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HomeMy WebLinkAboutPermit EL13-0006 - MADRONA SPECIALTY FOODS - REMODELMADRONA SPECIALTY FOODS 18475 OLYMPIC AV S EL1 3-0006 City okukwila 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.: 7888900111 Address: 18475 OLYMPIC AV S TUKW Project Name: MADRONA SPECIALTY FOODS ELECTRICAL PERMIT Permit Number: EL13-0006 Issue Date: 01/03/2013 Permit Expires On: 07/02/2013 Owner: Name: RRP LA PANZANELLA LLC Address: 1808 PARKSIDE DR E , SEATTLE WA 98112 Contact Person: Name: Address: Contractor: Name: JEFF GREEN Phone: 253-405-7586 PO BOX 73399 , PUYALLUP WA, 98373 NORTHWEST CASCADE INC Phone: 253-848-2371 Address: 10412 JOHN BANANOLA WY E , PUYALLUP WA 98373 Contractor License No: NORTHCI994ME Expiration Date: 07/05/2013 DESCRIPTION OF WORK: ALTER CIRCUIT FOR NEW DISHWASHER IN IMPROVED AREA Value of Electrical: NRES: $1,000.00 RES: $0.00 Fees Collected: $96.60 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2008 Electrical service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 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 of work. I am authorized to sign and obtain this electrical permit. Signature: Date: 3-,/ 4 Print Name: 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 EL13-0006 Printed: 01-03-2013 4_0 • PERMIT CONDITIONS Permit No. EL13-0006 **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 EL13-0006 Printed: 01-03-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No.E` c3— 000 @ 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: 11075— OL -i 4' i c s. King Co Assessor's Tax No.: Suite Number: Floor: Tenant Name: n1AA SPE i L r/ FoobS New Tenant: ❑ Yes ..No PROPERTY OWNER Name: 1 GFS,Re. ^-�"' Name: MADQe.JA SPt=C.AL-r j Foon5 Address: valor Qt,..6, P►L 41c,_ • l City. State Zip: I N Kwl L-4 CONTACT PERSON — person receiving all project communication Name: 1 GFS,Re. ^-�"' Address: P o 601..-733 9 9 Address: foo six 733i7 Phone: (25_3) e48 2371 Fax: ( ) Uti ,_23477 City: n) 41.L)-tp Stale: _,, Zip76,373 373 Phone:( ) 405..,_ %ax: Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: I CASCA�E.: Address: P o 601..-733 9 9 City: of ``itiu_k_ip State: wit Zip:7832Z Phone: (25_3) e48 2371 Fax: ( ) Uti ,_23477 Contr I �tNo�9 .4 E Exp Date:,0/20i3 Tukwilael�u�'a�n�e ss L9e s@iNN:$8 p Valuation of Project (contractor's bid price): $ 1/ 000 Scope of Work (please provide detailed information): A 1--7.61 C P.c_u pT P.0 /1 eui DiskiNAm31J Efk i f•1 1 ^i pA /t Alec: A. Will service be altered? ❑ Yes No Type of Use: / Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Tenant Improvement ❑ Low Voltage 0 Generator 0 Fire Alarm ❑ Telecommunication ❑ Temporary Service Adding more than 50 amps? 0 Yes ❑ No Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H:Wpplications\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 $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 o 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 o Meter/mast repair $68.25 o 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) o 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 1 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: BuSS>TL1_ ✓l% Mailing Address: 10q 1 Z Jo.l.J,j bk- A'''o1.4 wf E n;\Applications\Forms-Applications On Line\201 I Applications\Electncal Permit Application Revised 8-9.1 I.docx Revised. August 2011 bh Date: Day Telephone: (253 t'5 /077 PirtuiwP w 983))/ 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 RECEIPT Parcel No.: 7888900111 Permit Number: EL13-0006 Address: 18475 OLYMPIC AV S TUKW Status: PENDING Suite No: Applied Date: 01/03/2013 Applicant: MADRONA SPECIALTY FOODS Issue Date: Receipt No.: R13-00024 Initials: WER User ID: 1655 Payment Amount: $96.60 Payment Date: 01/03/2013 09:53 AM Balance: $0.00 Payee: NORTHWEST CASCADE INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 3004 96.60 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - RES 000.322.101.00.00 96.60 Total: $96.60 Drinfcr!