HomeMy WebLinkAboutPermit EL18-0007 - MICHAEL'S DELI MART - INSTALL FIVE UNDER -SOFFIT LIGHTS ON SOUTH FACADE OF BUILDINGThis record contains information which is exempt from public disclosure
pursuant to the Washington State Public Records Act, Chapter 42.56 RCW
as identified on the Digital Records Exemption Log shown below.
EL18-0007
MICHAEL'S DELI MART
401 ANDOVER PARK E
THE ABOVE MENTIONED
Page #
DIGITAL
Code
RECORDS
PERMIT FILE INCLUDES
Exemptio
(DR) EXEMPTION LOG
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defExplanatory Description
S a u el ule
DR1
Personal Information —
Social Security Numbers
Generally — 5 U.S.C. sec.
552(a); RCW
42.56.070(1)
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intent that social security numbers are a private
concern. As such, individuals' social security
numbers are redacted to protect those
individuals' privacy pursuant to 5 U.S.C. sec.
552(a), and are also exempt from disclosure
under section 42.56.070(1) of the Washington
State Public Records Act, which exempts under
the PRA records or information exempt or
prohibited from disclosure under any other
statute.
5 U.S.C. sec.
552(a); RCW
42.56.070(1)
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disclosure pursuant to RCW 42.56.230(5),
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RCW
5.60.060(2)(a);
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42.56.070(1)
MICHAEL'S DELI MART
401 ANDOVER PARK E
ELI 8-0007
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
ELECTRICAL OTC PERMIT
0223400050 Permit Number: EL18-0007
401 ANDOVER PARK E
Project Name: MICHAEL'S DELI MART
Issue Date: 1/4/2018
Permit Expires On: 7/3/2018
Owner:
Name:
Address:
Contact Person:
Name:
Address:
401 ANDOVER LLC
PO BOX 50268 , SEATTLE, WA, 98015
KENT VANDERWEIDE
PO BOX 100, DUVALL, WA, 98019
Contractor:
Name: ZORKO ELECTRIC INC
Address: PO BOX 100 , DUVALL, WA, 98019
License No: ZORKOE11210K
Lender:
Name:
Address:
11 I
Phone: (425) 788-7710
Phone: (425) 788-7710
Expiration Date: 9/12/2018
DESCRIPTION OF WORK:
INSTALL FIVE UNDER -SOFFIT LIGHTS ON SOUTH FACADE OF BUILDING
Valuation of single family: $0.00
Valuation of mf/comm: $1,000.00
Type of Work: TENANT IMP
Fees Collected: $106.49
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:
Permit Center Authorized Signature:
2015
2015
2015
2015
2015
National Electrical Code:
WA Cities Electrical Code:
WAC 296-46B:
WA State Energy Code:
2017
2017
2017
2015
Date: ("-t `' f g
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:
Print Name:
Date:
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
IL
/ '
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Electrical Permit No. Li 000
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: 401 Andover Park East
King Co Assessor's Tax No.:
Suite Number:
Tenant Name: Michael's Deli Mart
PROPERTY OWNER
Name: Kent VanderWeide
Name: Daniel Diederichs
City: Duvall State: WA Zip: 98019
Address: 345 Andover Park E
Email: kentv@zorkoelectric.com
City: Tukwila State: WA
Zip: 98188
CONTACT PERSON — person receiving all project
communication
Name: Kent VanderWeide
Address: PO Box 10
City: Duvall State: WA Zip: 98019
Phone: (425) 788-7710 Fax: (425) 788-7730
Email: kentv@zorkoelectric.com
Floor:
New Tenant: 1 1 Yes
.No
ELECTRICAL CONTRACTOR INFORMATION
Company Name: Zorko Electric Inc.
Address: PO Box 100
City: Duvall State: WA Zip: 98019
Phone: (425) 788-7710 Fax: (425) 788-7730
Contr Reg No.: ZORKOEI121 OE Exp Date: 09/12/2018
Tukwila Business License No.; BUS -0996996
Valuation of Project (contractor's bid price): $ 1,000
Scope of Work (please provide detailed information): Install five under -soffit lights on south facade of building.
