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Home My WebLink AboutPermit EL14-0875 - CHEVRON - DAMAGED FUEL DISPENSERCHEVRON 10805 E MARGINAL WAY S EL14-0875 CITY OF TUKWILA Community Development Department 6300 Southcenter Boulevard, Suite 100 Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT Parcel No.: 0323049064 Permit Number: EL14-0875 Address: 10805 EAST MARGINAL WAY S Issue Date: 011 () V(4 Permit Expires On: °M12---iC Project Name: CHEVRON Owner: Name: SANDHU RAJBIR Address: 2224 [(AMBER RD BELLEVUE WA 98007 Contact Person: Name: JIM YENCICH Phone: (425) 290-7803 Address: PO BOX 4399 EVERETT WA 98204 Contractor: Name: INNOVATIVE ELECTRIC INC Phone: (425) 290-7602 Address: PO BOX 4399 EVERETT WA 98204 License No.: INNOVEI055KE Expiration Date: 05/05/15 Lender: Name: Phone: Address: Description of Work: REPLACE DAMAGED FUEL DISPENSER, NO WIRING CHANGES Valuation of single family: $ Fees Collected: $ 104.37 Valuation mf/comm: $ 1,000.00 Type of Work: REMODEL Electrical Service Provided by: SEATTLE CITY LIGHT Water District: Sewer District: Current Codes adopted by the City of Tukwila International Building Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: Permit Center Authorized Signature: 2012 2102 2012 2012 International Fuel Gas Code: WA Cities Electrical Code: WA State Energy Code: 2012 2012 2012 Date: 0416 I I hereby certify that I have read and examined this permit and know the same to be true and correct. All provision 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:-�'--�_ Date: ��0( 7_Pll Print N�e: _' .4te3 5-36ESCxi 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. PERMIT CONDITIONS: 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. PERMIT INSPECTIONS REQUIRED: Permit Inspection Line: (206)438-9350 7001 UNDERGROUND/SLAB 7002 SERVICE 7003 ROUGH -IN ELECTRICAL 2100 ELECTRICAL FINAL CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us Electrical Permit No. Lu---DB1 5 Project No. (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 c , A,✓Ti c UJtu 5 King Co Assessor's Tax No.: Site Address: l 0'bb ' Suite Number: Tenant Name: 0 (.)C)r\ Property Owners Name: Mailing Address: New Tenant: City State Floor: Yes ❑ ..No Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: S\\r\r\ Mailing Address: cO R)ork, Day Telephone:'i2.1S "7�°lO,—Z�so3 5. -t 304 City State Zip E-Mail Address: jl\'\t\ X (\.) A\\v,CoVA Fax Number: t-125 ' S— VR.b5 ELECTRICAL CONTRACTOR INFORMATION Company Name: si.(VC\0"A Q(C.,t Mailing Address: ‘3o)< `V t\ �uC��pN \k) c1sciZoy City State Zip Contact Person: •Z l\tY\ y o-Ac1/4 `\1 Day Telephone: U t S t. tQ o- l c3p3 tx f 3t�t-t E-Mail Address: j 1wA \1nv�ot) ra! W e �.@ \Q �-\r lL �C V\ Fax Number: 1'2`S ASS Ci (z)5 Contractor Registration Number:t hi0\1C L bSS YiE. Expiration Date: ti,3' Valuation of Project (contractor's bid price): $ ) 00 c0 f OO (� Scope of Work (please provide detailed information): $2\C) Nce ��s�Qv\se_r \'\v v3 w \A Achcav\o e Will service be altered? ❑ Yes 9/No Adding more than 50 amps? ❑ Yes [ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change 17/ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light HMpplications\Porms-Applications On line\4-2007 - Electrical Pemut Application.doc bit Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, fumace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $75.00 (no added/altered circuits) ❑ Service change with added/altered circuits $75.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change $50.00 (up to 5 circuits) ❑ Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter/mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 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: Signature: Print Name: Mailing Address: ` CD t k C 0j Date: � Ci\ \� Day Telephone: U.ZS —1-S0 $( tic t 31:A \x) (lt RqS 1—C7L{ City State Zip Date Application Accepted: Date Application Expires: Staff Initials: HMpplications\Fonns-Applications On Lino\4-2007 - Electrical Permit Application.doc bb Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY I PAID $104.37 EL14-0875 Address: 10805 E MARGINAL WAY S Apn: 0323049064 $104.37 ELECTRICAL $99.40 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $99.40 TECHNOLOGY FEE $4.97 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R3026 R000.322.900.04.00 0.00 $4.97 $104.37 Date Paid: Wednesday, September 10, 2014 Paid By: JACOB L. EBBESON Pay Method: CHECK 1097 Printed: Tuesday, September 16, 2014 3:38 AM 1 of 1 SYSTEMS CITY FORM NO 912 ADOPTED BY DIVISION OF MUNICIPAL CORPORATIONS Received of CITY OF TUKWILA TREASURER'S RECEIPT Date 6,(N\gV r vo wiA/9 VaccD\A 20 .eLlt-k —DICK K-11-wq,-1 47837 BY iff\icLi0 TOTAL DEPT: X49 Dol ars, G 10-1 OLYMPIC PRINTERS, IN WHITE - Finance Dept. CANARY • Customer PINK - File INSPECTION RECORD � o Retain a copy with permit £" +("�15 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 Project: ff A / Type of Inspection: Address: / �Q Cs ` / �t� , Date Called: Special Instructions: ( Date Wanted: / �a.m:' Requester: r Phone No: 5 7i T 7 Le? Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 1 ` }(1 ( J U 1 ,( ij -7 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. INNOVATIVE ELECTRIC INC Page 1 of 3 Cli) Washington State Deparlinnent.of Labor & Industries INNOVATIVE ELECTRIC INC Owner or tradesperson PETZOLD, GUNNAR HORST Principals PETZOLD, GUNNAR HORST PETZOLD, DONNA L, VICE PRESIDENT PETZOLD, DONNA L, AGENT Doing business as INNOVATIVE ELECTRIC INC WA UBI No. 601 581 090 PO BOX 4399 EVERETT, WA 98204 425-290-7803 SNOHOMISH County Business type Corporation License Verify the contractor's active registration / license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. INNOVEI055KE Effective — expiration 05/05/1995— 05/05/2015 Designated administrator PETZOLD, GUNNAR License type Master Electrician Bond DEVELOPERS SURETY & INDEM CO Bond account no. 747922C Active. Meets current requirements. Active. Meets current requirements. License no. PETZOG*974K7 $4,000.00 Received by L&I Effective date 08/07/2007 10/24/2007 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations https://secure.lni.wa.gov/verify/Detail.aspx?UBI=601581090&LIC=INNOVEI055KE&SAW= 09/09/2014