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Home My WebLink AboutPermit EL13-0999 - JACKSONS FOOD STORES - TENANT IMPROVEMENTJACKSONS FOOD STORES 13138 INTERURBAN AV S EXPIRED 04/09/14 EL1 3-0999 City oPfukwila r 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.: 0003000108 Address: 13138 INTERURBAN AV S TUKW Project Name: JACKSONS FOOD STORES ELECTRICAL PERMIT Permit Number: EL13-0999 Issue Date: 10/11/2013 Permit Expires On: 04/09/2014 Owner: Name: PACWEST ENERGY LLC Address: 3450 COMMERCIAL CT , MERIDIAN ID 83642 Contact Person: Name: DARREN REYNOLDS Address: PO BOX 140757 , BOISE ID, 83714 Contractor: Name: RME INC Address: PO BOX 140757 , GARDEN CITY, ID 83714 Contractor License No: RMEINI*976LS Phone: 425 213-9927 Phone: 208-853-2968 Expiration Date: 03/24/2015 DESCRIPTION OF WORK: INSTALL (4) CIRCUITS/OUTLETS FOR TEA BREWERS Value of Electrical: NRES: $2,000.00 RES: $0.00 Fees Collected: Type of Fire Protection: UNKNOWN Washington Cities Electrical Code: Electrical service provided by: SEATTLE CITY LIGHT Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied amin 'th, Date: $118.60 2011 [vitt k d this permit and know the same to be true and correct. All provisions of law and ordinances hether specified herein or not. The granting of this permit does not pre : to give authority to violate or cancel the provisions of any other state or local laws regulating I am authorized to sign and obtain this electrical permit. construction or the performance of work. Signature: Date: /(,) r' (/-13 _ l 3 Print Name:�Z f �-L 1) 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 -7/13 EL13-0999 Printed: 10-11-2013 • • PERMIT CONDITIONS Permit No. EL13-0999 **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 -7/13 EL 13-0999 Printed: 10-11-2013 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, W4 98188 http:// vww.TukwilaW A.gov Electrical Permit No. e -U; -061•Y\ Project No. • Date Application Accepted: — l • 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: Tenant Name: MagOV A\R cOttaV1 King Co Assessor's Tax No.: Suite Number: New Tenant: WNEER� PROPERTY O� _.Name:` \ �j�': _ 11.x}0 -_. 5-__...._._. . _ 7 Name: c ,}U',�J4'�'t=i1 r ) Address: t{ /, t (t r 6- Fax: (�1 79.30,/, �J t l l Address: City: State: City: f.X•rt, State: i l Zip: CONTACT PERSON — person receiving all project communication _.Name:` \ �j�': _ 11.x}0 -_. 5-__...._._. . _ 7 _. _ ....... Address: t{ /, t (t r 6- Fax: (�1 79.30,/, �J t l l Contr Reg No.: '`J xp Date: �I.'"1.1 _\\c- '1 City: State: Zip: Phone. ( Fax: g.VAPF/1 .,,• Email 0002300-o L o Floor: ❑ Yes Et: No ELECTRICAL CONTRACTORINFORMATIONINFORMATION Company Name: M , Ili . Address.` 7D OQ \ Q 7 7 vi/ ^ ✓ `State: City: Zip7tf i Phone: t{ /, t (t r 6- Fax: (�1 79.30,/, �J t l l Contr Reg No.: '`J xp Date: �I.'"1.1 _\\c- '1 Tukwila-Business•L. et se No.;_, Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information) Will service be altered? gl....Yes ❑ No Type of Use:i91t° Type of work: ❑ New 0 Addition ❑ Low Voltage ❑ Generator Property Served by: (12 Puget Sound Energy Adding more than 50 amps? ❑ Yes iallo ❑ Service Change ❑ Fire Alarm ❑ Seattle City Light H:Applkations\Porno-Applications On Line\2013 Applications\Blcctrical Permit Application Revised 7-1-I3•de x Revised: July 2013 hh ❑ Remodel O Telecommunication CB Tenant Improvement 0 Temporary Service Page 1 of 2 • • RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ Ncw single family dwellings $152.85 (including an attached garage) ❑ Garages, pools, spas and outbuildings $81.90 ea ❑ Low voltage systems (alarm, fumace 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 ❑ 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 S59.85 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fccs are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $65.00 O Temporary service (generator) $80.90 ❑ Manufactured/mobile home service $86.25 (excluding garage or outbuilding) ❑ Carnivals $80.60 Number of concessions $10.80 ea Each ride and generator truck $10.80 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 — Applicationsfor 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. 