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Permit EL19-1030 - PACIFIC CHEVRON - RELOCATE WALK-IN COOLER WIRING
PACIFIC CHEVRON 14415 TUKWILA INTL BLVD ELI 9-1030 Parcel No: Address: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washrngton 98188 Phone: 206'431'3670 Inspection Request Line: 206-438-93SU Web site: http://www.TukwilaWA.gov ELECTRICAL OTC PERMIT 0040000136 Permit Number: EL29-1030 14415 TUKWILA INTL BLVD Project Name: PACIFIC CHEVRON Issue Date: 6/22/2020 Permit Expires On: 12/19/2020 Owner: Name: Address: APNAINVESTMENTS GROUP LLC 26220 116TH AVE SE #201 , KENT, WA 98030 Contact Person: Name: DAVID MALIK Address: 26220 116TH AVE SE , KENT, WA, 98030 Contractor: Name: OWNER AFFIDAVIT ON FILE DAVID MALIK Address: License No: Lender: Name: Address: ^'' Phone: (206) 841-3355 Phone: Expiration Date: DESCRIPTION OF WORK: RELOCATING WALK-IN COOLER WIRING. Valuation of single family: $0.00 Valuation of mf/comm: $1'80000 Type of Work: ADDITION Fees Collected: $10968 Electrical Service Provided by: SEATTLE CITY LIGHT Water District: 125 Sewer District: VALLEY VIEW Current Codes adopted by the City of Tukwila: International Buliding Code Edition: International Residential Code Edition: International Mechanical Code Edition: Uniform Plumbing Code Edition: International Fuet Gas Code: 2015 20152015 2015 2015 National Electrical Code: WA Cities Electrical Code: WAC 296-4613: WA State Energy Code: 2017 20172017 2015 Permit Center Authorzed Signature: Date: 6 |heorbycertify that have read and examined this permit and kriow 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 Iocal laws regulating construction or the performance of work. 1 am authorized to sigri and obtain this developmertt permit and agree to the conditions attached to this permit. Signature: Print Name: Date: 0 This permit shall becorne nuU and void if the woris not comrnenced within 180 days for the dateof issuance, or if the work is 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 readily accessible to the Electrical lnspector 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 buliding, 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 ari 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 therefornot 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: (%V6)43W'935V 2100 ELECTRICAL FINAL 7003 ROUGH -IN ELECTRICAL 7002 SERVICE 7001 UNDERGROUND/SLAB CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd, Suite 100 Tukwila, WA 98188 http://www.TukwilaWA.gov Electrical Permit No. 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 King Co Assessor's Tax No.: Site Address: 141 S Tu K W I (. pi TN 1 I Suite Number: Floor: Tenant Name: Cil Iz Vr o N. New Tenant: Yes `LI.. tr' PROPERTY OWNER Company Name: Name: Ny' t f y� J- Tt v &T r fi L L C • Address: k 44 Ti.( K km/ l I y' Cityriv it l r f jCA State: j a Zip/01 * CONTACT PERSON — person receiving all project, communication Company Name: Name: , f 'r> n rk i iK, Address: \441 . 1--(A, (.4(it I r City: Tu K 1 t ,fry State: tV / A T V Zip: 1 1 b Phone: j/ 04, • . Zip: Phone: Email: M' L \ icp 10 as Lo k ()141 ELECTRICAL CONTRACTOR INFORMATION Company Name: Address: City: State: Zip: Phone: Fax: Contr Reg No.: Exp Date: Tukwila Business License No.; Valuation of Project (contractor's bid price): $ 0 O W 0.15 d+ Scope of Work (please provide detailed information): Will service be altered? fl Yes Type of Use: Type of work: ❑ New eZrAddition 0 Service Change ❑ Remodel 0 Low Voltage 0 Generator ❑ Fire Alarm ❑ Telecommunication Adding more than 50 amps? Q Yes Property Served by: ❑ Puget Sound Energy r Seattle City Light W:'Permit CenteMpplications-Handouts'Permit Applications\PDFs'EIe it Application Revised l -t 7-19.docx ❑ Tenant Improvement ❑ Temporary Service Page 1 of 2 R SI DE NTIAL NEW RESIDENTIAL SERVICE O 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 RESIDENTIAL REMODEL AND SERVICE CHANGES O Service change or alteration $120 00 (no added/altered circuits) Ej 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 O Low voltage systems 560.00 (alarm, furnace thermostat) 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 (excluding garage or outbuilding) 0 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNE ELECTRICAL CONTRACTOR: Signature: Print Name: IP MR- •\K Mailing Address: CR 6 Aoto W:Tennit Center1Applications-HandoutsTemlit Applications1PDFAElectrical Permit Application Revised 1-17-19.doca Date: (9: I Day Telephone: Ay 6- 041,3 (A/A- (1E03 o City S te Zip Page 2 of 2 INSPECTION RECORD Retain a copy with permit INSPECTION Na. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 43 Permit Inspection Request Line (206) 438-9350 Project: Address: Type I + tion: o pe Date Called: Special Instructions: pp � tate Wanted: a.m.: p.m. requester: Phone No: Approved per applicable codes. Corrections required prior to approval. COMMENTS: i ( M ( l CO Y e {' N } REINSPE ON FEE REQUIRED. Prior to next inspection, tee must be paid at 6300 Southcenter Blvd.. Suite 100. Cali to schedule reinspection. INSPECTION NO. INSPECTION RECORD Retain a copy with permit PE' IiIIIT NO CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila. WA 98188 Permit inspection Request Line (206) 438-9350 (206) 431-36 Project: , J Type InspecLion: , Address: Date Cattell: Special Instruct or s: ©ate Wanted: a.m. p.m. sequester: Phone Nva: Approved per applicable codes. Corrections required prior to approval. COMMENTS: Inspector: Date: 07 REINSPECTION FEE REQUIRED. Prior to next inspection, fee ust be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. 0 CITYOF TUKWILA Department of Community Development 63oo Southeenter Boulevard, Tillcunia, WA 98188 Telephone: (206) 431-367o FAX (206) 431-3665 AFFIDAVIT IN LIEU OF CONTRACTOR STATE OF WASHINGTON) ) ss* COUNTY OF KING , states as follows: PE Permit Center/Building Division 206 43)-3670 Public Works Department 2o6 433-o179 Planning Division 206 431-3670 G STRATION [please print name] I have made application fora permit from the City of Tukwila, Washington. 2, I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW-1.8.27.o9o, I consider the work authorized under this permit to be exempt under number , and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractorto perform construction work. By signing below, 1 certify the information lam providing on this affidavit is true and accurate. I understand that if 1 make false statements or misrepresentations 1 may be assessed penalties. Furthermore, I understand that 1 may be waiving certain rights that 1 might otherwise have under state law in any decislon to engage an unregistered contractor to perform construction work. Owner/ Sided date: day of