HomeMy WebLinkAboutPermit EL09-0150 - OLD NAVYOLD NAVY
17470 SOUTHCENTE
ELO9-0150
PY
Parcel No.: 2623049110
Address: 17470 SOUTHCENTER PY TUKW
Suite No:
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
Tenant:
Name: OLD NAVY
Address: 17470 SOUTHCENTER PY , TUKWILA WA
City411kf Tukwila
Owner:
Name: KIR TUKWILA 050 LLC Phone:
Address: C/O KIMCO REALTY CORP , 3333 NEW HYDE PARK RD #100 PO BOX 5020
Contact Person:
Name: ADAM JETT Phone: 253 620 -5910
Address: 10029 S TACOMA WAY, H -7 , TACOMA WA
Contractor:
Name: ADT SECURITY SERVICES INC
Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA
Contractor License No: ADTSESI032O5
DESCRIPTION OF WORK:
INSTALL NEW SECURITY ALARM SYSTEM
Value of Electrical: NRES: $3,100.00 Fees Collected: $150.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and anv
governing this work will be complied �th
doc: EL -4/07
ELECTRICAL PERMIT
Permit Number: EL09 -0150
Issue Date: 02/24/2009
Permit Expires On: 08/23/2009
Phone: 425 - 893 -3668
Expiration Date: 09/25/2009
Date: 02124
L 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 d•es not pre to give authority to violate or cancel the provisions of any other state or local laws regulating
construction • = perform•of work. I am authorized to sign and obtain this electrical permit.
Signature: i,� /��!���:_, Date:
I
Print Name: al_ R I
This permit shall b - ome • ..i 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 -0150 Printed: 02 -24 -2009
Parcel No.: 2623049110
Address: 17470 SOUTHCENTER PY TUKW
Suite No:
Tenant: OLD NAVY
1: ** *ELECTRICAL * **
. .
City of Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 236- 431 -3670
Fax: 206- 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0150
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 : nspector.
4: All electrical work shall be in accorc.ance 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 documentaticn 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
EL09 -0150 Printed: 02 -24 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http ://www. ci. tkwila. wa. us
Site Address:
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
nL\10 o er\e,r
Tenant Name: O 1.-
Property Owners Name: _
Mailing Address: 9- )3?) -1 ) �.w' u
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: r' aCkltY �e*+
Mailing Address: \O01-G1 5 .TACAWNCA..
E -Mail Address: OWN"
v v e..4 44 o2 . Gp W1
ELECTRICAL CONTRA CTOR INFORMATION
Company Name: ALM St.c.u.(k
Mailing Address: ^^ i%Z.y
Contact Person: Ad.
``.YY 0.\ V eN-k"
E -Mail Address: AYYUt.\' @.-- O. -A.M. C YY.
Contractor Registration Number: AtTS�T Q( 37-05
Valuation of Project (contractor's bid price): $ \ () 0
Scope of Work (please provide detailed information):
Electrical Permit No. 111. v 1 ro 1c
Project No.
(For office use cnly)
King Co Assessor's Tax No.: 2-14; Z._ z >O L I ° I 14
Suite Number: Floor:
New Tenant: C Yes ❑..No
0 34° Ne'(DE 1 oJk.. O` I 1 oy Z
City State Zip
Day Telephone: 263' (AZO - 6 O
1-4 - el Lokke_tAaooS J Pc 4 1%491
City Sta te Zip
Fax Number:
City State
Zip
Day Telephone: 263 - (x+20 - b9 to
Fax Number:
Expiration Date: C I /2.5 Jock
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
X Low Voltage ❑ Geierator ❑ Fire Alarm
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
HAApplicationsWotms- Applications On Line \4 -2007 - I ;lectrical Permit Application.doc
bh
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ 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 $1 0.00 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:
Signature:
Print Name:
Mailing Address:
City
I COO
Date Application Accepted:
HAApplicationsWotms- Applications On Unc4 -2007 - Electrical Permit Applicatioadoc
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
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: 2/2-4 ic)
2 b3 z - 6
Day Telephone: 6110
- 0 - 1 c w o i- %-4A I t Z O 1 t
Stat Zip
Date Application Expires:
Staff Initials:
Page 2 of 2
RECEIPT NO: R09 -00316
Initials: JEM
User ID: 1165
Payee: ADT SECURITY SERVICES, INC.
SET ID: 0224
SET TRANSACTIONS:
Set Member
EL09 -0149
EL
EL09 -0151
TOTAL:
TRANSACTION LIST:
Type Methoi
Payment
ACCOUNT ITEM LIST:
Description
City of Tukwila,
Department of Community Developmet
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 -431 -3670
Fax: 206-431-3665
Web site: http: //www. ci. tukwila. wa. us
Amount
130.00
150.00
68.00
130.00
SET RECEIPT
Description
Check 0112317
SET NAME: ADT
TOTAL:
Account Code
ELECTRICAL PERMIT - NONR 000.322:101:00.0
TOTAL:
0905601-1 0008 02/25/2009 001 101
DCD Permits Plus - General Fund $346.00
City of Tukwila
6200 Southcenter Blvd, Tukwila, WA
1 Finance Department
0905601 -1 02/25/2009 BR1 T101
Wed Feb25,2009 1':31AM Trans #8 -8
8 $348.00 DCDGEN - DCD Permits Plus
General Fund
1 ITEM(S): TOTAL: $348.00
Check (0112317) PAID $348.00
www.ci.tukwiia.wa.us 206 - 433 -1835 ,
Payment Date: 02/24/2009
Total Payment: 348.00
Amount
348.00
348.00
Current Pmts
348.00
348.00
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Type of Inspection: Z f Q O
Date Called:
Project: 1-)Lp
Address:
7 41 0 SrI4cre.. P1
Special Instructions:
Date Wanted:
a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
K
Inspector:
Receipt No.:
Date: 03
El $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
[Date:
6Lo- OI'0
PERMIT NO.
(206)431 -3670
Name
Role
Effective Date
Expiration Date
C T CORPORATION SYSTEM
AGENT
01/01/1980
SNYDER, MICHAEL
PRESIDENT
01/01/1980
MONROZE, M BRIAN
SECRETARY
06/15/2006
FLANIGAN, TIMOTHY E
SECRETARY
06/15/2006
ABROMEIT, RICHARD H
TREASURER
08/21/2003
Untitled Page
Electrical Contractor
Business and Licensing Information
Business Owner Information
• •
A business licensed by Lai 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.
Name ADT SECURITY SERVICES INC UBI No. 601636830
Phone 4254023356 Status ACTIVE
Address 11824 NORTH CREEK PKWY License No. ADTSESI03205
N #105
Suite /Apt. License Type ELECTRICAL
CONTRACTOR
City BOTHELL Effective Date 9/25/1997
State WA Expiration Date 9/25/2009
Zip 98011 Suspend Date
County KING Previous License ADTSES *115B5
Business Type Corporation Next License
Parent
Company
Associated
License
Specialty 1
Specialty 2
https: // fortress. wa. gov /lni /bbip/Detail.aspx ?License= ADTSESI032O5
BEARDGE963LS
LIMITED ENERGY
HVAC /RFRG LTD
ENERGY
Page 1 of 3
MASTER ELECTRICIAN INFORMATION
License BEARDGE963LS
Name BEARD, GERALD E
Status ACTIVE
02/24/2009