HomeMy WebLinkAboutPermit EL13-0229 - BARTELLS DRUGS - REMODELBARTELL DRUGS
14277 TUKWIIA
INTERNATIONAL BL
EL1 3-0229
City o*I'ukwila
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.: 1523049011 Permit Number: EL13-0229
Address: 14277 TUKWILA INTERNATIONAL BL TUKW Issue Date: 03/08/2013
Permit Expires On: 09/04/2013
Project Name: BARTELLS DRUGS
Owner:
Name: SEG 56TH LLC
Address: 845 106TH AVE NE #100 , BELLEVUE WA 98004
Contact Person:
Name: JERRY MILLER Phone: 425-306-9249
Address: 1012 CENTRAL AV S , KENT WA, 98032
Contractor:
Name: PERFORMANCE HTG & AC
Address: 25500 74 AVE S , KENT WA 98032
Contractor License No: PERFOHA005BS
Phone: 425-251-0356
Expiration Date: 01/29/2014
DESCRIPTION OF WORK:
HVAC CONTROLS UPGRADE ON ROOFTOP OF BARTELLS DRUG STORE
Value of Electrical: NRES: $15,134.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$367.70
2008
Date: -20—g— 13
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 pe 't does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
ance of work. I am authorized to sign and obtain this electrical permit.
construction or the pe
Signatur
Print Name:
Date: ?"--g. ` I -
This permit shall become null and vorfi 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.
doe: EL -4/10
EL13-0229 Printed: 03-08-2013
• •
PERMIT CONDITIONS
Permit No. EL13-0229
**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
EL13-0229 Printed: 03-08-2013
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. 1 L 13- 0)4-7
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
King Co Assessor's Tax No.: 1523O11-1 0 11 D0
Site Address: 14277 Pacific Hwy S. Tukwila Wa. 98168 Suite Number: vi/+r Floor:
Tenant Name: Bartell Drugs New Tenant: ❑ Yes ..No
Pik ttce L i50o'-f — 9
PROPERTY OWNER
Name: SECa s 1011 LLC,
Address: 1345 tofu-rlr► /Fye NS 4, too
City: Se le.vu-t_ State: WA. Zip: 9$00 {
CONTACT PERSON — person receiving all project
communication
Name: Jerry Miller
Address: 1012 Central Ave South
City: Kent State: Wa Zip: 98032
Phone: (425) 306-9249 Fax: (253) 867-5775
Email: jerry.m@twavetech.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Transformative Wave Technologies
Address: 1012 Central Ave South
city: Kent State: Wa zip: 98032
Phone: (253) 867-2333 Fax: (253) 867-5775
Contr Reg No.: PERFOHA 15ORT Exp Date: 04/20/2003
Tukwila Business License No.: BUS -0994165
Valuation of Project (contractor's bid price): $ 15,134
Scope of Work (please provide detailed information):
HVAC Controls upgrade on rooftop of Bartell Drugs Store.
Will service be altered? 0 Yes No Adding more than 50 amps? 0 Yes VI No
Type of Use: Low Voltage
Type of work:
0 New 0 Addition 0 Service Change
la Low Voltage ❑ Generator 0 Fire Alarm
Property Served by:
la Puget Sound Energy ® Seattle City Light
H:IApplications\Fomu-AppI. uo On Line t2011 Applicatgm\Electrical Permit Application Revised 8-9-11.docx
Revised: August 2011
bh
❑ Remodel
0 Telecommunication
❑ Tenant Improvement
0 Temporary Service
- c -
V
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)
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
O 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
O Temporary service (generator) $78.75
O 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 OWNE • L T' iZ CONTRACTOR:
Signature: — %' Date: 03/06/2013
Print Name: /Jeff Whitney' Day Telephone: (206) 595-7692
Kent Wa 98032
Mailing Address: 1012 Central Ave South
City
HAAppltcmtonslFom .Appluatgm On Ltne12011 Appltcatrom\Element Pemm Apphcauun Rod 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.gov
RECEIPT
ParcelNo.: 1523049011 Permit Number: EL13-0229
Address: 14277 TUKWILA INTERNATIONAL BL TUKW Status: PENDING
Suite No: Applied Date: 03/08/2013
Applicant: BARTELLS DRUGS Issue Date:
Receipt No.: R13-00989
Payment Amount: $367.70
Initials: WER Payment Date: 03/08/2013 09:41 AM
User ID: 1655 Balance: $0.00
Payee: JEFF WHITNEY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd MC
Authorization No. 410355
ACCOUNT ITEM LIST:
Description
367.70
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 367.70
Total: $367.70
Printad• (1R-nR-2n1�
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 14 (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: fit i. �, �,/tt5
Type of Inspection:
200
Address:
Pan rn-6. •
Date Called:
Special Instructions: 1
NA, f 7,11-e., Q
Date Wanted:.
372-10
a.m.
C.
Requester:
Phone No:
EAApproved per applicable codes.
COMMENTS:
n
ElCorrections required prior to approval.
7
Date: 03
74/,"a REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Inspector:
f
INSPECTION RECORD
Retain a copy with permit
th3z2-7NSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431-3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431-2451
Projectgrik
:45
Type of Inspection:
Address:`
IN2?7 T.1 -ISP
Date Called:
Special Instfuctions`.
Date Wanted:.3/22.
a m,,
P.m.
Requester:
Phone No:
0 Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
i
(AICILL6D
Inspector:
Date: 004113
GL•r
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
Project:(Vgat,A, 5
Type of Inspection:
Address:1
( ��
rte-
/.1.6.t/
Date Called:
Special Instruction :
Date Wanted:.
3
.m.
P.m.
Requester:
Phone No:
Approved per applicable codes.
EJCorrections required prior to approval. /
COMMENTS:
(45CA/Oki 14-1
Inspector:
Date: 0. r (?
I I
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Pifer Friendly Page
•
Electrical Contractor
A business licensed by LEN 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 PERFORMANCE HTG & A/C INC UBI No. 600601386
Phone 4252510356 Status Active (
Address 1012 Central Ave. S. License No. I PERFOHA005BS
Suite/Apt. License Type Elec cal Contractor
City Kent
State WA
Zip 98032
County King
Business Type Corporation
Parent Company
Effective Date 1/20/2000
Expiration Date 1/29/2014
Suspend Date
Specialty 1 Hvac/Rfrg Ltd Energy
Specialty 2 Unused
Other Associated Licenses
License
Name
Type
Specialty
1
Specialty
2
Effective
Date
Expiration
Date
Status
PERFOHAOSSRJPERFORMANCE
HEATING & A/C INC
Electrical
Contractor
General
Unused
12/11/1995
12/11/1997
Archived
Electrical Administrator INFORMATION
License MILLEDE986LS
Name MILLER, DANIEL EUGENE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
MILLER, DANNY
Agent
11/20/2007
Bond Amount
MILLER, DANNY
President
11/20/2007
748803C
ERDAHL, DARRIN
Vice President
11/20/2007
GOWEN, RICHARD L
Agent
01/01/1980
11/20/2007
GOWEN, RICHARD L
President
01/01/1980
11/20/2007
GOWEN, CONSTANCE F
Vice President
01/01/1980
11/20/2007
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
DEVELOPERS SURETY
& INDEM CO
748803C
10/01/2007
Until Cancelled
$4,000.00
11/20/2007
2
DEVELOPERS SURETY
& INDEM CO
853804C
01/01/2001
Until Cancelled
11/20/2007
$4,000.0011/22/2000
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
https://fortress.wa.gov/lni/bbip/Print.aspx
03/08/2013