HomeMy WebLinkAboutPermit EL13-1006 - SAAR'S SUPER SAVERS FOODS - TENANT IMPROVEMENTSAAR'S SUPER SAVER FOODS
37325 S 144 ST
CANCELLEDJ2-1 313
EL13-1006
City okukwila
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.: 0040000115
Address: 3725 S 144 ST TUKW
Project Name: SAAR'S SUPER SAVERS FOODS
ELECTRICAL PERMIT
Permit Number: EL13-1006
Issue Date: 10/16/2013
Permit Expires On: 04/14/2014
Owner:
Name: SILVERDALE-TUKWILA LLC
Address: 5209 LAKE WASHINGTON BLVD NE #100 , KIRKLAND WA 98033
Contact Person:
Name: KIRSTEN HANSON
Address: 727 S 96 ST , SEATTLE WA, 98108
Contractor:
Name: HEATH NW INC
Address: 727 S 96 ST , SEATTLE, WA 98108
Contractor License No: HEATHNI981JZ
Phone: 206 623-3100
Phone: 800-613-4559
Expiration Date: 04/09/2014
DESCRIPTION OF WORK:
INSTALLATION OF THREE FLUORESCENT FIXTURES
Value of Electrical:
NRES: $2,800.00
RES: $0.00
Type of Fire Protection: UNKNOWN
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,
The granting of this permit does not pres
construction or t• performance of work. m authorized to sign and obtain this electrical permit.
m
Fees Collected: $140.20
Washington Cities Electrical Code: 2011
Date:
d this permit and know the same to be true and correct. All provisions of law and ordinances
hether specified herein or not.
to give authority to violate or cancel the provisions of any other state or local laws regulating
Signature:
Date: 10 (l0 • / 3
Print NaLou Keil. 5h.1117_5
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
EL13-1006 Printed: 10-16-2013
• •
PERMIT CONDITIONS
Permit No. EL13-1006
**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
EL13-1006 Printed: 10-16-2013
• •
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. FLA .-tc
Project No.
Date Application Accepted: Io(,GU lt3
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.: ()04000-0115
Site Address: 3125 S • I N y " St • Tu Kwa ta, wfl Suite Number: PI /,4 Floor: N/A
Tenant Name: SAo,r's Super 71aVer roach
PROPERTY OWNER
Name: Si1.1e(ckc.(,e—TvlLwtt0. LLC
Address: 3125 S i 44 4 St
City: -CV (Lwt (at State: w 4 Zip: ci 8 i 311
CONTACT PERSON = person receiving all project
communication
Name: Kirs'}e11--tcutSon
Address:
7Z/ stn TN St.
�{
State:wici Zip:G l gtog
City: s��, 0
Phone: 206 b23 3100Fax: Zblo 62 ,
3 -1 S5
Email: ¥YS'leln Et 661/toni-kwir i uies+.cow,
New Tenant: ❑ Yes �No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 0 ect1tv w 0 (44A W e S+
Address: 21 pl to-T41
OT�.k,
}{
_ �State:
City: $eatRe w A Zip: (Az( 0 8
Phone: 21:A,. 1023 -310o Fax:2p10 (023 -17 35
Contr Reg No.: ,'4 EA-TH NZct 813E ,Exp Date: 3 .2. 3. I LI
Tukwila Business License No.; 'WS -a`rt 22° 1
Valuation of Project (contractor's bid price): $ ge42020Z 1 /g��
Scope of Work (please provide detailed information): ) i Steal ask on. of I-krre Fluoreseei._.E
Fi K4-vfes
Will service be altered? ❑ Yes 5-16 No Adding more than 50 amps? ❑ Yes dNo
Type of Use: Grocery Sfore
T e of ork:
New 0 Addition 0 Service Change 0 Remodel 0 Tenant Improvement
0 Low Voltage 0 Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service
Pro ert erved b :
Puget Sound Energy 0 Seattle City Light
H:'Applications\Forms-Applications On Ltne\2013 Applications\Electrical Permit Application Revised 7.1- 13.docx
Revised: July 2013
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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)
❑ 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
❑ Temporary service (residential) $65.00
❑ 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 — 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 ELECTRICAL CONTRACTOR:
Signal,l�JlsZ.�" I ^4 Q/hli'YY'l
Print Name: K�
-j , j A /JSOPJ
Mailing Address: —IV? S (2114 Sr.
