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Permit EL15-0722 - LUCKY LIQUOR - CIRCUITS FOR COOLER
LUCKY LIQUOR 10325 E MARGINAL WAY S EL15-0722 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: 0423049117 Permit Number: EL15-0722 Address: 10325 E MARGINAL WAY S Issue Date: 8/20/2015 Permit Expires On: 2/16/2016 Project Name: LUCKY LIQUOR Owner: Name: THE RITZ BUILDING LLC Address: 2914 SW AVALON WAY #A , SEATTLE, WA, 98126 Contact Person: Name: MATT BRANSCOMB Address: 708 218 ST SW, BOTHELL, WA, 98021 Contractor: Name: COLUMBIA ENVIRONMENT GROUP LLC Address: 22131 FIFTH DR SE, BOTHELL, WA, 98021 License No: COLUMEG96100 Lender: Name: Phone: (206) 793-6895 Phone: (206) 391-5045 Expiration Date: 9/20/2016 Address: "I , DESCRIPTION OF WORK: RUN (3) NEW CIRCUITS FOR WALK-IN COOLER, REPLACE BURNED WIRES Valuation of single family: $0.00 Fees Collected: $86.31 Valuation of mf/comm: $600.00 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 Center Authorized Signature: Date: �_ �Permit 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 agre to the con ' ions attached to this permit. Signature: Date: Ze Print Name: c'c3 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 OFTUKW. I Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.Pov SITE LOCATION Site Address:/ Tenant Name: Electrical Permit No. d %� Project No. Date Application Accepted: Date Application Expires: I'M 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" PROPERTY OWNER Name: ?v-,vA1 PaOfOfID�ES Address t �I ._a 6w AvmoN V Av - City: State: zip. Z CONTACT PERSON — person receiving all project communication Name Address: City: State:11 Zip: �. Pho ,� Fax: �*' Email: King Co Assessor's Tax No.: Suite Number: Floor: New Tenant: ❑ ..... Yes ❑ .. No ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: 5►i db Zie S,r— City: zi State: ItIA, Zip: Phone- © Fax: Contr Reg No.: �� Exp Date Tukwila Business License No.; Valuation of Project (contractor's bid price): $ Scope of Work (please provide detailed information): UN All;t l C fP- e .M r,— WA-e-iL ,mil) Will service be altered? ❑ Yes No Type of Use: Type of work: ` ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: ❑ Puget Sound Energy Seattle City Light H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes [0— No ❑ Remodel V/I°enant 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)...............................................0.65 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: Print Name: Ay�77 Day Telephone: Mailing Address: '706 OIL! 15'7- City State Zip H:Wpplications\Forms-Applications On Line\2014 Apphcations\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $86.31 EL15-0722 Address: 10325 E MARGINAL WAY S Apn: 0423049117 $86.31 ELECTRICAL $82.20 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $82.20 TECHNOLOGY FEE $4.11 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R5971 R000.322.900.04.00 0.00 $4.11 $86.31 Date Paid: Thursday, August 20, 2015 Paid By: MATT BRANSCOMB Pay Method: CREDIT CARD 134677 Printed: Thursday, August 20, 2015 10:48 AM 1 of 1 I?WSYSTEMS INSPECTION RECORD Retain a copy with permit J '®�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) 438-9350 Project: Type of Inspection: (� Address: x)LS Date Called: Special Instructions: Date Wanted: i a. p.m Requester: Phone No: it T5 4 Approved per applicable codes. LJ Corrections required prior to approval. U paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT N0. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: �n W J� V Type of Inspection: / Address: t� Date Called: Special Instructions: Date Wanted: . Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: WS F AU,, F6K, Inspector: Date: l�A &J4 REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Catl to schedule reinspection. INSPECTION RECORD 1 Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Jn Type of Inspection: Address: ® Date Called: Special Instructions: Date Wanted: e a.m. r Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. LIAM IInspector: /'11 Ar- IDate: I REINSPECTION FEE REQUIRED. Prior to next inspection, fed must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Q COLUMBIA ENVIRONMENT GP -T JP LLC Page 1 of 2 inWashington State Department of Labor & Industries Home Inicio en Espanol Contact Search L&I I A-7 Index Help My Secure I. &I Safety Claims & Insurance Workplace Rights Trades & Licensing COLUMBIA ENVIRONMENT GROUP LLC Owner or tradesperson 22131 5th DR SE BOTHELL, WA Principals 206-391-5045 BRANSCOMB, TIM, PARTNER/MEMBER SNOHOMISH County BRANSCOMB, MATT, PARTNER/MEMBER Doing business as COLUMBIA ENVIRONMENT GROUP LLC WA UBI No. Business type 602 401 963 Limited Liability Company Governing persons MATTHEW J BRANSCOMB TIMOTHY D BRANSCOMB; 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. COLUMEG96100 Effective — expiration 09/13/2004— 09120/2016 Designated administrator Active. BRANSCOMB, MATTHEW J Meets current requirements. License type License no. Electrical Administrator BRANSMJ9680L Bond Western Surety Co $4,000.00 Bond account no. 61379991 Received by L&I Effective date 08/22/2012 07/08/2012 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations ..................................................... Infraction no. ELYOD00463 Satisfied ........................... Issue date RCW/WAC https://secure.Ini.wa.gov/VerifyIDetail.aspx?UBI=602401963&LIC=COLUMEG96100&SAW= 8/20/2015