HomeMy WebLinkAboutPermit EL17-0827 - SEATTLE BAGEL BAKERY - LED RETROFITSEATTLE BAGEL BAKERY
4445 S 134 PL
ELI 7-0827
Parcel No:
Address:
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
8700200020 Permit Number:
4445 S 134TH PL A
Project Name: SEATTLE BAGEL BAKERY
Issue Date:
Permit Expires On:
EL17-0827
10/18/2017
4/16/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
FOSTORIA PARK ASSOC LLC
15100 SE 38TH ST #792 C/O ESM
PROPERTIES INC, BELLEVUE, WA,
98006
RICHARD THOMASON
4514 S 256 ST , KENT, WA, 98032
GENESIS LIGHTING
4514 S 256 ST , KENT, WA, 98032
GENESL*925MN
!/l
Phone: (253) 732-4699
Phone: (253) 737-4699
Expiration Date: 9/29/2018
DESCRIPTION OF WORK:
RETROFIT LUMINAIRES FOR LED IN OFFICE & WAREHOUSE - REBATE SCL
Valuation of single family: $0.00
Valuation of mf/comm: $7,904.00
Type of Work: TENANT IMP
Fees Collected: $260.78
Electrical Service Provided by: SEATTLE CITY LIGHT
Water District: 125
Sewer District: TUKWILA
Current Codes adopted by the City of Tukwila:
International Building Code Edition:
International Residential Code Edition:
International Mechanical Code Edition:
Uniform Plumbing Code Edition:
International Fuel Gas Code:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
LAIL R4
2014
2014
2014
2015
Date: [0 -tib--(
l�
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 rmit does no presume to give authority to violate or cancel the provisions of any other
state or local I :ws r: ulat'; g constrt ction or the performance of work. I am authorized to sign and obtain this
development ;ermi a .:gree to a conditions attached to this permit.
Signature: �, � Dat
1
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 TUKeLA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. U 7
Project No.
Date Application Accepted:
Date Application Expires:
(For once use only)
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: 149 S f 3'/ P- ZIk (4t- /4, t 4 9g 6tuite Number: Floor: £'Rot.M6
Tenant Name: SC:7/4 T 7L6*- I 6--(4-L 13.41-c L-� y New Tenant: ❑ Yes gg
PROPERTY OWNER
.
Name: `C(, aJ. 4 ./,Nt ot5M
City: k L� % State: 6,..)4 Zip: F»ofZ
`
Name: �OS�Q1 tt& 16(
SSiL A -$S
LG
Address: c/o L.S
�C(,I'c S; z
.i leo.
City: kie1(�v„`�
�/"o S ,
Zlperkz
CONTACT PERSON - person receiving all project
communication
Company Name: 6 ,J7/ ff t(L/".../%lA16.
Name: `C(, aJ. 4 ./,Nt ot5M
City: k L� % State: 6,..)4 Zip: F»ofZ
Address: ' C —� .t/.kj 5....E.City: '
Contr Reg No.:6.67v i_ it. 9.z sore Date: O/ /6/g
StatA. 7dP
\elm”
'-
Phone: _ .-71. _ qi f.4:
Email: 6 eit e s`kS' 1.:Q Li ;ter P \e l W1m. 1- (a 't
ELECTRICAL CONTRACTOR INFORMATION
Company Name: 6 ,J7/ ff t(L/".../%lA16.
Address: yS„_(et s, ASr�.—e 507
City: k L� % State: 6,..)4 Zip: F»ofZ
Phone: 2 s'- -75z- y6 y9Fax:
Contr Reg No.:6.67v i_ it. 9.z sore Date: O/ /6/g
Tukwila Business License No.;
-r�
, I gC -t-cx
Valuation of Project (contractor's bid price): $ 0 ?.
