HomeMy WebLinkAboutPermit EL07-553 - LAZY BOYLAZY BOY
17305 SOUTHCENTER PY
ELO7-553
Parcel No.: 2623049024
Address: 17305 SOUTHCENTER PY TUKW
Suite No:
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: LAZY BOY
Address: 17305 SOUTHCENTER PY , TUKWILA WA
Owner:
Name: TR5 LLC Phone:
Address: 117 E LOUISA ST #230 , SEATTLE WA
Contact Person:
Name: DOMINIC CARBELLO Phone: 425 508 -0803
Address: 1242 STATE AV, STE I PMB282 , MARYSVILLE WA
Contractor:
Name: TECHNA SYSTEMS INC Phone: 425 258 -8053
Address: 1242 STATE AV STE 1 PMB 282 , MARYSVILLE WA
Contractor License No: TECHNSI984NE Expiration Date: 08/06/2008
DESCRIPTION OF WORK:
INSTALL SECURITY ALARM SYSTEM
Value of Electrical: $2,200.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Signature:
Print Name:
doc: EL -4/07
ELECTRICAL PERMIT
Fees Collected:
Permit Number: EL07 -553
Issue Date: 09/27/2007
Permit Expires On: 03/25/2008
$124.00
Date: 01121-1 64-
I hereby certify that I have read and xazed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complie wi 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 th performance wo I am a thorized to sign and obtain this electrical permit.
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 -553 Printed: 09-27 -2007
Parcel No.: 2623049024
Address: 17305 SOUTHCENTER PY TUKW
Suite No:
Tenant: LAZY BOY
1: ** *ELECTRICAL * **
Signature:
Print Name:
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
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.
PERMIT CONDITIONS
Permit Number: EL07 - 553
Status: ISSUED
Applied Date: 09/27/2007
Issue Date: 09/27/2007
Date: - c
EL07 -553 Printed: 09-27 -2007
I ' King Co Assessor's Tax No.: 2 (12 02" V o 1
Site Address: /7 30S QThIrsA PQr k y
Suite Number: Floor:
Tenant Name: I_4y rr �
Property Owners Name: DeC:K2i" �lP rr PJp D , .*
Mailing Address:
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
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 **
Company Name:Tt 14-Ni S T /'"LS DN C
Mailing Address: I-(0— M
514-T - 'f -2
Contact Perso aYll IQ IC_ �` D—elLe
E -Mail Address:
Contractor Registration Number`r'EC 14 /- ST 9.9
►1 Puget Sound Energy
❑ Seattle City Light
H:\Applications\Fonns- Applications On Line4-2007 - Electrical Permit Application.doc
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Electrical Permit No. OA - 4 - S - 3
Project No.
(For office use only)
City
City
New Tenant:
State
City State
Yes
❑ No Adding more than 50 amps? ❑ Yes ❑ No
❑ ..No
Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: t1t lyyN��l Day Telephone: 1) ScU�-0 � G�
Mailing Address: >D u-( Pf $ a P2 state ?ea / y
E -Mail Address: r /oc J S 4*' OC T (-C 1J N d S y S rt A-LS e'v C , i Fax Number: Of
ELECTRICAL CONTRACTOR INFORMATION
Zip
Day Telephone: 4 /0 1 .5 e- S — d>05
Fax Number: " 5 ��yh y
Expiration Date: 3 Q e�
Valuation of Project (contractor's bid price): $ did 0 /rat
Scope of Work (please provide detailed information): ,1.--" S 4 v * S,YSG�rti,
Will service be altered? ❑ Yes
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Pro.e Served b :
❑ Remodel ❑ Tenant Improvement
Page 1 oft
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)
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
I Date Application Accepted: /li 7A,froCk—
HAApplicationsTorms-Applications s On Line A-2007 - Electrical Permit Application.doc
bh
Date Application Expires:
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.
Signature: i/
Print Name: �t Xr) r14,1 Nt ( C "Q .VPL t Day Telephone:
Mailing Address: /-2 tick S 71-Te 4- -P .L Z1 13 1 a /ti -/ j 7
City State Zip
Date:
Staff Initials:
7
Page 2 of 2
Parcel No.: 2623049024 Permit Number: EL07 -553
Address: 17305 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 09/27/2007
Applicant: LAZY BOY Issue Date:
Receipt No.: R07 -02108 Payment Amount: $124.00
Initials: JEM Payment Date: 09/27/2007 09:01 AM
User ID: 1165 Balance: $0.00
Payee: TECHNA SYSTEMS INC.
TRANSACTION LIST:
Type Method Description Amount
Payment Check 13891 124.00
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
Account Code Current Pmts
000.322.101.00.0 124.00
Total: $124.00
3292 09/27 O TOTAL
doc: Receiot -06 Printed: 09 -27 -2007
Pro
M 2-- Cn` /
C w
Type of Inspection:
��
Address:
��``
/ 7 WO ,
cai f2',�/
Date Called:
Special Instr ion .
Date Wanted:
////
a.m.
P.m.
p.m.
Requester:
Phone No:
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:
pyiroved per applicable codes.
COMMENTS:
SL orrections required prior to approval.
Inspector Y I // `
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:
,
PrOject:,
.
Type of Inspection:
-
Address:
-- .--
!lint) :),,71-# c orint
Date Called:
JO -4-127
penal Instructions:
..7.- ,
. .
Date Wanted:
ii j - C t-)
a.m.
p.m.
Requester.
Phone No:
.
1
'Approved per applicable codes.
INSPECTION RECORD
Retain a copy with pet:tnii
INSPECTION NO.
CITY OrTUKWILA BUILDING DIVISION
63Q0 Southcenter BJvd., #100, Tukwila, WA 98188 (206)431-3670
■""
PERMIT NO.
El Corrections required prior to approval.
COMMENTS:
7-6Aa 0 #4,1
•
• .•
• 00
•
■ .. -
- II hspect
4; , c• Date:
tv/2-1 0)9t107 i /-/ rd 7
$5i3.00 INSPECTION FEE REQUIRED. Prior to inspection fee must be
- paid at 6300 kutbcenter-Blvd.. Suite 100. Call the schedule reinspection.
, t Receipt No.: . pate:
,
4 •
A
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
CARBELLO, DOMINIC
R
PRESIDENT
08/05/2002
CARBELLO, SARA
VICE
PRESIDENT
08/05/2002
Look Up a Contractor, Electririan 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
TECHNSI984NE
TECHNA SYSTEMS INC
ELECTRICAL CONTRACTOR
602219379
22385942
CORPORATION
1242 STATE AVE STE 1 PMB 282
MARYSVILLE
SNOHOMISH
WA
98270
4252588053
ACTIVE
LIMITED ENERGY
HVAC/RFRG LTD ENERGY
8/5/2002
8/6/2008
TECHNS *016PN
BISHOLJ967K7
Master Electrician Information
License
Name
Status
BISHOLJ967K7
BISHOP, LARRY J
ACTIVE
https: / /fortress.wa. gov /lni/bbip /printer. aspx ?License= TECHNSI984NE
Page 1 of 2
09/27/2007