HomeMy WebLinkAboutPermit EL16-1091 - 7-ELEVEN - LED FIXTURES7 -ELEVEN
14057 INTERURBAN AVE S
EL16-1091
City of Tukwila
• Department of Community Development
• 6300 Southcenter Boulevard, Suite #100
`H Tukwila, Washington 98188
Phone: 206-431-3670
Inspection Request Line: 206-438-9350
Web site: http://www.TukwilaWA.gov
ELECTRICAL OTC PERMIT
Parcel No:
3365900865
Permit Number: EL16-1091
Address:
14057 INTERURBAN AVE S
Issue Date: 11/30/2016
WA Cities Electrical Code:
2014
Permit Expires On: 5/29/2017
Project Name:
7 -ELEVEN
2014
Owner:
2015
WA State Energy Code:
Name:
7 -ELEVEN
2015
Address:
13155 NOEL RD STE 100 LB73 C/O
RYAN LLC, DALLAS, WA, 75240
Contact Person:
Name:
DEWAYNE SIMPSON
Phone: (425) 481-5001
Address:
21706 66TH AVE, MOUNTLAKE
TERRACE, WA, 98043
Contractor:
Name:
LUMENAL LIGHTING LLC
Phone:
Address:
21706 66TH AVE W, MOUNTLAKE
TERRACE, WA, 98043-2104
License No:
LUMENLL864LW
Expiration Date:
Lender:
Name:
Address:
,
DESCRIPTION OF WORK:
REPLACING AND
INSTALLING TWO NEW LED FIXTURES ATOP POLE SIGN
Valuation of single family: $0.00
Fees Collected: $147.21
Valuation of mf/comm: $2,127.00
Type of Work: TENANT IMP
Electrical Service Provided by: PUGEST SOUND ENERGY
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: w Date: V
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. I
Signature: Date: l l ILI
Print Name: U,Pa1LSSl� �Jk��p
r
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
1
CITY OF TUKWILA
Community Development Department
Permit Center
• 6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. iE w (a — 011
I
Project No.
�j
Date Application Accepted: 1 1
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 I
King Co Assessor's Tax No.:
Site Address: 14057 Interurban Avenue South Tukwila WA 981 t Suite Number: Floor:
Tenant Name: 7 -Eleven New Tenant:
❑ .....YesNo
PROPERTY OWNER
Name: 7 -Eleven
Address: 14057 Interurban Avenue South
City: Tukwila State: WA Zip: 98168
CONTACT PERSON — person receiving all project
communication
Name: DeWayne Simpson
Address: 21706 66th Avenue
City: Mountlake Terrace State: WA Zip: 98043
Phone: (425) 481-5001 Fax:
Email: dsimpson@lumenal.com
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Lumenal Lighting
Address: 21706 66th Avenue
City: Mountlake Terrace State: WA Zip: 98043
Phone: (425) 481-5001 Fax:
Contr Reg.No.: LUMENLL864L' Exp Date: 06/16/'018
Tukwila Business License No.: #BUS -0993683
Valuation of Project (contractor's bid price): $ 2,127
Scope of Work (please provide detailed information): Replacing and installing two new LED fixtures atop pole sign
Will service be altered? m Yes ❑ No
Adding more than 50 amps?
❑
Yes (ZNo
Type of Use:
Tvpe of -work:
❑ New ❑ Addition ❑ Service Change
❑ Remodel
m
Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm
❑ Telecommunication
❑
Temporary Service
Property Served by:
Puget Sound Energy ❑ Seattle Cite Light
H sApp6caiioustFoims•Apphcauons On Unc'2014 ApplicauowElecincal Poon Application Revised 1.1.14 docx
Re' sed Januat) 2014
bh
Page I of 2
r ---_J
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
❑ Temporan, 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 he entered by the applicant. This figure will be reviewed and is subject
to possible revision by the Pennit Center to comply with current fee schedules.
Expiration of Elan 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 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.
Mailing Address: 21706 66th Avenue West Mountlake Terrace WA 98043
H Wpplic tionsV;oims-Applications On Ltne\2014 ApphcationsTlenncal permit Application Revised 1.1-14 docs
Heeised JanuatN_ 2014
bh
Date: 11/ 1
le.—(425) 478-9464
City State Zip
Page 2 of 2
DESCRIPTIONS
PermitTRAK
• QUANTITY
PAID
$147.21
EL16-1091 Address: 14057 INTERURBAN AVE S
Apn: 3365900865
$147.21
ELECTRICAL
$140.20
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00 0.00
$140.20
TECHNOLOGY FEE
$7.01
TECHNOLOGY FEE
TOTAL PAID BY RECEIPT:R9942
R000.322.900.04.00 0.00
$7.01
Date Paid: Wednesday, November 30, 2016
Paid By: LUMENAL LIGHTING LLC
Pay Method: CREDIT CARD 000521
Printed: Wednesday, November 30, 2016 9:01 AM 1 of 1
I?WSYSTEfv1S
INSPECTION RECORD fiu�
����
Retain a copy with permit
INSPECTION NO. P MIT NO. 19
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 11M
Permit Inspection Request Line (206) 438-9350 �w
Project:71 �
Type of Inspection:
Address: a/Date
L W �7 k-vm
Called:
Special Instructions
Date Wanted:
97
t
Requester:
Phone No: i
f 1
Approved per applicable codes. E Corrections required prior to approval.
`—' paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection.
LUMENAL LIGHTING LLC
Home Fspanol Contact
Safety & Health Claims & Insurance
Washington State Department of
Labor & Industries
LUMENAL LIGHTING LLC
Owner or tradesperson 21706 66TH AVE W
MOUNTLAKE TERRACE, WA 98043
Principals 425-481-5001
K3 LLC, PARTNER/MEMBER SNOHOMISH County
NIELSEN, DONALD P, PARTNER/MEMBER
ASSIST INC, A WASHINGTON
CORP, AGENT
Doing business as
LUMENAL LIGHTING LLC
Page 1 of 2
Se ch L&I
A -"L Latex t lelp My 1-&-[
Workplace Rights Trades & Licensing
WA UBI No.
Business type
602 503 496
Limited Liability Company
Governing persons
DONALD
PETER
NEILSON
KURT DONALD NIELSEN;
LLC K3;
MELISA NIELSEN;
PACIFIC COAST INDUSTRIAL LIG;
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.
LUMENLL864LW
Effective — expiration
06/16/2014— 06/16/2018
Designated administrator
...............
Segura, Francisco Jr
License type
Electrical Administrator
Bond
.................
Western Surety Co
Bond account no.
929614006
Received by L&I
06/25/2015
Bond history
Savings
....................
Active.
Meets current requirements.
License no.
SEGURFJ899CP
$4,000.00
Effective date
08/01/2015
Expiration date
Until Canceled
https:Hsecure.Ini.wa.gov/verify/Detail.aspx?UBI=602503496&LIC=LUMENLL864LW&SAW=
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11/30/2016