The URL can be used to link to this page

Home My WebLink AboutPermit EL15-0493 - QUIZNO'S - LIGHTING RETROFITQUIZNO'S 13038 INTERURBAN AVE S 140 EL15-0493 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: 0003000110 Permit Number: EL15-0493 Address: 13038 INTERURBAN AVE S 140 Issue Date: 6/1/2015 Permit Expires On: 11/28/2015 Project Name: QUIZNO'S Owner: Name: INTERURBAN 13038 LLC Address: 10655 NE 4TH ST #901 C/O JSH PROPERTIES INC, BELLEVUE, WA, 98004 Contact Person: Name: JAY ROSAN DER Phone: (425) 780-1.537 Address: 16806 113 LN SE, RENTON, WA, 98055 Contractor: Name: CUSTOM ELECTRICAL SERVICESLLC Phone: (425) 780-1537 Address: 16806 113 LN SE, RENTON, WA, 98055 License No: CUSTOES893J2 Expiration Date: 4/22/2017 Lender: Name: Address: DESCRIPTION OF WORK: LIGHTING RETROFIT Valuation of single family: $0.00 Fees Collected: $81.80 Valuation of mf/comm: $500.00 Type of Work: TENANT IMP Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: TUKWILA 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 296-46B: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 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 permit and agree to the conditions atta hed to this permit. Signature: Date: Print Name: OA-A 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 TUKh ,A Community Development Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 ' http://www.TukwilaWA.Izov Electrical Permit No. L— Ll _ Q 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: 603 1 lht&Suite Number: Floor: Tenant Name: W(AiZ100'S . tl�Nl/IU�Y New Tenant: rr / l fitl PROPERTY OWNER Name: f u l Z i)OS C1 �J`'lt ✓� Address�:1Y'l 2 ()ST City: luy—w� 1 a State: Zip: CONTACT PERSON — person receiving all project communication Name: fl� Address: L ) 5 City: v \ State: � ,�, Zip �j 0 Phone: —� Gh Fax: 0 Email:,bJ@ V r00 tI; i (Cj`n� , C a l,-N ❑..... Yes El.. No j_ l_ l't° C ELECTRICAL CONTRACTOR INFORMATION Company Name:_ Address: S City:cti�� Stater Zip:�b,�S Phone: ' D S - ax: Contr Reg No.: Exp Date: Tukwila Business License No.; GQf 3 Valuation of Project (contractor's bid price): $ � M Scope of Work (please provide detailed information): Kri-(.l1 A iltYlGt I'\ �j �i �-4' iA0 c) L Ja (ill 5be Will service be altered? ❑ Yes Type of Use: Tvpe of work ❑ New ❑ Addition ❑ Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ 361 ❑ Service Change ❑ Fire Alarm Seattle City Light Adding more than 50 amps? ❑ Remodel ❑ Telecommunication Yes 1�- No Tenant Improvement ❑ Temporary Service H:\Applications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page I 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. 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: Date: W I ` 5 Print Name: ff a(( 04(Gl& Day Telephone: Mailing Address: (0 I si,A) t IO �SS City State Zip H:\ApplicationsTorms-Applications On Line\2014 ApphcationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS ACCOUNT QUANTITY PermitTRAK PAID $81.80 EL15-0493 Address: 13038 INTERURBAN AVE S 140 Apn: 0003000110 $81.80 ELECTRICAL $77.90 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $77.90 TECHNOLOGY FEE $3.90 TECHNOLOGY FEE R000.322.900.04.00 0.00 •TAL FEES PAID BY RECEIPT: R5402 $3.90 $81.80 Date Paid: Monday, June 01, 2015 Paid By: CUSTOM ELECTRICAL SERVICESLLC Pay Method: CHECK 10550 Printed: Monday, June 01, 2015 2:57 PM 1 of 1 SYSTEMS INSPECTION RECORD Retain a copy with permit, INSPECTION NO. PERMIT flo, CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd, #100, Tukwila, WA 98188 (206) 431-3670 0 Permit Inspection Request Line (206) 438-9350 Project: &�( Z-A/10' �Date Type of Inmrctlon: W Address: lml4a CaflidA. special Instructions: Date Wanted: (am ii P.M. Requester* P one No: MApproved per applicable codes. El Corrections required prior to approval. ---1 1) ;') u nspector: 6l10 F� REINSPEcTiok FEE REQUIOED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call, to schedule reinspection. CUSTOM ELECTRICAL SERVICE- T LC Page 1 of 4 Horne inicio Ear E,,panol Contact Search L&I A-6Index Help My Secure L&I Safety Claims & Insurance Workplace Rights Trades & Licensing 45 Washington State Departattent of Labor & Industries CUSTOM ELECTRICAL SERVICES LLC Owner or tradesperson Principals ROSANDER, JAN EARL, PARTNER/MEMBER RICHTER, JEFF, PARTNER/MEMBER Doing business as CUSTOM ELECTRICAL SERVICES LLC 16806 113TH LN SE RENTON, WA98055-6505 425-780-1537 KING County WA UBI No. Business type 602 924 637 Limited Liability Company Governing persons JAY ROSANDER JEFF LOUIS RICHTER; 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. CUSTOES893J2 Effective — expiration 04/22/2011— 04/22/2017 Designated administrator ................... Rosander, Jan Earl License type Electrical Administrator Bond ................ Travelers Cas and Surety Co of America Bond account no. 105274344 Received by L&I 02/0412013 Travelers Cas & Surety Co Bond account no. 105274344 Received by L&I 04/22/2011 Active. Meets current requirements. License no. ROSANJ'917KR $4,000.00 Effective date 04/06/2011 Expiration date Until Canceled $4,000.00 Effective date 04/06/2011 https://secure.Ini.wa.gov/verify/Detail.aspx?UBI=602924637&LIC=CUSTOES893J2&SAW= 06/01/2015