Will service be altered? ❑ Yes
m No Adding more than 50 amps? I Yes El No
Type of Use: Retail
Tyne of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel 0 Tenant Improvement
❑ Low Voltage 0 Generator ❑ Fire Alarm 0 Telecommunication 0 Temporary Service
Property Served by:
2 Puget Sound Energy 0 Seattle City Light
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Revised: January 2017
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RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
$155.91
$83.54 ea
$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
O 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
***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 OWNER OR ELECTRICAL CONTRACTOR:
Signature:
-KentPrint Name: arrd _ (425) 788-7710
Day Telephone:
Date: 01/04/2018
Mailing Address: PO Box 100
Duvall WA 98019
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Revised; January 2017
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City State Zip
Page 2 of 2
r
Cash Reguster Receip
City of Tukwila
N
DESCRIPTIONS
Perm itTRAK
ACCOUNT
QUANTITY
PAID
$106.49
E118-0007 Address: 401 ANDOVER PARK E
Apn: 0223400050
$106.49
ELECTRICAL
$101.42
PERMIT FEE MULTI-FAM/COMM
R000.322.101.00.00
000
$101.42
TECHNOLOGY FEE
$5.07
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R13153
R000.322.900.04.00
0.00
$5.07
$106.49
Date Paid: Thursday, January 04, 2018
Paid By: ZORKO ELECTRIC INC
Pay Method: CHECK 6248
Printed: Thursday, January 04, 2018 8:41 AM 1 of 1
SYSTEMS
INSPECTION RECORD
Retain a copy with permit �0C
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -
Permit Inspection Request Line (206) 438-9350
Project: ul / t ,-
T . - r ns! o :
Address: G o' �(
Da " Called:
�..
Special Instructions:
Date Wanted:��
am
.m.
Requester: 0,2
Phone No:
2-0C
70 G 70
0
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
o�
6:4A„
spector:
Date:
n REINSPECT ON FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
ZORKO ELECTRIC INC
lame Espanol Contact
Safety & Health Claims & Insurance
411)Washington State Department of
Labor & Industries
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Workplace Rights Trades & Licensing
ZORKO ELECTRIC INC
Owner or tradesperson
Principals
VANDERWEIDE, KENT, PRESIDENT
VANDERWEIDE, KENT, AGENT
Doing business as
ZORKO ELECTRIC INC
WA UBI No.
601 099 999
PO BOX 100
DUVALL, WA 98019
425.788-7710
KING County
Business type
Corporation
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.
ZORK0E11210K
Effective — expiration
09/12/1988— 09/12/2018
Designated administrator
VANDERWEIDE, KENT
License type
Master Electrician
Active.
Meets current requirements.
License no.
VANDEK`975CS
Bond
No bond accounts during the previous 6 year period.
Savings
(in lieu of bond) $4,000.00
Received by L&I Effective date
06/19/1996
Release date Impaired date
N/A NIA
Savings account ID
Savings history
License Violations
Infraction no.
ERADW00258
Issue date
04/13/2012
Violation city
Satisfied
RCVV/VVAC
19.28.101 RCW
Violation amount
Help us improve
https://secureini.wa.gov/verify/Detail.aspx?UBI=601099999&LIC=ZORKOEI1210K&SAW= 1/4/2018
ZORKO ELECTRIC INC
Duvall
Type of violation
ELECTRICAL CITATION
Description
Failing to obtain or post an
electrical/telecommunications work permit
prior to beginning the
electrical/telecommunication instalation or
alteration as referenced in WAC 296-46B-900
(3)(6), effective after 12/30/2008 see WAC 296-
46B-901.
$4,000.00
/ \
Workers' comp
Do you know if the business has employees? If so, verify the business is up-to-date on workers' comp premiums.
L&I Account ID Account is current.
514,005-01
Doing business as
ZORKO ELECTRIC INC
Estimated workers reported
Quarter 3 of Year 2017 "21 to 30 Workers"
L&I account contact
T3 / KAYLENE MONIER (360)902-6627 - Email: BRKB235@Ini.wa.gov
Public Works Strikes and Debarments
Verify the contractor is eligible to perform work on public works projects.
Contractor Strikes
No strikes have been issued against this contractor.
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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