HomeMy WebLinkAboutPermit EL13-0583 - CASH & CARRY - REMODELCASH & CARRY
230 ANDOVER PK E
ELi 3-0583
City dftukwila
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.: 0223100100
Address: 230 ANDOVER PK E TUKW
Project Name: CASH & CARRY
ELECTRICAL PERMIT
Permit Number: EL13-0583
Issue Date: 06/18/2013
Permit Expires On: 12/15/2013
Owner:
Name: ANDOVER PARK PROPERTY LLC
Address: 5936 6TH AVE S , SEATTLE WA 98108
Contact Person:
Name: BRIAN MURRAY
Address: 1413 CENTER ST , TACOMA WA, 98109
Contractor:
Name: CLOVER CREEK ELECTRIC
Address: 1413 CENTER ST , TACOMA WA 998409
Contractor License No: CLOVECE293LA
Phone: 253 627-6648
Phone: (253)627-6648
Expiration Date: 04/30/2014
DESCRIPTION OF WORK:
INSTALL 20 AMP, 120 VOLT CORD DROP FROM CEILING IN MEAT COOLER FOR DIGITAL
SCALE.
Value of Electrical: NRES: $625.00
RES: $0.00
Fees Collected:
Type of Fire Protection: UNKNOWN National Electrical Code Edition:
Electrical service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Date:
$79.80
2008
cuitt,k
I hereby certify that I have read and e aurin d this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied 'th, ether 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: VAlif Date: b, l S / /3
Print Name: (1/11t17- 7o Af iv<S0k)
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
EL13-0583 Printed: 06-18-2013
•
• PERMIT CONDITIONS
Permit No. EL13-0583
**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
EL13-0583 Printed: 06-18-2013
tiCITY OF TUh JJ
Community Development Department
Permit Center
6300 Southcenrer Blvd, Suite 100
Tukwila, Tial 95188
http:l/www.Tukt;ilaWA.gov
•
Electrical Permit No. e
Project- No.
Date Application Accepted: (SWC
Date Application Epires:
(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
,l ` Kin2 Co Assessor's Tax No.:
Site Address: j v �Q\J-Q ( P0(k Cad. Suite Number: Floor:
New Tenant: ❑ Yes )11..No
o1,2")10- moo
Tenant Name: l tNS\N ' �r\./
PROPERTY OVNER
(� (� n
Name: CG.In i, eft..,, r' hU4 pl. 1' roi
Address: • i
City: .r6 k ,...Cogitate: ,?tate: W A, Zip: i
`�'�'YL1�l
CONTXoTTpRSON — person receiving all project
communication
Company Name: eiDV-(./ c _t J EL ,(.
Name:
ivr tae,('V\utrcNi
Cit}" State: Zip:
�iac,ari.� VT!. qv/el
Address: 4 3,AL / -
Contr Reg No.:c_oVEC.Ea- Cel Exp Date: 4-30_14,
City: IC Cp (ho. State: t.A) A Zip
Phone425. _, 6.1.-7- slims Fax: )53- (0,-1._
ielooll
Email: br;o.AC. 20 L/Na,vv:,1•n
ELECTRICAL CONTRACTOR INFORMATION
Company Name: eiDV-(./ c _t J EL ,(.
Address: ) LN 3 Cs1,4,7s+ -
Cit}" State: Zip:
�iac,ari.� VT!. qv/el
Phone. 53-1oz1 -4441' Fax:53- 62-1 - 64Pd
Contr Reg No.:c_oVEC.Ea- Cel Exp Date: 4-30_14,
Tkwila Business License No.: Bus_ _ Q479,3,,-70
Valuation of Project (contractor's bid price): S 2 ., 00
Scope of Work (please provide detailed inform? ion):
Oaf) � D.1> VD 14 cot- d,f-o a
Fr S 2 tc.,
Will service be altered? ❑ Yes No
mea, -12 -
Adding more than 50 amps? ❑ Yes 15k No
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement
0 Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication 0 Temporary Service
Properw Served by:
Ig Puget Sound Energy 0 Seattle City Light
EiApp1i_?Bettsiroraw AppikatiorsOniine:2G!? Applica:iodllt.;vita!Prrtit.AppiieatiznPersed3.9.i!das
P.•.vzxd: August 2011
bh
Page I of 2
•
•
�U"jcij
RESIDENTIAL
NEW RESIDENTLAL SERVICE
❑ New single family dwellings 5152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings 581.90 ea
O Low voltage systems
(alarm, furnace thermostat) 559.55 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration 551.90
(no added/altered circuits)
❑ Service change with added/altered circuits581.90
number of added circuits .......................511.55 ea
❑ Circuits added!altered without service change 554.60
(up to 5 circuits)
O Circuits added/altered without service change $54.60
(6 or more circuits)...... 57.65 ea
O Meterhnast repair 565.25
❑ 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) 563.00
O Temporary service (generator) 578.75
❑ Manufacturedrmobile home service 584.00
(excluding garage or outbuilding)
❑ Carnivals . 578.75
Number of concessions 510.50 ea
PERNI§IT :113PLICATIO\ 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 tinie 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 ELF CTRICAL CONTRACTOR:
Signature:
Date: 6-0-/3
Print Nante:s6r(Qn A, . M[J/iay v Day Telephone4725'3 - - 4/1
Mailing Address: /174/3 lPt lr -
k':? atins'l:,rms-Appiicati,n3OnLintN, E al Ntraic Appii:ati:nR!istdt.9-I!.dxy.
