HomeMy WebLinkAboutPermit EL12-1097 - PETSCHL'S QUALITY MEATSPETSCHL'S QUALITY MEATS
1150 ANDOVER PK E
EL12 -1097
City oftukwila
•
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.: 2623049089
Address: 1150 ANDOVER PK E TUKW
Project Name: PETSCHL'S QUALITY MEATS
ELECTRICAL PERMIT
Permit Number: EL12 -1097
Issue Date: 11/21/2012
Permit Expires On: 05/20/2013
Owner:
Name: PETSCHL WILLIAM J
Address: 1150 ANDOVER PARK E , TUKWILA WA 98188
Contact Person:
Name: BRITTAINNEY LUCENI Phone: 800 - 575 -4939
Address: 18000 72 AV S, SUITE 120 , KENT WA, 98032
Contractor:
Name: GAYLORD INDUSTRIES INC
Address: 18000 72 AV S STE 120 , KENT WA 98032
Contractor License No: GAYLOII055JG
Phone: 800 575 -4939
Expiration Date: 04/07/2013
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE CAMERA SYSTEM
Value of Electrical: NRES: $99.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$63.00
National Electrical Code Edition: 2008
Date: l I I�R
I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied with, whether specified 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 oaf work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: / 2-r
Print Name: aV l - k-t('�.k (NA el (
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 -1097 Printed: 11 -21 -2012
• PERMIT CONDITIONS •
Permit No. EL12 -1097
* *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 TO - 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 -1097 Printed: 11 -21 -2012
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. / L1 )-- ( 0 q 7
Project No.
Date Application Accepted:
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: 1150 Andover Park E
Tenant Name: Petschl's Quality Meats
King Co Assessor's Tax No.:
Suite Number: Floor:
New Tenant: ❑ Yes ®..No
PROPERTY OWNER
Name: Brittainney Luceni
Name: Bill Petschl
City: Kent State: WA Zip: 98032
Address: 1150 Andover Park E
Email: brittainney @gaylordsecurity.com
City: Tukwila State: Wa
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Brittainney Luceni
Address: 18000 72nd Ave S Suite 120
City: Kent State: WA Zip: 98032
Phone: (800) 575 -4939 Fax: (425) 227 -7650
Email: brittainney @gaylordsecurity.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Gaylord Industries
Address: 18000 72nd Ave S Suite 120
City: Kent State: WA Zip: 98032
Phone: (800) 576 -4939 Fax: (425) 227 -7650
Contr Reg No.: GAYLOII055JG Exp Date: 03/31/2013
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ 99
Scope of Work (please provide detailed information):
Low Voltage Camera system
Will service be altered? ❑ Yes Z No Adding more than 50 amps? ❑ Yes ® No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
® Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy ❑ Seattle City Light
H:UpplicattonsTonns- Apphcattons On Lme\2011 Applications\Electtical Permit Application Revised 8- 9- 11.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, 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
❑ 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:
Signature:
Date: 11/21/2012
Print Name: Brittai ney Lucenti Day Telephone: (800) 575 -4939
Mailing Address: 18000 72nd Ave S Suite 120 Kent WA 98032
City
H:\Applications \Forms- Applications On Line\2011 Applications\Electrical Permit Application Revised 8- 9- 11.docx
Revised: August 2011
bh
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.: 2623049089
Address: 1150 ANDOVER PK E TUKW
Suite No:
Applicant: PETSCHL'S QUALITY MEATS
RECEIPT
Permit Number: EL12 -1097
Status: PENDING
Applied Date: 11/21/2012
Issue Date:
Receipt No.: R12 -03176 Payment Amount: $63.00
Initials: WER Payment Date: 11/21/2012 04:14 PM
User ID: 1655 Balance: $0.00
Payee: GAYLORD SECURITY SYSTEMS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 11742 63.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 63.00
Total: $63.00
rinr: Rarpint -f1R PrintMri• 11_71 -2f119
INSPECTION RECORD
Retain a copy with permit
EvZ -icf7.
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 'T-
Project: cif 15 1101-
r�,
Type of Inspection:
2460
Address: jj
1�� Of
Date Called:
Special Instructions:
II - ►L
Date Wanted:.
3/4..
P•
Requester:
Phone No:
piApproved per applicable codes. Corrections required prior to approval.
COMMENTS:
Inspector:
Date: 147 /13
1-7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pier Friendly Page
S
Electrical Contractor
A business licensed by L81 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
GAYLORD INDUSTRIES INC
4252277540
18000 72Nd Ave S, Suite 120
Kent
WA
98032
King
Corporation
UB1 No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601615495
Active
GAYL011055JG
Electrical Contractor
4/7/1995
4/7/2013
Limited Energy
Hvac /Rfrg Ltd Energy
Electrical Administrator INFORMATION
License GAYLORK088NH
Name GAYLORD, ROBERT KEVIN
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GAYLORD, R KEVIN
Agent
01/01/1980
7/9/2008
GAYLORD, R KEVIN
Chief Operating Officer
01/01/1980
$1,000.00
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
DEVELOPERS SURETY
a INDEM CO
740526C
03/01 /2006
Until Cancelled
$4,000.00
03/06/2006
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
EBERA00216
7/9/2008
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJONV02319
12/15/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJONV02321
12/15/2011
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
ELEIS00433
3/3/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EROMA00261
12/22/2006
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 11/21/2012