HomeMy WebLinkAboutPermit EL07-453 - FITNESS OUTLETFITNESS OUTLET
17250 SOUThCENTER PY
ELO7-453
Parcel No.: 2623049117
Address:
Suite No:
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name: LEON PARKS
Address: 1106 54 AV E , TACOMA WA
Value of Electrical: $4,145.00
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 complie
The granting of this permit does no
construction or the performance o
Signature:
Print Name:
City'ri'f 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
17250 SOUTHCENTER PY TUKW
FITNESS OUTLET
17250 SOUTHCENTER PY, STE 100 , TUKWILA WA
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE WA
Contractor:
Name: SMITH FIRE SYSTEMS MGMT LLC
Address: 110654 AV E , TACOMA WA
Contractor License No: SNIITHFS946LO
DESCRIPTION OF WORK:
LOW VOLTAGE: INSTALLING FIRE ALARM INITIATING AND WARNING DEVICE FOR TENANT
IMPROVEMENT
PUGET SOUND ENERGY
esume to
ork. am
ELECTRICAL PERMIT
0e W4e
Permit Number: EL07 -453
Issue Date: 08/30/2007
Permit Expires On: 02/26/2008
Phone:
Phone: 253 248 -2002
Phone: 253 - 926 -1880
Expiration Date: 06/20/2008
Fees Collected: $164.00
National Electrical Code Edition: 2005
Date: V D (q71`.? /al"
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, whether cified herein or not.
uthority to violate or cancel the provisions of any other state or local laws regulating
rized 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.
doc: EL -4/07 EL07 -453 Printed: 08 -30 -2007
Parcel No.: 2623049117
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
FITNESS OUTLET
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
17250 SOUTHCENTER PY TUI W
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL07 -453
ISSUED
08/30/2007
08/30/2007
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 the perfo ce of work.
Signature:
Print Name:
doc: Cond -Elec
LB
Date:
EL07 -453 Printed: 08 -30 -2007
•
King Co Assessor's Tax No.: Z (o - 3 0 ( 4 9 0 71
Site Address: 11 tn�t � J�- �M C e.vAA ev 900641 -vJ lcl. , Suite Number: t (: 0
Tenant Name: :-k S l7 v.��e.� + C�- I t 5 o �.�'�r C *✓v�� e
Property Owners Name: UJ ∎� 1 i 0
Mailing Address: t- k ( 13 t.4 dm. et. 5C
Who
owe contactwhenyourperm t is ready to,be;issue
Day Telephone:
o uv«. ,
City
E -Mail Address: Fax Number: a
Name:
Mailing Address: '1 ()t S u e
Company Name:
Mailing Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: / /www. ci. tkwila. wa. us
Will service be altered? ❑ Yes 1g1.- No
Type of Use: 'r e A PNly
Type of work:
❑ New ❑ Addition
Low Voltage ❑ Generator
Property Served by:
ILL Puget Sound Energy
❑ Seattle City Light
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 **
H:WpplicationsWorms- Applications On Line4 -2007 - Electrical Permit Application.doc
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❑ Service Change
[L, Fire Alarm
ftov
7)(' 1k U.E. i
City
New Tenant:
S Yh ; tt t )/ e-wx. 5 iMcAm i vvv V 4 (-La,
\ \ Q t o c t t ,A-v f . e . 'C ct, a u� 1,0 �A
L-e 0 lopt vis
City State Zip
Day Telephone: 2 3 — LA — loot_
Contact Person:
E -Mail Address: Fax Number: ,25 3— Ct 2 (o - C 7 2 ec
Contractor Registration Number: 'j W\ ; 4 kA. 4 S `t (0 L.0 Expiration Date: 6/ z (0 / D S
Valuation of Project (contractor's bid price): $ 4 t u S
■ Scope of Work (please provide detailed information): 1 ∎ ^ s��� C L. ( - %' e C &o-4 w'^ t h 4- a Lt-(/
QJ.
- w G,, �.^'1. d .) , `Tt1 , i *v �t vvv of
6
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel
❑ Telecommunication
g53 —,2 (..(
W
State
5) - 6 12(0
Floor:
(V Yes ❑..No
w
State
Q aC I OCO
Zip
�(- z o o z
Zip
Co
c 4Zy
l a Tenant Improvement
❑ Temporary Service
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:
I Date Application Accepted:
Print Name: Q j c o+ :5 v lL-
ociAal01—
H:Upplications\Forms- Applications On Line14 -2007 - Electrical Permit Application.doc
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$140.00
$75.00 ea
$55.00 ea
Mailing Address: 110 (o S L14 - & . e ,
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 NOTE
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 ELEfTRICAL4ONTRACTOR:
Date: 1 Z 5 6 (U ?
