HomeMy WebLinkAboutPermit EL07-694 - FITNESS OUTLETFITNESS OUTLET
17250 SOUTHCENTER PY
STE 100
EL07 -649
FITNESS OUTLET
17250 SOUTHCENTER PY
STE100
EL07 -6
Parcel No.: 2623049117
Address: 17250 SOUTHCENTER PY TUKW
Suite No:
DESCRIPTION OF WORK:
(2) VOICE AND DATA RUNS
Value of Electrical: $500.00
Permit Center Authorized Signature:
I hereby certify that I have read and
governing this work will be complie wi
Signature:
Print Name:
doc: EL -4/07
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 Service provided by: PUGET SOUND ENERGY
ELECTRICAL PERMIT
Tenant:
Name: FITNESS OUTLET
Address: 17250 SOUTHCENTER PY, STE 100 , TUKWILA WA
Owner:
Name: WIG PROPERTIES LLC -SS Phone:
Address: 4811 134TH PL SE , BELLEVUE WA
Contact Person:
Name: JOE BJORKLUND Phone: 206 915 -3730
Address: 3240 118 AV SE #100 , BELLEVUE WA
Contractor:
Name: FIRSTLINE COMMUNICATIONS INC Phone: 425 688 -1634
Address: 3240 118 AV SE #100 , BELLEVUE WA
Contractor License No: FIRSTCI008PD Expiration Date: 10/04/2008
Fees Collected:
Permit Number: ELO7 -694
Issue Date: 11/15/2007
Permit Expires On: 05/13/2008
Type of Fire Protection: National Electrical Code Edition: 2005
$70.00
Date: U
ed this permit and know the same to be true and correct. All provisions of law and ordinances
, 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} -ertke performance of work. I am authorized to sign and obtain this electrical permit.
( Date( / ' 1 S
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 -694 Printed: 11 -15 -2007
Parcel No.: 2623049117
Address:
Suite No:
Tenant:
1: ** *ELECTRICAL * **
Signature:
Print Name:
doc: Cond -Elec
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
17250 SOUTHCENTER PY TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
Date:
ELQ7 -694
ISSUED
11/15/2007
11/15/2007
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 m 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.
EL07 -694 Printed: 11 -15 -2007
CITY OF TUKWI
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.ci.tukwila.wa.us
Electrical Permit No. F (./01-4491,1
Project No.
(For office use only)
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.:
Site Address: (7 2-Co SO - '2 P-A -)1.4)54( sz � Suite Number. 1 (A/ MM
Floor:
Tenant Name: FI1 06755 31 - 1 1' L-6 New Tenant: ❑ Yes ❑..No
Property Owners Name:
Mailing Address:
Mailing Address: 32-lic 32-1 l 1 a Ph iA . F., sti J -A V(JE (.}#
city
Company Name: cI J STS► C0 risin 0.010r � S
State
state
Contact Person: 13 LA./ Day Telephone: S
E-Mail Address: TB b c e f7 e'n CW 1 " Fax Number. L) 2 - )
Contractor Registration Number. FIRST G i O O 8 Qb Expiration Date: 16 - -
Valuation of Project (contractor's bid price): $ 500
Scope of Work (please provide detailed information): Z I Gtr A/V ISIQ n.)�
H Appliationaorms- Applications On line41-2007 - Electrical Permit Appli atioadoc
bh
City
ZiP
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: ;T - £ Sd v `i`' IS Day Telephone: 2 d 4l 5 3 7 3C.)
