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HomeMy WebLinkAboutPermit EL09-0564 - LIFEWAY CHRISTIAN STORELIFEWAY CH ". STIAN STORE 17326 SOUTH ENTER PY ELO 9-0564 CityOf 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 Parcel No.: 2623049079 Address: 17326 SOUTHCENTER PY TUKW Suite No: ELECTRICAL PERMIT Permit Number: EL09 -0564 Issue Date: 09/04/2009 Permit Expires On: 03/03/2010 Tenant: Name: LIFEWAY CHRISTIAN STORE Address: 17326 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: MARVIN NEWTON III Phone: 425 - 319 -7953 Address: 19030 LENTEN PL SE #328 , MONROE WA Contractor: Name: EXCEPTIONAL ELECTRICAL INC Address: 19030 LENTEN PL SE #328 , MONROE WA Contractor License No: EXCEPEI913B6 Phone: 425 - 319 -7953 Expiration Date: 02/02/2011 DESCRIPTION OF WORK: INSTALLATION AND TESTING OF APPROVED FIRE ALARM SYSTEM, FROM EXISTING EST SYSTEM Value of Electrical: NRES: $4,000.00 RES: $0.00 Type of Fire Protection: UNKNOWN Fees Collected: $150.00 National Electrical Code Edition: 2005 Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Date: 61-9-61 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 riot presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the ejmance of wo . I am autho _ sign and obtain this electrical permit. Z Signature: � � Date: / ''� ,/ Print Name: 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 -0564 Printed: 09 -04 -2009 Parcel No.: 2623049079 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: http://www.ci.tulavilawaus 17326 SOUTHCENTER PY TUKW LIFEWAY CHRISTIAN STORE PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL09 -0564 ISSUED 09/04/2009 09/04/2009 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: Print Name: Date: g /0 o6 doc: Cond -Elec EL09 -0564 Printed: 09 -04 -2009 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 httpl/www.ci.tukwilawa.us Electrical Permit No. f LC(- 0S(e 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 ** SITE LOCATION 6, (0 King Co Assessor's Tax No.: 210- 907 P Site Address: �o�'f'�e.�K r ��� g Suite Number: Floor: Tenant Name: L-j' �� WG� CI\ r t .St-or S New Tenant: g Yes ❑ ..No Property Owners Name: Mailing Address: City State Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Name: /l%c L)4C.1 Day Telephone: 142-5- - 3/ `t-- .3 Mailing Address: I `Io3 c LQ� eK Pi_. se.#32e / f roe. 1414.- /17- �L E -Mail Address: "'/Ac. a (e(ac1-r } �1f��keS �Y City , 6 0 — G'b ` 125-s- Zip Fax Number: ELECTRICAL CONTRACTOR INFORMATION Company Name: Ex l e2'1� �leci��te�l Mailing Address: /1"c. La.° 'frc PL Ste .t1ZS /141-11‘.1 A/e.d �ct•c �— Contact Person: E -Mail Address: gee /le' a / a /'e `, 1 c4 14CL h - • ,L ax Number: IG o-5' 3 /LSS 2/ Expiration Date: _ `7 211 City State Zip Day Telephone: 4175-- 9 ` 195-1 Contractor Registration Number: EXCEP F?= 1 13 Q6 Valuation of Project (contractor's bid price): $ Y °C.49 Scope of Work (please provide detailed information): ....4-441-1/ �- % / t a.fa / r� 1 e sc 5- 7o• g �`� 4-JP, "lied s S /e �rti 'j /t f�„t Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes No Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ,0.1. Fire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: ❑ Puget Sound Energy ❑ Seattle City Light H: W pplicanons \Forms- Applications On Lore \I -2009 - Electncal Permit Appheation.doc bh 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, fumace 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 I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNEI ,.L>;�2 ELECTRICAL CONTRACTOR: Signature: Print Name: Mar v■ Date: cj /y /Zook' Day Telephone: L12.5" -31 `l - ? ?5 5 Mailing Address: /?° '° �—e� �L' S� '#12g /lc t e- lv.1- q u9 2 L City State Zip rDate Application Accepted: 1 Date Application Expires: Staff Initials: H: Applications\ Forms - Applications On Line \I -2009 - Electrical Permit Application 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://www.ci tukwila. wa. us RECEIPT Parcel No.: 2623049079 Permit Number: EL09 -0564 Address: 17326 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 09/04/2009 Applicant: LIFEWAY CHRISTIAN STORE Issue Date: Receipt No.: R09 -01389 Payment Amount: $150.00 Initials: WER Payment Date: 09/04/2009 08:53 AM User ID: 1655 Balance: $0.00 Payee: EXCEPTIONAL ELECTRIC INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 5530 150.00 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.0 150.00 Total: $150.00 AYMENT ECEIVE doc: Receiot -06 Printed: 09 -04 -2009 INSPECTION NO. INSPECTION RECORD Retain a copy with permit (tri 0%1 ERMIT NO. V2' (206)431 -3 CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 Proj ct: 77 1 Type of Inspection: /�� Address f Date Called: Speci I Instructions: ((j 1 f A ¢, Date Wanted:.m. Dct/i/ Requester: Phone No: IKApproved per applicable codes. ® Corrections required prior to approval. COMMENTS: OK jI Inspector: tl Date: Oill 11 fl $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: INSPECTION NO. INSPECTION RECORD Retain a copy with permit (LOSI -° % P RMIT NO. CITY OF TUKWILA BUILDING DIVISION 'ft- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Pro,ect:,` J Cat5TAINj 5 „Type of Inspection: 7003 Address:/ 73 5. C • Pi • Date Called: Special Instructions: Date Wanted: 007 A.m. (P.m. Requester: Phone No: Approved per applicable codes. ® Corrections required prior to approval. 1 COMMENTS: - C6(1/(1\i / L14 IN) Cvfceft Date: 071I 7 O O r7 $60.00 REINS ECTION FEE REQUIRED. Prior to inspe tion, ee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. (Receipt No.: Inspector: Date: Untitled Page Electrical Contractor A business licensed by LftI 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 Exceptional Electrical Inc 4253197953 19030 Lenton Pl. SE. #328 MONROE WA 98272 SNOHOMISH Corporation UBI No. Status License No. License Type 602888279 ACTIVE EXCEPEI913B6 ELECTRICAL CONTRACTOR Effective Date 2/2/2009 Expiration Date 2/2/2011 Suspend Date Specialty 1 GENERAL Specialty 2 UNUSED Other Associated Licenses Page 1 of 1 License Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status EXCEPE*965R9 EXCEPTIONAL ELECTRICAL ELECTRICAL CONTRACTOR GENERAL UNUSED 12/29/200412/29 /2010 OUT OF BUSINESS MASTER ELECTRICIAN INFORMATION License NEWTOMM950L8 Name NEWTON, MARVIN M III Status ACTIVE Business Owner Information Name Role Effective Date Expiration Date Newton, Marvin AGENT 01/01/2009 Bond Amount Newton, Marvin PRESIDENT 01/26/2009 6625838 Newton, Melissa VICE PRESIDENT 01/26/2009 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 1 AMERICAN STATES INS CO (ASI) 6625838 01/01/2009 Until Cancelled $4,000.00 02/02/2009 httpsJ/ fortress .wa.gov /lni /bbip /Detail.aspx 09/04/2009