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HomeMy WebLinkAboutPermit EL09-0378 - HAIR CLUB FOR MENHAIIB CLUB FOR MEN 545 ANDOVER PK W ELO9-03 78 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.tuk-wila.wa.us Parcel No.: 2623049144 Address: 545 ANDOVER PK W TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0378 Issue Date: 06/19/2009 Permit Expires On: 12/16/2009 Tenant: Name: HAIR CLUB FOR MEN Address: 545 ANDOVER PK W SUITE 205 , TUKWILA WA Owner: Name: SOUTHCENTER CORPORATE SQUAR Phone: Address: 150 CALIFORNIA ST , SAN FRANCISCO CA Contact Person: Name: JAMES REAVER JR Phone: 253 - 223 -4690 Address: 15610 65 AVE CT E , PUYALLUP WA Contractor: Name: NEX -US TELECOMMUNICATIONS Phone: 253 - 223 -4690 Address: 15610 65 AV CT E , PUYALLUP WA Contractor License No: NEXUST*973JP Expiration Date: 04/17/2011 DESCRIPTION OF WORK: INSTALL PHONE AND COMPUTER WIRING. TERMINATE, TEST AND LABEL OUTLETS Value of Electrical: NRES: $3,850.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $150.00 National Electrical Code Edition: 2005 Date: to —Acj© 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 his permit does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or a performance of ork. I am authoriz d to sign and obtain this electrical permit. �j Signature: VU2JJ Date: 6//9/200 / Print Name: Jov 1e_S gcUeor (r' This permit shall become null and void if the work is not commenced within 180 days frorr. the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. doc: EL -4/07 EL09 -0378 Printed: 06 -19 -2009 Parcel No.: 2623049144 Address: Suite No: Tenant: • 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: htip: / /www.ci.tukwila.wa.us 545 ANDOVER PK W TUKW HAIR CLUB FOR MEN PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0378 ISSUED 06/19/2009 06/19/2009 1: ** *ELECTRICAL * ** 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 . nstruction or the performance of work. Signature: Print Na (T00-7 eS ye& Date: 6,/i/goo doc: Cond -Elec EL09 -0378 Printed: 06 -19 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us . Electrical Permit- No. Project No. „o37e (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 Site Address: 5415 Av. dover LOCs-% S+ , King Co Assessor's Tax No.: 24 -2-30'4 1 ( 1-1/-1 rr ?AOC Suite Number: C Floor: 62.101' Tenant Name: Hair C 1 kb Property Owners Name: Mailing Address: kw: A / Gt)4 o 90 f U U New Tenant: ❑ Yes Er.'.No City CONTACT PERSON :Who do we contact when your permitis "ready to be issued: '; 7a vv e Name: S e►/eGtd J %. Mailing Address: / S- &/O , Ste' Ave. E. E -Mail Address: IX, veer 6 m Uzi ELECTRICAL CONTRACTOR INFORMATION State Zip Day Telephone: 5- % Z7.3 -- V %c) y 4icv,, 14h . 9937 - r City jj State tp Fax Number: (2 5'3) 53 Company Name: Hey /�— $ ye -1coWI � i Cal( 0 Mailing Address: �5 w /0 a 9— ,4V- . Contact Person: E -Mail Address: fee ca/4--1 Contractor Registration Number: W &X U S T(97 3 �f ya / /ten ti/i4, 981375 City State // Zi Day Telephone: (z3) 2Z3r V(�7v Fax Number: (s3) 535— v?e2 Expiration Date: V/l7 /2o/ 1 Valuation of Project (contractor's bid price): $ 3 5-7.7 t 0 0 Scope of Work (please provide detailed information): 1 14544 11 LcJlrf✓1 BI('u`. ho vie alid co ( f r Will service be altered? ❑ Yes Er/No Type of Use: Type of work: ❑ ► ew ❑ Addition Low Voltage ❑ Generator Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light Adding more than 50 amps? ❑ Yes 2(No ❑ Service Change ❑ Fire Alarm H:\Applications \Forms - Applications On Line \1 -2009 - Electrical Permit Application.doc bh ❑ Remodel ❑ Tenant Improvement ❑ Telecommunication ❑ Temporary Service Page 1 of 2 RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ New single family dwellings $145.60 (including an attached garage) ❑ Garages, pools, spas and outbuildings $78.00 ea ❑ Low voltage systems (alarm, furnace thermostat) $57.00 ea RESIDENTIAL REMODEL AND SERVICE CHANGES ❑ Service change or alteration $78.00 (no added/altered circuits) ❑ Service change with added/altered circuits $78.00 number of added circuits $1 1.00 ea ❑ Circuits added/altered without service change $52.00 (up to 5 circuits) ❑ Circuits added/altered without service change $52.00 (6 or more circuits) $7.30 ea ❑ Meter /mast repair $65.00 ❑ Low voltage systems $57.00 (alarm, furnace thermostat) PERMIT APPLICATION NOTES - MULTI - FAMILY AND COMMERCIAL Fees are based on the valuation of the electrical contract. MISCELLANEOUS FEES ❑ Temporary service (residential) $60.00 ❑ 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. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: Date: Day Telephone: City State Zip Date Application Accepted: Date Application Expires: Staff Initials: H 1AppItcationsTorms- Applications On Line 1-2009 - Electrical Permu Applicatton.doc bh Page 2 of 2 • 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://wmv.ci.tulavila.wa.us Parcel No.: 2623049144 Address: 545 ANDOVER PK W TUKW Suite No: Applicant: HAIR CLUB FOR MEN RECEIPT Permit Number: EL09 -0378 Status: PENDING Applied Date: 06/19/2009 Issue Date: Receipt No.: R09 -00923 Initials: User ID: Payee: WER 1655 Payment Amount: $150.00 Payment Date: 06/19/2009 10:01 AM Balance: $0.00 JAMES REAVER TRANSACTION LIST: Type Method Descriptio Amount Payment Credit Crd MC - Authorization No. 045912 ACCOUNT ITEM LIST: Description 150.00 Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 150.00 Total: $150.00 PAYMENT RECEIVED doc: Receiot -06 Printed: 06 -19 -2009 INSPECTION RECORD Retain a copy with permit eq. 031g PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 12- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION NO. Project: C V4 6( 464 Type of Inspection: ,7/00 Address: `�� ��! � Date Called: Special Instructions: Date Wanted: � ( �(7 a.m. p.r'ir` Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. OMMENTS: Date: fO(t ❑ $60.00 REINS'ECTION FEE REQUIRED. Prior to inspection, fee st be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reins ection. Receipt No.: Date: INSPECTION RECORD Retain a copy with permit t0 - 03?/ INSPECTION NO. P RMIT NO. CITY OF TUKWILA BUILDING DIVISION i 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -367 Proje atkii et 1 � Type of Inspection: loo, Address: ti S f'wJ c J VtJ Date Called: Special Instructions: JrPr Date Wanted: D 2. a:m. m. Requester: Phone No: ElApproved per applicable codes. Corrections required prior to approval. COMMENTS: /A) Inspector: .Tn6-4d0c Date: 67 107 17 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Untitled Page • • Page 1 of 2 Electrical Contractor 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. Business and Licensing Information Name Phone Address Suite /Apt. City State Zip County Business Type Parent Company NEX -US TELECOMMUNICATIONS 2532234690 15610 65TH AVE CT E PUYALLUP WA 98375 PIERCE Individual UBI No. 602288444 Status ACTIVE License No. NEXUST *973JP License Type ELECTRICAL CONTRACTOR Effective Date 4/17/2003 Expiration Date Suspend Date Specialty 1 TELECOMMUNICATIONS Specialty 2 UNUSED 4/17/2011 ADMINISTRATOR INFORMATION License REVEAJ *973JP Name REVEAR, JAMES Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date REVEAR, JAMES JR OWNER 04/17/2003 Bond Amount Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 CBIC SE7573 04/17/2003 Until Cancelled Date Date $4,000.00 04/17/2003 Insurance Information https://fortress.wa.gov/lni/bbip/Detail.aspx 06/19/2009 Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date https://fortress.wa.gov/lni/bbip/Detail.aspx 06/19/2009