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HomeMy WebLinkAboutPermit EL13-1062 - UNIFIED GROCERS - TENANT IMPROVEMENTUNITED GROCERS 3301 S NORFOLK ST EL1 3-1062 City oftukdvila 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.gov Parcel No.: 0323049024 Address: 3301 S NORFOLK ST TUKW Project Name: UNIFIED GROCERS ELECTRICAL PERMIT Permit Number: EL13-1062 Issue Date: 10/24/2013 Permit Expires On: 04/22/2014 Owner: Name: ASSOCIATED GROCERS Address: P.O. BOX 3763 , SEATTLE, WA 98124 Contact Person: Name: BILL GEIST Address: 33514 112TH ST SE , SULTAN WA, 98294 Contractor: Name: BIGHORN ELECTRICAL SERVICES Address: 33514 112 ST SE , SULTAN, WA 98294 Contractor License No: BIGHOES924PN Phone: (206)498-8058 Phone: 206 498-8058 Expiration Date: 10/15/2014 DESCRIPTION OF WORK: REPLACE (4) AUTOMATIC FORKLIFT COOLER DOORS. PERISHABLE BUILDING NEAR EXTERIOR DOOR #207. Value of Electrical: NRES: $1,070.00 RES: $0.00 Fees Collected: $118.60 Type of Fire Protection: UNKNOWN Washington Cities Electrical Code: 2011 Electrical service provided by: Permit Center Authorized Signature: Date: 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 presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t e p rfo a of wor I am authorized to sign and obtain this electrical permit. Signature: Date: if 0/2-11/ Print Name: W t I 10.0"\. S G 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 EL13-1062 Printed: 10-24-2013 • PERMIT CONDITIONS • Permit No. EL13-1062 **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 EL13-1062 Printed: 10-24-2013 CITY OF TUKWILA Community DevelopnDepartment Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov 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** ,:strt LOCATION. King Co Assessor's Tax No.: Site Address: 33 ° t 5001.1% Norco 1 k $1 v .e.' Suite Number: Floor: Tenant Name: Un-; G roc.er-S New Tenant: ❑ Yes I.. No : PROPERTY -OWNER ° , ' ,'+: - Name: Uri �I G'rocer5 Tukwila Business License No.; ©u5 _01,12.4 4 2 Address: City: State: Zip: :, . -R�p�SON'— pecsoii �eei:' - iall'p`rojct:=! c corrimumcation . - ,. ` _ .. ,...., .r.':.... l•:;G Name: 41►1 Getst.. Address: 33514 1.12'x" S 5‘ City: 5Q li.ar % State: Lo A Zip: Q B ZV 4 Phone: 206- 498 - B ase Fax: 360 - 44 3 - z2.4:3 Email: S\rt pi g u h - iN-Vmr• Co M .::ELECTRICAL CONI_Arti:iiMATION> ' r Company Name: i3korrt kdiri(at 5eruices Address: ,33 5.t •( 112'tk 51 gE City: so LI ars. State: LIR Zip: 9 2 9 51 Phone: 2,04 yqg sass Fax: 360.193 - 2243 Contr Reg No.: 616,14. Es 12.4 PN Exp Date: sobs. ze/Y Tukwila Business License No.; ©u5 _01,12.4 4 2 Valuation of Project (contractor's bid price): $ 1) c2.443 .. Of) Scope of Work (please provide detailed information): R 90- 1.& .e. C V) A''o04 .4- c. -?Drill Looler doors . Qe0156ab\e- C3ut1dir1rear ekteelcr d.aor # 20 Will service be altered? ❑ Yes jg. No Adding more than 50 amps? Type ofUse:t Ware..CAOose. Yes No Type of work: ❑ New 0 Addition 0 Service Change ❑ Low Voltage ❑ '. Generator - 'i: Fire Alarm Property Served by: ❑ Puget Sound Energy 0 Seattle City Light H:\Applicattons\Forms-Applications On Line \2011 Applications\Electncal Permit Application Revised 8-9-11.docx Revised: August 2011 bh Remodel 0 ', Teleconimnnication • 0 : Temporary Service 0 Tenant Improvement 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) ANN MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $63.00 ❑ Temporary service (generator) $78.75 ❑ Manufactured/mobile home service $84.00 (excluding garage or outbuilding) ❑ Carnivals $78.75 Number of concessions $10.50 ea 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: Signature: Date: lb/ 2'31 1 3 Print Name: It �I 0.1V' 5 • G-etSt Day Telephone: ZO 6 " y 919 " 6'e5e? Mailing Address: 335't y jJ 2:43` Si ,S E H.\Applications\Forms-Applications On Line \2011 Applications\Electrical Permit Application Revised 8-9-11 docx Revised. August 2011 bh 5u�%an City WA 923 2 Qy 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.Tukwila WA.zov Parcel No.: 0323049024 Address: 3301 S NORFOLK ST TUKW Suite No: Applicant: UNIFIED GROCERS RECEIPT Permit Number: EL13-1062 Status: APPROVED Applied Date: 10/24/2013 Issue Date: Receipt No.: R13-02955 Initials: User ID: LAW 1632 Payment Amount: $118.60 Payment Date: 10/24/2013 10:19 AM Balance: $0.00 Payee: BIGHORN ELECTRIC TRANSACTION LIST: Type Method Descriptio . Amount Payment Credit Crd VISA Authorization No. 05167G ACCOUNT ITEM LIST: Description 118.60 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 118.60 Total: $118.60 De,neA;..i ,1 Printed• 10-24-2013 INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-367 Permit Inspection Request Line (206) 431-2451 0-(3-1062, Project: A ��t Q 5 L -K.- Type of Inspection: Called: �kV ` -- Address:Date 3 3'01 s . Special Instructions: Date Wanted: 02•1 y Requester: JJ Phone No: Approved per applicable codes. Corrections required prior to approval. • COMMENTS: 447 Inspector: Date: ll]kl r n REINSPECTION FEE REQUI12ED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople Peter 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 BIGHORN ELECTRICAL SERVICES 2064988058 33514 112Th St Se Sultan WA 98294 Snohomish Individual UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602866079 Active BIGHOES924PN Electrical Contractor 10/15/2008 10/15/2014 General Unused Master Electrician INFORMATION License GEISTWS921OD Name GEIST, WILLIAM S JR Status Active Business Owner Information Name Role Effective Date Expiration Date GEIST JR, WILLIAM S Owner 10/15/2008 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 1 CBIC SI0566 10/03/2008 Until Cancelled $4,000.00 10/15/2008 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 EOXFJ00480 8/3/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 EOXFJ00481 8/3/2010 19.28.101 RCW ELECTRICAL CITATION Satisfied $250.00 https://fortress.wa.gov/lni/bbip/Print.aspx 10/24/2013