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Home My WebLink AboutPermit EL09-0094 - WILD WEST SHIRTWORKSWILD WEST SHIRTWORKS 12626 INTERURBAN AV S ELO9-0094 Parcel No.: 0004800003 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractor DESCRIPTION OF REMOVE EXISTING Value of Electrical: NRES: $1,000.00 Fees Collected: RES: $0.00 Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005 Electrical Service provided by: SEATTLE CITY LIGHT 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 construction or the p Signature: Print Name: doc: EL -4/07 12626 INTERURBAN AV S TUKW WILD WEST SHIRTWORKS 12626 INTERURBAN AVE S , TUKWILA WA C/O EPROPERTYTAX INC DEPT #207 , PO BOX 4900 KEVIN LEWIS 804 W MEEKER ST SUITE 102 , KENT WA A C ELECTRIC SERVICE INC 804 W MEEKER ST STE 102 , KENT WA License No: ACELESIO25DF WORK: HVAC SWITCH, REINSTALL 20 AMPS. ADD ROOFTOP GFCI Cit3Of 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 Permit Number: Issue Date: Permit Expires On: Phone: Phone: 253 - 852 -0225 Phone: 253 852 -0225 Expiration Date: 03/06/2010 EL09 -0094 02/03/2009 08/02/2009 $92.00 Date • • es not presume to give authority to violate or cancel the provisions of any other state or local laws regulating ance of rk. I %' . uthorized to sign and obtain this electrical permit. Date: .z.' j " C°1 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. EL09 -0094 Printed: 02 -03 -2009 Parcel No.: 0004800003 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** • 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 12626 INTERURBAN AV S TUKW WILD WEST SHIRTWORKS PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0094 ISSUED 02/03/2009 02/03/2009 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, arty 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: / 1 0.o'lq Date: 2. - 3 - C 1 Print Name: doc: Cond -Elec EL09 -0094 Printed: 02 -03 -2009 • CITY OF TUKWILA Community Development Department Permit Center 8300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://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 LOCATION 1 King Co Assessor's Tax No.: O00 J-1 TI D (D03 Site Address: t z 12 ZU TEQ- LA 2b Suite Number: Floor: RG D F Tenant Name: 1 t d Lo. ESA S ht 2T v. a 0_kS New Tenant: ❑ Yes E :.No Property Owners Name: Mailing Address: Zip CONTACT PERSON - Who do we contact when your penult b ready to be issued Name: Mailing Address: zip E -Mail Address: ELECTRICAL CONTRACTOR INFORMATION Company Name: RC ALE L a! 2V t L1 Mt. L Mailing Address: Sib IA LJ, 'M L KE , 3 c, T E 1 b L VELA L...1ca s S c3 1 `l K City State Zip Contact Person: i 1' t) , T � -S Day Telephone: - L 5 3 " `A S 7- b /-2- 5 E -Mail Address: Fax Number: Zvi 3 - SZ 13 - S 8 \ 1 Contractor Registration Number: P L E- LE A. t L, 2. S 0 F Expiration Date: L. 13 - \ C, Valuation of Project (contractor's bid price): $ I b b t . LS Scope of Work (please provide detailed information): R.E V ZD U ()IA L 6 L5 I ill RE tvnP _ ka s2Li; P +60 F - t - Will service be altered? ❑ Yes [g- No Adding more than 50 amps? ❑ Yes 12—No Type of Use: Tyne of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel Er Tenant Improvement ❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: g Puget Sound Energy ❑ Seattle City Light H:UpgipumstForms- Apphnfiw On tine41.2007 - Electrical Permit Applicaon.doc bb Electrical Permit No. Lt')gt - noci Project No. (For office use only) City City State Day Telephone: State Fax Number: Page 1of2 • RESIDEN' I NEW RESIDENTLAL SER ❑ 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 A 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 E ECTRICAL CO ' • CTOIi: Signature: Print Name: I<al L emu.) 1 S 1 Date Application Accepted: H:Upplianions FO,ms- Applications On Line■-2007 - E e tTie l Pant Applieatioadec en City • MIL TI- FAMILY AND COMMERCISL Fees are based on the valuation of the electrical contract. MISCELLAN 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: 2:3 Day Telephone -1-S3 " SS 2- 611-S Z.5 Mailing Address: '4 U) , m E `Q., .S S {-E 1 o Z k r l.. 1 (O I. 6 3 State Zip Date Application Expires: Staff Initials: Page 2 of 2 Receipt No.: R09 -00174 Initials: WER User ID: 1655 Payee: A C ELECTRIC 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.: 0004800003 Permit Number: ]EL09 -0094 Address: 12626 INTERURBAN AV S TUKW Status: PENDING Suite No: Applied Date: 02/03/2009 Applicant: WILD WEST SHIRTWORKS Issue Date: TRANSACTION LIST: Type Method Descriptio Amount Payment Check 11959 92.00 Account Code Current Pmts 000.322.101.00.0 92.00 Total: $92.00 Payment Amount: $92.00 Payment Date: 02/03/2009 09:47 AM Balance: $0.00 V -ee.0 ■ W 21( doc: Receipt -06 Printed: 02 -03 -2009 Proje..j:u ST �NtR501145 Type of Inspection: `J r00 Address: /Air (kb. Date Called: Special Instructions: Date Wanted: Q2 40 Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. PE MIT NO. CITY OF TUKWILA BUILDING DIVISION M 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 - Approved per applicable codes. D Corrections required prior to approval. L] $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. �' COMMENTS: - 4 H 1 C 1, AU 1. * RAJ 9 L .nI Fooribp D Sc o4JA[ cr ly«o),; ,i1«oL1 A pioici) ) - ,5!L icoa4 1< d icAtL, andr Top DF tarairri4 I tkp toole ourirr.Ple Date Called: Special Instructions: Date Wanted: ®� �- ! 7 a Projec lA S 3 -11 <W°' 1(5 Type of Inspection: Ad )7-WAD ii‘140. Date Called: Special Instructions: Date Wanted: ®� �- ! 7 a Requester: Phone No: INSPECTION RECORD Retain a copy with permit INSPECTION NO. P R NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 0 Approved per applicable codes. IN Corrections required prior to approval. Inspector: Date: Q z 1 74 o LI $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee msst be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: • Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 3 NATIONWIDE MUTUAL INS CO 7900313590 03/05/2007 Until Cancelled $4,000.00 02/02/2007 Untitled Page 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company A C ELECTRIC SERVICE INC 2538520225 804 W MEEKER ST STE 102 KENT WA 98032 KING Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 601858837 ACTIVE ACELESIO25DF ELECTRICAL CONTRACTOR 3/6/1998 3/6/2010 CHUTIAM960L8 GENERAL UNUSED MASTER ELECTRICIAN INFORMATION License CHUTIAM960L8 Name CHUTICH, ALAN M Status ACTIVE Business Owner Information Name CHUTICH, ALAN Role Effective Date 01/01/1980 Expiration Date Bond Information • https: // fortress .wa.gov /lni /bbip/Detail.aspx ?License= ACELESIO25DF • Page 1 of 2 02/03/2009