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Home My WebLink AboutPermit EL15-0414 - SUPER SAVER FOODS - PLUG ALTERATIONSUPER SAVER FOODS 3725SI44 TH ST BLDG EL15-0414 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.gov ELECTRICAL OTC PERMIT Parcel No: 0040000115 Permit Number: EL15-0414 Address: 3725 5 144TH ST BLDG Issue Date: 5/7/2015 Permit Expires On: 11/3/2015 Project Name: SUPER SAVER FOODS Owner: Name: SILVERDALE-TUKWILA LLC Address: 5209 LAKE WASHINGTON BLVD NE # , KIRKLAND, WA, 98033 Contact Person: Name: WINONA FURGISON Phone: (360) 754-4542 Address: 5329 LEMON RD NE, OLYMPIA, WA, 98506 Contractor: Name: SHOCKING DIFFERENCE LLC Phone: (360) 754-4542 Address: 5329 LEMON RD NE, OLYMPIA, WA, 98506 License No: SHOCKDL938KB Expiration Date: 5/2/2017 Lender: Name: Address: DESCRIPTION OF WORK: ADDING/ALTERING DEDICATED PLUG Valuation of single family: $0.00 Fees Collected: $124.53 Valuation of mf/comm: $1,300.00 Type of Work: TENANT IMP 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 A A c Permit Center Authorized Signature: Date: ► 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:�u - Date: 51-7 Print Name: M" C 4 r-�e 1 I `7rce 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 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://Nvww.l'ukwilaWA.gov Electrical Permit No.� 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. Applications will not be accepted through the mail or by fax. "Please Print" SITE LOCATION King Co Assessor's Tax No.: Site Address: .3-72. 6' 9 I Vzlft. S f. T fLw; / o. l tJA Suite Number: Floor: Tenant Name: 5u�'r scwe V 1 'CoacS New Tenant: ❑ .....Yes *.'..No PROPERTY OWNER Name: V2i< Sc1,vt- Foods Address:.3-7ZS fqy f-t Si. City: Tv iL('0i l et State: zip: l�s CONTACT PERSON — person receiving all project communication Name: W( V�c�t1G. �ltf tSO� Address:Ce,ucc� ad &)F City: D t State: U.),N Zipg8sC)� Phone: 3%i7 75-1, -qr1,, Z Fax: 11 Email: ELECTRICAL CONTRACTOR INFORMATION Company Name: ki "'biQ1rev1Cy L.LC Address: 532 Le�1� �t� 2d ti E City: QIV Vbt i A State: Lu h Zip: n0SO( Phone: 3&0_ 7" _ Y5-y2Fax: �t-�7S Y -Y15'-Y 2 Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 1',3 00 Scope of Work (please provide detailed in.ormation): An,W i &,AG 4% 4 (4 iyt� kd c cn t-e� c%al UCa r Will service be altered? ❑ Yes [2r No Type of Use: Tvne of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: (get Sound Energy ❑ Seattle City Light R\Applications\Forms-Applications On Line\2014 ApplicationsMectrical Permit Application Revised 1-1-14.docz Revised: January 2014 bh Adding more than 50 amps? ❑ Yes 2 No ❑ 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 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) PERMIT 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. 1 HEREBY CERTIFY THAT 1 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: P Date: [LD re: 3lob-75-Y -q-5-Y2 Mailing Address: 5-3z-1 z---exO vl 4-W, /V6� /4 g'9�ycp Ci -St to Zip H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.doc� Revised: January_ 2014 bh Page 2 of 2 DESCRIPTIONS PermitTRAK PAID $124.53 EL15-0414 Address: 3725 S 144TH ST BLDG Apn: 0040000115 $124.53 ELECTRICAL $118.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $118.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R5234 R000.322.900.04.00 0.00 $5.93 $124.53 Date Paid: Thursday, May 07, 2015 Paid By: SHOCKING DIFFERENCE LLC Pay Method: CHECK 1974 Printed: Thursday, May 07, 2015 8:58 AM 1 of 1 prffSYSTEMS INSPECTION RECORD Retain a copy with Permit IN5PECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WAS 98188 (206) 431-36 Permit Inspection Request Line (206) 438-9350 Project. b Type of Inspection. Address'. Iql5r. Date Called: Special Instructions'. Date Wanted: (a.rn, Requester. P one No: c) -ql- REINSPECTION, FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. SHOCKING DIFFERENCE LLC Page 1 of 2 Home lnicio en Espanol Contact. Safety Washington State Department of Labor & Industries SHOCKING DIFFERENCE LLC Owner or tradesperson FURGISON, DARRELL L Principals FURGISON, DARRELL L, PRESIDENT FURGISON, WINONA Y, TREASURER FURGISON, DARRELL, AGENT Doing business as SHOCKING DIFFERENCE LLC Search L&I I ' ' A-'L Index Help Xly Secure I. 1 Claims & Insurance Workplace Rights Trades & Licensing 5329 LEMON RD NE OLYMPIA, WA98506 360-754-4542 THURSTON County WA UBI No. Business type 602 680 461 Limited Liability Company 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. SHOCKDL938KB Effective — expiration 05/02/2007— 06/02/2017 Designated, administrator Active. FURGISON, DARREEE E Meets current requirements. License type License no. Master Electrician FURGIDL931CO Bond ................. Western Surety Co $4,000.00 Bond account no. 61309450 Received by L&I Effective date 06/22/2012 03/27/2012 Expiration date Until Canceled Bond history Savings ................... No savings accounts during the previous 6 year period. License Violations .. ...................................................... Infraction no. EEVAJO0413 Satisfied ...................... Issue date RCW/WAC 07/01/2013 19.28.101 RCW Violation city Violation amount https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602680461&LIC=SHOCKDL938KB&SAW= 5/7/2015