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HomeMy WebLinkAboutPermit EL12-0765 - TOTAL WINETOTAL WINE 300 ANDOVER PK W EL1 2-0765 )1 City OffirUICW1Ia fb 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 Project Name: TOTAL WINE ELECTRICAL PERMIT Permit Number: EL12 -0765 Issue Date: 08/14/2012 Permit Expires On: 02/10/2013 Owner: Name: SEGALE PROPERTIES LLC Address: PO BOX 88028 , TUKWILA WA 98138 Contact Person: Name: MIKE HEALY Address: 625 NW 45 ST , SEATTLE WA, 98107 Contractor: Name: BEACH ELECTRIC LLC Address: 625 NW 45 ST , SEATTLE WA 98107 Contractor License No: BEACHEL960JL Phone: 206 784 -5551 Phone: Expiration Date: 04/13/2014 DESCRIPTION OF WORK: DISCONNECT 10 HVAC UNITS AND RECONNECT NEW LIKE FOR LIKE HVAC UNITS Value of Electrical: NRES: $2,500.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN National Electrical Code Edition: Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied amin 'th, Date: $136.50 2008 in 114 Etz- 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 pres to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the performances- of - vork. I am authorized to sign and obtain this electrical permit. ' kL J (c/ Signature: Print Name: Date: g7/ This permit shall become null and void if th 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 -0765 Printed: 08 -14 -2012 • • PERMIT CONDITIONS Permit No. EL12 -0765 * *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 -0765 Printed: 08 -14 -2012 CITY OF TUKWI. Community Developmeh. , epartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.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 ** Site Address: 300 , 4 j�e'v= ✓ IA Tenant Name: Name: e? Address: City: State: Zip: King Co Assessor's Tax No.: 2—it✓4 — C� 00 1 Suite Number: Floor: New Tenant: ❑ Yes ❑.. No n Name: /, /(t 6C 8 \ Address: 6 2 5 Z(.c q. ;74 , f City: Sc 4 f6. St t Zip? E'((/ Phone: 9.-D G Fax: 7Sy _ 6 80 r Email:/44IKr, n 1je,,tie f c 1-('( -, (._5 King Co Assessor's Tax No.: 2—it✓4 — C� 00 1 Suite Number: Floor: New Tenant: ❑ Yes ❑.. No Valuation of Project (contractor's bid price): $ ¶ dO Scope of Work (please provide detailed information): pits c0 L,- e c� / U /7 t 4 ( !. { 1 Jf / 74 cy vt O" t/C C o V� frt. r G v {' (.tr " I (/K �. 7` ( v r • / / k[' — %7 1(/2 C ice( Will service be altered? ❑ Yes Type of Use: (0 0-1 Type of work: Adding more than 50 amps? ❑ Yes Wo ❑ New ❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ,K" Puget Sound Energy ❑ Seattle City Light H:\ Applications\Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx Revised: August 2011 bh Page 1 of 2 Company Name: c m c 4 G 1,- , /4- ' C Address: G 2 S -- 4t S J7 City: S c 7�j/�� State: Zip:( D /� ; l� Phone: 2- 0 6 Fax 7 g- y- C 5/ 7 g y- .(, -0 3 Contr Reg No.: e. E y6 4_ ?j xp Date: 0 J t 5 Tukwila Business License No.; �A(� — �o..t;��'"t,1i Valuation of Project (contractor's bid price): $ ¶ dO Scope of Work (please provide detailed information): pits c0 L,- e c� / U /7 t 4 ( !. { 1 Jf / 74 cy vt O" t/C C o V� frt. r G v {' (.tr " I (/K �. 7` ( v r • / / k[' — %7 1(/2 C ice( Will service be altered? ❑ Yes Type of Use: (0 0-1 Type of work: Adding more than 50 amps? ❑ Yes Wo ❑ New ❑ Addition ❑ Service Change Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ,K" Puget Sound Energy ❑ Seattle City Light H:\ Applications\Forms - Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.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) 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 OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: 8 / y/( Z Print Name: " ` /� `k ` Day Telephone: Z&. 6 f k "-1 Z 6-7 Mailing Address: 6 2_ HAApplications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 9- 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 - 431 -3670 Fax: 206-431-3665 Web site: http: / /www.TukwilaWA.gov Parcel No.: 2623049001 Address: 300 ANDOVER PK W TUKW Suite No: Applicant: TOTAL WINE RECEIPT Permit Number: EL12 -0765 Status: PENDING Applied Date: 08/14/2012 Issue Date: Receipt No.: R12 -02342 Initials: JEM User ID: 1165 Payment Amount: $136.50 Payment Date: 08/14/2012 09:33 AM Balance: $0.00 Payee: MICHAEL T HEALY, BEACH ELECTRIC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 09576G ACCOUNT ITEM LIST: Description 136.50 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 136.50 Total: $136.50 doc: Receiot -06 Printed: 08 -14 -2012 INSPECTION RECORD Retain a copy- with permit INSPECTION NO. PERMIT NO., CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila: WA 98188 (206) 431-3670 - Permit Inspection Request Line (206) 431 -2451 Project: / j OTAr` I de Type of Inspection: Zr _ 1 Address:DO bJ V Date Called: Special Instructions: Date Wanted:. :m` Requester: I Phone No: IAApproved per applicable codes. COMMENTS: Inspector: u r! Corrections required prior to approval.' (v4 /, L.'imd)akicsc.' I I REINSPECTION FEE REQUIRED. Prior to next inspection, fee!must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule 'reinspectionc Contractors or Tradespeople Pr$r Friendly Page • Electrical Contractor A business licensed by LEI 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 BEACH ELECTRIC LLC 2067845551 625 Nw 45Th St Seattle WA 98107 King Limited Liability Company UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602372562 Active BEACHEL960JL Electrical Contractor 4/13/2004 4/13/2014 General Unused Master Electrician INFORMATION License HEALYM`971C1 Name HEALY, MICHAEL Status Active Business Owner Information Name Role Effective Date Expiration Date VAN DYKE, VIRGINIA Partner /Member 04 /13/2004 Bond Amount HEALY, MIKE Partner /Member 04 /13/2004 2066291 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 FEDERATED MUTUAL INS CO 2066291 04/13/2010 Until Cancelled $4,000.0004/09/2010 2 DEVELOPERS SURETY Et INDEM CO 790926C 02/04/2008 Until Cancelled $4,000.00 01/30/2008 1 RLI INS CO SRS1017420 03/11/2004 Until Cancelled 04/30/2008 $4,000.0004/13/2004 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 08/14/2012