Day Telephone: 2 3 2 y a- 2,90k1
Cit state zip
Date Application Expires:
Staff Initials:
Page 2 of 2
Receipt No.: R07 - 01839
Initials: JEM
User ID: 1165
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
Payee: SMITH FIRE SYSTEMS MANAGEMENT, LLC
TRANSACTION LIST:
Type Method Description
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
RECEIPT
ParcelNo.: 2623049117 Permit Number: ELO7-453
Address: 17250 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 08/30/2007
Applicant: FITNESS OUTLET Issue Date:
Amount
Payment Check 01648 164.00
Account Code Current Pmts
000.322.101.00.0 164.00
Total: $164.00
Payment Amount: $164.00
Payment Date: 08/30/2007 11:33 AM
Balance: $0.00
2215 08/30 9710 TOTAL 164:00
doc: Receiot -06 Printed: 08-30 -2007
Pr
/II�s�S 04' Ti 4 i
Type of Inspectio
AHW
Address:
17 -4u7 A' r1
Date Called:
Special Instructions:
��
Date Wanted:
2'//
a.m.
p.m.
Requester:
Phone No:
3
Ek0 7- 9'7.71
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 -3
A pproved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
f/N/i
Imn5»r:C 6-)a7,444/nag
Date //9/0
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:
i1r Aicss G// T i, f i
Type of Inspection:
- 7007
Address:
72 .lam Soli i 4 77/6.1A //
Date Called:
/
Special Instructions:
Date Wanted /
t/
...t ,
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION g-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
C 2is
COMMENTS: /1
— k ll- Gv114 •
MoA fo,2 cF/ G /4)6-
Inspec r i' ...), 2 14 !Date:9/ .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:
ea7 - y; 3
roved per applicable codes. E1 Corrections required prior to approval.
COMMENTS:
0011 r
Dr 9 e_ o ce- /x 77a ,&•
f EE /41s/ 9- e)t/T /' L4 1-)A
Offs"' i60 )
f
Date Called:
Y
,�)O (/Z /
/
; i —
Date Wanted:
�// j
75
C.
gym.
Requester:
Phone No:
Project:
Project: Ss
0011 r
Type of Inspection'
2Z3
Address:
172 f U S O
f
Date Called:
Y
Special Instructions:
Date Wanted:
�// j
75
C.
gym.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
Vi°7 ysJ
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Approved per applicable codes. Jrrections required prior to approval.
Inspector: 6/ GL &fr('Z ,200, /t /O 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:
02 -12 -2008
LEON PARKS
1106 54 AVE
TACOMA WA 98424
RE: Permit No. EL07 -453
17250 SOUTHCENTER PY TUKW
Dear Permit Holder:
In reviewing our current records the above noted permit has not received a fmal inspection by the City of Tukwila Building Division.
Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the
Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work
authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days.
Based on the above, you are hereby advised to:
Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection.
This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if
the project should be considered abandoned.
If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does
allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests
must be in writini and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from
being taken.
In the event you do not call for the above inspection and receive an extension prior to 03/18/2008 , your permit will become null and
void and any further work on the project will require a new permit application and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
xc:
er Marshall
't Technician
Permit File No. EL07 -453
City of Tukwila
Jim Haggerton, Mayor
Department of Community Development Jack Pace, Director
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
GTH CORPORATE
SERVICES LLC
AGENT
06/20/2006
SMITH, MARK B
PARTNER/MEMBER
06/20/2006
Look Up a Contractor, Electric' or Plumber License Detail
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.
License Information
License
Licensee Name
Licensee Type
UBI
Ind. Ins. Account Id
Business Type
Address 1
Address 2
City
County
State
Zip
Phone
Status
Specialty 1
Specialty 2
Effective Date
Expiration Date
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
SMITHFS946LO
SMITH FIRE SYSTEMS MGMT LLC
ELECTRICAL CONTRACTOR
602601418
LIMITED LIABILITY COMPANY
1106 54TH AVE E
TACOMA
PIERCE
WA
98424
2539261880
ACTIVE
LIMITED ENERGY
UNUSED
6/20/2006
6/20/2008
SMITHFS98ORP
PARKSLD952LC
Master Electrician Information
License
Name
Status
PARKSLD952LC
PARKS, LEON D
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= SMITHFS946LO
Page 1 of 2
08/30/2007