HomeMy WebLinkAboutPermit EL07-614 - DRESS BARNDRESS BARN
17250 SOUTHCENTER PY
SUITE 112
ELO7-614
Parcel No.: 2623049117
Address: 17250 SOUTHCENTER PY TUKW
Suite No:
City: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
ELECTRICAL PERMIT
Tenant:
Name: DRESS BARN
Address: 17250 SOUTHCENTER PY SUITE 112 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS Phone:
Address: 4811 134TH PL SE , BELLEVUE WA
Contact Person:
Name: ROBERT BOX Phone: 253 -377 -1164
Address: 11824 N CREEK PKWY #105 , BOTHELL WA
Contractor:
Name: ADT SECURITY SERVICES INC Phone: 425- 893 -3668
Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA
Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2009
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE SECURITY SYSTEM
Electrical Service provided by: PUGET SOUND ENERGY
Permit Number: EL07 -614
Issue Date: 10/25/2007
Permit Expires On: 04/22/2008
Value of Electrical: $2,800.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
$124.00
Permit Center Authorized Signature: LOAL RtA/tilt Date: 10 , c -6 7
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 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 the performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name: /"" li e/t
Date: /O '-2-.-S ' D -
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 -614 Printed: 10 -25 -2007
Parcel No.: 2623049117
Address: 17250 SOUTHCENTER PY TUICW
Suite No:
Tenant: DRESS BARN
1: ** *ELECTRICAL * **
Signature:
Print Name: A- a 0)e-
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: ELO7 -614
Status: ISSUED
Applied Date: 10/25/2007
Issue Date: 10/25/2007
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: l01.2.-S O
doc: Cond -Elec EL07 -614 Printed: 10 -25 -2007
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http: /iwww. ci. tkwila. wa. us
Site Address: 1 25 501177teEN "4,27c.w4
Tenant Name: De ESS 114.6b►i
Property Owners Name: t 1 a foRoPexp Lw
Mailing Address: Veil 13`/ Pt- SE BEzier✓ife"
Electrical Permit Nr
Project No.
r ice use oilk1
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 **
SITE LOCATION
..................._ ......_.._ ...... ......
King Co Assessor's Tax No.: 2 (y ). 1(.) 1 '1 C i I 1 7
Suite Number: I Z, Floor:
New Tenant: ❑ Yes ,r..No
A,4 f ikot9 !i
City
State
Zip
CONTACT PERSON
Who do we contact when your permit is ready to be issued
Name: gteaMr RD%
Day Telephone: 626 - 5174 • I i (o "f
Mailing Address: 1182A i) • C ELK Q L4 a 10 S $b71iaeZ... U11 CPO a
City
E -Mail Address: rbo?ta404• t.bt
Fax Number: 42-3 • ties -7`88
ELECTRICAL CONTRACTOR INFORMATION
Company Name: AV 56ettecty SELF1 tC5
gort &v4- f9oc/
City State Zip
Day Telephone: as 3 "377' 6`�0
Fax Number:
Mailing Address: I t Sl y N. COZaV. p' y IJ titar
Contact Person: la &Dec
E -Mail Address:
Contractor Registration Number: 953 Z'DS Expiration Date: f'Lg a 04
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
Valuation of Project (contractor's bid price): $ Z' 0 a
Scope of Work (please provide detailed information): IA0 s 7►t1.- vo oz-fri 9 r u-
Will service be altered? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant htt
)Rt Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
H:\Applications\Fofns- Applications On Une41-2007 - Electrical Permit Applicationdoc
bh
State Zip
Adding more than 50 amps? ❑ Yes ❑ No
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)
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: r>
nn
Print Name: 2. Q B>5?1
Mailing Address:1!B2 / Aga "Amy Al Nor
Date Application Accepted:
H:wpplications'Forris-Applications On line \4-2007 - Electrical Permit Applicationdoc
bb
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 bane 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.
Date: 10''2.5 - 04-
Day Telephone: 25; -; 3'? !!4 it
hbroixr 4- 4/4- "die
City State Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
i
Parcel No.: 2623049117 Permit Number: EL07 -614
Address: 17250 SOUTHCENTER PT TUKW Status: PENDING
Suite No: Applied Date: 10/25/2007
Applicant: DRESS BARN Issue Date:
Receipt No.: R07 -02334
Initials: WER
User ID: 1655
Payee: ADT
TRANSACTION LIST:
Type Method Description Amount
Payment Check 108073 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
Payment Amount: $124.00
Payment Date: 10/25/2007 09:54 AM
Balance: $0.00
1V25 7 i 0 TfT;. 12
doc: Receiot -06 Printed: 10 -25 -2007
PAoj gc t:6-s I�I9 /2/Y
Type of Inspection: /(i0
Address:
Eye Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
COMM ENTS:
Ao //
DR -- F/y4
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$58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
I Inspecto
INSPECTION RECORD
Retain a copy with permit
tLO /
PERMIT NO.
0 ?
l }FAp� roved per applicable codes. El Corrections required prior to approval.
'Receipt No.:
!Date:
Ac
Business Owner Information
Name
Role
Effective
Date
Expiration
Date
C T CORPORATION
SYSTEM
AGENT
01/01/1980
SNYDER, MICHAEL
PRESIDENT
01/01/1980
Look Up a Contractor, Electrician 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
ADTSESI032O5
ADT SECURITY SERVICES INC
ELECTRICAL CONTRACTOR
601636830
CORPORATION
11824 NORTH CREEK PKWY N #105
BOTHELL
KING
WA
98011
4254893668
ACTIVE
LIMITED ENERGY
HVAC/RFRG LTD ENERGY
9/25/1997
9/25/2009
ADTSES* 115B5
BEARDGE963LS
Master Electrician Information
License
Name
Status
BEARDGE963LS
BEARD, GERALD E
ACTIVE
https: / /fortress.wa.gov /lni/bbip /printer. aspx ?License= ADTSESI032O5
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10/25/2007