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Home My WebLink AboutPermit EL12-0608 - PACWEST ENERGY / JACKSONS FOOD STORESPACWEST ENERGY JACKSONS FOOD STORES 13138 INTERURBAN AV S EL1 2-0608 City oFfukwila 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 ELECTRICAL PERMIT Parcel No.: 0003000108 Address: 13138 INTERURBAN AV S TUKW Project Name: PACWEST ENERGY /JACKSONS FOOD STORES Permit Number: EL12 -0608 Issue Date: 06/29/2012 Permit Expires On: 12/26/2012 Owner: Name: PACWEST ENERGY LLC Address: 3450 COMMERCIAL CT , MERIDIAN ID 83642 Contact Person: Name: PHILIP GAUNTLETT Address: PO BOX 397 , JEFFERSON OR, 97352 Contractor: Name: COUNTRYSIDE ELECTRIC Address: PO BOX 397 , JEFFERSON OR 97352 Contractor License No: COUNTEI893N4 Phone: (541)974 -6415 Phone: (541)974 -6415 Expiration Date: 08/24/2013 DESCRIPTION OF WORK: INSTALL CAMERA SYSTEM Value of Electrical: NRES: $1,500.00 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: $115.50 2008 Date: U64L/ /� 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 granti I T. • s pe mit do . fiot •resume to give authority to violate or cancel the provisions of any other state or local laws regulating constru. ion or e pe orm. - h' I am authorized to sign and obtain this electrical permit. p C 4G g p Signature: 4 �_ ��% Date: Taw • , • . -._�� 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 -0608 Printed: 06 -29 -2012 S: PERMIT CONDITIONS Permit No. EL12 -0608 * *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 -0608 Printed: 06 -29 -2012 CITY OF TUKWIP.* Community Development vepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http: / /www.TukwilaW A.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 ** 31 1 King Co Assessor's Tax No.: Site Address: 131 3'B .�- eul iJ u 1QQ L'k) . /OCt N,OC 5 Number: Floor: Tenant Name: tjth �iti C 5 "C G 640 Cc", � b >'�s [ a ttK Company Name: I v� 5y5ic. e e �cC�Ctc J.-KX e � k I,! Name: Name: l.. (‘O - ('g,� )6AA \ -eTT Address: City:'- - -- ini City: State: Zip: � b >'�s [ a ttK Company Name: I v� 5y5ic. e e �cC�Ctc J.-KX Address: J Name: l.. (‘O - ('g,� )6AA \ -eTT Address: 2,C•-7 0-)y- City:'- - -- ini State: r Zip:973j \ Phone y ll (_ 9 7%9 1 Fax: Email: -(? (\C( )ILr, CCkik`hA e Ki S C r � U New Tenant: ❑ Yes ❑.. No Valuation of Project (contractor's bid price): $ 5C)C) r4 � f /J Scope of Work (please provide detailed information): Z�t�Sf ,1( _,O_MescL. SfctA Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes [ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement lyj Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: `1j Puget Sound Energy ❑ Seattle City Light H : \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 1I.docx Revised: August 2011 bh Page 1 of 2 Company Name: I v� 5y5ic. e e �cC�Ctc J.-KX Address: J State: 0.0...... Zip:T(2 f 1 City: � t' N rC c 4-)Ott...) Phone: D ca ( C 71„,,,i i 6 Fax: Contr Reg No.:(? _ ei j 3iuy Exp Date} U /3 / )' Tukwila Business License No.;6rra 79 1 Valuation of Project (contractor's bid price): $ 5C)C) r4 � f /J Scope of Work (please provide detailed information): Z�t�Sf ,1( _,O_MescL. SfctA Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes [ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement lyj Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: `1j Puget Sound Energy ❑ Seattle City Light H : \Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 1I.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) $152.85 $81.90 ea $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) Nfi 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 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 OW ER r R ELE CAL CONTRACTOR: � - l ' _ 1 D Telephone: 611 j 9 71-1 (, (i .6 ))(._ 391 cc5-04k) Q73 Q Signature: Print Name: Date: (0—;--k?)( Mailing Address: H:\ApplicationsWorms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh City State Zip Page 2 of 2 • City of 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 RECEIPT Parcel No.: 0003000108 Permit Number: EL12 -0608 Address: 13138 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 06/29/2012 Applicant: PACWEST ENERGY /JACKSONS FOOD STORES Issue Date: Receipt No.: R12 -02013 Initials: User ID: Payee: LAW 1632 Payment Amount: $115.50 Payment Date: 06/29/2012 09:00 AM Balance: $0.00 COUNTRYSIDE ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC Authorization No. 001190 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: 06 -29 -2012 2- INSPECTION RECORD. Retain a copy with permit INSPECTION NO. PERMIT NO. _ CITY OF TUKWILA BUILDING DIVISION •- 6300 Southcenter Blvd., #100, Tukwila. WA 98188 -ri.(206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project. PiClk5r /e3c) Address: 1313`? 141-NO Special Instructions: T pe of Inspection: 00: Date Called: Date Wanted: Requester: Phone No: E6Approved per applicable codes. El Corrections required prior to approval. • COMMENTS: Inspector: NturitA15 • . • 614\16\ 1„ n REINSPECTION FEE REQUIRED. Prior to next inspeellOrt, fee must be .- paid at 6300 Southcenter Blvd., Suite 100. Call to scliedule:reihsPedlion:':.' INSPECTION RECORD Retain a copy with permit INSPECTION NO. ;; PERMIT NO. CITY OF TUKWILA BUILDING DIVISION , 6300 Southcenter Blvd., #100, Tukwila: WA 98188 .,.'(206) 431 -3670. Permit Inspection Request Line (206) 431 -2451 6,0_ )44 Project: Aci d sr S 5aA t t Type of Inspection ; >` ,Z rev : Address: ' 31 3 f�m Date Called: Special Instructions: Date Wanted: 1 m. Requester: . , Phone No: EiApproved per applicable codes. JjCorrections required prior to approval. COMMENTS: - if4 cim4 otea ki4D C SJP%LT 5AkidtS Sou i 14 11J €00 A---XE C r <J f'dk r, Inspector: Date 11,664"le-IR\ n REINSPECTION FEE REQUIRED. Prior to next inspection fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to sct edule.reinspection: 11 -01 -2012 • City of Tukwila Jim Haggerton, Mayor Department of Communitl.' Development Jack Pace, Director PHILIP GAUNTLETT PO BOX 397 JEFFERSON OR 97352 RE: Permit No. EL12 -0608 PACWEST ENERGY /JACKSONS FOOD STORES 13138 INTERURBAN AV S TUKW Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final 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 12/26/2012. 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 final 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 12/26/2012, 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, Bill Rambo Permit Technician File: Permit File No. EL12 -0608 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206 - 431 -3670 • Fax 206-431-3665 Contractors or Tradespeople Per 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 COUNTRYSIDE ELECTRIC INC 5419746415 Po Box 397 Jefferson OR 97352 Out Of State Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 603137454 Active COUNTEI893N4 Electrical Contractor 8/24/2011 8/24/2013 General Unused Electrical Administrator INFORMATION License BROMLJJ981C2 Name BROMLEY, JEFFREY JAY Status Active Business Owner Information Name Role Effective Date Expiration Date GALLOWAY, DALE III Agent 08/24/2011 BROMLEY, JEFFERY J President 08/24/2011 GAUNTLETT, PHILIP D President 08/24/2011 RONER, JOSHUA A President 08/24/2011 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 Developers Surety & Indem Co 253609C 08/22/2011 Until Cancelled $4,000.00 08/24/2011 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 06/29/2012