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Home My WebLink AboutPermit EL07-700 - FITNESS OUTLETFITNESS OUTLET 17250 SOUTHCENTER PY STE100 EL�7-700 Parcel No.: 2623049117 Address: 17250 SOUTHCENTER PT TUKW Suite No: Tenant: Name: FITNESS OUTLET Address: 17250 SOUTHCENTER PY SUITE 100 , TUKWILA WA Owner: Name: WIG PROPERTIES LLC -SS Phone: Address: 4811 134TH PL SE , BELLEVUE WA Contact Person: Name: ADAM JETT Phone: 253- 620 -5910 Address: 10029 S TACOMA WAY SUITE H -7 , LAKEWOOD 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 SECURITY SYSTEM Value of Electrical: $600.00 Type of Fire Protection: Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: 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 dogs not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction • perforrr rice • work. I am authorized to sign and obtain this electrical permit. Signature: L% Date: 1 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 ,A.1321, ELECTRICAL PERMIT Permit Number: EL07 -700 Issue Date: 11/16/2007 Permit Expires On: 05/14/2008 Fees Collected: National Electrical Code Edition: $74.00 2005 Date: 11 — f (p 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 -700 Printed: 11 -16 -2007 Parcel No.: 2623049117 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** Signature: Print Name: doc: Cond - Elec 17250 SOUTHCENTER PT 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 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 -468 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. Permit Number: Status: Applied Date: Issue Date: Date: rt /IP/17 EL07 -700 ISSUED 11/16/2007 11/16/2007 EL07 -700 Printed: 11 -16 -2007 CITY OF TUKWA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us Name: Adanel �eA k H. Applications\Fonns- Applications On Line \4.2007 - Electrical Permit Application.doc bh Electrical Permit No. EL CY7- - 700 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 n - - King Co Assessor's Tax No.: 2-1.4 2-7 L 0 a 1 11 Site Address: (1 2 Cf 5 0 S S. -YV4 -r PIS Suite Number: 10 Tenant Name: c I- 1-1 0 tom+ kf New Tenant: ❑ Yes Property Owners Name: 1n) I C� 'Pro k1 �S U _G Mailing Address: J State City Floor: Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: ( 253 ) lo2) — j 10 Mailing Address: 1 d 0 2.9 S . " (.— o•keAvVood- w A f$y °I `l City State Zip E -Mail Address: Fax Number: Z L'2 D S 99 ELECTRICAL CONTRACTOR INFORMATION Company Name: '-VT Mailing Address: l it 4 6 24 0 J. C r t L-k ? - v . . ) ( . .. (Q "Bct j e ' 1 l 1 Zip Co Person: r�v� -+�t.V O 0,..1-N Telephone: (t4zs) y$1 - 3(057c - E -Mail Address: k r i N. o ✓ ( Fax Number: ( 2O(r \) (49 64 4 Olt'? Contractor Registration Num CT C. r: E-C-AMpErnet- AD-'Sf ST 03 2 n5 Expiration Date: A /ZS / 3 K Valuation of Project (contractor's bid price): $ (0 0 0 F Scope of Work (please provide detailed information): TES 1 ..SeC_u. ( '‘=3 s -QiV✓\ Will service be altered? ❑ Yes (1 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 ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light 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: P‘- Signature: "` Print Name: t X" Mailing Address: 1 r)02. S TcLc Dv 1 I Date Application Accepted: HAApplications'Fonns- Applications On Line\4 -2007 - Electrical Permit Application.doc bh �.1 Date Application Expires: 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 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: t t ilLp O ` Day Telephone: (2�3 (0 7-0 ` 511 0 Sw► }e. 14-1 evJoc Wf °M 4c-r) State Zip City Staff Initials: Page 2 of 2 Receipt No.: R07 -02531 Initials: WER User ID: 1655 Payee: ADT 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 -700 Address: 17250 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 11/16/2007 Applicant: FITNESS OUTLET Issue Date: TRANSACTION LIST: Type Method Description Amount Payment Check 0108091 74.00 Account Code Current Pmts 000.322.101.00.0 74.00 Total: $74.00 Payment Amount: $74.00 Payment Date: 11/16/2007 02:30 PM Balance: $0.00 5064 11/16 9710 TOTAL. 74.00 doc: Receiot -06 Printed: 11 -16 -2007 Pr ect: FA S OVTG e�' Type of Inspection: �/ N. r7 ce 4 wY Date Called: Special Instructions: s�GuQ�7 y D Wanted: a.m. P.m. p Requester: Phone No: INSPECTION RECORD �D7� 704 INSPECTION NO. Retain a copy with permit PERMIT NO. CITY OF TUKWILA BUILDING DIVISION R 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36 roved per applicable codes. LJ Corrections required prior to approval. 'COMMENTS: $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: 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 Page 1 of 2 11/16/2007