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HomeMy WebLinkAboutPermit EL12-0555 - JACKSONS FOOD STOREJACKSONS FOOD STORE 13138 INTERURBAN AV S EL1 2-0555 City oi 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.: 0003000108 Address: 13138 INTERURBAN AV S TUKW Project Name: JACKSONS ELECTRICAL PERMIT Permit Number: EL12 -0555 Issue Date: 06/19/2012 Permit Expires On: 12/16/2012 Owner: Name: PACWEST ENERGY LLC Address: 3450 COMMERCIAL CT , MERIDIAN ID Contact Person: Name: CHRISTEN CARLSON Address: 416E 41 , BOISE ID Contractor: Name: YESCO LLC Address: 2401 FOOTHILL DR , SALT LAKE CITY UT Contractor License No: YESCOL *900LP Phone: 208 345 -2982 Phone: 801 464 -4600 Expiration Date: 06/17/2014 DESCRIPTION OF WORK: ELECTRICAL FOR NEW WALL SIGN READING JACKSONS Value of Electrical: NRES: $50.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be complied ami with, AA $63.00 2008 Date: 0042 d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pre e to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performance of work. I am authorized to sign and obtain this electrical permit. Signature` —% Date: 11PI hz (/t -t ►y/ ( 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 -0555 Printed: 06 -19 -2012 PERMIT CONDITIONS Permit No. EL 12 -0555 * *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 -0555 Printed: 06 -19 -2012 • 4.11 i,s.bo Sin It7D.1)ts5 CITY OF TUKWILA a0G Community Development Depurmtent Permit Center 6300 Southcenter 11M1. Suite 100 Tukwila. It. -1 98188 littp: / /www.Tukwi la \VA.gov • s; tt o1, Vi): ni S l d10 i L) Electrical Permit No. C.- O Project No. Date Application Accepted: Date Application Expires: (Fur o //ice 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: X 31 D)' 1vl IIP, lJPh,k) 6t VC , r7 'Tenant Name: j4ck5on.4 King Co Assessor's Tax No.: oW gOo Suite Number: Floor: New Tenant: ❑ Yes W..No PROPERTY OWNER Company Name: / ( (..) ! Name: Ch r1 � . "7 c lr'l4 Name: /4 (&)43 Address: /70%.4 0,11/". Address: 3//50 E (o,rit►1GrCiti) C t Zip: `A3 �I{7 1 Phone: 3 fif5 a f Fax' 0,i) - L 1- Stat /? City: Pit✓ /'t1/ 'egn Zip: 4/i7. CONTACT PERSON — person receiving all project communication Company Name: / ( (..) ! Name: Ch r1 � . "7 c lr'l4 State: D Zip: 77ILI City: n ,,...� - Address: /70%.4 0,11/". City: State: 1.0 t �i(i Zip: `A3 �I{7 1 Phone: 3 fif5 a f Fax' 0,i) - L 1- 301: / Email: G(-Cif., i fQh 6Jy ELECTRICAL CONTRACTOR INFORMATION Company Name: / ( (..) Address: 11/4 64 / State: D Zip: 77ILI City: n ,,...� - Phone- l F a x - ( 5 5.) t, 30/4.) Phone( i�•�iSl� la Contr Reg No.: A,5woci 03L p Lxp Date:6 /j- %'3. / Tukwila Business License No.: 0)0 1 el 45- Valuation of Project (contractor's bid price): S. SO. Scope of Work. (please provide detailed information): fn6%1II now 5; /6 CA Lei (AV i'(441 )'1( 1( ,%ack6on5 Will service. be altered? ❑ Yes ® No Adding more than 50-amps? ❑ Yes ,fp No Type of Use: Type of work: ❑ New 0i Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Proiierty Served hv: ❑ Puget Smmd Energy a Seattle City Light I1\Applicauon9rmnts- Applications On Line'.]i'I 1 ApphcationeEleownl i'. o it Applicniun Restae l S -0-11 do:: Revised .august 2011 bh Pagel of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings 5152.85 (including. an attached garage) ❑ Garages, pools, spas and outbuildings S81.90 ea ❑ Low Voltage systems (alarm. turnace thermostat) S59,85 ea RESIDENTIAL REMODEL AND SERVICE CHANCES ❑ Service change or alteration S8190 (no added/altered circuits) ❑ Service change with added/altered circuits S81.90 number of added circuits S11.55 ea ❑ Circuits added /altered without service change S54.60 (up to 5 circuits) ❑ Circuits added/altered without service change S54.60 (6 or more circuits) S7.65 ea ❑ Meter/mast repair S68.25 ❑ Low voltage systems S59.85 (alarm, furnace thermostat) MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. .MISCELLANEOUS FEES ❑ Temporary service (residential) S63 "00 ❑ Temporary service (generator) S78.75 ❑ Manufactured/mobile home service S84.00 (excluding garage or outbuilding) ❑ Carnivals S78.75 Number of concessions S10.50 ea PERMIT APPLICATION NOTES - Value of Construction — ht all cases. a value of construction amount should he 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 rause demonstrated. T HEREBY CERTIFY THAT 1 HAVE READ AND E.XAMINEI) THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PER,1I.TRY 13Y THE LAWS OF THE STATE OF WASHINGTON. AND 1 AM AUTHORIZED TO APPLY FOR THIIS PERMIT. BUILDIN(. OWNER OR ELECTRICAL CONTRtcTOIt: Signature: Print Natue: (ii /S `fin r r5©i Mailing Address: !� /l 4_ 1 ) Date Day Telephone('Oil / 3e/5- ?effs0, '1):719 n:` -.Appliiatm. rnrna- Apply. arionx On1.in:'201 1 Applications lilecuiml Pa nit Appl ationt RVsa,ed 8-t• I 1 doe. Res; Ai;ugr 22011 61s State Zip Pare 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 RECEIPT Parcel No.: 0003000108` Permit Number: EL12 -0555 Address: 13138 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 06/19/2012 Applicant: JACKSONS Issue Date: Receipt No.: R12 -01908 Payment Amount: $63.00 Initials: JEM Payment Date: 06/19/2012 10:15 AM User ID: 1165 Balance: $0.00 Payee: RANDAL L HUNTER TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 755083 ACCOUNT ITEM LIST: Description 63.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 63.00 Total: $63.00 doc: Receipt -06 Printed: 06 -19 -2012 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 r. (206) 431 -36 Permit Inspect Request Line (206) 431 -2451 Project: - , 1 605 Type of Inspection: 2. r Address: " Date Called: Special Instructions: Date Wanted:. 2_42 a.r►L. m. Requester: Phone No Approved per applicable codes. Corrections required prior to approval. 4 COMMENTS: Kei /.i4 Al>c Inspector: Date: D6/24 (ft ze, +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 r- 51 Retain a copy with permit L �y PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 g, (206) 431 -3670 Permit InspectJ.on Request Line (206) 431 -2451 Project:? 4)v "t Type of Inspection: zioa Address: 13f37 kirt0. Date Called: Special Instructions: Date Wanted:. / Z a. m,. (11.m) Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. �j COMMENTS: 5t /? LVf+►,J PovM ,staii c Aso .Komt kr r a ad aCc,.oj sPkc. 5 orF a( G0 /4tJs 77ba 5thSFA Inspector: 4 Date: Ub IIL� t +✓ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter Friendly Page • Electrical Contractor A business licensed by LEH 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 YESCO LLC 8014644600 2401 Foothill Dr Salt Lake City UT 84109 Out Of State Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602804850 Active YESCOL *900LP Electrical Contractor 6/17/2010 6/17/2014 Sign Unused ther Associated Licenses License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status YOUNGE51010F YOUNG ELECTRIC SIGN CO Electrical Contractor Sign Unused 9/6/1990 12/21 /2010 Re- Licensed Master Electrician INFORMATION License AMBROME967CK Name AMBROSE, MARTIN E Status Active Business Owner Information Name Role Effective Date Expiration Date YOUNG, MICHAEL T Partner /Member 06/17/2010 2/14/2012 YOUNG, PAUL C Partner /Member 06/17/2010 $250.00 Bond Information Page 1 of 1 Bond 1 Bond Company Name LIBERTY MUTUAL INS CO Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 965010665 05/03/2010 Until Cancelled $4,000.00 06/17/2010 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 EJ0RP04989 2/14/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 ENORM00506 1/20/2011 19.28.271 RCW ELECTRICAL CITATION Satisfied $250.00 https: // fortress .wa.gov /lni/bbip /Print.aspx 06/19/2012