HomeMy WebLinkAboutPermit EL08-0749 - WALGREENSWALGREENS
3716 S 144 ST
ELO8-749
Cityqf Tukwila
i
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.: 1523049140
Address: 3716 S 144 ST TUICW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL08 -749
Issue Date: 06/11/2008
Permit Expires On: 12/08/2008
Tenant:
Name: WALGREENS
Address: 3716 S 144 ST , TUKWILA WA
Owner:
Name: TUKWILA HOLDINGS LLC Phone:
Address: 845 106TH AVE NE # 100 , BELLEVUE WA
Contact Person:
Name: LEONA HANSEN Phone: 425 349 -5044
Address: 9800 HARBOUR PL, STE 208 , MUKILTEO WA
Contractor:
Name: APOLLO NEON INC Phone: 425 349 -5044
Address: 9800 HARBOUR PLACE , SUITE 208
Contractor License No: APOLLNI044OD Expiration Date: 09/04/2008
DESCRIPTION OF WORK:
ELECTRICAL FOR ILLUMINATED SIGNS
Value of Electrical: $500.00 Fees Collected:
Type of Fire Protection: National Electrical Code Edition: 2005
$70.00
Electrical Service provided by: SEATTLE CITY LIGHT
Permit Center Authorized Signature: / UV r\ACLI
I hereby certify that I have read and
governing this work will be complie
xartu
with
Date:
Mal Di
red this permit and know the same to be true and correct. All provisions of law and ordinances
whether specified herein or not.
The granting of this permit does not presume to _ive authority to violate or cancel the provisions of any other state or local laws regulating
orized to sign and obtain this electrical permit.
construction or the- ierforman ce of wo
Signature:
Print Name:
Date: 4 / , / f 8
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
EL08 -749 Printed: 06 -11 -2008
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
Parcel No.: 1523049140
Address: 3716 S 144 ST TUKW
Suite No:
Tenant: WALGREENS
PERMIT CONDITIONS
Permit Number: EL08 -749
Status: ISSUED
Applied Date: 06/11/2008
Issue Date: 06/11/2008
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:
6 41 (r
doc: Cond -Elec
EL08 -749 Printed: 06 -11 -2008
CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
-� Electrical Permit No _
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
King Co Assessor's Tax No.:
Site Address: 3 2I ( S 4In .511, �4Lv ' Suite Number: Floor:
Tenant Name: I NA l G-'& New Tenant: EK Yes ❑ ..No
Property Owners Name: TN) k-1N /LA /-40 L cD i11J(r5
COr
Mailing Address: rqS— / O (' AtA/ J 10/0 0 %v(L Wit
City
State Zip
CONTACT PERSON - Who do we contact when your permit is ready to be issued
Name: p
Mailing Address: 7800 I-1A4 O3O✓, ( -j 5,), 76- gip ii /Llt//'/c- E-0 v-4 Wa %S
zip
E -Mail Address: -cam /� /42c. t-Lo NE7 , Cam/"` Fax Number: t f " 7 Si F So
G -‘7,it/A- i-4/4-7%-) SE}-- Day Telephone: (19-5-:- 3 `IF ---570(74-/
City state
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
A Oc) t—c—c)
9th0 WA-R 30012 e'-, Soi/
Contact Person:
E -Mail Address: f2 4-uL
17 —emu O•U
ti��i✓r �/'-!
Contractor Registration Number: 4 4 Pb L L ti j a /Yo D
"z SP2, /14 ✓f' c (A 9Fa ?S
City p
Day Telephone: (4.1.3--- k f' 7 - f6 (7/17
Fax Number: 7y9
Expiration Date: 9' / liJQk
State Zip
Valuation of Project (contractor's bid price): $ �0
Scope of Work (please provide detailed information): //u S_TA. Lc. q L-i% C,A/T, /Ne co✓V/t/&'�
e--ft S T/' S v c.
Will service be altered? ❑ Yes [ "No Adding more than 50 amps? ❑ Yes [f No
Type of Use:
T e of work:
New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H:Wpplications\Portns- Applications On Line \4 -2007 - Electrical Permit Application doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $140.00
(including an attached garage)
❑ Garages, pools, spas and outbuildings $75.00 ea
❑ Low voltage systems
(alarm, furnace thermostat) $55.00 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $75.00
(no added/altered circuits)
❑ Service change with added/altered circuits $75.00
number of added circuits $10.00 ea
❑ Circuits added/altered without service change 550.00
(up to 5 circuits)
❑ Circuits added/altered without service change $50.00
(6 or more circuits) $7.00 ea
❑ Mcter /mast repair $65.00
❑ Low voltage systems $55.00
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $58.00
❑ 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 OWNER OR ELECTRICAL CONTRACTOR:
Signature:
Print Name:
Mailing Address: / 0 HA-a- a3 Oc112
Date: Ce
Day Telephone: c7 3 so Le ct
y1 r/ KA- w4-
City
State Zip
IDate Application Accepted: O 1 ( �
Date Application Expires:
H:Wpplications\Forms- Applications On Line\4 -2007 - Electrical Permit Application.doc
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Staff Initials: 1-2.7_,---
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
Parcel No.: 1523049140
Address: 3716 S 144 ST TUKW
Suite No:
Applicant: WALGREENS
RECEIPT
Permit Number: EL08 -749
Status: APPROVED
Applied Date: 06/11/2008
Issue Date:
Receipt No.: R08 -02077
Initials: JEM
User ID: 1165
Payment Amount: $70.00
Payment Date: 06/11/2008 01:26 PM
Balance: $0.00
Payee: APOLLO NEON, INC.
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 11439 70.00
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.0 70.00
Total: $70.00
3547 06/11 9711 TOTAL 7000
doe: Receiot -06
Printed: 06 -11 -2008
INSPECTION RECORD
Retain a copy with permit
INSPE ON NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION F-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pr j t: L �%
/
�Ti 1 /f/5
Type of Inspection:
,,
_.I' /i
f
Addr ss: 4 ..
7'6 C) J / e
Date Called:
Special Instructions:
Date Wanted:
/0/0
i f
ap
Requester:
Phone No:
roved per applicable codes. Corrections required prior to approval.
MMENTS:
min t,
Inspe dr L /)7QJ///j G� Date:104.
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:
Look Up a Contractor, Electrl or Plumber License Detail
Washington State Department of Labor and Industries
Electrical Contractor
A business licensed by L &I 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.
License Information
License
APOLLNI044OD
Licensee Name
APOLLO NEON INC
Licensee Type
ELECTRICAL CONTRACTOR
UBI
601731106
Ind. Ins. Account Id
Business Type
CORPORATION
Address 1
9800 HARBOUR PL #208
Address 2
City
MUKILTEO
County
SNOHOMISH
State
WA
Zip
98275
Phone
4253495044
Status
ACTIVE
Specialty 1
SIGN
Specialty 2
UNUSED
Effective Date
9/4/1996
Expiration Date
9/4/2008
Suspend Date
Separation Date
Parent Company
Previous License
APOLLN•061J5
Next License
Associated License
CARYLVM967KP
Master Electrician Information
License
CARYLVM967KP
Name
CARYL, VAN M
Status
ACTIVE
Business Owner Information
Name
Role
Effective Date
Expiration Date
SCHROEDER, STEVE
01/01/1980
CARYL, VAN M
01/01/1980
SCHROEDER, STEVE
AGENT
01/01/1980
• Page l of 2
I
https: // fortress. wa. gov /lni/bbip /printer.aspx ?License= APOLLNI044OD 06/11/2008