Revised: ?.u_.ust 201 r
th
/ti e Q.
C:ty
1A)t 4Nilo
State Zip
Page 2 of 2
0 •
(City of Tukwila
908
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98.188
Phone: 206-431-3670
Fax: 206-431-3665
Web site: http://www.TukwilaWA.gov
Parcel No.: 0223100100
Address: 230 ANDOVER PK E TUKW
Suite No:
Applicant: CASH & CARRY
RECEIPT
Permit Number: EL 13-0583
Status: PENDING
Applied Date: 06/18/2013
Issue Date:
Receipt No.: R13-01902
Initials: JEM
User ID: 1165
Payment Amount: $79.80
Payment Date: 06/18/2013 09:36 AM
Balance: $0.00
Payee: CLOVER CREEK ELECTRIC, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 66729 79.80
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 79.80
Total: $79.80
Printari• (1R-1 R -9f111
INSPECTION_ RECORD
Retain a copy.. with permit
INSPECTION NO. PERMIT N'.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 R (206) 431-3670
Permit Inspection Request Line (206) 431-2451.
Project: itType
EASI4 4.' CAkkl . —
of Inspection:
Address:
no Aft
Date Called:
^
Special Instructions:
Date Wanted:
/a -
Pmuester:
Req
Phone No:
Approved per applicable codes.
UCorrections required prior to approval.
COMMENTS:
0
/0/J1 '{4N4
4K tkilh
Inspector:
161*,
Date: o/G I`�IJJ
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
INSPECTION RECORD "3,03
Retain a copy with permit
INSPECTION NO. PERMIT N0'
CITY OF TUKWILA BUILDING. DIVISION.
6300 Southcenter Blvd., #100, Tukwila. WA 981881,_o (206) 431-3670
Permit Inspection Request Line (206) 431-2451
Project: 61S4 v CARI
Type of Inspection:
���
t0LeQ t-1�
Address: 23 0/
Date Called:
`pos— P(Aril ' 0.1J ?kAlet,
Special Instructions:
Date Wanted:
zo
gi p
Requester:
w
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS: e-
-fil-I5 DJ T>fe'1Fc4P&oi(.T6,›
-. 51CP11' 1,J -St Ca/4M T -rim- pelt i RJT -5
t0LeQ t-1�
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- (AJ,Nliar r‘49 cPt-LI Sci-tED0a rok T -iS
`pos— P(Aril ' 0.1J ?kAlet,
w
Inspector:
Date:
ex(t3
REINSPECTION' FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Contractors or Tradespeople Peer 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
CLOVER CREEK ELECTRIC
2536276648
1413 Center St
Tacoma
WA
98409
Pierce
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601047056
Active
CLOVECE293LA
Electrical Contractor
6/1/1971
4/30/2014
General
Unused
Master Electrician INFORMATION
License SCHUMH'960K6
Name SCHUMACHER, A H
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
SCHUMACHER, A H
01/01/1980
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
12
Colonial American
Cas Et Surety of
Maryland
LPM4069311
07/11/2005
07/11/2011
19.28.101 RCW
ELECTRICAL CITATION
$4,000.00
06/24/2005
11
Lexon Ins Co
9807776
07/11/2011
Until Cancelled
$250.00
$4,000.00
06/07/2011
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
EJORP04081
9/29/2010
19.28.271 RCW
ELECTRICAL CITATION
Satisfied
$250.00
EMABQ03542
7/21/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$1,000.00
EJONV01843
6/8/2011
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
httns://fortress.wa.gov/lni/bbin/Print.aspx 06/18/2013