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Home My WebLink AboutPermit EL07-809 - LAZY BOYLAZY BOY 17305 SOUTHCENTER PY ELO 7-809 Parcel No.: 2623049024 Address: 17305 SOUTHCENTER PY TUKW Suite No: Tenant: Name: LAZY BOY Address: 17305 SOUTHCENTER PY , TUKWILA WA Owner: Name: TR5 LLC Phone: Address: 117 E LOUISA ST #230 , SEATTLE WA Contact Person: Name: CLINT MCCUBBIN Phone: 425 377 -1514 Address: 4314 103 AV SE , EVEREIT WA Contractor: Name: NORTHLAND ELECTRIC INC Phone: 425 377 -1514 Address: 4314 103 AV SE , EVEREIT WA Contractor License No: NORTHEI21879 Expiration Date: 03/31/2009 DESCRIPTION OF WORK: HANG (3) TRACK LIGHTS IN EXISTING STORAGE AREA. ADD (6) ADDITIONAL 20 AMP SINGLE PHASE CIRCUITS. Value of Electrical: $3,000.00 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: f JW \ AA Print Name: doc: EL -4/07 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 ELECTRICAL PERMIT Fees Collected: Permit Number: EL07 -809 Issue Date: 12/27/2007 Permit Expires On: 06/24/2008 Type of Fire Protection: National Electrical Code Edition: 2005 Date: 1 $124.00 I hereby certify that I have read and I�xaxaxr ned this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be compile dsvitl j whether specified herein or not. The granting of this permit does not presume to gi e authority to violate or cancel the provisions of any other state or local laws regulating construction or th Orman of work. I am , �� orized to sign and obtain this electrical permit. Signature: �G1?%� -✓/ / Date: 2 /G / C� 9- 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 -809 Printed: 12 -27 -2007 Project: Type of Inspection: 2 &O Address: ,- ), /7j 5WMC ( AY Date Called: Special Instructions: Date Wanted: i g-//7 a.m. p.m. Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (zb PERMIT NO. 17 (206)431-3670 OMMENTS: C)/ FY/03 roved per applicable codes. [] Corrections required prior to approval. A/rm 64/./4/i Date: / " El $58.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call the schedule reinspection. r eceipt No.: 'Date: Parcel No.: 2623049024 Address: 17305 SOUTHCENTER PY TUKW Suite No: Tenant: Name: LAZY BOY Address: 17305 SOUTHCENTER PY , TUKWILA WA Owner: Name: TR5 LLC Phone: Address: 117 E LOUISA ST #230 , SEATTLE WA Contact Person: Name: CLINT MCCUBBIN Phone: 425 377 -1514 Address: 4314 103 AV SE , EVEREIT WA Contractor: Name: NORTHLAND ELECTRIC INC Phone: 425 377 -1514 Address: 4314 103 AV SE , EVERETT WA Contractor License No: NORTHEI21879 Expiration Date: 03/31/2009 DESCRIPTION OF WORK: HANG (3) TRACK LIGHTS IN EXISTING STORAGE AREA. ADD (6) ADDITIONAL 20 AMP SINGLE PHASE CIRCUITS. Value of Electrical: $3,000.00 Citof 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 Fees Collected: $124.00 Type of Fire Protection: National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY doc: EL -4/07 Print Name: Permit Center Authorized Signature: JW VAA, 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 compile whether specified herein or not. The granting of this permit does not presume to gi e authority to violate or cancel the provisions of any other state or local laws regulating construction or h orman work. I am r,% orized to sign and obtain this electrical permit. Signature: ..�!. Date: /Z Z 2 U 9- / 1 C.,f,#// ELECTRICAL PERMIT Permit Number: ELO7 -809 Issue Date: 12/27/2007 Permit Expires On: 06/24/2008 Date: t 2 'c 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 -809 Printed: 12 -27 -2007 time City of Tukwila Parcel No.: 2623049024 Address: 17305 SOUTHCENTER PY TUKW Suite No: Tenant: LAZY BOY 1: ** *ELECTRICAL * ** 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 -809 Status: ISSUED Applied Date: 12/27/2007 Issue Date: 12/27/2007 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. 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. Signature: Print Name: e1/"---- doc: Cond - Elec Date: EL07 -809 Printed: 12 -27 -2007 SITE LOCATION King Co Assessor's Tax No.: 2G 2.301/- 9015/ Site Address: ) 7 051504. fTH cEektra Pk WY Tenant Name:L 4Y Z iR oY Fa/Ai l TM rl F . STo LE— New Tenant: ❑ Yes W.. No Property Owners Name: A EC KEA. 6E. V E 1 co PMF A/ Mailing Address: CL./ tUr Cug J )/ Mailing Address: Name: E - Mail Address: 1, i A t,c!