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Home My WebLink AboutPermit EL19-1014 - BRANK SAFEWAY / SOUTH END SPACE - CIRCUITS FOR RECEPTACLESBRAND SAFEWAY - ANDOVER 1071 ANDOVER PARK W ELI9-1014 Parcel No: Address: City txx ofTukwila ent of Community Development 63OOSouthcenterBoulevard, Suite #1OO Tukwila, Washington 98188 Phone: 206-431-3670 Inspection Request Line: 206-438-9350 Web site: http://www.TukwilaWA.gov 2623049121 1071 ANDOVER PARK W ELECTRICAL OTC PERMIT Project Name: BRANK SAFEWAY - ANDOVER Permit Number: EL19'I014 Issue Date: 12/6/2019 Permit Expires On: 0/3/2020 Owner: Name: Address: MVI TUKWILA 2 LLC 1003LAKE S#3U1,NRKU\ND,WA, 98033 Contact Person: Name: EDGAR RODRIGUEZ Address: 77l7DETROIT AVE 5VV'SEATTLE, WA, 98106 Contractor: Name: MACDONALD MILLER CO Address: 7717DETROIT SVV'SEATTLE, WA, 98106 License No: MACDOM*248J9 Lender: Name: Address: ''' Phone: (206) 249-1049 Phone: (206) 763-9400 Expiration Date: 4/30/2020 DESCRIPTION OF WORK: PROVIDE (1) 20 AMP 120 V CIRCUIT (1) 30 AMP 120 V CIRCUIT & (1) 50 AMP 120/208 V CIRCUIT FOR RECEPTACLS @ SOUTH END OF SPACE Valuation of single family: $0.00 Valuation of mf/comm: $7,000.00 Type of Work: REMODEL Fees Collected: $241.25 Electrical Service Provided by: PUGET 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: 2017WA State Energy Code: 2017 2017 2015 Permit Center Authorized Signature: '� I hearby certify that I have read and examined this permit and know the same to be true and correct. All provisions of aw and ordinances goverrling 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. am authorized to sign and obtain this development permit and agree to the conditions attached to this permit. Signature: Print Name: E l, r � 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 15 suspended or abandoned for a period of 180 days from the Iast inspection. PERMIT CONDITIONS: 1: ***ELECTRICAL PERMIT CONDITIONS*** 2: A copy of the electrical work permit shall be posted or otherwise made readity 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 riot 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 1071 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, W4 98188 http://www.TukwilaWA.gov Electrical Permit No. L 9— /0/ 5, Project No. Date Application Accepted: Date Application Expires: (For officeuse 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 o71 , King Co Assessor's Tax No.: Site Address: +eit- AN oVeR. PitiLK W Suite Number: Aloikle- Floor: i51. Tenant Name: SailitA SAFE loy -As Aovsk. PROPERTY OWNER Name: 14g1400 Z---• Address: 77 Mir Avc City : S%1212 it State: twit Zip: q 1210 Phone: jax: Name: State: Zip: eib 04 Phone: Fax: Contr Reg No.: Address: • Tukwila Business License No.; City: LieWl State: h. Zip: r CONTACT PERSON — person receiving all project communication Name: 14g1400 Z---• Address: 77 Mir Avc City : S%1212 it State: twit Zip: q 1210 Phone: jax: , Emaild 44- cr ri, tkrildie ter:C.0P New Tenant: .„..Yes No ELECTRICAL CONTRACTOR INFORMATION Company Name: itli //WC Address: 77%1 ... r A* Sc' City• State: Zip: eib 04 Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 7, 0dt9 Scope of Work (please provide detailed information): PrOVI d (.1.) 2+0 g •2.0 00 60 atop Will service be altered? I Yes El No Adding more than 50 amps? J Yes ErNo Type of Use: Type of work: , • New El Addition Service Change Remodel 0 Tenant Improvement O Low Voltage 0 Generator D Fire Alarm 0 Telecommunication 0 Temporary Service Property Served by: IP/Puget Sound Energy 0 Seattle City Light WAPermit CenterlApplications-HandoutsTermit Applications\ PDFAElectrical Permit Application Revised 1 -17-1 9, docx Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE Ell New single family dwellings $180.00 (including an attached garage) O Garages, pools, spas and outbuildings $120.00 ea O Low voltage systems (alarm) $60.00 ea 0 (no added/altered circuits) RESIDENTIAL REMODEL AND SERVICE CHANGES MULTI -FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES O Temporary service (residential).