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HomeMy WebLinkAboutPermit EL17-1048 - SHASTA BEVERAGE - EQUIPMENT RELOCATIONSHASTA BEVERAGE 1227 ANDOVER PARK E EL1 7-1048 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.eov 3523049072 1227 ANDOVER PARK E Project Name: SHASTA BEVERAGE ELECTRICAL OTC PERMIT Permit Number: Issue Date: Permit Expires On: EL17-1048 12/28/2017 6/26/2018 Owner: Name: Address: Contact Person: Name: Address: NATIONAL BEVERAGE CORP 8100 SW 10TH ST STE 4000 , PLANTATION, WA, 33324 JERRY ASBJORNSEN 3939 S ORCHARD ST, TACOMA, WA, 98466 Contractor: Name: MADSEN ELECTRIC Address: 3939 S ORCHARD ST, TACOMA, WA, 98466 License No: MADSEE*140P8 Lender: Name: Address: 111 Phone: (253) 307-5525 Phone: (253) 383-4546 Expiration Date: 4/30/2018 DESCRIPTION OF WORK: RELOCATE BOTTLEING EQUIPMENT Valuation of single family: $0.00 Valuation of mf/comm: $55,000.00 Type of Work: TENANT IMP Fees Collected: $1,151.29 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: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuel Gas Code: 2015 2015 2015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-46B: WA State Energy Code: 2017 2017 2017 2015 Permit Center Authorized Signature: Date: 14)--W3-17 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 developmp-perr itnd agree to the conditions attached to this permit. Signature: Print Name: Date: \2'-2-g- ( 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 and the Washington Cities Electrical Code. 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 TUKWI A Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.TukwilaWA. gov Electrical Permit No.(0 Ile Project No. Date Application Accepted: Date Application Expires: (For office 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 Site Address: 11:21 ANDOV€P- f 3 L%& EAST King Co Assessor's Tax No.: Suite Number: Floor: Tenant Name: SNASTt1 EI/LA(,E PROPERTY OWNER Name: Z � y A5 • � si-/1/4) Name: SHASTA(.3EfE 6 E, City: TIkCOMA State: wA Zip: 5$96 Address: 12Z7 is,k j6t) qe tz__ a E City: Tu g'J 1 LA State: V4A Zip:' 'l w CONTACT PERSON — person receiving all project communication Name: Z � y A5 • � si-/1/4) Address: 31 35 5 ©�c Hge0 City: TIkCOMA State: wA Zip: 5$96 City: T coos State: tat- Zip: 1g1/6b Phone:2 3 ^ Z / - 7b 7 / D307,SSZS .Flax: Email: TAS DJ c EN 6MSQ SYJ k' 1j J - New Tenant: ❑ Yes [..No ELECTRICAL CONTRACTOR INFORMATION Company Name: Amos� t E 1- IL �1044. Address: 35 3 G LJ 4A p U City: TIkCOMA State: wA Zip: 5$96 Phone: 5 3173' LK%Fax: 243.6 -II .7o79 eZ3.. Co&r MRs4Et BV°P$ exp Date: Li„ 30 - It Tukwila Business License No.; Bus ^ y 432 `. COP'. Valuation of Project (contractor's bid price): $ 551 000 Scope of Work (please provide detailed information): PEWCA t€ DOIT foul omEA' r Will service be altered? A Yes ❑ No Adding more than 50 amps? p Yes No Type of Use: Type of work: ❑ New 0 Addition 0 Service Change g Remodel 0 Tenant Improvement 0 Low Voltage ❑ Generator 0 Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: 1. Puget Sound Energy 0 Seattle City Light W:\Pemut Center\Applications-Handouts\Permit Applications\PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE O 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) O 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 O Low voltage systems $61.05 (alarm, furnace thermostat) MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential) $66.30 O 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 ***EFFECTIVE JANUARY 1, 2014 EACH PERMIT WILL BE ASSESSED A 5% TECHNOLOGY FEE*** PERMIT APPLICATION NOTES - 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 : 4 S R ELECTRICAL CONTRACTOR: Signature: QQ� Print Name: TEP\U.l0ak Mailing Address: 313j S Ur -AA ju ci Date: 1 G iO - t Day Telephone: 2S3-- 31'3- tic b TftortA LJk 1D166 W:\Permit CenterVipplications-Handouts\Permit Applications \PDFs\Electrical Permit Application Revised 1-1-17.docx Revised: January 2017 bh City State Zip Page 2 of 2 Cash Register Receipt City of Tukwila DESCRIPTIONS I PermitTRAK ACCOUNT I QUANTITY PAID $1,151.29 EL17-1048 Address: 1227 ANDOVER PARK E Apn: 3523049072 $1,151.29 Credit Card Fee $33.53 Credit Card Fee R000.369.908.00.00 0.00 $33.53 ELECTRICAL $1,064.53 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $1,064.53 TECHNOLOGY FEE $53.23 TECHNOLOGY FEE TOTAL FEES PAID BY RECEIPT: R13109 R000.322.900.04.00 0.00 $53.23 ; $1,151.29 Date Paid: Thursday, December 28, 2017 Paid By: JERRY ASBJORNSEN Pay Method: CREDIT CARD 09630J Printed: Thursday, December 28, 2017 8:07 AM 1 of 1 SYSTEMS 1 - INSPECTION NO. INSPECTION RECORD Retain a copy with permit PE CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431 36e70, Project: Type of Inspection: 4-414,--- i Address: l frpf Date Called: Special Instructio s: /,� / ['';-/J �' 47..c..)625-7 7 Date Wanted: ��na �..