/C OA/ ELI ZO,t./, A/E7 Company Name: i 0 14 t' ,l t7 . t,G ( f ,t L Mailing Address: /� Contact Person: E -Mail Address: r' n Contractor Registration Number: J AP T] -f,F_ ..X i c 9/ 9 Property Served by: Puget Sound Energy ❑ Seattle City Light tv' CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httn://www.cltukwila.wa. us HAApplications\Forms• Applications On Line\4 -7007 - Electrical Permit Applicationdoc bh Electrical Permit No. F 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 ** op Suite Number: X 30_ EP 6 C ity Floor: State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone:4 g 7'7- /5 City r State Zip Fax Number: 4 - ? 77- 9W5' City Day Telephone: Fax Number: Expiration Date: _1 f,3 / /2 00 9 State Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Low Voltage ❑ Generator ❑ Fire Alarm X Remodel ❑ Telecommunication Zip Valuation of Project (contractor's bid price): $ J 0c70 Scope of Work (please provide detailed information): 1-44,,, (. L' 7 QA PK L I t; /-ET /- I Fx'" c72 t-1 G sh ,,4Cf, AMA. . 4, 4 AD» /7Th4'4 / ' o /9-44P • ❑ 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) BUILDING OWNER OR ELECTRICAL CONTIjACTOR: Signature: �. Print Name: `-` /f /7-- Mailing Address I Date Application Accepted: H: ApplicationsWomis- Applications On Line\ -2007 - Electrical Permit Applicuiondoc 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 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 b 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 / 2 . Day Telephone. 9f f 97 /57 - r �7 City State Zip Date Application Expires: Staff Initials: Page 2 of 2 City of Tukwila Department of Community Development 05 -08 -2008 CLINT MCCUBBIN 4314 103 AV SE EVERETT WA 98205 RE: Permit No. EL07 -809 17305 SOUTHCENTER PY TUKW Dear Permit Holder: In reviewing our current records the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code, every permit issued by the Building Division under the provisions of the code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such permit issuance, or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days. Based on the above, you are hereby advised to: Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. This inspection is intended to determine if substantial work has been accomplished since issuance of the permit or last inspection; or if the project should be considered abandoned. If such determination is made, the International Codes, Uniform Plumbing/Fuel Gas Code and/or the National Electrical Code does allow the Building Official to approve one extension of time for an additional period not exceeding 180 days. Extension requests must be in writing and provide satisfactory reasons why circumstances beyond the applicants control have prevented action from being taken. In the event you do not call for the above inspection and receive an extension prior to 06/24/2008 , your permit will become null and void and any further work on the project will require a new permit application and associated fees. Thank you for your cooperation in this matter. Sincerely, Marshall Permit Technician xc: Permit File No. ELO7 -809 Jim Haggerton, Mayor Jack Pace, Director 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Receipt No.: R07 -02864 Payee: NORTHLAND ELECTRIC INC. 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.: 2623049024 Permit Number: EL07 -809 Address: 17305 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 12/27/2007 Applicant: LAZY BOY Issue Date: Initials: JEM Payment Date: 12/27/2007 01:43 PM User ID: 1165 Balance: $0.00 TRANSACTION LIST: Type Method Description Amount Payment Check 32446 124.00 Account Code Current Pmts 000.322.101.00.0 124.00 Total: $ 124.00 Payment Amount: $124.00 6532 12/27 9710 TOTAL 124.00 doc: Receipt-06 Printed: 12 -27 -2007 License Information License NORTHEI21879 Licensee Name NORTHLAND ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 600344369 Ind. Ins. Account Id Business Type CORPORATION Address 1 4314 103RD AVE SE Address 2 City EVERETT County SNOHOMISH State WA Zip 98205 Phone 4253771514 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 10/29/1979 Expiration Date 3/31/2009 Suspend Date Separation Date Parent Company Previous License Next License Associated License MCCUBCM970RH Business Owner Information Name Role Effective Date Expiration Date HECKMAN, DAVID G 01/01/1980 MCCUBBIN, CLINT M JR 01/01/1980 HECKMAN, DAVID G AGENT 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. Master Electrician Information License Name Status MCCUBCM970RH MCCUBBIN, CLINTON M JR ACTIVE Page 1 of 2 https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= NORTHEI21879 12/27/2007