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Home My WebLink AboutPermit EL16-0713 - JACKSONS FOOD STORE - CAMERA REPLACEMENTSJACKSONS FOOD STORE 13138 INTERURBAN AVE S EXPIRED 01/29/17 EL16-0713 City of Tukwila • Department of Community Development L' • 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: 0003000108 Permit Number: EL16-0713 Address: 13138 INTERURBAN AVE S Issue Date: 8/2/2016 Permit Expires On: 1/29/2017 Project Name: JACKSONS FOOD STORE Owner: Name: PACWEST ENERGY LLC Address: 3450 COMMERCIAL COURT, National Electrical Code: MERIDIAN, OR, 83642 Contact Person: 2015 Name: PHILIP GAUNTLETT Address: 2923 LOCUST AVE SE, ALBANY, OR, WAC 296-46B: 97322 Contractor: 2015 Name: COUNTRYSIDE ELECTRIC INC Address: 2923 LOCUST AVE SE, ALBANY, OR, 97322-5230 License No: COUNTE1893N4 Lender: Name: Address: , , , DESCRIPTION OF WORK: Phone: (541) 974-6415 Phone: (541) 974-6415 Expiration Date: CHANGE OUT DVR AND POWER SUPPLY. REPLACES CAMERAS AND ADD NEW Valuation of single family: $0.00 Valuation of mf/comm: $500.00 Type of Work: TENANT IMP Fees Collected: $81.80 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: TUKWILA Sewer District: TUKWILA Current Codes adopted by the City of Tukwila: International Building Code Edition: 2015 National Electrical Code: 2014 International Residential Code Edition: 2015 WA Cities Electrical Code: 2014 International Mechanical Code Edition: 2015 WAC 296-46B: 2014 Uniform Plumbing Code Edition: 2015 WA State Energy Code: 2015 International Fuel Gas Code: 2015 Permit Center Authorized Signature: 0BT?D ry 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 per it and agreethe conditions attached to this permit. Signature: �dl Date: rr Print Name: v ��/f' `^ 17, 61, 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 TUKV 'A Community Developnivat Department Permit Center • 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov SITE LOCATION Q / �j Electrical Permit No. eo 4' � l I 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" o T '` King Co Assessor's Tax No.: Site Address: 0 -Tt) (,-r k� L� ekn AV e- Sw Suite Number: Floor: Tenant Name: Gl�&'SS Fw Svr�- New Tenant: ❑..... Yes ❑..No PROPERTY OWNER Name: Address: City: State: Zip: CONTACT PERSON - person receiving all project communication Name: (;a I r r U n Address: City: �14x^v State: O ,�% Zip: 11 Phone: _ q 7/ V/SFax: // Email: pq&,, ELECTRICAL CONTRACTOR INFORMATION Company Name: Czuk� IC s i e- � EG C1< Address: 4� ? 3 1 _ ws Ave- S, City: LL^ State: Q ,O Zip: 41 b i 1� Phone: -6% Fax: Contr Reg No.: N� 1 Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ S00 00 Scope of Work (please provide detailed information): d - e Q�J 7 Nu R Will service be altered? ❑ Yes ANo 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 Applications\Electrical Permit Application Revised 1-1.14.docx Revised: July 2013 bh Adding more than 50 amps? ❑ Yes AS�No ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page t 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 $65.00 ❑ (no added/altered circuits) $80.90 ❑ 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. ' elfSignature: Print Name: vl V`A Mailing Address: N'7a H:Wpplications\Forms-Applications On Line\2014 Applications\Electrical Permit Application Revised 1-1-14.docx Revised: July 2013 bh Date: t t) 6 Day Telephone: Se 3- 00 — I WD State Zip Page 2 of 2 DESCRIPTIONS PermitTRAK ACCOUNTQUANTITY PAID $81.80 EL16-0713 Address: 13138 INTERURBAN AVE 5 Apn: 0003000108 $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 TOTAL FEES • ,ID BY RECEIPT: R9104 R000.322.900.04.00 0.00 $3.90 $81.80 Date Paid: Tuesday, August 02, 2016 Paid By: JUSTIN BILYEU Pay Method: CREDIT CARD 07229) Printed: Tuesday, August 02, 2016 4:12 PM 1 of 1 R�SYSTEMS INSPECTION RECORD Retain a copy with permit 16,4v�4 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: Type of Inspectio Address: �) Date Called: 7 Special Instructions: a2 Date Wanted: a. P.M. Requester: VLAD Phone No: l pector: F] REINSPECTION 'FEE REQUIRED. Prior to next inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. 12/1/2016 City of Tukwila Allan Ekberg, Mayor Department of Community Development Jack Pace, Director PHILIP GAUNTLETT 2923 LOCUST AVE SE ALBANY, OR 97322 RE: Permit No. ELI 6-0713 JACKSONS FOOD STORE 13138 INTERURBAN AVE S Dear Permit Holder: In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 1/29/2017. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206-438-9350 to schedule for the next or final inspection. Each inspection creates a new 180 day period, provided the inspection shows progress. -or- 2) Submit a written request for permit extension to the Permit Center at least seven(7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 1/29/2017, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Rachelle Ripley ' �I Permit Technician File No: ELI 6-0713 6300 Southcenter Boulevard Suite #100 • Tukwila, Washington 98188 • Phone 206-431-3670 • Fax 206-431-3665 COUNTRYSIDE ELECTRIC INC Home Fspahol Contact: Safety & Health Washington State Department of Labor & Industries COUNTRYSIDE ELECTRIC INC Page 1 of 2 Search L&I I 3-7 Index help My Lc`iI Claims & Insurance Workplace Rights Trades & Licensing Owner or tradesperson PO BOX 397 BROMLEY, JEFFERY J JEFFERSON, OR 97352 541-974-6415 Principals BROMLEY, JEFFERY J, PRESIDENT GAUNTLETT, PHILIP D, PRESIDENT RONER, JOSHUA A, PRESIDENT Galloway, Dale III, AGENT Doing business as COUNTRYSIDE ELECTRIC INC WA UBI No. Business type 603 137 454 Corporation Governing persons JEFFERY JAY BROMLEY 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. COUNTE1893N4 Effective — expiration 08/24/2011— 08/24/2017 Designated administrator1. 1.EFFREY Active. BROMLEY, JJAY Meets current requirements. License type License no. Electrical Administrator BROMLJJ981C2 Bond Developers Surety & Indem Co $4,000.00 Bond account no. 253609C Received by L&I Effective date 08/24/2011 08/22/2011 Expiration date Until Canceled Savings No savings accounts during the previous 6 year period. License Violations https://secure.lni.wa.gov/verify/Detail.aspx?UBI=603137454&LIC=COUNTEI893N4&SAW= 8/2/2016