HomeMy WebLinkAboutPermit EL12-0804 - STARBUCKSSTARBUCKS
13038 INTERURBAN AV S
EL1 2-0804
City oigukwila
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.: 0003000110
Address: 13038 INTERURBAN AV S TUKW
Project Name: STARBUCKS
ELECTRICAL PERMIT
Permit Number: EL12 -0804
Issue Date: 08/24/2012
Permit Expires On: 02/20/2013
Owner:
Name: INTERURBAN 13038 LLC
Address: C/O JSH PROPERTIES INC , 10655 NE 4TH ST #901 98004
Contact Person:
Name: CHRIS MASON
Address: 13217 58 DR SE #1 , EVERETT WA, 98208
Contractor:
Name: GANT SOLUTIONS
Address: 13217 58 DR SE #1 , EVERETT WA 98208
Contractor License No: GANTSSL904QB
Phone: 951 -553 -8626
Phone:
Expiration Date:
DESCRIPTION OF WORK:
PULL 2 CAT5 CABLES FOR HME DRIVE THRU LOOP
Value of Electrical:
NRES: $300.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: SEATTLE C t1 GHT
Permit Center Authorized Signature:
Date:
$67.20
2008
I hereby certify that I have read and examined this rt! t and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether pecified herein or not.
The granting of this permit does not presume 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.
i r 4�jt�J�J
Signature:
Print Name:
Date:
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 -0804 Printed: 08 -24 -2012
• •
PERMIT CONDITIONS
Permit No. EL12 -0804
* *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 -0804 Printed: 08 -24 -2012
CITY OF TUKWILb".
Community Development, — apartment
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 **
qq King Co Assessor's Tax No.:
Site Address: t3 £ 3 i �r 4 19`; #4 - Suite Number:
Tenant Name: -"za h; t c.—lC S
Address:
City:
State:
Zip:
Name: C4 L I„2h 5 ,-/►✓
Address: l3 1,7
City: State:
Phone: 026 i 3 A24,Fax:
Email:
New Tenant:
Floor:
El Yes F.. No
Company Name:
Address: 1,..3.A . s g-Fh &Ir
City: State: Zip: Chops,'
Phone: °I �v 1 y.53 3 sie342 Fax:
Contr Reg No.: Exp Date:
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 3c712'
Scope of Work (please provide detailed information): ¢tit(. 2 -" -- 6 4U-r— H-M
Will service be altered? ❑ Yes j& No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
14 Low Voltage ❑ Generator ❑ Fire Alarm dit. Telecommunication ❑ Temporary Service
Property Served by:
❑ 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
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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:
Print Name: &I'l ri 5 /'-1 5if�
Mailing Address: I.�% / NI tk._ l
H:\Applications\Forms- Applications On Line \2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
Day Telephone:
Date: `Z7241/1
51 —5 3- -�';��
LJ
City State Zip
Page 2 of 2
1
City of Tukwila
ti 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.: 0003000110 Permit Number: EL12 -0804
Address: 13038 INTERURBAN AV S TUKW Status: APPROVED
Suite No: Applied Date: 08/24/2012
Applicant: STARBUCKS Issue Date:
Receipt No.: R12 -02446 Payment Amount: $67.20
Initials: TLS Payment Date: 08/24/2012 02:19 PM
User ID: 1670 Balance: $0.00
Payee: GANT SOLUTIONS INC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 8025 67.20
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 67.20
Total: $67.20
doc: Receiot -06 Printed: 08 -24 -2012
INSPECTION NO.
INSPECTION °RECORDT
Retain a copy with permit
t PERMIT NO. j -
CITY OF TUKWILA BUILDING DIVISION-;.
6300 Southcenter Blvd., #100, Tukwila: WA 98188 ‘,(206)-431-367
Permit Inspection Request Line (206) 431 -2451
Project: f
C14 5
Address:
Special Instructions:
Type of Inspection :,:
Date Called:
0 Approved per applicable codes.
COMMENTS:
Date Wanted:
Requester:
Phone No:
Y'.
El Corrections required prior to approval:
•
e-
v
Inspector:
n REINSPECTION FEE REQUIRED. Prior to next inspection ,fee must`be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule-
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
PERMIT NO.;..
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila: WA 98188 ' (206) 43.1 -36
Permit Inspection Request Line (206) 431 - 2451+.
Project:
Address:
1�o3 lAI7P
Special Instructions:
Type of Inspection:.'
Date Called:
Date Wanted:
Requester:
Phone No:
ElApproved per applicable codes. LJCorrections required prior to approval.
COMMENTS:
CcukENt.F F��
/LY
Inspector:
1
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 Pri 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
GANT SOLUTIONS LLC
4253503023
1011 128Th St Sw E304
Everett
WA
98204
Snohomish
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603057504
Active
GANTSSL904QB
Electrical Contractor
11/2/2010
11/2/2012
Telecommunications
Electrical Administrator INFORMATION
License MASONCW898R9
Name MASON, CHRISTOPHER W
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MASON, CHRIS
Agent
11/02/2010
Amount
GANT, ALEXIS
Partner /Member
11/02/2010
8L054626557
GANT, JUSTIN
Partner /Member
11/02/2010
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
276824C
11/02/2010
Until Cancelled
$4,000.00
11/02/2010
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Amount
Received Date
2
Ohio Caslns Co
8L054626557
11/01/2011
11/01/2012
$1,000,000.00
09/22/2011
1
OOHIO CAS INS
54626557
11/02/2010
11/02/2011
$1,000,000.00
11/02/2010
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
08/24/2012