HomeMy WebLinkAboutPermit EL12-0993 - STARBUCKSSTARBUCKS
13038 INTERURBAN AV S
EXPIRED 04 -15 -13
EL1 2-0993
City oifitukwila
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 -0993
Issue Date: 10/17/2012
Permit Expires On: 04/15/2013
Owner:
Name: INTERURBAN 13038 LLC
Address: C/O JSH PROPERTIES INC , 10655 NE 4TH ST #901 98004
Contact Person:
Name: RICK YOUNG
Address: 5919 195 ST #7 , ARLINTON WA, 98223
Contractor:
Name: ACCESS NETWORKS
Address: 5919 195 ST SE #7 , ARLINGTON WA 98223
Contractor License No: ACCESNL928O9
Phone: 206 456 -3698
Phone: 206 450 -3698
Expiration Date: 10/07/2014
DESCRIPTION OF WORK:
INSTALL 6 CATS CABLES FOR IP CAMERA AND MONITORS
Value of Electrical: NRES: $375.00
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:
ov4POILQ
$71.40
2008
Date:
I hereby certify that I have read and exaTnine this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied wi , w ether specified herein or not.
The granting of this permit does not pres o 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.
Signature:
Print Name:
Date: �Gv /—/Z
This 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 -0993 Printed: 10 -17 -2012
PERMIT CONDITIONS
Permit No. EL12 -0993
* *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 -0993 Printed: 10 -17 -2012
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd, Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No.
Project No.
Date Application Accepted: 1,41 It
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
Site Address: /76' 3.? �'nirc°�lil c13/l/
Tenant Name: ST IQ 64s
King Co Assessor's Tax No.: b00 WO -O I (
Suite Number: Floor:
New Tenant: ❑ Yes
PROPERTY OWNER
Name:
Address:
City:
State:
Zip:
CONTACT PERSON - person receiving all project
communication
/ / �,ti J
ile !�
Name: _ : , 1:-.
Address:
I / 9 S-- a S 1 .
.c.—�
City: A„/t ..ijit) State: effill Zip:epizz3
Phone: L64._y.,30gax :3 co, 32z -3z3 ,
Email: /. / L.�/ e 14 S,c o m
G G �'G N
ELECTRICAL CONTRACTOR INFORMATION
Company Name: ikC 5 S /u rt,Uo s L lC
Address: /1, /93.1-74
City:4g , z,,t-dio State: !, ,^ Zip?i 5
Phonee6‘- `�./- f6%' Fax:343 300 - 4
Contr Reg No.: pr % piAtt) Q P Date: � i f
I l�
Tukwila Business License No.:
�u5- o9gZ93,
Valuation of Project (contractor's bid price): $
Scope of Work (please provide detailed information): ., e Cirr C/i ) k S
CA 4' l 'UK5 �J
Will service be altered? ❑ Yes
K2(\1\1°
Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
A_ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:Upplica [ions \Forne - Applications On Lme\2011 Applications \Elecmcal Permit Application Revised 8-4.1 l.docx
Revised: August 2011
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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, furnace 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
r w 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:
Signature: Date: /°-'17 -/Z
Print Name: /21C-
Mailing Address: 59/9 /9.5' " S�
s>6-
Day Telephone: 206'7" Ys;:; - 3d9J'
,Q iNGT-� wA 9 3
H:Wpplications \Forms - Applications On Line \2011 Applications \Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
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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.: 0003000110
Address: 13038 INTERURBAN AV S TUKW
Suite No:
Applicant: STARBUCKS
RECEIPT
Permit Number: EL12 -0993
Status: APPROVED
Applied Date: 10/17/2012
Issue Date:
Receipt No.: R12 -02889
Initials: JEM
User ID: 1165
Payment Amount: $71.40
Payment Date: 10/17/2012 12:55 PM
Balance: $0.00
Payee: RICHARD YOUNG, ACCESS NETWORK LLC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 03531Z
ACCOUNT ITEM LIST:
Description
71.40
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 71.40
Total: $71.40
rinr.• RPraint -nR PrintAri• 1n- 17 -7n17
03 -05 -2013
RICK YOUNG
5919 195 ST #7
ARLINTON WA 98223
.1114-41.0gdet.fon, a }tor
epartynentvof Coihmunity Jack Pace, Director.
RE: Permit No. EL12 -0993
STARBUCKS
13038 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 04/15/2013.
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 04/15/2013, 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,
Jenni r Marshall
Vermi Technician
File: Permit File No. EL12 -0993
6300 Southcentez Boulevard Suitei #16:.∎ Tukwila, Washing "ton 981:38 • Phone 206 -431 =:3670 Fax 20. 431 3665.
Contractors or Tradespeople Prier 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
ACCESS NETWORKS LLC
8666909874
7117 Olive Ave
Stanwood
WA
98292
Snohomish
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602807381
Active
ACCESNL92809
Electrical Contractor
9/29/2008
10/7/2014
Telecommunications
iated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
ACC ESNL941R7
ACCESS
NETWORKS LP
Electrical
Contractor
Telecommunications
HARMON, RYAN
12/27/2006
12/27/2008
Expired
Electrical Administrator INFORMATION
License BUXTOJJ881J4
Name BUXTON, JEREMIAH J
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
YOUNG, RICHARD
Partner /Member
09/29/2008
Bond Amount
PARRY, DAX
Partner /Member
09/29/2008
100181751
HARMON, RYAN
Partner /Member
09/29/2008
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
2
American Contractors
Indem CO
100181751
12/18/2011
Until Cancelled
$4,000.0012/13/2011
/02/20 11
1
COLONIAL AM CAS a
SURETY OF
MARYLAND
LPM4072840
09/15/2008
Until Cancelled
02/05/2012
$4,000.00
09/29/2008
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
6
Ohio Security
Ins Co
BKS53577917
12/18/2011
12/18/2012
$1,000,000.0012
/02/20 11
5
OHIO CAS INS
BH053577917
12/18/2010
12/18/2011
$1,000,000.00
4
OHIO CAS INS
BH053577917
12/18/2009
12/18/2010
$1,000,000.00
11/23/2009
3
OHIO CAS INS
BH053577917
12/18/2009
11/18/2010
$1,000,000.00
11/18/2009
2
OHIO CAS INS
CO
BHO 53577917
12/18/2008
12/18/2009
$1,000,000.0012 /05/2008
https://fortress.wa.gov/lni/bbip/Print.aspx
10/17/2012