HomeMy WebLinkAboutPermit EL09-0471 - LIFEWAY CHRISTIAN STORELIFEWAY CHRISTIAN
STORES
17328 SOUTHCENTER PY
ELO9-0471
Cityif Tukwila •
Department of Community Development
6300 Southcenter Boulevard, Suite 14100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Fax: 206 - 431 -3665
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 2623049079
Address: 17328 SOUTHCENTER PY TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL09 -0471
Issue Date: 08/05/2009
Permit Expires On: 02/01/2010
Tenant:
Name: LIFEWAY CHRISTIAN STORES
Address: 17328 SOUTHCENTER PY , TUKWILA WA
Owner:
Name: KIR TUKWILA 050 LLC /KIMCO Phone:
Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100
Contact Person:
Name: ANDRE LUCERO Phone: 206 - 793 -8659
Address: 2700 1ST AVE S , SEATTLE WA
Contractor:
Name: WESTERN NEON
Address: 2700 FIRST AVE S ,
Contractor License No: WESTERNI0990E
Phone:
Expiration Date:
DESCRIPTION OF WORK:
INSTALLATION OF INTERNALLY ILLUMINATED CHANNEL LETTERS (LED) MOUNTED FLUSH TO
WALL
Value of Electrical: NRES: $150.00 Fees Collected: $60.00
RES: $0.00
Type of Fire Protection: UNKNOWN National Electrical Code Edition: 2005
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
LISSC21
Date:
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 does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating
construction or - pg4.. and, work. I am authorized to sign and obtain this electrical permit. �*
Signature: I ,i / %� Date: ` / Io C1
Print Name:
r �31 U cct {14b---
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.
doc: EL -4/07
EL09 -0471 Printed: 08 -05 -2009
Parcel No.: 2623049079
Address:
Suite No:
Tenant:
e
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
17328 SOUTHCENTER PY TUKW
LIFEWAY CHRISTIAN STORES
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0471
ISSUED
08/05/2009
08/05/2009
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 construction or the performance of work.
Signature: ; .4#
Print Name: Y
6nvtrAi2tur-
Date: :5) 1 /0()'
doc: Cond -Elec
EL09 -0471 Printed: 08 -05 -2009
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://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
Site Address: 11 �� e 500144604er- ! t
Tenant Name: Li Cewct.t L(tr/SI-trtli 5 krQ 5
Property Owners Name:
King Co Assessor's Tax No.:
Suite Number:
New Tenant:
210.1302-1-50 7 1
Mailing Address: I 3.2e) 3od4-kevLte Wy Jul<$A) i)c
City
i.J
Floor:
....Yes ❑..No
CONTACT PERSON - Who do we contact when your petti it is ready to be §sued
State Zip
Name: Gkod, LtA (-e D Day Telephone: Telephone: �c 6` 1 - c36.5-9
Mailing Address: a, 700 1 /�-V'e s • �e&I- -1 e 981
f( City State Zip
E -Mail Address: (it i/1Qr., !/vPS 1-ec K eQ COW . Fax Number: 2 06 - G `"'3 t $
ELECTRICAL CONTRACTOR INFORMATION
Company Name: (A)E 'e rlq, eov\
Mailing Address: —/DO : 404-
Contact Person: (1AVAIle. Luee_ro
E -Mail Address: 01 tild re Z.A1L -Cad ® tAK.44-rvt k-Qdv t CUlM
Contractor Registration Number:
313(/
City State
Day Telephone: p)� ' 6<3 2
Fax Number: 'oi3 - 6c 2.
Expiration Date:
Zip
5 1S�1
Valuation of Project (contractor's bid price): $ co
Scope of Work (please provide detailed information): it/1 e?1,4 (4 6-c6v■ C9 F I l^{- .f v�A1 Ly l I_ v ti14411 fG)
%ct ti vt L,-d L E D5 u c i L-.e d Ay-41
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes ❑ No
Type of Use:
Type of work:
New IEL Addition ❑ Service Change ❑ Remodel
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
Property Served by:
❑ Puget Sound Energy
Seattle City Light
HAApplications\ Forms - Applications On Line \I -2004 - Electrical Permit Application.doc
bh
❑ Tenant Improvement
❑ 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 $11.00 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)
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
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.
1 HEREBY CERTIFY THAT 1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
NArK (nct-ci
Mailing Address: 7Cx7 S•
IDate Application Accepted:
Date: ' )05
Day Telephone: 00/9` 693 a- `71.��- Q)
City State Zip
Date Application Expires:
Staff Initials:
H:1Apph can ortelo rms -A ppl[cations On Lin ell -2009 - Eleclnca/ Per mat Appl ication.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://wwwci.tukwila.wa.us
RECEIPT
Parcel No.: 2623049079 Permit Number: EL09 -0471
Address: 17328 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 08/05/2009
Applicant: LIFEWAY CHRISTIAN STORES Issue Date:
Receipt No.: R09 -01225
Initials: WER
User ID: 1655
Payment Amount: $60.00
Payment Date: 08/05/2009 11:45 AM
Balance: $0.00
Payee: WESTERN NEON
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1624 60.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 60.00
Total: $60.00
PAYMENT
ECEIVED
doc: Receiot -06 Printed: 08 -05 -2009
i
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
(Lo7-ci7J
P MIT NO.
CITY OF TUKWILA BUILDING DIVISION 4"
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
_
Project: G i r( I, J1 f
ype of Inspection:
2/00
Address:
/732.5 5.c. Pi.
Date Called:
Special Ins ructions:
2'o°
?"•
Date Wanted:
7-4
p.m.
Requester:
Phone No:
Approved per applicable codes. 0 Corrections required prior to approval.
COMMENTS:
nspector:
Date: a0
ri $60.00 REINSPECTION FEE RE UIRED. 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 Lftl 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
WESTERN NEON INC
2066827738
2700 FIRST AVE S
SEATTLE
WA
98134
KING
Corporation
UBI No.
Status
License No.
601041722
ACTIVE
WESTENI0990E
License Type ELECTRICAL CONTRACTOR
Effective Date 9/5 / 1991
Expiration Date 9/5/2009
Suspend Date
Specialty 1 SIGN
Specialty 2 UNUSED
ADMINISTRATOR INFORMATION
License BLAZEJP099CB
Name BLAZEK, JAY P
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
BLAZEK, SABIEN
Cancel
Date
01/01/1980
Bond
Amount
BLAZEK, DEAN A
1
01/01/1980
631421
BLAZEK, POLLY A
Until
Cancelled
01/01/1980
BLAZEK, JAY
AGENT
01/01/1980
Bond Information
Bond
Bond
Company
Name
Bond
Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date 1
Bond
Amount
Received
Date
1
CBIC
631421
08/30/1991
Until
Cancelled
$4,000.00
https: // fortress .wa.gov /lni/bbip/Detail.aspx
08/05/2009