HomeMy WebLinkAboutPermit EL13-0417 - MADRONA SPECIALTY FOODS - REMODELMADRONA
SPECIALTY FOODS
18475 OLYMPIC AV S
EXPIRED
10-28-13
EL13-0417
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.: 7888900111
Address: 18475 OLYMPIC AV S TIIKW
Project Name: MADRONA SPECIALTY FOODS
ELECTRICAL PERMIT
Permit Number: EL13-0417
Issue Date: 05/01/2013
Permit Expires On: 10/28/2013
Owner:
Name: RRP LA PANZANELLA LLC
Address: 1808 PARKSIDE DR E , SEATTLE WA 98112
Contact Person:
Name: GREGG JOSHLIN Phone: 253-350-5157
Address: 1210 GRIFFEN AV, SUITE D , ENUMCLAW WA, 98022
Contractor:
Name: TMD ELECTRICAL CONTRACTING
Address: 1210 GRIFFIN AV, SUITE D , ENUMCLAW WA 98022
Contractor License No: TMDELEC951JG
Phone: 253-350-8157
Expiration Date: 04/04/2015
DESCRIPTION OF WORK:
LIGHTING RETROFIT
Value of Electrical: NRES: $2,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition:
$136.50
2008
Date: — (r 1 3
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 • - ume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or the perf. I am authorized to sign and obtain this electrical permit.
Signature:
Date: .-5-1 / / 3
Print Name: 9 .- l� �'x� Jos ,J
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
EL13-0417 Printed: 05-01-2013
• 411
PERMIT CONDITIONS
Permit No. EL13-0417
**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
EL13-0417 Printed: 05-01-2013
CITY OF TUSK
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TulcwilaWA.gov
Electrical Permit No. C1'-1 ��� 1
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: 1 D 41 5 01,'fr' Pi L Ave- �.
King Co Assessor's Tax No.:
Suite Ntunber: Floor:
Tenant Name: MA croN or S ZtAL'ry
PROPERTY OWNER
Name: 674.x`_ 3 o5i-1 tJ
�'`
Name: toRON A. �R�- t Alre
City:t.TI UM ci. State: w A� Zip: "0,u_
Address: 18415 0 �MOIC. Ave-' . 5
Email: ,vr deci-etC. Pa.( cow.
City: -rt,,, LA— vP State:
Zip: is let
CONTACT PERSON — person receiving all project
cotnanunication
Name: 674.x`_ 3 o5i-1 tJ
Address: MO 6:,i Fcitl ktia d s nT -D
City:t.TI UM ci. State: w A� Zip: "0,u_
Phone: Z5" 3.ISD . 6 is -1 Fax:
Email: ,vr deci-etC. Pa.( cow.
New Tenant; ❑ Yes.No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: TND tixnLCAt.. coArrxittJ[1 .
Address:
17,10 GZlIFF761 Ave", cu t T*-- t
City: gii t)MCL.Aw State: wPr Zip: g8Q22.
Phone:%n.6ZS,11de, Fax:? .�1)1s
Contr Reg No.:, Det- aS1JC, Exp Date: 2O ( to
tl
Tukwila Business License No.:
Valuation of Project (contractor's bid price): $ . 00
Scope of Work (please provide detailed information):
Lin NCo -r
Will service be altered? ❑ Yes (y- No Adding more than 50 amps? 0 Yes No
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change ❑ Retnodel ❑ Tenant Improvement
0 Low Voltage ❑ Generator ❑ Fire Alarm 0 Teleconnmmication ❑ Temporary Service
Property Served by:
NC Puget Sound Energy 0 Seattle City Light
H;1ApplicationiiPom3.Applicatione On Liner2011 ApplicatiomtElectrical Permit Application Revived 8-9-11.docx
R.evi cd: August 2011
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Pose 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
O 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 cluuige 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 559.85
(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) 578.75
❑ Manufactured/mobile home service 584.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions 510.50 ea
5L1 (v0 (3 c
2
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 ELECT
Signature
Print Name: uJ • G eti6, 'Jas Nt-I r,
CONTRACTOR:
Mailing Address: 2-10 61;1f-1710 P .+ So 11-61)
H:\Applicationaorms•Applicattons On Line\2011 Applicaions\Electrical Permit Application Revised 8-9-11.docx
Revised: August 1011
bb
Date: 1 -9.17
Day Telephone: t3 350 e ► s-7
WhGLAty
City
W Pr 18032-
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.: 7888900111
Address: 18475 OLYMPIC AV S TUKW
Suite No:
Applicant: MADRONA SPECIALTY FOODS
RECEIPT
Permit Number: EL13-0417
Status: PENDING
Applied Date: 05/01/2013
Issue Date:
Receipt No.: R13-01480
Payment Amount: $136.50
Initials: WER Payment Date: 05/01/2013 10:16 AM
User ID: 1655 Balance: $0.00
Payee: TMD ELECTRICAL CONTRACTING
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 161956
ACCOUNT ITEM LIST:
Description
136.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 136.50
Total: $136.50
09-03-2013
City of Tukwila
Jim Haggerton, Mayor
.Department of Community Development Jack Pace, Director
GREGG JOSHLIN
1210 GRIFFEN AV, SUITE D
ENUMCLAW WA 98022
RE: Permit No. EL13-0417
MADRONA SPECIALTY FOODS
18475 OLYMPIC AV S TUKW
Dear Permit Holder:
In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building
Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National
Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and
become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date
of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has
begun for a period of 180 days. Your permit will expire on 10/28/2013.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206-431-2451 to schedule for the next or final inspection.
Each inspection creates a new 180 day period, provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to
expire. Address your extension request to the Building Official and state your reason(s) for the need to extend
your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your
extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and/or receive an extension prior to 10/28/2013, your permit will become null
and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. EL13-0417
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fav 206-431-3665
Contractors or Tradespeople #ter Friendly Page
Page 1 of 2
Electrical Contractor
A business licensed by LEtI 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
TMD ELECTRICAL CONTRACTING
2533508157
1210 Griffin Ave # D
Enumclaw
WA
98022
King
Limited Liability Company
Parent Company TMD ELECTRICAL CONTRACTING LLC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602230124
Active
TMDELEC951JG
Electrical Contractor
4/4/2005
4/4/2015
General
Unused
Master Electrician INFORMATION
License JOSHLWG960C3
Name JOSHLIN, WILLIAM GREGG
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JOSHLIN, W GREGG
Agent
04/04/2005
Bond
Amount
JOSHLIN, W GREGG
Partner/Member
04/07/2005
LPM4069162
Bond Information
Bond
Bond Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
COLONIAL AM CAS
Et SURETY OF
MARYLAND
LPM4069162
03/28/2005
Until
Cancelled
$4,000.00
04/04/2005
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 Summons and Complaints are not filed with the department for this
Information contractor type
https://fortress.wa.gov/lni/bbip/Print.aspx
05/01/2013