HomeMy WebLinkAboutPermit EL13-0075 - MIGHTY O DONUTS - LOW VOLTAGEMIGHTY 0 DONUTS
10825 EAST MARGINAL
wys
EL1 3-0075
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
ELECTRICAL PERMIT
Parcel No.: 0323049198
Address: 10825 EAST MARGINAL WY S TUKW
Project Name: MIGHTY 0 DONUTS
Permit Number: EL13-0075
Issue Date: 01/22/2013
Permit Expires On: 07/21/2013
Owner:
Name: PA1302 LLC
Address: PO BOX 606 , VANCOUVER WA 98666
Contact Person:
Name: KARINA VELIZ
Address: 1743 FIRST AVS , SEATTLE WA, 98134
Phone: 206-622-6545
Contractor: �`,�y"Q'�' j"��'�� �j " ,�� ,,,y,��,�
Name: C fl r� , " e `, „tel' °I. w,q o' Phone: K 7'fr °�'1 20(0' f07-6-4 16°
Address: i'2j
Contractor License No: 6,14/41,424,,i,..,6.-- `Expiration Date: 1
5 S
DESCRIPTION OF WORK:
LOW VOLTAGE - EXTENSION OF EXISTING PIPE FITTING. VESDA, 1 FIRE ALARM DEVICE.
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: SEATTLE CITY LIGHT
Permit Center Authorized Signature:(41/U/14ht )/1/1 ---
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 t)ie performance of Work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
(;XV 11rLGl V�
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
EL13-0075 Printed: 01-22-2013
• •
PERMIT CONDITIONS
Permit No. EL13-0075
**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
EL13-0075 Printed: 01-22-2013
•
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.Tuk-wilaWA.gov
•
Electrical Permit No. L I of
Project No.
Date Application Accepted: I'62 17
Date Application Expires: 1 ` 1.2 "13
(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
King Co Assessor's Tax No.: 032304-9198
Site Address: 10825 E. Marginal Way South Suite Number: Floor:
Tenant Name: Mighty 0 Donuts New Tenant: ❑ Yes ® ..No
PROPERTY OWNER
Name: Karina Veliz
Address: 1743 First Avenue South
Name: PABO2 LLC
Phone: (206) 622-6545 Fax: (206) 628-4990
Email: kveliz@guardiansecurity.com
Address: POB 606
City: Vancouver
State: WA
Zip: 98666
CONTACT PERSON — person receiving all project
communication
Name: Karina Veliz
Address: 1743 First Avenue South
City: Seattle State: WA Zip: 98134
Phone: (206) 622-6545 Fax: (206) 628-4990
Email: kveliz@guardiansecurity.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Guardian Security
Address: 1743 First Avenue South
City: Seattle State: WA Zip: 98134
Phone: (206) 628-4990 Fax: (206) 628-4990
Contr Reg No.: GUARDSS233K5 Exp Date: 07/01/2014
Tukwila Business License No.: UBI 600189667
Valuation of Project (contractor's bid price): $ 1,000
Scope of Work (please provide detailed information):
Low Voltage; extension of existing pipe fitting. Vesda, 1 fire alarm device.
Will service be altered? ❑ Yes VI No
Type of Use: Low voltage
Adding more than 50 amps? ❑ Yes No
Type of work:
❑ New ❑ Addition ❑ Service Change
VI Low Voltage ❑ Generator ❑ Fire Alarm
Property Served bv:
❑ Puget Sound Energy ❑ Seattle City Light
H-Wpplications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11.docs
Revised: August 2011
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❑ Remodel
❑ Telecommunication
❑ Tenant Improvement
El Temporary Service
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
O Low voltage systems
(alarm furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $81.90
(no added/altered circuits)
O 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
O 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 CERT U -Y 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:
Karina Veliz
Date: 01/21/2013
Print Name: Day Telephone: (206) 349-5889
Seattle WA 98134
Mailing Address: 1743 First Ave S.
City
H:\Applications\Forms-Applications On Line\2011 Appbcations\Electrical Perrot Application Revised 8-9-11.docx
Revised: August 2011
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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.aov
RECEIPT
Parcel No.: 0323049198 Permit Number: EL13-0075
Address: 10825 EAST MARGINAL WY S TUKW Status: APPROVED
Suite No: Applied Date: 01/22/2013
Applicant: MIGHTY 0 DONUTS Issue Date:
Receipt No.: R13-00508
Payment Amount: $96.60
Initials: BLH Payment Date: 01/22/2013 12:53 PM
User ID: ADMIN Balance: $0.00
Payee: GUARDIAN SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 623939
ACCOUNT ITEM LIST:
Description
96.60
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 96.60
Total: $96.60
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 t-. (206) 431-36
Permit Inspection Request Line (206) 431-2451
Project:��l a \l_ r
fol LjD/V�jt,
Type of Inspection:
(off
Address: t 42, 6 keit.
Date Called:
Special Instructions:
OA'
Date Wanted:.
. /
2 Y
a.m.
(,rne
Requester:
f
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
•r,
Date: 0 s Z,1 1,3
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
GUARDIAN SECURITY GROUP INC
2534745855
5424 S Tacoma Way
Tacoma
WA
984094313
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601467784
Active
GUARDS0005PG
Electrical Contractor
10/7/2000
10/7/2014
Limited Energy
Hvac/Rfrg Ltd Energy
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
GUARDSL065P1
GUARDIAN SECURITY
LOCKSMITHS
Electrical
Contractor
Limited
Energy
Unused
10/21/1994
10/21/2000
Archived
Electrical Administrator INFORMATION
License RICH'J'066JB
Name RICH, JAMES
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
RICH, JAMES H
Agent
01/01/1980
2/11/2010
RICH, JAMES H
President
01/01/1980
$250.00
RICH, KAREN E
Vice President
01/01/1980
Bond Information
Bond Company Name
WESTERN SURETY CO
Bond
2
Page 1 of 1
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
69226456
10/07/2001
Until Cancelled
$4,000.00
11/30/2001
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
EBRIC01921
2/11/2010
19.28.161 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns //fortress_wa.gov/lni/bbin/Print.asnx
01/22/2013