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HomeMy WebLinkAboutPermit EL12-0706 - 7-ELEVEN7-El AEVEN 14462 34 AV S EL1 2-0706 City ',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.: 0040000074 Address: 14462 34 AV S TUKW Project Name: 7- ELEVEN ELECTRICAL PERMIT Permit Number: EL12 -0706 Issue Date: 07/30/2012 Permit Expires On: 01/26/2013 Owner: Name: 7- ELEVEN INC Address: PROPERTY TAX 14443 , PO BOX 711 75221 Contact Person: (�' MCZ: Name: GHRR!S SPERLINE Address: 520 E NORTH FOOTHILLSDR #300 , SPOKANE WA, 99207 Contractor: Name: BLUE EARTH ENERGY MANAGEMENT SVS Address: 253 POLARIS AVE , MOUNTAIN VIEW CA 94043 Contractor License No: BLUEEEM897M8 Phone: 509 654 -0588 Phone: 509 654 -0588 Expiration Date: 07/28/2013 DESCRIPTION OF WORK: INSTALL ANTI SWEAT DOOR SWITCH TO WALK IN COOLER DOOR FRONTS. UTILIZE EXISTING 120 -V 20 A CIRCUIT. THIS IS A THERMAL SWITCH DEVICE. Value of Electrical: NRES: $1,000.00 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: Date: $96.60 2008 I hereby certify that I have read and eamin d this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied hether specified herein or not. The granting of this permit does not presuifie to give authority to violate or cancel the provisions of any other state or local laws regulating construction oerformance of work. I am authorized to sign and obtain this electrical permit. Signature: l Date: Print Name: ( `tl O-S e ` )rp 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. 7 -3o -I� doc: EL -4/10 EL12 -0706 Printed: 07 -30 -2012 • PERMIT CONDITIONS Permit No. EL12 -0706 * *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 -0706 Printed: 07 -30 -2012 • • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.uov Electrical Permit No. 6L-p, Pn(0 Project No. Date Application Accepted 12- Date Application Expires: (For office use onto) 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 J� //n- j(� �/_ �� King Co Assessor's Tax No.: Site Address: / 47 V ? J / 4(0 c:�l�Z�:�//1 98- RorSuite Number: Tenant Name: / — % 'PROPERTY OWNER Name: (1 6/ 1 V '�l� Name: t U Address: Tukwila Business License No.: 6u5 _ 69 y a -i.. -? Address: 0 f,20 / 1 [ t City:. A &C, State: Zip:1cji CONTACT PERSON — person receiving all project communication Name: (1 6/ 1 V '�l� j c 1 l ,,7 �1 l` Phone: 9) 9 ,(per( ^0 — aq-:7t/ Address: Tukwila Business License No.: 6u5 _ 69 y a -i.. -? 1 City: State: Zip: Phone: Fax: Email: Floor: New Tenant: ❑ Yes ELECTRICAL CONTRACTOR INFORMATION Company Name: e Lliv.X R/j� Q Address: ro2Ue N 1. � /./r �� / OF -?6ve City: State:, , 4 Zip:9„p3D , 7% Phone: 9) 9 ,(per( ^0 — aq-:7t/ Contr Reg No.: D) e�� iy,�_ fl ytrExp Date: l f u I t 6 3 Tukwila Business License No.: 6u5 _ 69 y a -i.. -? dD Valuation of Project (contractor's bid price): $ /0�✓ Scope of Work (please provide detailed information): s &'j' S'we - p si-/c - 4 6+;ee a X 6 4v ,mss . & Z( ex/30 4, /Pek ao)9 C>tiococ� iG) / 77,04GJ 51∎G( i Will service be altered? ❑ Yes ^ No Adding more than 50 amps? ❑ Yes . No Type of Use: 2 4 & / , M ✓1�Gci 55 Type of work: / GF% ❑ New Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy 7 Seattle City Light H: \Applications \Forms - Applications On Line1201 I Applicatioonns \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, fumace 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: J4 Signature: Print Name: C�,Q s€e S? C r 1 r -e Mailing Address: S-30 ( -k-V1 fUD+ ht IBS Day Telephone: Ue okuvte Date: 7- 5o9- (osL!- 0586 w� ct9ao7 City H: \Applications \Forms - Applications On Lme \2011 Applications \Electrical Permit Application Revised 8 -9 -1 I.docx Revised: August 2011 bh State Zip Page 2 of 2 • 1 City of Tukwila yZ 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.: 0040000074 Address: 14462 34 AV S TUKW Suite No: Applicant: 7- ELEVEN RECEIPT Permit Number: EL12 -0706 Status: PENDING Applied Date: 07/30/2012 Issue Date: Receipt No.: R12 -02231 Initials: User ID: Payee: JEM 1165 Payment Amount: $96.60 Payment Date: 07/30/2012 12:17 PM Balance: $0.00 CHASE SPERLINE, CASTROVILLA INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 030659 ACCOUNT ITEM LIST: Description 96.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 96.60 Total: $96.60 r dot: Receipt -06 Printed: 07 -30 -2012 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 r'�2-o7% Project: 7.- t f Type of Inspection: Address: i /141161 (3I/ �1. Date Called: -- Special Instructions: Date Wanted: . 1 �, g f a.m. p.m: Requester: Phone No: Approved per applicable codes. Ei Corrections required prior to approval. COMMENTS: 9 Inspector: Date: os, /4/ ,2_ n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Pror 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 BLUE EARTH MANAGEMENT SVS UBI No. 603115672 Phone 5096540588 Status Active Address 253 Polaris Ave License No. BLUEEEM897M8 Suite /Apt.' License Type Electrical Contractor City Mountain View Effective Date 7/28/2011 State CA Expiration Date 7/28/2013 Zip 94043 Suspend Date County Out Of State Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company CASTROVILLA INC Electrical Administrator INFORMATION License SCHLEDA913P6 Name SCHLENKER, DAVID A Status Active Business Owner Information Name Role Effective Date Expiration Date CT CORPORATION SYSTEMS Agent 07/28/2011 THOMAS, JOHNNY Director 07/28/2011 FRANCIS, JOHN Director 07/28/2011 PINK, JOHN R President 07/28/2011 TURNER, ILLARIA R Secretary 07/28/2011 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 Hartford Fire Ins Co 57BSBGA9429 06/27/2011 Until Cancelled $4,000.00 07/28/2011 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 07/30/2012