HomeMy WebLinkAboutPermit EL07-339 - LANE BRYANTLANE BRYANT
17250 SOUTHCENTER PY
SUITE 124
ELO7-339
Parcel No.:
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
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
2623049117
17250 SOUTHCENTER PY TUKW
LANE BRYANT
17250 SOUTHCENTER PY , TUKWILA WA
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE WA
THOMAS STARKS
1730 GIBSON RD , EVERETT WA
FIRE PROTECTION INC
P O BOX 12642 , MILL CREEK WA
Contractor License No: FIREPI *021ML
DESCRIPTION OF WORK:
LOW VOLTAGE: ADD/RELOCATE FIRE ALARM DEVICES TO THE EXISTING SYSTEM
Value of Electrical:
Type of Fire Protection:
Electrical Service provided by:
The granting of this
construction or th
Signature:
Print Name:
doc: EL -4/07
$2,475.00
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be com • lie
PUGET SOUND ENERGY
ELECTRICAL PERMIT
EL07 -339
Permit Number: EL07 -339
Issue Date: 07/30/2007
Permit Expires On: 01/26/2008
Phone:
Phone: 425 290 -9600
Phone:
Expiration Date: 07/13/2008
Fees Collected:
National Electrical Code Edition:
$124.00
2005
Date: �Jb`U
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, whether specified herein or not.
of presume to give authority to violate or cancel the provisions of any other state or local laws regulating
of wor .. authorized to sign and obtain this electrical permit.
Date: 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.
Printed: 07 -30 -2007
1: ** *ELECTRICAL * **
Signature:
Print Name:
doc: Cond -Elec
City of Tukwila
Parcel No.: 2623049117
Address: 17250 SOUTHCENTER PY TUICW
Suite No:
Tenant: LANE BRYANT
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
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 do - - - _ • resume to give authority to violate or cancel the provision of any other work or local
laws regulating constru • or the p - rforman e of work.
EL07 -339
Permit Number: ELO7 -339
Status: ISSUED
Applied Date: 07/30/2007
Issue Date: 07/30/2007
Date: 1
Printed: 07 -30 -2007
CITY OF TUKWIL
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://Www.ci.tukwila.wa.us
Name: Thu ,MPr S 5 Q'' -r r-S
H:1Applications\Fams- Applications On lineal -2007 - Electrical Permit Application.doc
bh
Electrical Permit No.
)4
Project No.
(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.: Z (02 3 04 -1 1 1
Site Address: 1125O 50 CD-tv(d- PK-1,i6 Suite Number: Floor:
Tenant Name: (..An f T t) r q A ✓ -r New Tenant: cv Yes ❑..No
Property Owners Name: Le- 1 (" 1 P rb Q-d C -4 l S
Mailing Address: 4 11 13'1 et--- 51~ .
Mailing Address: 1.1 ?v 0 C. t RS
E -Mail Address: 4"k^0 n-co e e`f ; SGA e
Company Name: fi 4C Pro 4er 9- 4r ..�/►C,
Mailing Address: 17 3 O 6t B 50 aA o
City
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Contact Person: 'Rob T t v..n
E -Mail Address: (�.trb Q- S L is r.- Fax Number:
Contractor Registration Number: F le-CPT EK. 07-1 M L Expiration Date:
Day Telephone: 4,1- VI a " ? �
State Zip
Fax Number: 9 CD
City
ELECTRICAL CONTRACTOR INFORMATION
City
Day Telephone:
State q Zip
4 -Z90 [lobo
76i — %1
� — 13 —a7
°I) Valuation of Project (contractor's bid price): $ 2-475
Scope of Work (please provide detailed information): A-9 I Q.4q c . 44
Dc . _ e s Pe (- P( "- -4.0 +KR- emc 5' S -^-
Will service be altered? ❑ Yes - No Adding more than 50 amps? ❑ Yes No
No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
id 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
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
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)
Signature:
Print Name:
Mailing Address:
I Date Application Accepted:
H :1Applications\Forma-Applicationa On Line14 -2007 - Electrical Permit Applicalian.doc
bb
$140.00
$75.00 ea
$55.00 ea
City
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
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:
Date: 7/7 (O,
Day Telephone: 41-5 ''Z t 4' co
Date Application Expires:
Staff Initials:
Page2of2
Receipt No.: R07 - 01516
Initials: JEM
User ID: 1165
Payee: FIRE PROTECTION, 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 -339
Address: 17250 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 07/30/2007
Applicant: LANE BRYANT Issue Date:
Amount
Payment Check 22411 124.00
Account Code Current Pmts
000.322.101.00.0 124.00
Total: $124.00
Payment Amount: $124.00
Payment Date: 07/30/2007 10:40 AM
Balance: $0.00
0835 07/30 9710 TOTAL 124.00
r1nr' Raraint -OA Printart. 07 -3O -2187
Project:
i-bvl 40 1//1/11 r
Type of Inspection:
2./Cit)
Address:
/7o <0/I777'6/417
A
ieh
Date Called:
Special Instructions: 09
Date Wanted: C�
/
_
)
a.m.
P.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION E.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
proved per applicable codes.
Corrections required prior to approval.
COMMENTS:
ex- cE /L/A6r
(InsP ? 1 G &T-4`',/7nitql (Date: 9.41-4)
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:
1!4:
Project:
444g Y/9417
Type of Ins ection:
�G�
°
Address:
7,
�'
/1/0V
Date Called:
Special Instructions:
Date Wanted:
/
a.m.
p .m.
Requester:
Phone No:
INSPECTION RECORD I
Retain a copy with permit 407 3
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
(// GO1U
-. Cf /G /NK — c, MY, c)/E1/k'
r /y5
Inspecto LL 6 4 4 7
$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:
*CAS:
License Information
License
FIREPI *021 ML
Licensee Name
FIRE PROTECTION INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601848346
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
PO BOX 12642
Address 2
City
MILL CREEK
County
SNOHOMISH
State
WA
Zip
98082
Phone
2064405763
Status
ACTIVE
Specialty 1
LIMITED ENERGY
Specialty 2
HVAC/RFRG LTD ENERGY
Effective Date
7/13/1998
Expiration Date
7/13/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
CATS *RL976LS
Business Owner Information
Name
Role
Effective Date
Expiration Date
CATS, ROY
01/01/1980
CATS, KARI
01/01/1980
WILLIAM KASTNER & GIBBS
AGENT
01/01/1980
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.
Master Electrician Information
License
Name
Status
CATS *RL976LS
CATS, ROY L
ACTIVE
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= FIREPI *021 ML 07/30/2007