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
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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
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
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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
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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.
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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
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Address: is y icA
� !Date
Called:
,
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SpecialInstructidns.
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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
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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