS DELI MARTMICHAELS
DELI MART
345 ANDOVER PK E
EL1 2-0359
City oeTukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: httb: / /www.TukwilaWA.gov
Parcel No.: 0223400040
Address: 345 ANDOVER PK E TUKW
Project Name: MICHAELS DELI MART
ELECTRICAL PERMIT
Permit Number: EL12 -0359
Issue Date: 04/18/2012
Permit Expires On: 10/15/2012
Owner:
Name: SRO PROPERTIES INC
Address: 1411 4TH AVE #1315 , SEATTLE WA
Contact Person:
Name: KEN KANG
Address: 15008 35 AV W #C , LYNNWOOD WA
Contractor:
Name: ENERGY MANAGEMENT SERVICES INC
Address: 15008 35TH AV W STE C , LYNNWOOD WA
Contractor License No: ENERGMS913B6
Phone: 425 741 -3526
Phone: 425 - 741 -3526
Expiration Date: 01/26/2013
DESCRIPTION OF WORK:
LIGHTING UPGRADE FOR WALK -IN COOLER
Value of Electrical: NRES: $1,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date: YA L 1 IJ L I L
I hereby certify that I have read and examned s permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with wh her specified herein or not.
The granting of this permit does not •resum',tp'give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance _ f ork. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
e
Date: DI/ / 20/
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 -0359 Printed: 04 -18 -2012
•
PERMIT CONDITIONS
Permit No. EL12 -0359
* *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 -0359 Printed: 04 -18 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
•
Electrical Permit No. eut t, vi?....
Project No.
Date Application Accepted: �n-
Date Application Expires: 1(% U t ■ ∎
PP P
(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
King Co Assessor's Tax No.:
Site Address: 345 Andover Park East, Tukwila WA 98188 Suite Number:
Tenant Name: Michael's Deli Mart
PROPERTY
��OWNER I'%�f� 1.j
Name: i1"V ,e yeU� '- - ►4 I Or-
Address: 1/..11 / i` l k (29( c
City: trait* State /a_ Zip: 011)10I
CONTACT. PERSON -- person receiving all project
communication
Name: Ken Kang
Address: 15008 35th Ave W #C
City: Lynnwood State: WA Zip: 98087
Phone: (425) 741 -3526 Fax: (425) 741 -3521
Email: ken @emsiwa.com
022SLI0-tzxlo
New Tenant:
Floor:
❑ Yes CI ..No
1
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Energy Management Services
Address: 15008 35th Ave W #C
City: Lynnwood State: WA Zip: 98087
Phone: (425) 741 -3526 Fax: (425) 741 -3521
Contr Reg No.: ENERGMS913B6 Exp Date: 01/26/2013
Tukwila Business License No.: o
0/ t.
1 (y
P" ()tin
Valuation of Project (contractor's bid price): $ 1,500
Scope of Work (please provide detailed information):
Lighting Upgrade Walk -in Cooler
Will service be altered? ❑ Yes 0 No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change G Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served bv:
Adding more than 50 amps? ❑ Yes
No
Puget Sound Energy ❑ Seattle City Light
H:Wpplications \Forms - Application On Lme\2011 Applications \Electrical Permit Application Revised 8 -9 -1 I.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)
❑ Camivals $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 ELECT ' L CONTRACTOR:
Signature:
Date: 04/18/2012
Print Name: Ken Kang Day Telephone: (425) 741 -3526
Mailing Address: 15008 35th Ave W #C Lynnwood WA
City State Zip
H:\Applications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8 -9 -1 I.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.Tukwila WA.gov
Parcel No.: 0223400040
Address: 345 ANDOVER PK E TUKW
Suite No:
Applicant: MICHAELS DELI MART
RECEIPT
Permit Number: EL12 -0359
Status: APPROVED
Applied Date: 04/18/2012
Issue Date:
Receipt No.: R12 -01354
Payment Amount: $115.50
Initials: JEM Payment Date: 04/18/2012 10:52 AM
User ID: 1165 Balance: $0.00
Payee: ENERGY MANAGEMENT SVCS INC, EMS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 115815
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
doc: Receiot -06 Printed: 04 -18 -2012
INSPECTION-RECORD
Retain a copy with permit
�u2 -�3S
INSPECTION NO. PERMIT N0.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 ' f. (206) 431 =36.7
Permit Inspection Request Line (206) 431 -2451
Project: I c 461.:5
Type of Inspection:
;
Address: `�� *bail
Date Called:
Special Instructions:
Date Wanted:.
w/.
a. r
P.m:
Requester:
Phone No
MApproved per applicable codes. Ij Corrections required prior to approval.,
COMMENTS:
Inspector:
■
•
ri REINSPECTION FEE REQUIRED. Prior to next inspection,. fee i iust
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reirispection':
09 -04 -2012
•
City of Tukwila
•
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
KEN KANG
15008 35 AV W #C
LYNNWOOD WA 98087
RE: Permit No. EL12 -0359
MICHAELS DELI MART
345 ANDOVER PK E TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a fmal inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 10/15/2012.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 -431 -2451 to schedule for the next or fmal inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 10/15/2012, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
'-&A
Bill Rambo
Permit Technician
File: Permit File No. ELI2 -0359
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431 -3670 • Fax 206-431 -3665
Contractors or Tradespeople Printer 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
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
ENERGY MANAGEMENT SERVICES INC
4257413526
15008 35Th Ave W Ste C
Lynnwood
WA
98087
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602881485
Active
ENERGMS913B6
Electrical Contractor
1/26/2009
1/26/2013
General
Unused
Electrical Administrator INFORMATION
License DAVISEB961 B8
Name DAVIS, EDWARD B
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
NAM, SANG
Agent
07/13/2009
Bond Amount
NAM, SANG
President
07/13/2009
6664485
LEE, KYUNG T
Agent
01/26/2009
07/13/2009
KIM, DAVIDT
President
01/26/2009
07/13/2009
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
AMERICAN STATES INS
CO
6664485
08/20/2009
Until Cancelled
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
10/21 /2009
1
STATE FARM FIRE &
CAS CO
98bas1616
01/20/2009
Until Cancelled
10/18/2009
EJONV01359
$4,000.0001/26/2009
19.28.161 RCW
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
EJORP04571
4/19/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJORP04572
4/19/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJORP04570
4/19/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJONV01359
10/18/2010
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01469
1/26/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJONV01581
3/16/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 04/18/2012