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDINGAVN OR ELF,CTCAL CONTRACTOR: Signature: 1 ' Print Name: Vc.KU 1IU�'► I Mailing Address: 0 70- t Lk -.015-7 H:Npplications\Forms-Application On Ltne\20I3 Applications \Electri al Permit Application Revised 7-1-13.docx Revised: July 2013 bh Date: ./r' _ 5 �5 Day Telephone: 1� 79 TA City State Page 2 of 2 • • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206-43 1-3670 Fax: 206-431-3665 Web site: http://www.TukwilaWA.zov RECEIPT Parcel No.: 0003000108 Permit Number: EL13-0999 Address: 13138 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 10/11/2013 Applicant: JACKSONS FOOD STORES Issue Date: Receipt No.: R13-02872 Initials: User ID: JEM 1165 Payment Amount: $118.60 Payment Date: 10/11/2013 03:48 PM Balance: $0.00 Payee: DARRIN REYNOLDS, RME INC TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd VISA Authorization No. 004565 ACCOUNT ITEM LIST: Description 118.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 118.60 Total: $118.60 Printed: 10-11-2013 3/3/2014 1 City of Tukwila Department of Community Development DARREN REYNOLDS PO BOX 140757 BOISE, ID 83714 RE: Permit No. EL13-0999 JACKSONS FOOD STORES 13138 INTERURBAN AV S Dear Permit Holder: • Jim Haggerton, Mayor Jack Pace, Director New inspection Re 206 4 quest Cine 438-9350 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 4/9/2014. 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 4/9/2014, 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, ifer Marshall it Technician File No: EL13-0999 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 Contractors or Tradespeople Pier Friendly Page • 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 Parent Company RME INC 2088532968 Po Box 140757 Garden City ID 83714 Out Of State Corporation UBI No. 601780841 Status Active License No. RMEINI*976LS License Type Electrical Contractor Effective Date 6/10/2003 Expiration Date 3/24/2015 Suspend Date Specialty 1 General Specialty 2 Unused Electrical Administrator INFORMATION License BLACKSW873JB Name BLACKMER, STEVEN W Status Active Business Owner Information Name Role Effective Date Expiration Date DELACY, MARK Agent 06/10/2003 Bond Amount DELACY, SUZANNE President 06/10/2003 489613C DELACY, MICHELLE Secretary 03/24/2008 DEVELOPERS SURETY & INDEM CO DELACEY, MICHAEL Vice President 06/10/2003 Bond Information Page 1 of 2 Bond Bond Company Name Bond Account Number Effective Date 04/09/2011 Expiration Date Until Cancelled Cancel Date Impaired Date Bond Amount Received Date 4 DEVELOPERS SURETY Et INDEM CO 489613C $4,000.00 02/01/2011 3 DEVELOPERS SURETY & INDEM CO 489485C 12/10/2010 Until Cancelled $4,000.00 09/28/2010 2 NORTH AMERICAN SPEC INS CO 2050900 04/09/2009 Until Cancelled $4,000.00 04/09/2009 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date 1 American Hallmark Ins Co of Te 44CL440607 10/14/2012 10/14/2013 $1,000,000.00 04/02/2013 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 EJONV02810 11/14/2012 19.28.101 RCW ELECTRICAL CITATION Satisfied $1,000.00 httns://fortress.wa.gov/lni/bbin/Print.aspx 10/11/2013