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Permit EL16-0095 - TOTAL WINE AND MORE - RECEPTACLES
TOTAL WINE AND MORE 300 ANDOVER PARK W 500 EL16-0095 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: 2623049001 Permit Number: EL16-0095 Address: 300 ANDOVER PARK W 500 Issue Date: 2/1/2016 Permit Expires On: 7/30/2016 Project Name: TOTAL WINE AND MORE Owner: Name: SEGALE PROPERTIES LLC 2012 Address: PO BOX 88028, TUKWILA, WA, 98138 2014 Contact Person: 2012 Name: JASON LUNDMARK Phone: (509) 535-3930 Address: PO BOX 3998, SPOKANE, WA, 99220 2012 Contractor: 2014 Name: MERIT ELECTRIC OF SPOKANE INC Phone: (509) 535-3930 Address: PO BOX 3998, SPOKANE, WA, 99220 2012 License No: MERITES189JM Expiration Date: Lender: Name: Address: Date: �l DESCRIPTION OF WORK: ADD 3 RECEPTACLES Valuation of single family: $0.00 Fees Collected: $124.53 Valuation of mf/comm: $1,236.00 Type of Work: TENANT IMP Electrical Service Provided by: PUGET SOUND ENERGY 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 296-466: 2014 Uniform Plumbing Code Edition: 2012 WA State Energy Code: 2012 International Fuel Gas Code: 2012 Date: �l Permit Center Authorized Signature: 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 attached to this permit. Signature:���t—L Date: Print Name: 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 TUKW t Community Development Department • Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov SITE LOCATION Site Tenant Na Electrical Permit No. Project No. Date Application Accepted: Date Application Expires: ,J2 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" M PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON — person receiving all project communication Name-z,-S©A i Address: Fc) sot 3Caz 3 g City: G µ-e— State: Zip: e(,u D Phone -,-0? s35- 3 5 , G Fax: 50 9X35. G��to Email: r ---.t z —0 k) King Co Assessor's Tax No.: Suite Number:—'-�-7) 0 C� Floor: E New Tenant: ❑ ..... Yes X.. No ELECTRICAL CONTRACTOR INFORMATION Company Nam Address:. O 3 g City:s Yravt.� State Zi �U Phone : � � 3y O Fax: Dom/ Contr Reg No.; �� �� E �Yxpp Date: Tukwila Business License No. ;g _0gs 3 Valuation of Project (contractor's bid price): X 2 3(P r� Scope of Work (please provide detailed information): AAA Will service be altered? ❑ Yes 0' No Type of Use: T3Me of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm Property Served by: jl Puget Sound Energy ❑ Seattle City Light WApplications\Forms-Applications On Line\2014 Applications0ectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bb Adding more than 50 amps? ❑ Yes C f No ❑ Remodel X Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page1 of 2 W.C.- Pagel < 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 $65.00 ❑ (no added/altered circuits) ❑ Service change with added/altered circuits.................$81.90 $86.25 number of added circuits .......................$11.55 ea ❑ Circuits added/altered without service change ............ $54.60 (up to 5 circuits) $10.80 ea ❑ 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: Signature:"' < Date: �/ l/ 1� l^ Print Name: ; 6, ,f1 �(0 A. Day Telephone: 20(.'4s(9 (qq_ Mailing Address:OX City State Zip H:\Applications\Forms-Applications On Line\2014 ApplicationsTlectrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNT QUANTITY PAID $59.53 EL16-0095 Address: 300 ANDOVER PARK W 500 Apn: 2623049001 $59.53 ELECTRICAL $53.60 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $53.60 TECHNOLOGY FEE $5.93 TECHNOLOGY FEE TOTALR7560 R000.322.900.04.00 0.00 $5.93 $59.53 Date Paid: Monday, February 01, 2016 Paid By: TIM THOMPSON Pay Method: CREDIT CARD 04027G Printed: Monday, February 01, 2016 11:21 AM 1 of 1 1 Y57EMS Date Paid: Monday, February 01, 2016 Paid By: MERIT ELECTRIC OF SPOKANE INC Pay Method: CHECK 88048 Printed: Monday, February 01, 2016 11:20 AM 1 of 1 RWYSTEMS INSPECTION RECORD ot--0077 Retain a copy with permit INSPECTION N0. 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: Date Called: Special Instructions: n� ( q Date Wanted:�� a.. m. Requester: 1 Phone No: 0 Approved per applicable codes. Corrections required prior to approval. U paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. MERIT ELECTRIC OF SPOKANF T'`IC Hone Fspanol Contact Safety & Health Claims & Insurance inWashington State Department of Labor & Industries MERIT ELECTRIC OF SPOKANE INC Owner or tradesperson N 815 HELENA SPOKANE, WA 99202 Principals 509-535-3930 Gillingham, Todd, PRESIDENT SPOKANE County Boggs, Anthony, VICE PRESIDENT Gamon, Joe, SECRETARY Gamon, Joseph L, TREASURER GAMON, JOSEPH L, AGENT Baker, Frank, VICE PRESIDENT (End: 01/18/2013) BAKER, FRANK E, PRESIDENT (End: 09/03/2008) GILLINGHAM, TODD, VICE PRESIDENT (End: 09/03/2008) GAMON, JOSEPH L, SECRETARY (End: 09/03/2008) GAMON, JOSEPH L, TREASURER (End: 09/03/2008) Doing business as MERIT ELECTRIC OF SPOKANE INC WA UBI No. Business type 600 438 346 Corporation Governing persons ANTHONY BOGGS FRANK E BAKER; JOSEPH GAMON; TODD WILLIAM GILLINGHAM; License Page 1 of 4 Search L&I rci A-! Index Hell,) My Secure L&I Workplace Rights Trades & Licensing 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. MERITES189JM Effective — expiration 04/1411982— 02/28/2017 Designated administrator GILLINGHAM, TODD W License type Master Electrician Active. Meets current requirements. License no. GILLITW977LB https:Hsecure.lni.wa.gov/verify/Detail.aspx?UBI=600438346&LIC=MERITES189JM&SAW= 02/01/2016