HomeMy WebLinkAboutPermit EL14-0391 - JACKSONS FOODSTORE - CIRCUITS AND RECEPTACLESJACKSONS FOODSTORE
13138 INTERiJRBAN AVE S
EL1 4-0391
Parcel No:
Address:
Citv of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
0003000108
13138 INTERURBAN AVE S
Project Name: JACKSONS FOODSTORE
Permit Number: EL14-0391
Issue Date: 4/24/2014
Permit Expires On: 10/21/2014
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
PACWEST ENERGY LLC
3450 COMMERCIAL CT, MERIDIAN,
ID, 83642
DARREN REYNOLDS
PO BOX 14057 , BOISE, ID, 83714
RME INC
Address: PO BOX 140757 , GARDEN CITY, ID,
83714
License No: RMEINI*976LS
Lender:
Name:
Address:
Phone: (425) 213-9927
Phone: (208) 853-2968
Expiration Date: 3/24/2015
DESCRIPTION OF WORK:
4 CIRCUITS/RECEPTACLES FOR TEA BREWERS
Valuation of single family: $0.00
Valuation of mf/comm: $2,000.00
Type of Work: ADDITION
Fees Collected: $124.53
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: TUKWILA
Sewer Distric: TUKWILA SEWER SERVICE
Current Codes adopted by the City of Tukwila:
Internations Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
Permit Center Authorized Signature:
2012
2012
2012
2012
International Fuel Gas Code:
WA Cities Electrical Code:
WA State Energy Code:
2012
2012
2012
Date: O fe Y
I hearby 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 the performance of work. I am authorized to sign and obtain this
development permit and agree to the conditions attached to this permit.
Signature:
Print Name:
r2p A / (>S
Date:
This permit shall become null and void if the work is not commenced within 180 days for the date of issuance, or
if the work is suspended or abandoned for a period of 180 days from the last inspection.
PERMIT CONDITIONS:
1: ***ELECTRICAL PERMIT CONDITIONS***
2: A copy of the electrical work permit shall be posted or otherwise made readily accessible to the Electrical
Inspector at each work site.
3: Approved plans shall be maintained at the construction site and shall be readily available to the Electrical
Inspector.
4: All electrical work shall be in accordance with NFPA 70 - NEC, and requirements for electrical installations,
Chapter 296-46B WAC.
5: 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.
6: 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.
7: 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.
PERMIT INSPECTIONS REQUIRED
Permit Inspection Line: (206) 438-9350
2100 ELECTRICAL FINAL
7003 ROUGH -IN ELECTRICAL
7002 SERVICE
7001 UNDERGROUND/SLAB
CITY OF TUK -LA
Community Developr.ent Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical rermit No.
Project No.
Date Application Accepted:
Date Application Expires:
(For once use onl))
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.:
Site Address: 3 3�j 1 u . U fA) i' 1 C7 s Suite Number: Floor:
,Z,rc 0,"G frOb (r—)
Tenant Name:
PROPERTY OWNER
Name: ,� ,� li— T kJ
3
Address: t3 f 3 l n0'te/l, 062-3/1p e 11-v
City: v-toLi n .� li Lei State: LA36. Zip:/j, f
CONTACT PERSON — person receiving all project
communication
Name:DA Alley,
a» c D/
Address: D Ge5x
� uO57
City: of,I.Lo_
State:
Zip: Q 3 . 1 I/
U
7 s Phone: / j2 243r,
z 7 Fax:
Email:
S.
New Tenant: ❑ Yes
ELECTRICAL CONTRACTOR INFORMATION
Company Name: /2_ C i }k_%C-
Address: p� s x. / I j S 7
"(Stater,
City: I�°
Zip832/4
``
'J
Phone: q 2g. l fj5e .346 Fax: ._..
7�1"�
3 ./✓% ,
9
Contr Reg No.: Exp Date:
Tukwila Business License No.;
0�3
Valuation of Project (contractor's bid price): $ 2 \,L)
Scope of Work (please provide detailed information):
Will service be altered? ❑ Yes
Type of Use:
Adding more than 50 amps? ❑ Yes
Type of work:
❑ New Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator _ 0 Fire Alarm ❑ Telecommunication
Property Served by: /
❑ Puget Sound Energy Seattle City Light
H:\Applications\Farms-Applications On Line\2014 Applications\Electrical Permit Application Revised I-1-14.docx
Revised: July 2013
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0 Tenant Improvement
❑ Temporary Service
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)
O 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)
O 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
O Temporary service (residential) $65.00
O Temporary service (generator) $80.90
0 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
***EFFECTIVE JANUARY 1, 2014
EACH PERMIT WILL BE ASSESSED A
5% TECHNOLOGY FEE***
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:
Signaftir -
Print Name:
r-12)14% vl_e, �A)ol IS
Mailing Address:)L% l `-t 7 0101PYQ__, TD
Date: `/ Z `7 /7
Day Telephone: ce�27
& SE 237(L
City State Zip
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Revised: July 2013
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Page 2 of 2
Cash Register. Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT QUANTITY
PAID
$124.53
EL14-0391 Address: 13138 INTERURBAN AVE S Apn:=0003000108
$124.53
ELECTRICAL
$118.60
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
$118.60
TECHNOLOGY FEE
$5.93
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R1913
R000.322.900.04.00
$5.93
$124.53
Date Paid: Thursday, April 24, 2014
Paid By: RME INC
Pay Method: CREDIT CARD 032138
Printed: Thursday, April 24, 2014 12:04 PM 1 of 1
CRWSYSTEMS
INSPECTION RECORD /, t f
Retain a copy with permit CU `1
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
Project: r
isi
Type of Inspection:
Address'. / 3 r 3
Date Called:
Special Instructions:
Date Wanted:
42,-
a
Requester:
Phone No: `n
213
/ (z 7
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
11-
Inspector: ./"
Date: h5 0
i i
REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Cali. to schedule reinspection.
RME INC
Page 1 of 3
411111114 Washington State Department of
Labor & Industries
RME INC
Owner or tradesperson
DELACY, SUZANNE
Principals
DELACY, SUZANNE DELACEY,
MICHAELDelacy, MichelleDELACY, MARK
Doing business as
RME INC
WA UBI No.
601 780 841
PO Box 140757
GARDEN CITY, ID83714
208-853-2968
Business type
Corporation
Governing persons
M SEAN DELACY MICHAEL J DELACY;
SUZANNE DELACY; TYLER LEROY BOWEN;
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
GENERAL
License no.
RMEINI*976LS
Effective — expiration
06/10/2003 — 03/24/2015
Designated administrator
Blackmer, Steven W
Active.
Meets current requirements.
License type License no.
Electrical Administrator BLACKSW873JB
Bond
DEVELOPERS SURETY & INDEM CO
Bond account no.
489613C
$4,000.00
Received by L&I Effective date
02/01 /2011 04/09/2011
Insurance
Savings
No savings accounts during the previous 6 year period.
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601780841 &LIC=RMEINI*976LS&SAW= 04/24/2014