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Home My WebLink AboutPermit EL07-206 - NORDSTROM RACKNORDSTROM RACK 17200 SOUTHCENTER PY ELO7-206 doc: EL -4/07 Parcel No.: 2623049117 Address: 17200 SOUTHCENTER PY TUKW Suite No: Permit Center Authorized Signature: I hereby certify that I have read and e governing this work will be complied Signature: 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 Tenant: Name: NORDSTROM RACK Address: 17200 SOUTHCENTER PY , TUKWILA WA Owner: Name: WIG PROPERTIES LLC -SS Phone: Address: 4811 134 PL SE , BELLEVUE WA Contact Person: Name: DEAN NISSEN Phone: 206 286 -8981 Address: 1448 ELTIOT AV W , SEATTLE WA Contractor: Name: LEIBOLD COMMUNICATIONS INC Phone: 206 286 -8981 Address: 1448 ELLIOT AV W , SEATTLE WA Contractor License No: LEIBOCI115BO Expiration Date: 01/20/2009 DESCRIPTION OF WORK: LOW VOLTAGE: BACKGROUND MUSIC, PAGING, AND INTERCOM SYSTEMS Value of Electrical: $23,453.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY IM F, ELECTRICAL PERMIT Permit Number: EL07 -206 Issue Date: 06/12/2007 Permit Expires On: 12/09/2007 Print Name: $475.60 Date: d D l [14 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. Date: 6 - 1 2 7 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 -206 Printed: 06-12 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 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 17200 SOUTBCENTER PY TUICW NORDSTROM RACK PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: ELO7 -206 ISSUED 06/12/2007 06/12/2007 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: Print Name: doc: Cond -Elec Date: -/2 - EL07 -206 Printed: 06-12 -2007 CITY OF TUKWILA Community Development Department Permit Center( r 9 6300 Southcent r hr , SUite 00 Tukwila, WA 98188 http: / /www. ci. 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 ** O O � C � King Co Assessor's Tax No.: Site Address: 11 n' oZ n pin I rh w nt Suite Number: Floor: Tenant Name: U V p 1-4 S ft t e— 0 I a 9 t r. K New Tenant: El Yes ❑ ..No Property Owners Name: Mailing Address: Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: Day T lephone: (� - ,Q ��+ r� (� •''9 g r ��+ 8 ice' I() O i U.e 14.).0-r 1 r �Ol4(t � w 4 9 0 ila - Mailing Address: City State Zip E -Mail Address: ci N t S S PA.A ®C Q j ip D 14;‘, r . . CD I.IVY Fax Number: ,aQ 6 -- dy -9 F) 3 1 ELECTRICAL CONTRACTOR INFORMATION Company Name: Mailing Address: Contact Person: E -Mail Address: e-at MI5's to-IA Contractor Registration Number: LE- t Q O r .. 1 15 b 0 Valuation of Project (contractor's bid price): $ ({ 5 3 a of Work (please provide de .led information): flu? D, ��q P P V O 4-nt. \; C- J � a 1,1 11 Vv► t.L$ Scope ' v H: ApplicationsWonns- Applications On Lineal -2007 - Electrical Permit Application.doc bh Electrical Permit No. / r ) Project No. (For once use only) City State Day Telephone: a06,-ajf - &9 81 Fax Number: n Co - 2'( Q �' Expiration Date: l 1 ? t) C 09 Will service be altered? ❑ Yes IX No Adding more than 50 amps? ❑ Yes ❑ No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: 2g 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/altered 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) H:WpplicationsWorms- Applications On trnc\4 -7007 - Electrical Permit Application.doc bh Signature: .20.-_ U' f44pti.. Print Name: D e o' N N j Z s s el^ a Telephone: Mailing Address: X 4 4 8 1 (/f ■ o � �' Ave. W p -4 Sea e. i ty 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 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: Date: W7/ 00(o- c- T9 rI WA.. 9 , -- 3-(O I Date Application Accepted: Date Application Expires: Staff Initials: 1 Page 2 of 2 Receipt No.: R07 -01110 Payee: LEIBOLD COMMUNICATIONS, INC. TRANSACTION LIST: Type Method Description ACCOUNT ITEM LIST: Description 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 Parcel No.: 2623049117 Permit Number: EL07 -206 Address: 17200 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 06/12/2007 Applicant: NORDSTROM RACK Issue Date: Initials: JEM Payment Date: 06/12/2007 11:15 AM User ID: 1165 Balance: $0.00 Amount Payment Check 25115 475.60 Account Code Current Pmts 000.322.101.00.0 475.60 Total: $475.60 Payment Amount: $475.60 9263 06/12 9716 TOTAL 475.60 doc: Receiot -06 Printed: 06-12 -2007 Project: Iii066 T/Zof7 fi9&i 4 Type of Inspection: /a Address: 1 X0 &tf 4- f A/TM 60 Date Called: Special Instructions: Date Wanted: p.m. Requester: Phone No: a97---,2o6 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 OMMENTS: (014 - pproved per applicable codes. El Corrections required prior to approval. l inspectort/ /t 671 Date: 24 7 El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. Receipt No.: 'Date: Project: Mac acT1 /1 f)G/ Type of Inspection: 70113 Address: J / 7?-0 Ceiu i 74 Gi �w % Date Called: Special Instructions: Date Wanted: v / � a. . Requester: Phone No: proved per applicable codes. INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 fw7 .2 Iln ` 4 f)/(6/1 rate: / / / U (206)431 -367 El Corrections required prior to approval. COMMENTS: 0/ - c` /1-/416 c_o1/42 -- C-fiet 0M- y SioMX64, IAh e_oW4e5 El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. (Receipt No.: `Date: License Information License LEIBOCI115B0 Licensee Name LEIBOLD COMMUNICATIONS INC Licensee Type ELECTRICAL CONTRACTOR UBI 601156413 Ind. Ins. Account Id Business Type CORPORATION Address 1 1448 ELLIOTT AVE W Address 2 City SEATTLE County KING State WA Zip 98119 Phone 2062868981 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 1/20/1989 Expiration Date 1/20/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License LEIBOJN25ONG Business Owner Information Name Role Effective Date Expiration Date LEIBOLD, JAMES N 01/01/1980 LEIBOLD, VIRGINIA S 01/01/1980 Look Up a Contractor, Electrii'ian 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 LEIBOJN25ONG LEIBOLD, JAMES N ACTIVE I Bond Information i https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= LEIBOCI115B0 06/12/2007