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HomeMy WebLinkAboutPermit EL07-604 - DRESS BARNDRESS BARN 17250 SOUThCENTER PY EL07 -604 Parcel No.: 2623049117 Address: 17250 SOUTHCENTER PY TUKW Suite No: Contractor: Name: CONNECTION EXPRESS Address: 16615 71 PL W , LYNNWOOD WA Contractor License No: CONNEE*006RL DESCRIPTION OF WORK: LOW VOLTAGE: COMPUTERS Value of Electrical: $400.00 Type of Fire Protection: Permit Center Authorized Signature: Signature: Print Name: doc: EL -4/07 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: DRESS BARN Address: 17250 SOUTHCENTER PY , TUKWILA WA Electrical Service provided by: PUGET SOUND ENERGY ELECTRICAL PERMIT Permit Number: EL07 -604 Issue Date: 10/23/2007 Permit Expires On: 04/20/2008 Owner: Name: WIG PROPERTIES LLC -SS Phone: Address: 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: DANN OBERHOLTZER Phone: 206 310 -6549 Address: 26601 79 AV S , KENT WA Phone: 206 351 -3941 Expiration Date: 03/04/2009 Fees Collected: National Electrical Code Edition: I hereby certify that I have read and x • ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied whether specified herein or not. The granting of this permit does not presume to give o ' to vi•, to •r cancel the provisions of any other state or local laws re construction or the performance of work. I am ads' s y -• • tain this electrical permit. EL07 -604 Date: $66.00 2005 Date: 4 Di 2A Printed: 10 -23 -2007 g 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. 1: ** *ELECTRICAL * ** City of Tukwila Parcel No.: 2623049117 Address: 17250 SOUTHCENTER FY TUKW Suite No: Tenant: DRESS BARN 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: ELO7 - 604 Status: ISSUED Applied Date: 10/23/2007 Issue Date: 10/23/2007 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. Signature: Print Name: doc: Cond -Elec The granting of this permit does laws regulating construction o • 'pres • e to give authority to violate or cancel the provision of any other work or local of work. Date: EL07 -604 Printed: 10 -23 -2007 Site Address: CONTACT..PERS CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.citukwila.wa.us valor' 4 .20 , Tenant Name: / ! ` r55 / 3A6L/1 Property Owners Name: /2/e-5 go772Aj Mailing Address: ( 7 Z —o (oc.7 G • f e L p�uZ 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 ** Sot. C& Valuation of Project (contractor's bid price): $ — Who do we contact when your permitis ready to be issue Name: /2/i ►vet/ 04 r 44,(t-2_<,---- Day Telephone: - 2© Mailing Address: 24,4"e / 7 5 `f 2—P /*_. 4/ ( 9 c5 City State Zip E -Mail Address: p4-24,14 (p/7.#6r Fax Fax Number: 2 S3 e 5 9/W ELECTRICAL' CONTRACTOR INFORMATION Company Name: C011%7P.l 7/t �yC Mailing Address: ?� / Contact Person: /9 � 7'2 � - E -Mail Address: Contractor Registration Number:('/7 /et �L Scope of Work (please provide detailed information): Will service be altered? ❑ Yes o Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ow Voltage ❑ Generator ❑ Fire Alarm ro oert v Served b • uget Sound Energy ❑ Seattle City Light H: Applications Worms-Applications On Line4-2007 - Electrical Permit Appliation.doc bh King Co Assessor's Tax No.: Suite Number: State Zip -/ a Zip City Day Telephone: Fax Number: Expiration Date: ❑ Remodel ❑ Telecommunication State Tenant Improvement ❑ Temporary Service Page 1 of 2 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) PERMIT APPLICATION,NOT 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 ELECTRIC CO " RACTOR: Signature: Date: Print Name: Mailing Address: Date Application Expires: I Date Application Accepted: low '7 ?7 7 H:Wpplicuions\Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc bh 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 Day Tele hone: : :Z City evfl State Staff Initials: Zip Page 2 of 2 Receipt No.: R07 - 02316 Initials: gm User ID: 1165 Payee: DANN OBERHOLTZER 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 -604 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 10/23/2007 Applicant: DRESS BARN Issue Date: Amount Payment Cash 66.00 Account Code Current Pmts 000.322.101.00.0 66.00 Total: $66.00 Payment Amount: $66.00 Payment Date: 10/23/2007 12:22 PM Balance: $0.00 `3 TnTAL _t; dncc RAr int -f1R PrintAd: 10- 73 -2no7 I E SS ( Type of Inspectiory /� �'� v Address: 7 J 7 S i / T ) / i M 7 4 ' ` D ate Called: Y special Instructions: Date Wanted: ro %y m Requester: Phone No: 6 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- I inspectorn GL A//7-4401frihY Dat I1 / 0-4&//7 $58.00 REINSPECTION FEE REQUIRED. Prior to inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection. COMMENTS: proved per applicable codes. Corrections required prior to approval. 'Receipt No.: 'Date: 1e� '• x'��rf�.p. ^ f trp'w �. _�F1��f"_: 'ti... ... ,'tea _dLp�.__ ia4 - '-`,d..�.'- - ��..n License Information License CONNEE *006RL Licensee Name CONNECTION EXPRESS Licensee Type ELECTRICAL CONTRACTOR UBI 600602286 Ind. Ins. Account Id 48241500 Business Type CORPORATION Address 1 16615 71ST PL W Address 2 City LYNNWOOD County SNOHOMISH State WA Zip 98037 Phone 2063513941 Status ACTIVE Specialty 1 TELECOMMUNICATIONS Specialty 2 UNUSED Effective Date 12/13/2000 Expiration Date 3/4/2009 Suspend Date Separation Date Parent Company Previous License Next LIcense Associated License OBERHD *002RL Business Owner Information Name Role Effective Date Expiration Date MENDOZA, FREDERICK AGENT 10/20/2000 OBERHOLTZER, DANN PRESIDENT 10/20/2000 Look Up a Contractor, Electri • 'n 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. Electrical Administrator Information License Name Status OBERHD *002RL OBERHOLTZER, DANN ACTIVE I Bond Information I https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= CONNEE *006RL 10/23/2007