HomeMy WebLinkAboutPermit EL10-0147 - CARTERS FOR BABIESCARTER'S FOR BABIES
17250 SOUTHCENTER PY
STE 144
EL1O-0147
Parcel No.: 7888920020
Address:
Suite No:
City.f 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.wa.us
17250 SOUTHCENTER PY TUKW
ELECTRICAL PERMIT
Permit Number:
Issue Date:
Permit Expires On:
EL10 -0147
03/01/2010
08/28/2010
Tenant:
Name:
Address:
Owner:
Name:
Address:
Contact Person:
Name:
Address:
Contractor:
Name:
Address:
Contractor
CARTERS FOR BABIES
17250 SOUTHCENTER PY SUITE 144 , TUKWILA WA
WIG PROPERTIES LLC -SS
4811 134TH PL SE , BELLEVUE WA
TRACE TURPIN
9603 163 AV NE , GRANITE FALLS WA
CHECKPOINT SYSTEMS INC
8180 UPLAND CIRCLE , CHANHASSEN MN
License No: CHECKSI910N7
Phone:
Phone: 425- 931 -9717
Phone: 8008884443
Expiration Date: 08/27/2011
DESCRIPTION OF
BURGLAR ALARM
WORK:
Value of Electrical:
Type of Fire Protection:
NRES: $1,019.56
RES: $0.00
UNKNOWN
Electrical Service provided by:
PUGET SOUND ENERGY
Permit Center Authorized Signature:
,)-J-
Fees Collected:
National Electrical Code Edition: 2008
$115.50
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 authe
construction or the perform e of work. I am d to sig
Signature:
to violate or cancel the provisions of any other state or local laws regulating
Print Name: 1 r• cn c
and obtain this electrical permit.
Date: 3 "
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
EL1 0-0147
Printed: 03 -01 -2010
Parcel No.: 7888920020
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.tukwila.wa.us
17250 SOUTHCENTER PY TUKW
CARTERS FOR BABIES
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0147
ISSUED
03/01/2010
03/01/2010
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 arty other work or local
laws regulating construction or the performance of work.
Signature:
Print Name: r A C e
Date: 3
.- l 0
doc: Cond -Elec
EL10 -0147 Printed: 03 -01 -2010
CITY OF TUKWIL )
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
http://www.cLtukwila.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 Address:
Tenant Name: C o, r fi e r S 4'40
I King Co Assessor's Tax No.: 78 F9,- OO D
17 a 5 0 S o t^ -� h c e n� e( P �<w, Suite Number: I -}- Li-
Property Owners Name: i; f a Fe ( °%i e 5 L L<-
Mailing Address: `t 8 1 1 l 3 •>, VI_ SE
Name:
New Tenant:
Floor:
Yes ❑.. No
C?%e He v &e
City
\VA-
State
9Food
Zip
Day Telephone: ti-c>15 ` 9 31 - 9 7 1 7
Mailing Address:
E Mail Address: "1G c€ -C' to r p t eN
``EL'ECTRI
City
State
Zip
e C_ k r, C 0/y\ Fax Number:
AL CONTRACTOR INFORMATION
Company Name: C 1 kec K) 0 .nt A+err)S
C kAn / ^
A SS f/ MA) 5 S I -% Mailing Address:
Contact Person:
City State Zip
S I 1 1 Day Telephone: "15 — d4 %- 535
E -Mail Address: S h 1 e ' Ck . t i 1 Q k e C k l t C OM Fax Number: t` 800 " s 8L-f- -9 6 93
Contractor Registration Number: Expiration Date:
Valuation of Project (contractor's bid price): $ 1 01 9
Sb
Scope of Work (please provide detailed information):
C6v-(5 `Ar Y1'\
Will service be altered? ❑ Yes No Adding more than 50 amps? ❑ Yes 23. No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ❑ Remodel
Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
❑ Tenant Improvement
Property Served by:
Puget Sound Energy
❑ Seattle City Light
H:Wpplications\Forms- Applications On Line\2010 Applications \I -2010 - Electrical Permit Application.doc
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Page 1 of 2
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
❑ Low voltage systems
(alarm, furnace thermostat) $59.85 ea
RESIDENTIAL REMODEL AND SERVICE CHANGES
❑ Service change or alteration $81.90
(no added /altered circuits)
❑ Service change with added /altered circuits $81.90
number of added circuits $11.55 ea
❑ Circuits added /altered without service change $54.60
(up to 5 circuits)
❑ Circuits added /altered without service change $54.60
(6 or more circuits) $7.65 ea
❑ Meter /mast repair $68.25
❑ Low voltage systems $59.85
(alarm, furnace thermostat)
MULTI - FAMILY AND COMMERCIAL
Fees are based on the valuation of the electrical contract.
MISCELLANEOUS FEES
❑ Temporary service (residential) $63.00
❑ Temporary service (generator) $78.75
❑ Manufactured /mobile home service $84.00
(excluding garage or outbuilding)
❑ Carnivals $78.75
Number of concessions $10.50 ea
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 EL RICA ONTRA
Signature: �—
Print Name: S a c e
Mailing Address: ( d '3
Date: 'S/1/0/0
Day Telephone: LI-02 -7 — 5 3 - 9717
City
icA tom//} 9 8 as a
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applicauons\Forms- Applications On Line \2010 Applications \I -2010 - Electrical Permit Application.doc
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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.: 7888920020 Permit Number: EL10 -0147
Address: 17250 SOUTHCENTER PY TUI W Status: PENDING
Suite No: Applied Date: 03/01/2010
Applicant: CARTERS FOR BABIES Issue Date:
Receipt No.: R10 -00350
Initials:
User ID:
Payee:
WER
1655
Payment Amount: $115.50
Payment Date: 03/01/2010 10:13 AM
Balance: $0.00
TRACE TURPIN
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA -
Authorization No. 652691
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
PAYMENT
RECEIVED
doc: Receipt -06
Printed: 03 -01 -2010
INSPECTION RECORD
Retain a copy with permit
0.-10 th1117
PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -36
INSPECTION NO.
Proje /
r N ' (
�I
Type of Inspection:
/DU
Addres
. `
IiZsa �.G� ,
Date Called:
Special Instructions:
-ri 6 ik
Date Wanted:
^�7�
3 02-
P.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
tOMMEN
0 K ef\i64,
Inspector:
Date: d 3 O
r7 $60.00 REINSPIECTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
Contractors or Tradespeople titer Friendly 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
Checkpoint Systems Inc
8008884443
8180 Upland Circle
Chanhassen
Mn
55317
Out Of State
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601134574
Active
CHECKSI910N7
Electrical Contractor
8/27/2009
8/27/2011
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
CHECKSI000LH
Checkpoint
Systems Inc
Electrical
Contractor
Telecommunications
Unused
6/8/2000
7/22/2010
Out Of
Business
MASTER ELECTRICIAN INFORMATION
License FREDEJP973CR
Name Frederick, Jerome Paul
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
C T Corporation System
Agent
08/27/2009
Bond
Amount
Van Der Merwe, Robert P
President
08/27/2009
LPM08191032
Van Zile, John R
Secretary
08/27/2009
Andrews, Raymond D
Vice President
08/27/2009
Bond Information
Bond
Bond Company
Name
Bond Account
Number
Effective
Date
Expiration
Date
Cancel
Date
Impaired
Date
Bond
Amount
Received
Date
1
FIDELITY a
DEPOSIT CO OF
MD
LPM08191032
06/05/2000
Until
Cancelled
$4,000.0010/12/2000
https://fortress.wa.gov/lni/bbip/Print.aspx
03/01/2010