HomeMy WebLinkAboutPermit EL19-0369 - 76 GAS STATION - LIKE IN KING DISPENSER REPLACEMENT76 GAS STATION
13310 INTERURBAN AVE S
ELI 9-0369
Parcel No:
Address:
City of Tukwila
Deportment 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.Rov
ELECTRICAL OTC PERMIT
0003000113 Permit Number: EL19-0369
13310 INTERURBAN AVE S ' Issue Date: 4/29/2019
Permit Expires On: 10/26/2019
Project Name: 76 GAS STATION
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
License No:
Lender:
Name:
Address:
STRANDER FAMILY LLC I
PO BOX 88636 , TUKWILA, , 98138
II I
ALLIED ELECTRIC SERVICE INC
PO BOX 3855 , LACEY, WA, 98509
ALLIEES145BC
!tt
Phone:
Phone: (360) 459-0575
Expiration Date: 1/31/2020
DESCRIPTION OF WORK:
LIKE IN KIND DISPENSER REPLACEMENT USING EXISTING WIRES; SEALS NOT DISTURBED
Valuation of single family: $0.00
Valuation of mf/comm: $5,780.00
Type of Work: TENANT IMP
Fees Collected: $221.73
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:
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:
Date:
2017
2017
2017
2015
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 296-468 WAC and the Washington Cities Electrical Code.
S; 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
Tenant Name:1 Q gas Sia_ OVN New Tenant:
PROPERTY
Name Pe"3-i.)v-, -1 (4
Address: k 0 kniedy. br..ky) s
ek
State: tA Zip:
ONT:8CT'PERSON,,,,person.receiving4tt prOgeti,
OrnmUnicationff.'" " • .:•••r. " •
111111F111
IIMIL..nmw,1•11001Edi'VAVIaLii^.
State: kipt Zip:
Phone: -54,:o kx5 ct 0S--15aX:
Email:
CITY OF TUKWILA
community Development Department
Permit Center
6300 Southeenter Blvd., Suite 100
Tukwila, WA 98188
http://www.TukwilaWA.gov
Eleetriesil Permit
Project No.
Date Application Accepted:
Date ApplicationExpites.
(Par offlee 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**
King Co Assessor's Tax No.:
Site Address: \ 5-5 ICI I n ledr o.rikvi S ‘._ • Suite Number: Floor:
Yes '16s.No
ELECTRICAL CONTRACTOR „INFORMATION
Company Name: Mte et EjecAT\
Vi
Addresspo
City: LiAte.A.A State: (oek
-t_to---,(
Zip:0-aft
Phone:
59 D3-)x: NI IA
Contr Reg No.: Nu;v66514.pexp Date:
Tukwila Business License No.;
b\3.cloru--o-)od'
giavi• at±
Valuation of Project (contractor's bid price): $ 5 ,
Scope of Work (please provide detailed information): 06:e , Y1 k:--lne
5e0Oli h o-F 15+LA.{117-Pot
wicd..e.p/t•e,0 -I- (.09 wtkre-5;
A d
Will service be altered? Li Yes
Type of Use'
Adding more than 50 amps? CD Yes
(1 S Si -at oVN thr1
Type of work:
El New LJAddition
El Low Voltage El Generator
Propeq Served by:
(-91\ Puget Sound Energy 0 Seattle City Light
o Service Change
• Fire Alarm
▪ Remodel Tenant Improvement
▪ Telecommunication 0 Temporary Service
W:Wemut CcntenApplicetions-HandoutsTcrmit Applications \ PDF's E lec tricot Purrnit App I ic n I ion it C 1- i 7- I9.docx
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
O New single family dwellings $180.00
(including an attached garage)
O Garages, pools, spas and outbuildings $120.00 ea
0 Low voltage systems
(alarm) $60.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
O Service change or alteration $120.00
(no added/altered circuits)
E] Service change with added/altered circuits $100.00
number of added circuits $10.00 ea
O Circuits added/altered without service change $60.00
(up to 5 circuits)
O Circuits added/altered without service change $60.00
(6 or more circuits) $10.00 ea
O Meter/mast repair $80.00
E1 Low voltage systems $60.00
(alarm, furnace thermostat)
MULTI -FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
El Temporary service (residential) $60.00
O Temporary service (generator) $90.00
• Manufactured/mobile home service $100.00
(excluding garage or outbuilding)
El Carnivals $100.00
Number of concessions $11.00 ea
Each ride and generator truck $11.00 ea
***EFFECTIVE JANUARY 1, 2014 EACH
PERMIT WILL BE ASSESSED A 5%
TECHNOLOGY FEE***
PLICAT1ON NOT
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 fur 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Addres::PO
Date:q1Zet 11/
Day Telephone: A90 445(7 051,5
uJA-
crisVi
State Zip
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Page 2 of 2
Cash Register Receipt Receipt Number
City of Tukwila . R17512
DESCRIPTIONS 1
PermitTRAK
ACCOUNT
QUANTITY
PAID
$221.73
E119-0369 Address: 13310 INTERURBAN AVE S
Apn: 0003000113
$221.73
Credit Card Fee
$646
Credit Card Fee
R000.369.908,00.00
0.00
$6.46
ELECTRICAL
$205.02
PERMIT FEE MULTI-FAM/COMM
R000,322.101.00.00
0.00
$205.02
TECHNOLOGY FEE
$10.25
TECHNOLOGY FEE
TOTAL FEES PAID BY RECEIPT: R17512
R000.322.900.04,00
0.00
.