Scope of rk (please provide detai ed information): �� -L � ,(,�1. ct 1 o'!? S Cr CS-44tL
Will service be altered? ❑ Yes [ No Adding more than 50 amps? ❑ Yes EKo
Type of Use:
Type of work:
❑ New 0 Addition 0 Service Change 0 Remodel
Tenant Improvement
O Low Voltage 0 Generator 0 Fire Alarm
❑ Telecommunication 0 Temporary Service
Property Served by:
❑ Puget Sound Energy Seattle City Light
W:\Permit Center\Apprications-Handouts\Permit Applications\Word\Electrical Permit Application Revised 1-1-2017.docx
Revised: January 2017
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Pare 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $155.91
(including an attached garage)
❑ Garages, pools, spas and outbuildings $83.54 ea
❑ Low voltage systems
(alarm, furnace thermostat) $61.05 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $83.54
(no added/altered circuits)
❑ Service change with added/altered circuits $83.54
number of added circuits $12.00 ea
❑ Circuits added/altered without service change $55.69
(up to 5 circuits)
❑ Circuits added/altered without service change $55.69
(6 or more circuits) $7.65 ea
❑ Meter/mast repair $69.62
❑ Low voltage systems $61.05
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $66.30
❑ Temporary service (generator) $82.52
❑ Manufactured/mobile home service $87.98
(excluding garage or outbuilding)
❑ Carnivals $82.21
Number of concessions $11.02 ea
Each ride and generator truck $11.02 ea
PERMIT APPLICATION NOTES -
Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewedand 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 H VE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER
PENALTY OF PERJURY BY THE
BUILDING O \ N : R
Signature:
Print Name: 4
ELEC
WS OF THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT.
ICAL CONTRACTOR:
Date:
ew-� / I�ay Telephone:/— 4(1- 1 7 11
� A
Mailing Address: 1 4 S �.
City
W:\Permit Center\Applications-Handouts\Permit Applications\Word\Electrical Permit Application Revised I-1-2017.docx
Revised: January 2017
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State
Zip
Page 2 of 2
Cash Register Receipt
City of Tukwila
DESCRIPTIONS
PermitTRAK
ACCOUNT
I QUANTITY
PAID
$260.78
EL17-0827 Address: 4445 S 134TH PL A
Apn: 8700200020
$260.78
Credit Card Fee
$7.60
Credit Card Fee
R000.369.908.00.00
0.00
$7.60
ELECTRICAL
$241.12
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
0.00
$241.12
TECHNOLOGY FEE
$12.06
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R12598
R000.322.900.04.00
0.00
$12.06
• $260.78
Date Paid: Wednesday, October 18, 2017
Paid By: JOHN SIMONS
Pay Method: CREDIT CARD 07564C
Printed: Wednesday, October 18, 2017 2:43 PM 1 of 1
CRWYSTEMS
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-36
Permit Inspection Request Line (206) 438-9350
P2RMIT NO.
Project: j iThe j
Type of Inspection:
6-1.4
Address: /
114115 (51 37' PL.
Date Called:
SpecialInstructions: '
Date Wanted:
(,3 p.m.
Requester:
Phone No:
ii, ovi
701 I
Approved per applicable codes. LJ Corrections required prior to approval.
COMMENTS:
6
Inspector:cT6/14
Date:
Cori t7
REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
GENESIS LIGHTING
c.
Washington State Department of
Labor & industries
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Workplace Rignts Trades & Licensing
GENESIS LIGHTING
Owner or tradesperson
THOMASON, RICHARD L
Principals
THOMASON, RICHARD L, OWNER
WA UBI No.
602 130 777
4514 S 256th St
KENT, WA 98032
253-732-4699
KING County
Business type
Individual
License
Verify the contractor's active registration / license / certification (depending on trade) and any past violations.
Electrical Contractor Active.
Meets current requirements.
License specialties
LIGHTING MAINTENANCE
License no.
GENESL*925MN
Effective — expiration
07/15/2008— 09/29/2018
Designated administrator
THOMASON, RICHARD
License type
Electrical Administrator
Bond
............_.
INTERNATIONAL FEDELITY INSURAN
Bond account no.
0476250
Received by L&l
07/15/2008
Savings
No savings accounts during the previous 6 year period.
License Violations
No license violations during the previous 6 year period.
Active.
Meets current requirements.
License no.
THOMAR*928L3
$4,000.00
Effective date
07/07/2008
Expiration date
Until Canceled
Workers' comp
No active workers' comp accounts during the previous 6 year period.
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
Help us improve
https://secure.lni.wa.gov/verify/Detail.aspx?UBI=602130777&LIC=GENESL*925MN&SAW= 10/18/2017
GENESIS LIGHTING
No strikes have been issued against this co" tor.
Contractors not allowed to bid
.........................._................................................................
No debarments have been issued against this contractor.
Workplace safety and health
No inspections during the previous 6 year period.
Page 2 of 2
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