HomeMy WebLinkAboutPermit EL07-001 - SC-5 RETAILSC-S RETAIL
17305 SOUTHCENTER PY
EL07-001
Parcel No.:
Address:
Suite No:
Owner:
Tenant:
Name:
Address:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Value of Electrical: $9,600.00
2623049024
17305 SOUTHCENTER PY TUICW
Electrical Service provided by: PSE
Ciq,., Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206-431-3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
SC -5 RETAIL
17305 SOUTHCENTER PY , TUKWILA WA
ERRE LLC +EVANS LLC
117 EAST LOUISA ST #230 , SEATTLE WA
CLINT MCCUBBIN
4314 103 AV SE , EVERETT WA
NORTHLAND ELECTRIC INC
Address: 4314 103 AV SE , EVEREIT WA
Contractor License No: NORTHEI21879
DESCRIPTION OF WORK:
REPLACE EXISTING SECONDARY TRANSFORMER.
Permit Center Authorized Signature h
ELECTRICAL PERMIT
I hereby certify that I have read an
governing this work will be complied ' th, h: ther specified herein or not.
Fees Collected:
Permit Number:
Issue Date:
Permit Expires On:
Phone:
Phone: 425 377 -1514
Phone: 425 377 -1514
Expiration Date: 03/31/2009
Type of Fire Protection: National Electrical Code Edition:
EL07 -001
04/02/2007
09/29/2007
$594.00
2005
Date: M I I D 01-
permit and know the same to be true and correct. All provisions of law and ordinances
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 t perfo ance of work. autho ' ed to sign and obtain this mechanical permit.
Signature: ¢— Date:
2--07
l /'
Print Name: L / � 4i � c ` t'` 4 7 N r
This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended
or abandoned for a period of 180 days from the last inspection.
doc: EL -4/07 EL07 -001 Printed: 04 -02 -2007
City of Tukwila
Parcel No.: 2623049024
Address: 17305 SOUTHCENTER PY TUKW
Suite No:
Tenant: SC -5 RETAIL
1: ** *ELECTRICAL * **
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
Permit Number: EL07 -001
Status: ISSUED
Applied Date: 04/02/2007
Issue Date: 04/02/2007
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.
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.
I hereby certify that I have read these conditions and will comply with them as outlined. 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 provision of any other work or local
laws regulating construction or the performance of work.
Signature:
doc: Cond -Elec
Print Name: , l A/ c
��l t h b0//v
Date: —a 7
EL07 -001 Printed: 04 -02 -2007
04- 02 -'07 88:56 FROM- _ publicworks /dod
CITY OF TUK'` -'
Commomity Deveilomprint Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
kitty: /lwww.cl.tukwlla.wa.us
SIT l OCATION .
2064313665
Electrical Perxiit
Project No.
(Fur �ioe sae onli+)
ELECTRICAL PERMIT APPLICATION
Applications and plans must be complete in older to be accepted for plan review.
Applications will not be accepted ttuuugb the mail or by fax.
* *Please Print *'
T - 157 P002/005 F - 245
King Co Assessor's Tex No.:
Site Address: ( '77 4_7"-G— a o 5 sou ( ',I.e., Pa rem t ysuite Numaber. Floor:
Tenant Name: ' , L- / New Tenant: ❑ .... Yes ❑ ..No
Properly Owners Naute: a e be Vet p bn
Mailing Address: t (7 £as Lau l5µ SV: #230 ,9.arle 0* 9 SS' /oL
cto am zm
I CONTACTPERSON - Who do we contact when year permit ieadr to be issued
Name: C J 1 tir m / A) Day Telephone: 3 -IS At
Mailing Address: 43, y / D 3 A t) S Skie_g7t 1,3 >4 91'ao s
E-Mail ail Address: (-t ! l,J �� v egi 21w • OLT Fcc Nimmba: (652 A 7 7 -9 /
ELECTRICAL CONTRACTOR IN ORMATION
M a.Lo.xam.p,mdr..uAPPpo,a,..ew Page 1 oft
Company Name: 1.1 n rtn" /an d al e
Mailing Address: 43 / K / 0 3rd A o e W4- 9I .26
Contact Person: ni CCt.e� fi )i /!) 1 D Telephone: oP.5" 7 7- � 7 7 t h
qqq
E-Mail Address: 1 Wk) V GK MOM i0 Fax Number: 377' / '/1
C o n t r a c t o r R e g i s t r a t i o n N u m b e r : J 1 JOI t i1( ET a( )17 9 Expiration Date:
Valuation of Project (contractor's bid price): S 1(0 t')(3
Scope of Work (please provide detailed information):
face_ e �ic / ST M Co Co f n
Tt'4 -rtS rrn Serui w cCnc�'J (t.r� / S bt�N re (e ■
J}f I - rift s w4R w 1 I ( 6.oe Ter cc.utre b 'vi-e4 % 0 pyr. ar`tt 7 kn.