$10,25
$221.73
Date Paid: Monday, April 29, 2019
Paid By: ALLIED ELECTRIC SERVICE INC
Pay Method: CREDIT CARD 089533
Printed: Monday, April 29, 2019 10:56 AM 1 of 1
Y TE
0
CO TUKWILA ETRAKIT
6200 SOUTHCENTER BLVD
TUKWILA, WA 98188
206-433-1870
CITY OF TUKWILA
0017340000802374464500
Date: 04/29/2019 10:56:31 AM
CREDIT CARD SALE
VISA
CARD NUMBER: **********4888 K
TRAN AMOUNT: $221.73
APPROVAL CD: 089533
RECORD #: 000
CLERK ID: Rachelle
X
{CARDHOLDER'S SIGNATURE}
I AGREE TO PAY THE ABOVE TOTAL AMOUNT
ACCORDING TO THE CARD ISSUER AGREEMENT
{MERCHANT AGREEMENT IF CREDIT VOUCHER}
Thank you!
Merchant Copy
CO TUKWILA ETRAKIT
6200 5OUTx[ENTEK 8LVD
TUKWILA, WA 98188
206'433'1870
CITY OF TUKWILA
Date: 04/29/20I9 10:56:31 4M
CREDIT CARD SALE
VISA
CARD NUMBER: w********4888 K
TRxm AMOUNT: $221.73
APPROVAL CO: 089533
RECORD #: 000
CLERK ID: KacheIle
Thank you!
Customer Copy
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. P RMtT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 67
Permit Inspection Request Line (206) 438-9350
Project: ,...76 ,
Type of Inspection:
Address: ,
,i33i 0
'
Date Called:
Special Instructions:
DateWanted: .
a.
0
•
Requester:
Phone No:
Approved per applicable codes.
COMMENTS:
Corrections required prior to approval.
nspec or:
Date:
REINSPECT! N FEE REQUIRED. Prior to next inspection. feemust be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
ALLIED ELECTRIC SERVICE INb
Gmtact
Safety & Health Claims & Insurance
sk Washington State Department of
/ Labor & Industries
Page 1 of 2
A-Vhdx Help My
Workplace Rights Trades & Licensing
ALLIED ELECTRIC SERVICE INC
Owner or tradesperson
Principals
ELWIN, John, AGENT
ELWIN, H JOHN, MEMBER
Doing business as
ALLIED ELECTRIC SERVICE INC
WA UBI No,
600 599 707
PO BOX 3855
LACEY, WA 98509
360-459-0575
THURSTON 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.
ALLIEES145BC
Effective — expiration
01/03/1986— 01/31/2020
Designated administrator
ELWIN, H JOHN
License type
Master Electrician
Bond
CBIC
Bond account no.
SB2616
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.
ELWINHJ974L4
$4,000.00
Effective date
12/28/1997
Expiration date
Until Canceled
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
,,,,,,,
Doing business as
ALLIED ELECTRIC SERVICE INC
Account is current.
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ALLIED ELECTRIC SERVICE INC
Page 2 of 2
Estimated workers reported
Quarter 4 of Year 2018 "11 to 20 Workers"
L&I account contact
T51 KRISTEN WATERS (360)902-5592 - Email: P0KE235@lni.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.
Washington State Dept. of Labor & Industries, Use of this site is 'subject to the laws of the state of Washington.
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