— ..... . ......... ........ $60.00 O Temporary service (generator) $90.00 O Manufactured./mobile home service $100.00 Service change or alteration $120.00 (excluding garage or outbuilding) O Service change with added/altered circuits $100.00 number of added circuits $10.00 ea • 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 El Meter/mast repair $80.00 O Low voltage systems $60.00 (alarm, furnace thermostat) O 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*** 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Date: 12/ /// Print Name: Day Telephone: .4b 21/41 IoVff Mailing Address: W:\Pemit CentetliApplications-HandoutsTermit Applications1PDFslElectrical Permit Application Revised 1.17-19.docx srectiite wht-- w frr City State Zip Page 2 of 2 Receipt Number DES i RIPTIONS _ PermitTRAK ACCOUNT I QUANTITY I PAID $241.25 EL19-1014 Address 1071 ANDOVER PARK W Apn: 2623049121 $241.25 Credit Card Fee $7.03 Credit Card Fee R000.369.908.00.00 0.00 $7.03 ELECTRICAL $223.07 PERMIT FEE MULTI-FAM/COMM R000.322.101.00.00 0.00 $223.07 TECHNOLOGY FEE $11.15 TECHNOLOGY FEE TOTAL FEES PAID Erif RECEIPT: R19234 R000.322.900.04.00 0.00 $11.15 $241,25 Date Paid: Friday, December 06, 2019 Paid By: EDGAR RODRIGUEZ Pay Method: CREDIT CARD 674205 Printed: Friday, December 06, 2019 1:38 PM 1 of 1 Y5TEMS CO TUKWILA ETRAKIT 6200 SOUTHCENTER BLVD TUKWILA, WA 98188 206'433-1878 CITY OF TUKWILA 8017340080882374464500 Date: 12/86/2019 01:37:41 PM CREDIT CARD SALE VISA CARD NUMBER: **********9638 K TRAN AMOUNT: $241.25 APPROVAL CD: 074205 RECORD #: 000 CLERK ID: Shana INVOICE #: ELI9'1014 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 6208 SOUTH[ENTER BLVD TUKWILA, WA 98188 286-433-1878 CITY OF TUKWILA Date: 12/06/2019 81:37:41 PM CREDIT CARD SALE VISA CARD NUMBER: **********9638 K TRAN AMOUNT: $241.25 APPROVAL CD: 674205 RECORD #: 000 CLERK ID: Shana INVOICE #: EL19-I814 Thank you! Customer Copy INSPECTION RECORD Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431-3670 Permit Inspection Request Line (206) 438-9350 Project: Type of Inspection: Address: ( E3ate Called: Special Instructions: 3 e `-j Z,�, 3 ro Elate Wanted: a.nn p-rn. Requester: PhoneNo:� proved per applicable codes. Corrections required prior to approval. OMMENTS: r• Ins hecto Date: REINSPECTIO FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 0 Labor & Industries (htieswhi,wa.cloy) Contractors ACDONALD MILLER FAC SOL NC PY‘.,r191..9S, . Principals SIMONDS, DERRICK, PRESIDENT WEBSTER, MARK, VICE PRESIDENT Perry, Reagan, SECRETARY Gebhardt, Stephanie, TREASURER CT CORP SYSTEM, AGENT SIGMUND, FRED J, PRESIDENT (End: 02/11/2013) LOVELY, STEVE C, VICE PRESIDENT (End: 02/11/2013) KOPET, TYLER C, SECRETARY (End: 02/11/2013) KOPET, TYLER C, TREASURER (End: 02/11/2013) HACK, RICHARD R, AGENT (End: 02/11/2013) NICHOLES, STEVE, SECRETARY (End: 03/27/2018) TURLEY, DOUGLAS, TREASURER (End: 03/27/2018) Doing business as MACDONALD MILLER FAC SOL INC WA UBI No, 602 254 260 7717 DETROIT AVE SW SEATTLE, WA 98106 206-763-9400 KING County Business type Corporation Governing persons FREDRIC J SIGMUND STEVE C LOVELY: TYLER C KOPET: License Verify the contractors active registration / license / certification (depending on trade) and any past violations. Electrical Contractor Active Meets current requirements. License specialties GENERAL License no. MACDOMF972BF Effective — expiration 01/06/2003-01/06/2021 Designated administrator Adams, Edward J License type Electrical Administrator Bond Active Meets current requirements. License no. ADAMSEJ916B2 LIBERTY MUTUAL INS CO $4,000.00