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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 bh 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