The URL can be used to link to this page

Home My WebLink AboutPermit EL07-056 - PRECOR HOME FITNESSPRECOR HOME FITNESS 17275 SOUTHCENTER PY ELO7-056 Parcel No.: 2623049063 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: 17275 SOUTHCENTER PT TUKW Contact Person: Name: TRAVIS UNDERWOOD Address: 17034 AURORA AV N , SHORELINE WA Contractor: Name: SHORELINE SIGN & AWNING Address: 17034 AURORA AV N , SEATTLE WA Contractor License No: SHORESA9821W DESCRIPTION OF WORK: CONNECT SIGN TO EXISTING CIRCUIT, BROUGHT TO LOCATION BY OTHERS. Value of Electrical: $250.00 Type of Fire Protection: Electrical Service provided by: Permit Center Authorized Signature: I hereby certify that I have read and governing this work will be compile doc: EL -4/07 Cityf 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 PRECOR HOME FITNESS 17275 SOUTHCENTER PY , TUKWILA WA MASAO 117 EAST LOUISA ST #230 , SEATTLE WA PSE Print Name: 7 ELECTRICAL PERMIT Permit Number: Issue Date: Permit Expires On: Phone: Phone: 206 542 -8737 Phone: 206 542 -8737 Expiration Date: 04/16/2008 ELO7 -056 04/24/2007 10/21/2007 Fees Collected: $58.00 National Electrical Code Edition: 2005 Date: U`-1 12-1414:51- ed this permit and know the same to be true and correct. All provisions of law and ordinances , 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 electrical permit. Signature: — Date: 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. EL07 -056 Printed: 04 -24 -2007 Parcel No.: 2623049063 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: doc: Cond -Elec 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 17275 SOUTHCENTER PT TUKW PRECOR HOME FITNESS Print Name: �`(l) PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL07 -056 ISSUED 04/24/2007 04/24/2007 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. 6: 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. Date: ° /° 2 EL07 -056 Printed: 04 -24 -2007 CITY OF ruxwibe Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 htto://www.d.tukwila.wa.us 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 0-4319 Site Address: 17a 75 S .T f t'T - 06 wY Tenant Name: pro Property Owners Name: 11 PrS fi) Mailing Address: 117 E41-4" 7 [A V yS f} ST. #* X3 0 (CONTACT PERSON -Who do we contact when your permit is ready to be issued Name: TP-* t#S' Vt ■- r Mailing Address: 17 03 `F /. t' I L7 A-1/E- N E-Mail Address: 7711 VVS S fruit f -,& Company Name: Mailing Address: H:lAppliatiom\Forms-Appliatian On Une41-2007 -Electrical Permit Appliation.doc hh God SFfz IBC -x--r4. Sy,(ni ft- if A- f'T -*i Electrical Permit No. v 4 Project No. (For office use only) King Co Assessor's Tax No.: a ‘ a 3 0 - ?DC; - 0 t f Suite Number: Floor: New Tenant: It Yes ❑ -No City State State 17 0 3 A /�v M S city Contact Person: 5 C 4-80 Day Telephone: E -Mail Address: Fax Number. C o n t r a c t o r Registration N u m b e r : 5 H ' J P e - V (tr Expiration Date: t i - /IC /o Day Telephone: a- o 6 - S+2. - is 7 3 7 S 133 Fax Number. 'P.o6-- Spa. -BS 77 I ELECTRICAL CONTRACTOR INFORMATION gsiii Zip Valuation of Project (contractor's bid price): $ 2 so , 0 0 Scope of Work (please provide detailed information): Cam° /'/''CC-or 5 LG = N 6 3 C wr - ) 0T•N Will service be altered? ❑ Yes [ No Adding more than 50 amps? ❑ Yes Ai No Type of Use: Type of work: At New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Page 1 of 2 • RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $ 140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings $75.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $55.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES Service change or alteration $75.00 (no added/altered circuits) Service change with added/altered circuits $75.00 number of added circuits $10.00 ea Circuits added/aherrd without service change $50.00 (up to 5 circuits) Circuits added/altered without service change $50.00 (6 or more circuits) $7.00 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $55.00 (alarm, furnace thermostat) Print Name: — D2 -1+ - vt.ND �i1t�w�0 Day Telephone: Mailing Address: 17 a 3q- Sf'i I'l- - r City I Date Application Accepted: H:Wpplicatio nlFmmsApplicrians On tine 4 -2007 - Electrical Permit Applicrtion.doc bh MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract MISCELLANEOUS FEES ❑ Temporary service (residential) $58.00 ❑ Temporary service (generator) $75.00 ❑ Manufactured/mobile home service $80.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions $10.00 ea I 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: ''-� Date: a.o C —s — e 7 l 3 3 Slate Zip Staff Initials: Date Application Expires: Page 2 of 2 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 Parcel No.: 2623049063 Permit Number: EL07 -056 Address: 17275 SOUTHCENTER PT TUKW Status: PENDING Suite No: Applied Date: 04/24/2007 Applicant: PRECOR HOME FITNESS Issue Date: Receipt No.: R07 -00654 Initials: JEM Payment Date: 04/24/2007 11:15 AM User ID: 1165 Balance: $0.00 Payee: MIXIGN, INC. TRANSACTION LIST: Type Method Description Amount Payment Check 22487 58.00 ACCOUNT ITEM LIST: Description ELECTRICAL PERMIT - NONR Account Code Current Pmts 000.322.101.00.0 58.00 Tatal: $58.00 Payment Amount: $58.00 7473 04/24 9716 TOTAL 58.00 doc: Receiot -06 Printed: 04 -24 -2007 Pr : CO X. /*XI ffi/lifer InsPecti°2n Type of • F • Address: Date Called: ,f Special Instructions: Date Wanted: —r ii / 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 11-0 PERMIT 0 206 431-36 0 pproved per applicable codes. Corrections required prior to approval. COMMENTS: I n s (1)4vi7ge..0/64‘ ri $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: License Information License SHORESA9821 W Licensee Name SHORELINE SIGN & AWNING Licensee Type ELECTRICAL CONTRACTOR UBI 602158882 Ind. Ins. Account Id PRESIDENT Business Type CORPORATION Address 1 17034 AURORA AVE N Address 2 City SEATTLE County KING State WA Zip 98133 Phone 2065428737 Status ACTIVE Specialty 1 SIGN Specialty 2 UNUSED Effective Date 4/16/2002 Expiration Date 4/16/2008 Suspend Date Separation Date Parent Company Previous License Next License Associated License RICHAMW132CG Business Owner Information Name Role Effective Date Expiration Date HANLIN, WILLIAM A AGENT 04 /16/2002 RICHARDS, MICHAEL W PRESIDENT 04 /16/2002 Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 2 Washington State Department of Labor and Industries 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. Electrical Administrator Information License Name Status RICHAMW 132CG RICHARDS, MICHAEL W ACTIVE https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= SHORESA9821 W 04/24/2007 SHORELINE :• Ga. . &'.AWNING 17 AUROTTA AVE N SEATTLE ` WA 98133 F625 -052 -000 (8/97) DEPARTMENT OF' LABOR AND INDUSTRIES LI.CNSSD AS ' PROVIDED BY ELEC C6TTR SIGN Detach And Display Certificate