HomeMy WebLinkAboutPermit EL09-0743 - ASHLEY FURNITUREASHLEY FURNITU
E
17601 SOUTHCENTE " PY
ELO9O743
Parcel No.:
Address:
Suite No:
CitAf Tukwila
Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspection Request Line: 206 - 431 -2451
Web site: http: / /www.ci.tukwila.iva.us
3523049087
17601 SOUTHCENTER PY TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL09 -0743
11/23/2009
05/22/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
ASHLEY FURNITURE
17601 SOUTHCENTER PY , TUKWILA WA
LEVITZ TUKWILA LLC
180 N STETSON AVE #324 -D , CHICAGO IL
STEPHANIE MARUSIAK
1619 N STATE ST , BELLINGHAM WA
Contractor:
Name: SECURITY SOLUTIONS
Address: 1619 N STATE ST , BELLINGHAM WA
Contractor License No: SECURSN954JG
Phone:
Phone: 360 -734 -4940
Phone: 360- 734 -4940
Expiration Date: 04/07/2011
DESCRIPTION OF WORK:
INSTALL CAMERA SURVEILLANCE SYSTEM
Value of Electrical: NRES: $2,400.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
National Electrical Code Edition: 2008
Date:
$130.00
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 the ? - or ce of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
Date: )1-2 3 -a°/
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 -0743 Printed: 11 -23 -2009
Parcel No.: 3523049087
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.ciiukwila.wa.us
17601 SOUTHCENTER PY TUKW
ASHLEY FURNITURE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL09 -0743
ISSUED
11/23/2009
11/23/2009
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: J I — 5
doc: Cond -Elec
EL09 -0743 Printed: 11 -23 -2009
CITY OF TUKWICA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httt : / /www.ci.tkwila.wa.us
Electrical Permit No. EL-CA- 0 '7L3
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
Sou Co Assessor's Tax No.: T- 5 L 161-i " lQ k 7
J
Site Address: t7 1901 tk C.r1 tC( Pcsurv, W o-1 Suite Number: N.1 l (\ Floor: 1'11t.
Tenant Name: AS\C1 \Cy U r r \ \C \\ r e New Tenant: ❑ Yes No
Property Owners Name: \A \ \\ COLwrr `I i\O \d\ t\O L_ LC .
78t3o
Zip
Mailing Address: 14\ f- '0(N \ \01 x1eW brcx e \S T X
City State
CONTACT PERSON - Who do we contact when your permit;is ready to be issued
Name: Se.Q rl0.'(1 \ e_ 'MOlrr' V S 1A \A
Mailing Address: 1(019 M \0. \e S�
Day Telephone: 3(oo - -73 - 'Ho
le \ \\ ( \+:)k r► �I A `l8
`- City c� state Zip
E -Mail Address: S�eQY\AC11 e t CUC \ SO \Ut\ Ol1SW .( ax Number: ;)(od - Cot{ % - %`J 1/(j
ELECTRICAL CONTRACTORINFORMATION
Company Name: 2)eC V r \
Mailing Address: (p\ 1� �1
Contact Person: 43 VeQ C1GY1\ e.
E -Mail Address: S \eyV\o.n■ e
Sicoc\ t )e, \\\ ` v) \\(\ok.rn 1,0A
`�l � City State 'J
. "I�O.0 OS1 a1L Day Telephone: 3 (DO " V13 `i
SeWrvq \.)k ot15w•C"Fax Number: (O- (o 47 -
S Expiration Date: 011 /% I
Contractor Registration Number: S CUR Iv -t
(18aa(0
Zip
149;0
95410
Valuation of Project (contractor's bid price): $ ' - OC)
Scope of Work (please provide detailed information): L Kl S�CCk\k \ `("e\ A Co vi CC"o. Svv- Vet
Sy Ste n
Will service be altered? ❑ Yes
Type of Use: NO et
Type of work:
❑ New ❑ Addition
igt Low Voltage ❑ Generator
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
No Adding more than 50 amps? ❑ Yes No
❑ Service Change
❑ Fire Alarm
H:Wpplications\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 $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.
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 0 ER OR ELECTRICAL CONTRACTOR:
Signature: q p` -
Print Name: ` )k \ Y1G.X\\ f' tA04_11 v 510.,x.
Mailing Address: \ (.D 1 ! i\) 31a -Ve.
A
Date: I 20 200 ?
Day Telephone: - 7 3q - 1/9%7 o
t)e Ill nllntxm tit) N
city State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:Wpplication 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.citukwila.wa.us
RECEIPT
Parcel No.: 3523049087 Permit Number: EL09 -0743
Address: 17601 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 11/23/2009
Applicant: ASHLEY FURNITURE Issue Date:
Receipt No.: R09 -01874
Initials: WER
User ID: 1655
Payment Amount: $130.00
Payment Date: 11/23/2009 09:42 AM
Balance: $0.00
Payee: SECURITY SOLUTIONS I NC
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 22175 130.00
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 130.00
Total: $130.00
'A MENT
RECEIVED
doc: Receiot -06 Printed: 11 -23 -2009
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Project: kiat n
Type of Inspection:
foo
Addressow s.c .Py.
Date Called:
_4'—
Special Instructions:
SVAIll ` (05
Date Wanted:
12
'
a.m.
m.
Requester:
Phone No:
w0Approved per applicable codes.
Corrections required prior to approval.
OMMENTS:
Inspector:
6--A4JK,
Date: y
lz-or %7
El $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 LEtI 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
SECURITY SOLUTIONS
NORTHWEST
3607344940
1619 N STATE ST
BELLINGHAM
WA
98225
WHATCOM
Corporation
BELLINGHAM LOCK &t SAFE INC
UBI No. 600528172
Status
License No.
License Type
Effective Date
Expiration
Date
Suspend Date
Specialty 1
Specialty 2
ACTIVE
SECURSN954JG
ELECTRICAL
CONTRACTOR
4/7/2005
4/7/2011
LIMITED ENERGY
UNUSED
Other Associated Licenses
License
Name
Type
Spe ;ialty
Specialty 2
Effective
Expiration at n
Status
BELLILS234QW
BELLINGHAM
LOCK &t
SAFE INC
ELECTRICAL
CONTRACTOR
LIMITED
ENERGY
HVAC /RFRG
LTD
ENERGY
11/16/1977
4/14/2005
OUT OF
BUSINESS
MASTER ELECTRICIAN INFORMATION
License VOS * *JJ975CR
Name VOS, JAMES J
Status ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
VOS, JAMES J
AGENT
04/07/2005
VOS, JAMES J
PRESIDENT
04/07/2005
VOS, MELANIE
SECRETARY
04/07/2005
https: // fortress .wa.gov /lni/bbip /Detail.aspx
11/23/2009