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Home My WebLink AboutPermit EL12-0553 - TOTAL WINETOTAL WINE 300 ANODOVER PK W EL1 2-0553 City ot°I'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 Parcel No.: 2623049001 Address: 300 ANDOVER PK W TUKW Project Name: TOTAL WINE ELECTRICAL PERMIT Permit Number: EL12 -0553 Issue Date: 06/18/2012 Permit Expires On: 12/15/2012 Owner: Name: SEGALE PROPERTIES LLC Address: PO BOX 88028 , TUKWILA WA Contact Person: Name: LONG MAI Address: 5947 MARTIN LUTHER KING WY S , SEATTLE WA Contractor: Name: CEDAR GROVE ELECTRIC INC Address: 1819 CENTRAL AVE S-SP 71, , KENT WA Contractor License No: CEDARGE955BC Phone: 206 228 -6434 Phone: 253 - 373 -0056 Expiration Date: 01/21/2013 DESCRIPTION OF WORK: ELECTRICAL FOR NEW SIGN Value of Electrical: NRES: $200.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied with, Fees Collected: National Electrical Code Edition: Date: $63.00 2008 cuitth 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 pr u to give authority to violate or cancel the provisions of any other state or local laws regulating constructio performape of work. lam authorized to sign and obtain this electrical permit. Signature: Print Name: 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 -0553 Printed: 06 -18 -2012 PERMIT CONDITIONS Permit No. EL 12 -0553 * *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 -0553 Printed: 06 -18 -2012 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.Rov Electrical Permit No. tlit 2 3 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 King Co Assessor's Tax No.: 2.1.12_ 7) 1,001 Site Address: PO i e{ p Vev Suite Number: 0"-'0 Floor: Tenant Name: 73 7( (;tlf tLJ New Tenant: 'cg Yes ❑..No PROPERTY OWNER Name: �� TT — -1 Name: City: State: t /t_ Zip: lit "`KKK��L` Phone: Fax: (//q— McFax: Address: p 0 x g / fe,risreei 07/2 City: efu e,utA. /1 ` dI State: GttA- Zip: 44'/7 P CONTACT PERSON — person receiving all project communication Name: �� TT — -1 Address 5 14 !ti` I v v r'" i s City: State: t /t_ Zip: lit "`KKK��L` Phone: Fax: (//q— McFax: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: (')4 lr ✓� C c=- /� Address: 1 to /'. AAtli( J ' i I (1! `k. Lam/ City: , State: rJA_ Zip: iy`�',� l�J�! Phone: q� Z'rf2iiax: Contr Reg No.: Exp Date: �ddr diJ7- Re- Tukwila Business License o.: Valuation of Project (contractor's bid price): $ b O JV (1 Scope of Work (please provide detailed information): Will service be altered? ❑ Yes 11 No Type of Use: rip %h S36 // 0.41,'m h to—/ (¢1 Type of work: New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy Service Change Fire Alarm a// Seattle City Light H:\ Applications \Forms- Applications On Line \20I I Applications\Electrical Permit Application Revised 8.9 -1 I.docx Revised: August 2011 bh Adding more than 50 amps? ❑ Yes No dp ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service 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 OWNER OR ELECTRICAL CONTRACTOR: Signature: 41■1 l� Date: (f [11— Print Name: ep Day Telephone: /v_ Mailing Address: V 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.TukwilaWA.QOv Parcel No.: 2623049001 Address: 300 ANDOVER PK W TUKW Suite No: Applicant: TOTAL WINE RECEIPT Permit Number: EL12 -0553 Status: APPROVED Applied Date: 06/18/2012 Issue Date: Receipt No.: R12 -01900 Payment Amount: $63.00 Initials: JEM Payment Date: 06/18/2012 12:37 PM User ID: 1165 Balance: $0.00 Payee: SIGNS OF SUCCESS TRANSACTION LIST: Type Method Descriptio Amount Payment Check 2594 63.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receiot -06 Printed: 06 -18 -2012 INSPECTION NO. INSPECTION RECORD Retain a copy with permit PERMIT .NO' CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431- 36.70 Permit Inspection Request Line (206) 431 -2451 ' : _ Project: 4°416k DJ Special Instructions: Add ress: RI Approved per applicable codes. COMMENTS: Type of Inspection Date Called: Date Wanted: Requester: Phone No: ElCorrections required prior toapproval. Inspector: Nec‘ - t :� n REINSPECTION FEE REQUIRED. Prior to next inspection, ;fe'e; must, be` paid at 6300 Southcenter Blvd., Suite 100. Call to schedule.- reinspection. • Contractors or Tradespeople Palter 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 CEDAR GROVE ELECTRIC INC 4254279218 16825 230Th Ave Se Maple Valley WA 98038 King Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602254353 Active CEDARGE955BC Electrical Contractor 1/21/2005 1/21/2013 General Unused Other Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status CEDARGE995DW CEDAR GROVE ELECTRIC Electrical Contractor General Unused 3/16/2001 3/16/2005 Archived Master Electrician INFORMATION License BATTEJT967C5 Name BATTERSON, J T Status Active Business Owner Information Name Role Effective Date Expiration Date BATTERSON, J T Agent 01/03/2005 Bond Amount BATTERSON, J T President 01/03/2005 9805393 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 3 Lexon Ins Co 9805393 04/29/2011 Until Cancelled 19.28.271 RCW ELECTRICAL CITATION $4,000.0004/20/2011 $250.00 2 COLONIAL AM CAS a SURETY OF MARYLAND LPM4068727 04/29/2005 Until Cancelled 06/03/2011 $4,000.00 05/09/2005 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 EMABQ03686 10/22/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EHOUD00355 3/22/2008 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 06/18/2012