Mailing Address: 32m o (1 i A SE ,t 1 66 SE /-4 V L IAA 9 $ 6 OS
City State Zip
E-Mail Address: fie 1) (!J 0 I Ce fl e Li• G O Fax Number: S )) a 5`
ELECTRICAL CONTRACTOR INFORMATION
3736
O$
Will service be altered? ❑ Yes % No Adding more than 50 amps? ❑ Yes No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm Xf, Telecommunication ❑ Temporary Service
Property Served by:
X Puget Sound Energy
❑ Seattle City Light
Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings
(including an attached garage)
❑ Garages, pools, spas and outbuildings
❑ Low voltage systems
(alarm, furnace thermostat)
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration S75.00
(no added/altered circuits)
❑ Service change with added/altered circuits S75.00
number of added circuits $ 10.00 ea
❑ Circuits added/altered without service change S50.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) S7.00 ea
❑ Meter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Sign
Print
Mailing Ad
3zy0 ij j h A vr Si; #
K\AppliatioesWams- Applications On Lineal -2007 - Electrical Permit AppGnsion.doc
bit
$140.00
S75.00 ea
$55.00 ea
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ Temporary service (generator) S75.00
❑ Manufacttued/mobile home service $80.00
(excluding garage or outbuilding)
❑ Carnivals $75.00
Number of concessions S10.00 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: (1 -1 S-- *D-1
Day Telephone: 7 -6 . 915 • 3 O
Cit State Zap
Date Application Accepted: I
Date Application Expires:
Staff Initials:
Page 2 of 2
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: ELO7 -694
Address: 17250 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 11/15/2007
Applicant: FITNESS OUTLET Issue Date:
Receipt No.: R07 -02508 Payment Amount: $70.00
Initials: JEM Payment Date: 11/15/2007 08:37 AM
User ID: 1165 Balance: 30.00
Payee: VOICENET NORTHWEST INC.
TRANSACTION LIST:
Type Method Description Amount
Payment Check 3324 70.00
ACCOUNT ITEM LIST:
Description
ELECTRICAL PERMIT - NONR
Account Code Current Pmts
000.322.101.00.0 70.00
Total: $70.00
5029 11/15 9710 TOTAL 70.00
doc: Receipt -06 Printed: 11 -15 -2007
Pr ' ct:
,T'I.SS Oj./TG e T '
Type of Inspection: /�..�1
∎Iv (/
Address: A
2 ;s7 . /Ce 'rV /WO)
Date Called:
Special Instruct nss
i/O /Gf. /t�
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
a02,
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION Z
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3
OMMENTS:
-- f/4// , `
oved per applicable codes. Corrections required prior to approval.
Ilnspec r /;/-,
Date /'t /v b
$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:
A7wtss oti7
'
Type of Inspection: 7 . J
11U
Address:
t7 ;S?l u72/
fj
TO -$$
Date Called:
`/
Special Instructions:
Date Wanted:
f//
a.m.
p.m.
Requester:
Phone No:
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION LLam.
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (2v6)431 -3670
Approved per applicable codes. Zorrections required prior to approval.
COMMENTS:
f/-oJibe fl cuss cam' /Z/A/4
F /dSfiL- - 7 - ioij /Am 7W
r 4totin « 4a /riie:w
Inspector gareXaft/db
Date :
$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:
License Information
License
FIRSTCI008PD
Licensee Name
FIRSTLINE COMMUNICATIONS INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601096381
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
3240 118TH AVE SE #100
Address 2
City
BELLEVUE
County
KING
State
WA
Zip
98005
Phone
4256881634
Status
ACTIVE
Specialty 1
TELECOMMUNICATIONS
Specialty 2
UNUSED
Effective Date
10/4/2000
Expiration Date
10/4/2008
Suspend Date
Separation Date
Parent Company
Previous License
Next License
Associated License
NEEDHC *950NC
Business Owner Information
Name
Role
Effective Date
Expiration Date
MAIO, TIM P
01/01/1980
CARLSON, ERIC A
01/01/1980
EVERGREEN CORP SVS INC
AGENT
01/01/1980
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.
Electrical Administrator Information
License
Name
Status
NEEDHC *950NC
NEEDHAM, CRAIG
ACTIVE
https: // fortress .wa.gov /lni/bbip /printer.aspx ?License= FIRSTCI008PD 11/15/2007