'rµ e i i3SPC- - - t - r o wi) l g) ee T , e S ctrl eTis4 -iWW47 �
UEN I
Will service be altered? ❑ Yes Ergo Adding more than SO amps? ❑ Yes �No
� IP aSP aJIS�.
Type of Use:
Type of work:
❑ New ❑ Addition Service bacon° ❑ Remodel ❑ Tenant improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Proper Served br
Puget Sound Energy
❑ Seattle City Light
04-02-'07 08:56 FROM-publicworks/dcd
REPIEN_4„.„.:
Taw REM:DAV SERVICE
O Now single family dwellings ..... ...... -$140.00
(including an =ached prage)
O Garages, pools, spas and S75.00 ea
O Low voltage systems
PESIDENTIA1, REM9DEL AND SERVICE CHANGES
• Savior change or alteration S7 540
(no atidecValtered circuits)
In Service change with added/shoed circuits. $75.00
number of added circuits S10.00 ea
O Circuits sided/shoed without service change ___S50.00
(up to 5 circuits)
O Circuits added/altered without service change $50.00
(6 or more circuits) $1 00 or
O Mane/want repair. $65.00
O Low voltage systems - $55.00
(alarm, furnace thermostat)
main mums: Lta lq 103^ A ,
I bete Application Accepted: 04 1,074 a i Date Application EIPilt 101 0 244 7/4 "
WAsroketioosVora-Aoplisselves Oo Lirt4400, -Slearkel Fmk hipplierieouloo
2064313665 T-157 F003/005 F-245
JUSILEPOltiMMO&L
Fees are based on the valuation of the electrical contract
JEPSCELLANEOUS FEES
O Temporary service (residential) . $58.00
▪ Tanporary service (gourator).--.............. ...... S75.00
o ManufactunxVmobile hone service ...... $50.00
(excindiog garage or outbuilding)
O Carnivals. . $75.00
%saber of concessions- $20.00 or
PERMIT APPLICATIONNOTES -
Value of Contraction -In all eases, *value of construction solotmt should be catered by the applicant. This fig= will be reviewed and is subject
to possible revision by the Permit Center to comply with =rent fee schedules.
Expiration of Plan Review - Applicatioos for 'Mich no permit Is Issued within 180 days Following the date of application shall amire by limitation.
The Building Official may goat one extension of time for an addltioral period act to exceed 90 days. The extension shall be requested in writing
and justifiable muse demonstrated.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TICS 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 PO R THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signabgre: n?
Date: ° 2 -6 7
PrincNarne: t elek- rn C Ct.& la Day Telephone: 4 P - S) 77 - /-S7
gaRrir Lm- 9 8'..20-S
Zip
Staff Initials:
Page 2 o!2
Parcel No.: 2623049024 Permit Number: EL07 -001
Address: 17305 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 04/02/2007
Applicant: SC -5 RETAIL Issue Date:
Receipt No.: R07 -00480 Payment Amount: $594.00
Initials: JEM
User ID: 1165
Payee: NORTHLAND ELECTRIC INC.
TRANSACTION LIST:
Type Method Description Amount
ACCOUNT ITEM LIST:
Description
doc: Receiot -06
ELECTRICAL PERMIT - NONR
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206 -431 -3665
Web site: http: / /www.ci.tukwila.wa.us
RECEIPT
Payment Check 32011 594.00
Account Code Current Pmts
000.322.101.00.0 594.00
Total: $594.00
Payment Date: 04/02/2007 11:08 AM
Balance: $0.00
Printed: 04 -02 -2007
Project:
' c- - S G C /L
Type of Inspection:
\1
Address:
/ 730
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
1 C4.,0 7- ()a
oved per applicable codes. ❑ Corrections required prior to approval.
