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HomeMy WebLinkAboutPermit EL07-586 - FITNESS OUTLETFITNESS OUTLET 17250 SOUTHCENTER PY EXPIRED OS -17 -OS ELO7-586 Parcel No.: 2623049117 Address: 17250 SOUTHCENTER PY TUICW 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: FITNESS OUTLET Address: 17250 SOUTHCENTER PY , TUKWILA WA ELECTRICAL PERMIT Owner: Name: WIG PROPERTIES LLC -SS Phone: Address: 4811 134TH PL SE , BELLEVUE WA Permit Number: ELM-586 Issue Date: 10/15/2007 Permit Exp On: 04/12/2008 Contact Person: Name: DON NICHOLAS Phone: 800 - 925 -6011 Address: 5209 122 ST E , TACOMA WA Contractor: Name: CULBERTSON SIGN SERVICE LLC Phone: 800 925 -6011 Address: 5209 122ND ST E , TACOMA Contractor License No: CULBESS984MU Expiration Date: 08/30/2008 DESCRIPTION OF WORK: HOOK UP 2 NEW WALL SIGNS Value of Electrical: $200.00 Fees Collected: Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Print Name: doc: EL -4/07 adAaas Loa,R0A,1 $58.00 Date: to (,l — O7 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The grantin• of this permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating constru : on or eper rr a of ork. I am authorized to sign and obtain this electrical permit. / n / Signature. u `�'�' Date: /& t' el 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 -586 Printed: 10 -15 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** doc: Cond -Eiec 17250 SOUTHCENTER PY TUKW 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 PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: ELO7 -586 ISSUED 10/15/2007 10/15/2007 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. 6: 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. Date: 10--(5--07 EL07 -586 Printed: 10 -15 -2007 Contact Person: CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http: //www. ci. tkwila. wa. us Site Address: 1 7 2_ Tenant Name: r Property Owners Name: Vi/t Mailing Address: Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light E -Mail Address: Company Name: W , c -Se ro5L) I(O Mailing Address:5 1 2 2 - - I.-3P e /3 cas E -Mail Address: ^^� Contractor Registration Number .L)L g951 M( H: Applicetions\Fomu- Applications On line\4 -2007 - Electrical Permit Appliation.doe bh City 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 ** � k Kin C Assessor's Tax No.: 6,)- 1 — I t rl -g ���r � J x Suite Number: Floor: New Tenant: Yes ❑ ..No State Zip CONTACT PERSON Who do we contact when your permit is readyto be issue Namerna0 1J1 �r r/� DayTelephone:D Address: � 1 �. NV �. �;fd" vl� 4 q t� Mailing Add 52 ' �� Fax F Number: 3-- 5 7 ELECTRICAL 'CONTRACTOR INFORMATION City ��jj State Zip Day Telephone:�/ i 2 6 267 FaxNumber:0is? 53g O`77 Expiration Date: a `30 `© Valuation of Project (contractor's bid price): $ lJ (1 Scope of Work (please provide detailed information): up ,( / its p U — gt6t0 Adding more than 50 amps? ❑ Yes No Will service be altered? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service ❑ Remodel ❑ Tenant Improvement Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings 5140.00 (including an attached garage) ❑ Garages, pools, spas and outbuildings 575.00 ea ❑ Low voltage systems (alarm, fumace thermostat) 555.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration 575.00 (no added/altered circuits) ❑ Service change with added/altered circuits 575.00 number of added circuits $10.00 ea ❑ Circuits added/altered without service change 550.00 (up to 5 circuits) ❑ Circuits added/altered without service change 550.00 (6 or more circuits) 57.00 ea ❑ Meter /mast repair 565.00 ❑ Low voltage systems 555.00 (alarm, furnace thermostat) BUILDING R OR ELECTRICAL CONTRACTOR: - P Signatu re: I Date Application Accepted: Print Name: ,, & y� Mailing Address:5Z (22 H:Wpplications\Forms- Applications On line\4 -2007 - Electrical Permit Appliation.doc bh MULTI- FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) 558.00 ❑ Temporary service (generator) 575.00 ❑ Manufactured/mobile home service 580.00 (excluding garage or outbuilding) ❑ Carnivals $75.00 Number of concessions 510.00 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. Day Telephone: tY D ate: 167 State Zip Date Application Expires: Staff Initials: Page 2 of 2 Parcel No.: 2623049117 Permit Number: ELOZ -586 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 10/15/2007 Applicant: FITNESS OUTLET Issue Date: Receipt No.: R07 -02253 Initials: AVER Payment Date: 10/15/2007 02:47 PM User ID: 1655 Balance: $0.00 Payee: CULBERTSON SIGNERVICE TRANSACTION LIST: Type Method Description Amount Payment Check 10797 58.00 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 58.00 Total: $58.00 Payment Amount: $58.00 doc: Receiot -06 Printed: 10 -15 -2007 COMMENTS: ()) �7iifl,tr /1 cmm44 PIA 415 /A/c riP,441/4A / %/4l A S C V /A1-57/944 l..ON 1/(X764- C ,9/2CE .. - Lt s /G/f/$ - :a4 da) / f/ /ilk //VG- UN ES — c s9/vivo T / L A1/N /9 �>SS Rork 6/5:c,/ bt) /7/0( i af / /Z ()7 /O, / /44-- /Ns TvG�% T /v ha�l/G7Gr Project: Type of Inspection: r,m'(sc aa T/- ; / Address: Date Called: /7 .117Hc )l I 4/1- . Special Instructions: Date Wanted: // a h Requester: 7 Phone No: L-- -- INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 El Approved per applicable codes. 1 InsPect° , 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: INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431 -3 rrections required prior to approval. e„,-.4fi It r 1/ L-- -- INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 El Approved per applicable codes. 1 InsPect° , 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: INSPECTION RECORD Retain a copy with permit PERMIT NO. (206)431 -3 rrections required prior to approval. e„,-.4fi It r 1/ 07 -15 -2008 DON NICHOLAS 5209 122 ST E TACOMA WA 98446 RE: Permit No. EL07 -586 17250 SOUTHCENTER PY TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final 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 writing 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 08/17/2008 , 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: fer Marshall • Technician Permit File No. ELO7 -586 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 CULBERTSON, PAUL PARTNER/MEMBER 07/31/2002 CULBERTSON, PAUL JR PARTNER/MEMBER 07/31/2002 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. 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 CULBESS984MU CULBERTSON SIGN SERVICE LLC ELECTRICAL CONTRACTOR 602043276 96460401 LIMITED LIABILITY COMPANY 5209 122ND ST E TACOMA PIERCE WA 98446 2538633831 ACTIVE SIGN UNUSED 8/30/2002 8/30/2008 CULBESSO42N2 CULBEP *979QL Master Electrician Information License Name Status CULBEP *979QL CULBERTSON, PAUL ACTIVE https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= CULBESS984MU 10/15/2007