HomeMy WebLinkAboutPermit EL07-640 - STARBUCKSSTARBUCKS
17100 SOUTHCENTER PY
SUITE 108
ELO7-640
Parcel No.: 2623049081
Address: 17100 SOUTHCENTER PY TUKW
Suite No:
Cit3. -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
ELECTRICAL PERMIT
Tenant:
Name: STARBUCKS
Address: 17100 SOUTHCENTER PY, STE 108 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS Phone:
Address: 4811 134TH PL SE , BELLEVUE WA
Permit Number: EL07 -640
Issue Date: 11/01/2007
Permit Expires On: 04/29/2008
Contact Person:
Name: ROB PICLE Phone: 206 241 -3600
Address: 3315 S 116 ST, STE 149 , SEATTLE WA
Contractor:
Name: DIEBOLD INCORPORATED Phone: 206 510 -2558
Address: PO BOX 3077 C/O 9 -C -26 , NORTH CANTON OH
Contractor License No: DIEBOI*179J5 Expiration Date: 06/30/2008
DESCRIPTION OF WORK:
LOW VOLTAGE: ALARM & VIDEO INSTALL AND CABLE PULL
Value of Electrical: $1,000.00
Type of Fire Protection: National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$90.00
Date: I t 10110
I hereby certify that I have read and ed this permit and know the same to be true and correct. All provisions of law and ordinances
governing this work will be complied t , 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: Date: [ ( (1 10 7
Print Name: l )0k reti/ S L.,
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 -640 Printed: 11 -01 -2007
1: ** *ELECTRICAL * **
Signature:
doc: Cond -Elec
cutA-e-0,P
Parcel No.: 2623049081
Address: 17100 SOUTHCENTER PY TUKW
Suite No:
Tenant: STARBUCKS
Print Name: Tbo* /, r I ( -A A 1 -0,---
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: EL07 - 640
Status: ISSUED
Applied Date: 11/01/2007
Issue Date: 11/01/2007
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: ( l 1/ /n
EL07 -640 Printed: 11 -01 -2007
V'
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httal/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 **
Site Address: l7Ic>n Sotx.Airen -l-c r loct
Tenant Name: Sir t hr ar k C U
Property Owners Name:
Mailing Address: ‘ ,1 , 1 U l (J)-ul► D✓{
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: 1206 Picts?
Mailing Address: 33► S 5 Wei" G} 5-Ie ) t( ci
E -Mail Address: 101€ (e /.{:c�,bId. Cow
ELECTRICAL CONTRACTOR INFORMATION
Company Name: t 0-v -A el 14 C
Mailing Address: 3 31( S I Ili S4 S4e 1`{ q
Contact Person: Po-, h'ie 2
E -Mail Address: �� P (e t �: J.,n1 d - C nrv+
Contractor Registration Number: / C i 171 5Z
Propert y Served by:
Puget Sound Energy
❑ Seattle City Light
H:Upplications\Forms- Applications On Line\4 -2007 - Electrical Permit Applicalion.doc
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Electrical Permit No
Project No.
(For office use only)
King Co Assessor's Tax No.: 20 1 01;* )
Suite Number: 16 Floor:
New Tenant: a Yes ❑..No
City
(4.1
State
Zip
Day Telephone: e2cxo d an on
Sea-I-4 le LoA atltpP
City State Zip
Fax Number: , 2oC0 2 Li) 3(0 / cJ
S ea le WA qd i
City State Zip
Day Telephone: o?t (D .24/ 3(c 60
Fax Number:.20(0 „?'/ f t ?(, /c/
Expiration Date:
Valuation of Project (contractor's bid price): $ Iwo
Scope of Work (please provide detailed information): Alp 4 U ZC1,e a, ltn g \-4, 1 + fa e pv I
Will service be altered? ❑ Yes [t No Adding more than 50 amps? ❑ Yes ffr No
Type of Use:
Type of work:
New ❑ Addition ❑ Service Change
lEf Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Remodel ❑ Tenant Improvement
Page 1 of 2
vole
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:
Print Name' y ((1 (
Mailing Address: S..?1 S S I I (D' ` 54 ,l . I K 9
H:WpplicatiansTonns- Applications On t3ne\4 -2007 - Electrical Permit Applicationdoc
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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 hone 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: I I /t / 6'7
Day Telephone: ft9 c) J
Sec-4(e
City
(J.)4 good-
State Zip
I Date Application Accepted: I I o I
Date Application Expires:
Staff Initials:
Page 2 of 2
Payee: DARRELL D. JOHNSON
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.: 2623049081 Permit Number: ELOZ -640
Address: 17100 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 11/01/2007
Applicant: STARBUCKS Issue Date:
Receipt No.: R07 -02386 Payment Amount: $90.00
Initials: JEM Payment Date: 11/01/2007 10:57 AM
User ID: 1165 Balance: $0.00
TRANSACTION LIST:
Type Method Description Amount
Payment Check 1237 90.00
Account Code Current Pmts
000.322.101.00.0 90.00
Total: $90.00
doc: Receipt -06 Printed: 11-01 -2007
Project:
STAIi8uCVV5
Type of Inspection:
//1( )
Address:
/ ?j,01) Sn errievyY
!✓I/,.
// Date Called: ) / (+
/y 1/-9.07
Special Instructions:
Date Wanted:
)/--d7
Cd.'m;,
p.m.
Requester:
999,
Phone No:
.5 ) 70
INSPECTION RECORD
Retain a copy with permit
INSP CTION NO. RERMrr NO.
CITY OF TUKWILA BUILDING DIVISION g
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
k A07- loVt.)
El Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
f*, ,W F AJA
Inspector`s
Date:
if 81 PN.D7 I //- 5 01 >
El $58.00 INSPECTION FEE REQUIRED. Prior to inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call the schedule reinspection.
(Receipt No.:
'Date:
License Information
License
DIEBOI* 179J5
Licensee Name
DIEBOLD INCORPORATED
Licensee Type
ELECTRICAL CONTRACTOR
UBI
409004313
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
PO BOX 3077 C/O 9 -C -26
Address 2
City
NORTH CANTON
County
OUT OF STATE
State
OH
Zip
44720
Phone
2065102558
Status
ACTIVE
Specialty 1
LIMITED ENERGY
Specialty 2
UNUSED
Effective Date
4/25/1983
Expiration Date
6/30/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
SELLEJW930DL
Business Owner Information
Name
Role
Effective Date
Expiration Date
O'DELL, WALSEN W
01/01/1980
GESWEIN, GREGORY T
01/01/1980
WARF, ALBEN W
01/01/1980
BUCCI, DAVID
01/01/1980
Look Up a Contractor, Electrician or Plumber License Detail Page 1 of *Pr'
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
fum or a full -time supervisory employee.
Electrical Administrator Information
License
Name
Status
SELLEJW930DL
SELLERS, JEFF W
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= DIEBOI* 179J5 11/01/2007