� ,, p.m. Requester: I e Phone No: f.4 65 5 ; nApproved per applicable codes. LJ Corrections required prior to approval. "COMMENTS: ..toMu-i046 6 / Inspector: %lp ( it l Date: f REINSPECTIO 1 FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. jRetain a copy with permit INSPECTION RECORD 61/12-1011)?INSPECTION N0. PMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit Inspection Request Line (206) 438-9350 (206) 431-367 Project: Type of Inspection: _r Address: /21)'"jDate Called:Special Instructio -5-3 ( ®Vd 6 L"Jr 7 / /- Date Wanted: :. d Requester: ( Phone No: K3 3 30 l 26 Approved per applicable codes. JJ Corrections required prior to approval. COMMENTS: 2,66 -- / J.� Iu uJi IAI )4-- -- 1 --- 6,6 zog j. Pid )eL 7,4 Date: b ( A 1 � REINSPECTION FEE REQUIRED. Prior to next inspection, fee ust be �� Inspector: paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. MADSEN ELECTRIC TRAVELERS CAS & SURETY CO Bond account no. 400NH1607 Received by L&I 03/08/1995 Savings No savings accou.its during the previous 6 year period. License Violations,. Infraction no. EALRD00208 Issue date 02/04/2016 Violation city TACOMA Type of violation ELECTRICAL CITATION Description Energizing electrical equipment without an electrical inspection as referenced in WAC 296-46B-901. Infraction no. EALRD00205 Issue date 02/04/2016 Violation city TACOMA Type of violation ELECTRICAL CI_ATION Description C Fail;ng to get an=.nspection or obtain a valid electrical/teleco.imunications work permit or post a provisional electrical work permit prior to beginning the electrical/telecommunication installation or alteration as referenced in WAC 296-46B-901. r+ t - Infraction no. EROJE00221 Issue date 06/10/2014 Violation city Tacoma Type of violation ELECTRICAL CI' Description Failing to get an electrical/teleco. post a provisior to beginning the installation or a' 296-46B-901. 2 . ATION "nspection or obtain an imunications work permit or 11 electrical work permit prior alectrical/telecommunication aration as referenced in WAC $4,000.00 Effective date 03/08/2006 Expiration date Until Canceled Satisfied ......................... RCW/WAC 19.28.101 RCW Violation amount $250.00 Satisfied RCW/WAC 19.28.101 RCW Violation amount $2,000.00 Satisfied .......................... RCWJWAC 19.28.101 RCW Violation amount $1,000.00 Workers' c )mp Do you know if the ,usiness has employees? If so, verify the business is up-to-date on workers' comp premiums. L&I Account ID Account is current. 192,120-00 Doing business as. SOUND ELECTRO VICS MADSEN ELECT Estimated workers reported Quarter 3 of Year ..017 "Greater than 100 Workers" Page 2 of 3 Help us improve https://secure.lni wa.gov/verify/Detail.aspx?UBI=278030668&LIC=MADSEE*140P8&SAW= 12/28/2017 MADSEN ELECTRIC Itome E.spai of Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries Search L&I Page 1 of 3 A -Z Index llelp My L&I Workplace Rights Trades & Licensing MADSEN ELECTRIC Owner or tradesperson Principals SHARP, ROCKY, PRESIDENT MACDOUGALL, RICHARD, VICE PRESIDENT NEWTON, DANIEL, VICE PRESIDENT PETERSON, GREGORY, TREASURER HAAS, HENRY, AGENT IRBY, JOSEPH L (End: 12/29/2003) SHIVELY, DARREL A (End: 12/29/2003) HAAS, HENRY, AGENT (End: 12/29/2003) DEVISH, JOE R (End: 12/30/2003) Doing business as MADSEN ELECTRIC WA UBI No. 278 030 668 Parent company CARL T MADSEN INC 3939 S ORCHARD ST TACOMA, WA 98466 253-383-4546 PIERCE County Business type Corporation Governing persons RICHARD MACDOUGALL DANIEL NEWTON; ROCKY SHARP; GREGORY D PETERSON; License Verify the contractor's active registration-/ license / certification (depending on trade) and any past violations. Electrical Contractor License specialties GENERAL License no. MADSEE*140P8 Effective — expiration 10/28/1986— 04/30/2018 Designated administrator SHARP, TRAVIS R License type Electrical Administrator Bond ............... Active. Meets current requirements. Active. Meets current requirements. License no. SHARPTR972DF Help us improve https://secure.lni.wa.gov/verify/Detail.aspx?UBI=278030668&LIC=MADSEE* 140P8&SAW= 12/28/2017