HomeMy WebLinkAboutPermit EL12-0735 - RIVERTON HEIGHTS DELI & GROCERRIVERTON HEIGHTS
DELI & GROCERY
15015 TUKWILA
INTERNATIONAL BL
EL1 2-0735
Parcel No.:
Address:
City oikukwila
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.gov
ELECTRICAL PERMIT
0041000516
15015 TUKWILA INTERNATIONAL BL TUICW
Project Name: RIVERTON HEIGHTS DELI & GROCERY
Permit Number:
Issue Date:
Permit Expires On:
EL12 -0735
08/06/2012
02/02/2013
Owner:
Name:
Address:
Contact Person:
Name:
Address:
HANG HEE YEOL & SEE JEE
1550 ALKI AVE SW #500 , SEATTLE WA 98116
DAVE DAVIS
15008 35 AV W #C , LYNNWOOD WA, 98087
Contractor:
Name: ENERGY MANAGEMENT SERVICES INC
Address: 15008 35TH AV W STE C , LYNNWOOD WA 98087
Contractor License No: ENERGMS913B6
Phone: 425 741 -3526
Phone: 425 -741 -3526
Expiration Date: 01/26/2013
DESCRIPTION OF WORK:
WALK IN COOLER LED LIGHTING UPGRADE RETROFIT
Value of Electrical: NRES: $2,000.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be compile
Fees Collected:
National Electrical Code Edition:
$115.50
2008
Date: 0
ed 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 pr .. to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the performance p#' work. I am)ujhorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date:
V-e9/ �
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 -0735 Printed: 08 -06 -2012
• PERMIT CONDITIONS •
Permit No. EL12 -0735
* *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 -0735 Printed: 08 -06 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: //www.TukwilaWA.gov
•
Eu2— m?f
Electrical Permit No.
Project No.
Date Application Accepted: ,aef
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 r 0 ) 6- PaC; A c �( )
Tu
King Co Assessor's Tax No.:
Site Address: I , cO 1 S 1'ACI14C 14(-1>K Suite Number: Floor:
Tenant Name: F.L JP -y-Dto I l C�.� L,+ Pe(- &- GflroCPjy New Tenant: ❑ Yes .c1..No
PROPERTY OWNER
Name: DtT J j� e l/ OA/ /'
Name:
V�
�" `
/� 6
Address:
'
•,�'l�I c1 n 1, cV
V
WZip:
City:
(„g�
State: � `� f Dra f y
CONTACT PERSON — person receiving all project
communication,
Name: DtT J j� e l/ OA/ /'
Address: /S00(j 3c-L &ir L) #r
City: VI OD U
1o1V1
f State: t \ hJ A Zip: pg0,i
10
Phone: Fax:
15- � 41 -5�
3i
Email:
evm 5@ ety"I <,,,_
n L30, . C 01,0
ELECTRICAL CONTRACTOR Th FORMATION
Company Name: l ven/ 1 1Uvla IAe k* ,€ r / ,1C(,
1 Ip i
Address: (S 0 oz 3' r to Cl� 0 c
N jSttaatte:
City: \ ��� Q o I
t - /I Zip: eloro 7
Phone: j-- 7to_3Q Fax: 4(lif- /1 4 f 3 - ;
Contr Reg No.: E14EJ M celo it/xp Date: I /44 3
Tukwila Business License No.:c "' 1119177/1
Valuation of Project (contractor's bid price): $ ) CJ 0 0
Scope of Work (please provide detailed information):
100. \k —Ztn cooler Leo L;; cn V ir,J, Ve+a
Will service be altered? ❑ Yes %, No
Type of Use: Co b1 W err& A I
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy Seattle City Light
H:\Applications \Forms - Applications On Line \201 I Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Adding more than 50 amps? ❑ Yes IX No
❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
❑ Temporary Service
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 $1 1.55 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)
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:
Print Name: Kew \'Ll.4 `�-
Mailing Address: o oz 5.1-l1 toobc, w A cff
State Zip
Date: g/ // I 1
Day Telephone: �� - 4-)
H:\Applical ions \Forms-Applications On Line \201 1 Applications\ ileclrical Permit Application Revised 0 -9 -1 I.docx
Revised: August 2011
hh
City
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.gov
RECEIPT
Parcel No.: 0041000516 Permit Number: EL12 -0735
Address: 15015 TUKWILA INTERNATIONAL BL TUI W Status: PENDING
Suite No: Applied Date: 08/06/2012
Applicant: RIVERTON HEIGHTS DELI & GROCERY Issue Date:
Receipt No.: R12 -02287
Payment Amount: $115.50
Initials: JEM Payment Date: 08/06/2012 10:22 AM
User ID: 1165 Balance: $0.00
Payee: EMS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 102213
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: 08 -06 -2012
tf2?0l3(
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188. ,t 431 -367
Permit Inspection Request Line (206) 431 -2451
Project: k c J t 1�
Type of Inspection: Z%
Address: ��015 T•,'
Date Called:
•
r
Special Instructions:
Date Wanted:
sg Q
(1V
m.
pig
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
Art,-
i
Date: iG dy /IL_
r { G i
❑ REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
l
Inspector: "rte}
Contractors or Tradespeople Prir r 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
ENERGY MANAGEMENT SERVICES INC
4257413526
15008 35Th Ave W Ste C
Lynnwood
WA
98087
Snohomish
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602881485
Active
ENERGMS913B6
Electrical Contractor
1/26/2009
1/26/2013
General
Unused
Electrical Administrator INFORMATION
License DAVISEB961B8
Name DAVIS, EDWARD B
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
NAM, SANG
Agent
07/13/2009
Bond Amount
NAM, SANG
President
07/13/2009
325174952
LEE, KYUNG T
Agent
01/26/2009
07/13/2009
KIM, DAVIDT
President
01/26/2009
07/13/2009
Bond Information
Page 1 of 2
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
3
American States
Insurance Co
325174952
04/20/2012
Until Cancelled
19.28.161 RCW
ELECTRICAL CITATION
$4,000.0005/15/2012
$500.00
2
American States
Insurance Co
6664485
08/20/2009
05/15/2012
$500.00
EJORP04572
$4,000.0010/21/2009
19.28.101 RCW
1
STATE FARM FIRE &
CAS CO
98bas1616
01/20/2009
Until Cancelled
10/18/2009
ELECTRICAL CITATION
$4,000.0001
/26/2009
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
EJONV01359
10/18/2010
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EJONV01469
1/26/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJORP04571
4/19/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJORP04572
4/19/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$500.00
EJORP04570
4/19/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$500.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/06/2012