HomeMy WebLinkAboutPermit EL15-0316 - SHELL FOOD MART - LED COOLER LIGHT RETROFITSHELL FOOD MART
14620 TUKWILA INT'L BLVD
EL15-0316
City 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.Rov
ELECTRICAL OTC PERMIT
Parcel No: 0040000901 Permit Number: EL15-0316
Address: 14620 TUKWILA INTERNATIONAL Issue Date: 4/8/2015
BLVD Permit Expires On: 10/5/2015
Project Name: SHELL FOOD MART
Owner:
Name: RELIANCE INVESTMENTS INC
Address: 14620 PACIFIC HWY S , TUKWILA, WA,
98168
Contact Person:
Name:
ROMAN BOYARCHUK
Address:
11410 NE 124 ST STE 716, KIRKLAND,
WA, 98034
Contractor:
Name:
INTEGRITY ELECT/LIGHTN GRP INC
Address:
11410 NE 124 ST #716 , KIRKLAND,
WA, 98034
License No:
INTEGEG851CF
Lender:
Name:
Address:
DESCRIPTION OF WORK:
LED COOLER LIGHT RETROFIT
Valuation of single family: $0.00
Valuation of mf/comm: $250.00
Type of Work: REMODEL
Phone: (425) 344-9180
Phone: (425) 344-9180
Expiration Date:
Fees Collected: $68.25
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: VALLEY VIEW SEWER SERVICE
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
2012
National Electrical Code:
2014
International Residential Code Edition:
2012
WA Cities Electrical Code:
2014
International Mechanical Code Edition:
2012
WAC 296-466:
2014
Uniform Plumbing Code Edition:
2012
WA State Energy Code:
2012
International Fuel Gas Code:
2012
r
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Permit Center Authorized Signature:
Date:
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 permi4and agreN to the conditions attached to this permit.
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i
Print Name:y iV C. o��QlJ�c�ln
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 TUKWILA
Community Development Department
Permit Center
• 6300 Souihcenter Blvd.. Suite 100
Tukwila, WA 98188
hitp://www.TukwilaWA.gov
Electrical Permit No. — 03
Project No.
Date Application Accepted:
Date Application Expires:
use
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in order to be accepted for plan review. T�3
Applications will not be accepted through the mail or by fax.
"Please Print"
SITE LOCATION
King Co Assessor's Tax No.:
Site Address: 14620 TUKWILA INTERNATIONAL BLVD Suite Number: Floor:
Tenant Name: SHELL FOOD MART New Tenant: ❑ .....Yes O ..No
PROPERTY OWNER
Name: SHELL GAS STATION
Address:
City: State: Zip:
CONTACT PERSON — person receiving all project
communication
Name: ROMAN
Address: 11410 NE 124T T #716
C'n' KIRKLAND State: WA Zip: 98034
Phone: (425) 344-9180 Fax: (425) 968-6355
Email:
ELECTRICAL CONTRACTOR INFORMATION
Company Name: INTEGRITY ELECTRIC & LIGHTII
Address: 11410 NE 124TH ST #716
City: KIRKLAND State: WA Zip: 98034
Phone: (425) 344-9180 Fax: (425) 968-6355
Contr Reg No.: INTEGEG851CF Exp Date: 02/16/2017
Tukwila Business License No.;
Valuation of Project (contractor's bid price): $ 250
Scope of Work (please provide detailed information): LED COOLER LIGHT RETROFIT
Will service be altered? ❑ Yes m No
Type of Use
TvDe of work
❑
New ❑
Addition
❑ Service Change
❑
Low Voltage ❑
Generator
❑ Fire Alarm
Pro eegy
Served bar:
0
Puget Sound Energy
❑
Seattle City Light
H�XApplication¢1Fuim.-Applicatima On UncX1014
ApplicatinnAElectrical Permh Application Reei. ed 1-1-14.do"
Rcvked: Januen,2014
bh
Adding more than 50 amps? ❑ Yes m No
0 Remodel ❑ Tenant improvement
❑ Telecommunication ❑ 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 CHANCES
❑
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)
PERIWIT APPLICATION NOTES -
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
***EFFECTIVE JANUARY 1, 2014.EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
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.
Signature:
Print
BOYARCHUK
Date: 04/07/2015
Day Telephone: (425) 344-9180
Mailing Address: 11410 NE 124TH ST #716, KIRKLAND, WA, 98034
city
H Wpplic txinskFortns-Applications On Liwk2014 AppliemimvsTlectrical Permit Applicatinn Revixd 1-1-14.doex
Revised: Janww2014
bh
State Zip
Page 2 of 2
DESCRIPTIONS ACCOUNT QUANTITY
PermitTRAK
PAID
$68.25
EL15-0316 Address: 14620 TUKWILA INTERNATIONAL BLVD Apn: 0040000901
$68.25
ELECTRICAL
$65.00
PERMIT FEE MULTI-FAM/COMM
11000.322.101.00.00
0.00
$65.00
TECHNOLOGY FEE
$3.25
TECHNOLOGY FEE R000.322.900.04.00 0.00
• 11 .
$3.25
.: .25
Date Paid: Wednesday, April 08, 2015
Paid By: INTEGRITY ELECT/LIGHTN GRP INC
Pay Method: CHECK 2532
Printed: Wednesday, April 08, 2015 2:15 PM 1 of 1 ��
l SY57EM5
INSPECTION RECORD
Retain a copy with permit;
INSPECTION NO. PERMIT NO, I
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd,, #100, Tukwila. WA 98188 (206) 431-367f
Permit Inspection Request Line (206) 438-9350
Project. 6ML, Coo 4,+kf
--
Address:
Date Called:
3-pecial Instructions:
R�Tka
Date Wanted:' a'm
Requester:
Phone No:
L_�'---'-
paid at 630D5outhceoter8lvd.Suite 100,Call tnschedule reinsoection.
INTEGRITY ELECT/LIGHTN GAT` INC Page 1 of 2
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INTEGRITY ELECT/LIGHTN GRP INC
Owner or tradesperson 11410 NE 124TH ST #716
Kerpan, Katie KIRKLAND, WA98034
425-344-9180
Principals KING County
Kerpan, Katie, PRESIDENT
GOLUBOVICH, YULIYA, SECRETARY
KERPAN, KATIE, AGENT
Doing business as
INTEGRITY ELECT/LIGHTN GRP INC
WA UBI No. Business type
603 459 803 Corporation
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.
INTEGEG851CF
Effective — expiration
02/06/2015— 02/06/2017
Designated administrator
...................
Razumovich, Vladislav
License type
Electrical Administrator
Bond
American Contractors Indem CO
Bond account no.
100264686
Received by L&I
02/06/2015
Savings
............. ..
No savings accounts during the previous 6 year period.
License Violations
_ ...................................... _...............
No Iicense violations during the previous 6 year period.
Workers' comp
Active.
Meets current requirements.
License no.
RAZUMV'882BK
$4,000.00
Effective date
12/22/2014
Expiration date
Until Canceled
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Recently opened account.
284,555-01 No premiums due yet.
................................
https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=603459803&LIC=INTEGEG851 CF&SAW= 4/8/2015