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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