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Home My WebLink AboutPermit EL09-0148 - FITNESS SHOPFITNESS SHOP 16915 SOUTHCENTK! PY ELO9-0148 Parcel No.: 2623049011 Address: Suite No: Tenant: Name: Address: Owner: Name: Address: Contact Person: Name: Address: Contractor: Name: Address: Contractor DESCRIPTION OF INSTALL (1) SET OF 16915 SOUTHCENTER PY TUKW WORK: LIT LETTERS ON RACEWAY Value of Electrical: NRES: $100.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature; Print Name: doc: EL -4/07 Cityif Tukwila • 3artment 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 FITNESS SHOP 16915 SOUTHCENTER PY , TUKWILA WA OCM ESCROW ADMINISTRATION 1717 MAIN ST 8TH FL- ESCROW , DALLAS TX TRACIE SKILES 7400 HARDESON RD , EVERETT WA BERRY NEON COMPANY INC 7400 HARDESON RD , EVERETT WA License No: BERRYNC085L3 ELECTRICAL PERMIT Fees Collected: Permit Number: EL09 -0148 Issue Date: 02/24/2009 Permit Expires On: 08/23/2009 Phone: Phone: 425 776 -8835 Phone: 425 776 -8335 Expiration Date: 06/23/2010 National Electrical Code Edition: Date: I hereby certify that I have read an dlex ed this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complie wit , 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 construct • e performance of work. I am authorized to sign and obtain this electrical permit. Signat e: i. Date: i e: /P) -e J1-/ l EL09 -0148 $60.00 2005 This permit shall become null and void ..f 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. Printed: 02 -24 -2009 Parcel No.: 2623049011 Address: Suite No: Tenant: 1: ** *ELECTRICAL * ** 16915 SOUTHCENTER PY TUKW FITNESS SHOP 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: Status: Applied Date: Issue Date: EL09 -0148 ISSUED 02/24/2009 02/24/2009 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, 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. doc: Cond -Elec Date: EL09 -0148 Printed: 02 -24 -2009 SITE LOCATION S CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http:ll www. ci. tukwila. wa. us Valuation of Project (contractor's hid price): $ H. .ApphcationstForms- Applicaltons On Line' 4-2007 - Fleetrical Permit Application doe hh Electrical Permit No. "V 0 L� 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 ** .411t4I 4t Site Address: / / S S T .. Tenant Name: R1 T(�'I e5k 5 f� Property Owners Name: t4 ,,'/JjLAJ g/ Mailing Address: 41 , . • ' L CONTACT PERSON - Who do we contact when your permit is ready to be issued ELECTRICAL CONTRACTOR INFORMATION Contractor Registration Number: 6,_... VI ( l 0 7 7 King Co Assessor's Tax No.: 2-1 9 / Suite Number: City New Tenant: ► • St( to Name: 1y VL)L Se../ I d I Day Telephone: g26 7[ , v a Jf Mailing Address: /1v& t[�L 4G14 i • (J -(J/- Ix) '9'f2 �, State Zip E -Mail Address: A -PiLt� �ti/ll kiryi j I1? Ci j�» "max Number: 12 77171,0Z/ Company Name: -V VIM cT )�'i 57 M1 Mailing Address: 7 ' F'G City State zip Contact Person: Si[., t Day Telephone: VA E -Mail Address: Fax Number: LIZ 7L /t1ZJ Expiration Date: ( '.a 7/i c-/ /0 M.4 ? e g 1 OD— , Scope of Work (please provide detailed information): .// //4 ovt 1 1 - 1t Floor: Yes .. No Zip Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes K No Type of Use: Type of work: New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ 7emporary Service Property Served by: 51. Puget Sound Energy ❑ Seattle City Light Page 1 of 2 Date Application Accepted: RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $140.00 (including an attached garage) ❑ Garages. pools, spas and outbuildings $75.00 ca ❑ 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) PERMIT APPLICATION NOTES - BUILDING OWNER OR ELECTRICAL CONTRACTOR: H:'\Applicalions Fortes- Applica0ons t)n Line.4-200 - k lectncal Permit Apphcauon.doc hh 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 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 DAVE 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. Signatur Date: 7/i //1 Print Name: - /At–)' P ,S j 4/4 Day Telephone: WS-7 7� 3 Mailing Address:I -100 4-4, [e,f,e.44 /AM ld Ae City st3tc Zip S'aff Initials: Page 2 of 2 Parcel No.: 2623049011 Permit Number: EL09 -0148 Address: 16915 SOUTHCENTER PY TUKW Status: APPROVED Suite No: Applied Date: 02/24/2009 Applicant: FITNESS SHOP Issue Date: Receipt No.: R09 -00315 Initials: User ID: Payee: BARRY NEON SIGN TRANSACTION LIST: Type Method Descriptio Amount JEM 1165 Payment Check 5257 60.00 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 Account Code Current Pmts 000.322.101.00.0 60.00 Total: $60.00 0905601-1 0007 02/25/2009 001 101 DCG Permits Plus - General Fund $320.00 Payment Amount: $60.00 Payment Date: 02/24/2009 11:11 AM Balance: $0.00 doc: Receipt -06 Printed: 02 -24 -2009 Project: 1,� ( Q Type of Inspection: ` Address: / I I T SC. . Date Called: Special Instructions: S (4 �( r Date Wanted: D/ 0 2. m. p.m. Requester: Phone No: �1 INSPECTION NO. INSPECTION RECORD Retain a copy with permit CITY OF TUKWILA BUILDING DIVISION Eoo7 or S P RMIT NO. 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3 7 X31 ❑ $60.00 REINS ECTION FEE R QUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Approved per applicable codes. ❑ Corrections required prior to approval. COMMENTS: Inspector: Date: V it oz o7 Name Role Effective Date Expiration Date JACOBS, RONALD 01/01/1980 JACOBS, BELINDA 01/01/1980 TORNOW, STEPHEN AGENT 01/01/1980 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 9 BERRY NEON COMPANY INC 4257768835 7400 HARDESON RD EVERETT WA 98203 SNOHOMISH Corporation ADMINISTRATOR INFORMATION License TORNOSR207RU Name TORNOW, STEPHEN R Status ACTIVE Business Owner Information Bond Information Bond Bond Company Bond Account Effective UBI No. Expiration Status License No. License Type Effective Date Expiration Date Suspend Date Previous License Next License Associated License Specialty 1 Specialty 2 Cancel https: // fortress. wa. gov /lni/bbip /Detail.aspx ?License= BERRYNC085L3 • 601363588 ACTIVE BERRYNC085L3 ELECTRICAL CONTRACTOR 6/23/1992 6/23/2010 BERRYNC085B3 TORNOSR207RU SIGN UNUSED Page 1 of 2 Impaired Bond Received 02/24/2009