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Home My WebLink AboutPermit EL12-0473 - CHEVRONCHEVRON 220 STRANDER BL EL1 2-0473 City olFTukwila • 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.: 2623049104 Address: 220 STRANDER BL TUKW Project Name: CHEVRON ELECTRICAL PERMIT Permit Number: EL12 -0473 Issue Date: 05/22/2012 Permit Expires On: 11/18/2012 Owner: Name: CHEVRON TEXACO Address: PROPERTY TAX DEPT , P 0 BOX 1392 Contact Person: Name: BEN STRALEY Address: 21833 SE 265 WY , MAPLE VALLEY WA Contractor: Name: FIREFLY ELECTRIC Address: 21833 SE 265 WY , MAPLE VALLEY WA Contractor License No: FIREFE *882BS Phone: 206 387 -6326 Phone: 206 387 -6326 Expiration Date: 01/10/2014 DESCRIPTION OF WORK: ADD (1) 240V 30 A CIRCUIT FOR COFFEE MACHINE Value of Electrical: NRES: $900.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: $92.40 2008 I hereby certify that I have read and 4xami ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie with, hether specified herein or not. The granting of this permit does not pre construction or thrmance of wor Signature` Print Name: e to give authority to violate or cancel the provisions of any other state or local laws regulating m authorized to sign and obtain this electrical permit. Date: --i9--i9-7(.0/2-- Q / 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 -0473 Printed: 05 -22 -2012 PERMIT CONDITIONS Permit No. EL 12 -0473 * *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 -0473 Printed: 05 -22 -2012 Site Address: CITY OF TUKW Community Developm Department 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 ** Tenant Name: CH E U go (J R6- o & f-,0 v 4n � Name: E Ei, j .57._ e A L c_ Name: 14- EVR 0 iJ QA i° State: Address: City: /!/? eLe t 1 6,„ State: :1206 p Zip:c 0 s s- City: Exp Date: Ott f iii 1� State: Zip: v 4n � Name: E Ei, j .57._ e A L c_ 26 ki,A_r.„ Address: zi$33 5c ? 65 State: V r City: /!/? eLe t 1 6,„ State: :1206 p Zip:c 0 s s- Phone: •-3R7 -6.s2t Fax: Exp Date: Ott f iii 1� Tukwila Business License No.; Email: 6.F.► -.Yc trf-C i, e. G?Q f 2- C1-2---00 - 61,111,11, , co t.1 King Co Assessor's Tax No.: L 904 — Suite Number: Floor: New Tenant: ❑ Yes t4.. No Company Name: F1 Rte F.c `:' (c, 4n 6 c_r k', c._ Address: ris SE 26 ki,A_r.„ City: Nl4p`s v„! L.L ' State: 4 Zip: 9.5).:z Phone: ZO6 ...-3.;3.---7 '_632Fax: Contr Reg No.: . , Exp Date: Ott f iii 1� Tukwila Business License No.; C1-2---00 Valuation of Project (contractor's bid price): $ 1—* tin ir ` . �u Scope of Work (please provide detailed information): (-1 O P-I N G- I 2- "IQ 1/4( •C-t- col ,L=Q(Z GoFF WC Will service be altered? ❑ Yes X No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New Addition ❑ Service Change Remodel "4 Tenant 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- 11.docx Revised: August 2011 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings (including an attached garage) ❑ Garages, pools, spas and outbuildings ❑ Low voltage systems (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL $152.85 Fees are based on the valuation of the electrical contract. $81.90 ea $59.85 ea 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 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) 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 ELECTRICAL CONTRACTOR: Signature: Print Name: IJ �? f� t Mailing Address: 2 ( S33 5t- 26 51 (4A Y H: \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised. August 2011 bh Day Telephone: f1tp \J� City State Zip Date: 5122- 2 Cl 206 _G 2C' 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.Oov RECEIPT Parcel No.: 2623049104 Permit Number: EL12 -0473 Address: 220 STRANDER BL TUKW Status: PENDING Suite No: Applied Date: 05/22/2012 Applicant: CHEVRON Issue Date: Receipt No.: R12 -01645 Payment Amount: $92.40 Initials: JEM Payment Date: 05/22/2012 11:22 AM User ID: 1165 Balance: $0.00 Payee: BENJAMIN G. STRALEY TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 645205 ACCOUNT ITEM LIST: Description 92.40 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 92.40 Total: $92.40 doc: Receipt -06 Printed: 05 -22 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit EiZ5 PERMIT N CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 p` (206) 431 -3 Permit Inspection Request Line (206) 431 -2451 Project: LAS V�� Type of Inspection: 2/a0 Address: Date Called: Special Instructions: Date Wanted:. 5'2-3 a.m: L! Requester: Phone No: Approved per applicable codes. E Corrections required prior to approval. /7 COMMENTS: REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. • Contractors or Tradespeople *ter Friendly Page • Electrical Contractor A business licensed by Lfil 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 FIREFLY ELECTRIC 2063876326 21833 Se 265Th Way Maple Valley WA 98038 King Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603040377 Active FIREFE`882BS Electrical Contractor 1/10/2012 1/10/2014 General Unused Electrical Administrator INFORMATION License STRALBG892RN Name STRALEY, BEN G Status Active Business Owner Information Name Role Effective Date Expiration Date STRALEY, BEN G Owner 01/10/2012 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 Western Surety Co 71213196 01/04/2012 Until Cancelled $4,000.00 01/10/2012 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 https: // fortress .wa.gov /lni/bbip /Print.aspx 05/22/2012