H:\Applications\Forms-Applications On Line\2013 Applications\Electrical Permit Application Revised 7-1.13.docx
Revised: July 2013
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Day Telephone:
3GA7 T(ri
City
Date: )b .'S.) 3
20149 In22- SwD
State
Zip
Page 2 of 2
GI 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. ci. tukwila. wa. us
SET RECEIPT
Copy Reprinted on 10-16-2013 at 12:15:32 10/16/2013
RECEIPT NO: R13-02892
Initials: JEM
Payment Date: 10/16/2013
User ID: 1165 Total Payment: 602.20
Payee: JJ & D SIGNS INC
SET ID: S000002098 SET NAME: Tmp set/Initialized Activities
SET TRANSACTIONS:
Set Member Amount
EL13-1006
S13-080
S13-081
TOTAL:
140.20
231.00
231.00
140.20
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1363 602.20
TOTAL: 602.20
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
SIGN PERMIT
000.322.101.00.0 140.20
000.322.100 462.00
TOTAL: 602.20
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
H,+3-1Doc,
Project: e t<
Type of Inspection:
Address: 371,..—
Date Called:
Special Instructions:
Date Wanted:
/ .
on.
Requester: ,
yr ..4titev
Phone No:
Approved per applicable codes.
Corrections required prior to approval.'
COMMENTS:
tAI r46DA Pis
r
CCC5431‘1S1f;CIti
OcV\
1-
Inspector:-"'/ /
�,J � j`tninJic
Date:. /L!®G f f
n.RE1NSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.,.Suite 100. Call to schedule reinspection.
January 9, 2014
Heath Northwest
ATTN: Ken Naaz
727 S 96 Street
Seattle, WA 98108
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
RE: Refund for Permit Number EL13-1006
Dear Mr. Naasz,
A request for permit cancellation and refund of permit EL13-1006 was received by the Tukwila Permit
Center. The Building Official has determined that this permit can be cancelled and eighty percent of the
permit fee refunded. Enclosed is a check for a refund in the amount of $112.16 (one hundred twelve
dollars and sixteen cents).
Sincerely,
ifer Marshall
't Technician
File: Permit No. EL13-1006
Encl: Check No. 365239
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665
TO:
FROM:
DATE:
SUBJECT:
MEMORANDUM
Laurie Anderson
Brenda Holt
12/18/2013
Saar's Super Saver Foods
EL13-1006
Please draw a check in the amount of $112.16 (one hundred twelve dollars and sixteen
cents) to be payable to Heath Northwest at 727 South 96 Street, Seattle, WA 98108.
The applicant has requested this permit be cancelled due to the fact the customer changed
the scope of work to eliminate this portion of the work. In response to this information,
the Building Official has approved an eighty percent refund of the permit fee. Please
provide the refund as follows:
Account 000.322.101 (Electrical Permit — Non -Res): $112.16
Please forward the check to me and I will forward it on to the applicant.
Thank you!
HEATH
NORTHWEST
Distinctive Electrical Advertising Since 1967
December 10, 2013
Bill Rambo
City of Tukwila
Building Office
6300 Southcenter Blvd
Suite 100
Tukwila WA 98188
(206) 431-3655
RECEIVE')
DEC 13 2013
C,OMMU,,,, 1 r
DEVe6,OPML-NT
Re: Refund for Saar's Super Saver Foods 3725 S. 144th St. Tukwila
Dear Bill,
Please refund Heath Northwest the cost for the electrical permit, Permit
number EL13-1006. Our customer decided not to have us install the
three proposed fluorescent lamp fixtures above the entry sign.
Please let me know if you have any questions.
Sincerely,
Ken Naasz
Account Executive
Jt_ 12h h3
727 South 96th St.
Seattle, WA 98108
Office 206.623.3100
Fax 206.623.1785
11,-111All
Contractors or Tradespeople Pr�r 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
HEATH NW INC
2066233100
727 S 96Th St
Seattle
WA
98108
King
Corporation
JJ & D SIGNS INC
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602195548
Active
HEATHNI981JZ
Electrical Contractor
4/9/2002
4/9/2014
Sign
Unused
Electrical Administrator INFORMATION
License GIBSOJ'971R9
Name GIBSON, JOE
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
GIBSON, WENDY
Agent
08/09/2011
4/5/2012
GIBSON, WENDY D
President
08/09/2011
$187.50
GIBSON, JOE
Vice President
08/09/2011
ELECTRICAL CITATION
PAULSEN, DARRYL
Agent
04/09/2002
08/09/2011
PAULSEN, DARRYL
President
04/09/2002
08/09/2011
GIBSON, JOSEPH
President
04/09/2002
08/09/2011
GIBSON, JOE
Treasurer
04/09/2002
08/09/2011
OLDS, JOHN
Vice President
04/09/2002
08/09/2011
Bond Information
Page 1 of 2
Bond
1
Bond Company Name
DEVELOPERS SURETY
& INDEM CO
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
849414C
04/08/2002
Until Cancelled
$4,000.00
04/09/2002
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
ECHAE00788
4/5/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$187.50
ECHAE00787
4/5/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$750.00
ECHAE00783
4/5/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$750.00
ECHAE00784
4/5/2012
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$187.50
https://fortress.wa.gov/lni/bbip/Print.aspx 10/16/2013