• ni_n/ )fl1 z INSPECTION -RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 W.`"' (206) 431-3670 Permit Inspection Request Line (206) 431-2451 th3-boolp Pro'e t'ADKNA A,b5 Type of Inspection: /400Addrefs:1 x'17 �` �� Ai) Date Called: Special Instructions: ( Date Wanted:. % �� ("a.m.,.3 p.m. Requester: Phone No: Approved per applicable codes. El Corrections required prior to approval. terg COMMENTS: 04kilb7 5 141>t _1<c Inspector: ‹,1;:11) deaS Date: 00V/ I / 3 REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 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 613-dootp Project: 4 bQ Type_ of Inspection: 2joo Address: / 7L(1 titiP' V 4 °ale Called: Special Instructions: Date Wanted:. A j � a rr,, p.m. Requester: Phone No: 0 Approved per applicable codes. Corrections required prior to approval. COMMENTS: �[CScteFeNtz dot( 3/0r r -deDate: t � f REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Inspector: ®// INSPECTION RECORD Retain a copy with permit INSPECTION NO. 643-d004 PERMIT NO. CITY OF.TUKWILA BUILDING DIVISION 6300 Southcenter°Blvd., #100, Tukwila. WA 98188 !'f? (206) 431-3670 Permit Inspection Request Line (206) 431-2451 Project: ,` ,ylo, o / eita Type of Inspection: Vf .— e s/5r141i r1 usr r1Acti4IBJ flf,p Address: is y icA � !Date Called: , -- toP C i I AI5T'k-uA io» Or SpecialInstructidns. p 6_ . tc r'si-A) b(s ( Date Wanted:. /� a.Q.4.1....p.m. Requester: / Phone No: ElApproved per applicable codes.Corrections required prior to approval. COMMENTS: e7c54411frij weer5f5 aInt- i D irr6tOr Vf .— e s/5r141i r1 usr r1Acti4IBJ T--ASLS Nticsc Corz5 iiitiNibiZ TIE REQ.ifi '4> Fa_Q „,'y r di,-ri (4 L�.E CrkO f r (S ED ,46a ) - 2 vICL,I ear Letkak 16 AF, /5 n P -/'l irtAkit -- toP C i I AI5T'k-uA io» Or Vier 4&-T&&• elovvriiii adK('JC 6_ . tc r'si-A) b(s ( Inspector: Date: 6 (/Z,2.I 15 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 Peter 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 NORTHWEST CASCADE INC UBI No. 2538482371 Status Po Box 73399 License No. BANANOLA WAY E License Type Effective Date 10412 JOHN Puyallup WA 98373 Pierce Corporation Expiration Date Suspend Date Specialty 1 Specialty 2 278049149 Active NORTHCI994ME Electrical Contractor 7/5/2001 7/5/2013 General Unused Master Electrician INFORMATION License MCDONRJ971K7 Name MCDONALD, ROBERT JAY Status Active Business Owner Information Name Role Effective Date Expiration Date PERRY, MARK R Agent 07/05/2001 Bond Amount BARGER, STEVEN President 07/05/2001 09077244 THETFORD, HARRY W JR Treasurer 07/05/2001 ELECTRICAL CITATION 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 Fidelity Ft Deposit Co of MD 09077244 05/30/2012 Until Cancelled 19.28.101 RCW ELECTRICAL CITATION $4,000.0003/29/2012 $250.00 2 INS CO OF AMERICA 6415171 • 05/30/2006 Until Cancelled 06/08/2012 EBOES00579 $4,000.0005/10/2006 19.28.101 RCW 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 EBOES00555 5/24/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBOES00557 5/24/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBOES00556 5/24/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBOES00579 5/24/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBOES00577 5/24/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBOES00578 5/24/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EBOES00550 5/24/2011 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 httns://fortress.wa.gov/lni/bbip/Print.aspx 01/03/2013