Inspe Date / 4 7
El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.: Date:
COMMENTS:
a< — 1NA r .S747 - lUc , J u/r
e ljava s/� L /6b
/A4 /Gf4T /ov cO //N /c,9 7 0 4
Address:
/ 730S - i/
�
En/?Tl1 fkw)
Date Called: -6
Special Instructions:
Date Wanted: /
67 6o
a.m.
p.m.
Requester: / �
C- ^4//v'
jj �..
Project:
SG - S
G1F / `
Type of Inspection:
7 /
Address:
/ 730S - i/
�
En/?Tl1 fkw)
Date Called: -6
Special Instructions:
Date Wanted: /
67 6o
a.m.
p.m.
Requester: / �
C- ^4//v'
Phone No:
E407 -001
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
COY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
proved per applicable codes. El Corrections required prior to approval.
Inspect
/�- /?irr6,n/c'
Da t
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
Project:
S - r A.4.1-71/1_
Type of I ection:
Ad s:
1 7O $
,CF J7) / 6wY
Date Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
PERM!
(20 • )431 -3
❑ Approved per applicable codes. El Corrections required prior to approval.
COMMENTS:
O/ - Ul FE/L c4di//1/ 9 --
Inspect ) / / � a ` Date: / 7
❑ $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
COMMENTS:
Type of Inspection:
' X)7. .5f(0
D 116.
OX — SSAV /cc
- ro 4
4 (, AJ _s/
Special Instructions:
',( a
1 7333 -CAI - N AITM Aav y
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014- 4 / b /PUC. :-t
(f!7 . V46/67
TV &Z /Jiro• -
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Phone No:
Pro ect:
�L - S 2�7�i C.
Type of Inspection:
' X)7. .5f(0
D 116.
u
Address:
17305 �v
a Aw%
Special Instructions:
Date Wanted: /
L�/
�, ;p-o
Requester:
Phone No:
1 0,056 - 7 -0) I
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Approved per applicable codes. Corrections required prior to approval.
Inspector:R /14 2;
Date:` / /V 07
1J $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
INSPECTION RECORD
Retain a copy with permit
(206)431 -3
Pr qie -C r i L /
/ /'/
Ty of �ection: 1/(7
`
Address:
Date Called:
Special Instructions:
Date Wanted: y
/
i
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(20•)431 -36
COMMENTS:
0/4 Gc>i)AI //7 4,t) , , /v/
47 V/)t/
� per applicable codes. Corrections required prior to approval.
Inspector:
i� (--- /PurE r 6#
Date: oho
$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to sechedule reinspection.
Receipt No.:
Date:
F_ " ` ► r,3':r,s yam?
License Information
License
NORTHEI21879
Licensee Name
NORTHLAND ELECTRIC INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
600344369
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
4314 103RD AVE SE
Address 2
City
EVERETT
County
SNOHOMISH
State
WA
Zip
98205
Phone
4253771514
Status
ACTIVE
Specialty 1
GENERAL
Specialty 2
UNUSED
Effective Date
10/29/1979
Expiration Date
3/31/2009
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
MCCUBCM970RH
Business Owner Information
Name
Role
Effective Date
Expiration Date
HECKMAN, DAVID G
01/01/1980
MCCUBBIN, CLINT M JR
01/01/1980
HECKMAN, DAVID G
AGENT
01/01/1980
Look Up a Contractor, Electrir or Plumber License Detail Page 1 of 2
Washington State Department of Labor and Industries
Master Electrician Information
License
Name
Status
MCCUBCM970RH
MCCUBBIN, CLINTON M JR
ACTIVE
Electrical Contractor
A business licensed by L &I to contract electrical work within the scope of
its specialty. Electrical Contractors must maintain a surety bond or
assignment of savings account. They also must have a designated
Electrical Administrator or Master Electrician who is a member of the
firm or a full -time supervisory employee.
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= NORTHEI21879 04/02/2007