HomeMy WebLinkAboutPermit EL10-0425 - K & G SUPERSTOREK & G SUPERSTORE
17501 SOUTHCENTER PY
SUITE 200
EL1 0-0425
City. oiku kwila
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
Parcel No.: 2623049067
Address: 17501 SOUTHCENTER PY TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0425
Issue Date: 06/10/2010
Permit Expires On: 12/07/2010
Tenant:
Name: K & G SUPERSTORE
Address: 17501 SOUTHCENTER PY - SUITE 200 , TUKWILA WA
Owner:
Name: CLPF- TUKWILA LP Phone:
Address: C/O JSH PROPERTIES INC , 10655 NE 4TH ST #300
Contact Person:
Name: NAIDA KHAN Phone: 360 - 945 -2787
Address: 1345 GULF RD , POINT ROBERTS WA
Contractor:
Name: ADT SECURITY SERVICES INC Phone: 425 - 893 -3668
Address: 11824 NORTH CREEK PY N #105 , BOTHELL WA
Contractor License No: ADTSESI032O5 Expiration Date: 09/25/2011
DESCRIPTION OF WORK:
INSTALL LOW VOLTAGE BURGLAR ALARM SYSTEM
Value of Electrical: NRES: $13,206.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $333.30
National Electrical Code Edition: 2008
Date: 1 (D— CO
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 performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Date: 0//
Print Name: P,6%)/(- � �7
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
ELI 0-0425 Printed: 06 -10 -2010
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.: 2623049067
Address:
Suite No:
Tenant:
17501 SOUTHCENTER PY TUKW
K & G SUPERSTORE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0425
ISSUED
06/10/2010
06/10/2010
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 any other work or local
laws regulating construction or the performance of work.
Signature: A
Print Name: W/U/U/4"
Date: (i /fib //O
doc: Cond -Elec
ELI 0-0425 Printed: 06 -10 -2010
CITY OF TUKWILP
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
httn://www.ci.tukwila.wa.us
Electrical Permit No. .61-1 0 011,--, -
Project No.
(For ofce 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
Site Address: 17501 Southcenter Pkwy Ste #200
Tenant Name: K & G Men's Wearhouse
Property Owners Name: K & G Men's Wearhouse
Mailing Address: 17501 Southcenter Pkwy Ste #200
King Co Assessor's Tax No.: 262304 -9067
Suite Number: Floor:
New Tenant: ® Yes ❑ ..No
Tukwila
City
WA 98188
State Zip
CONTACT PERSON --Who do we contact when your permit is ready to be issued
Name :. Northwest Permit Inc
Mailing Address:
E -Mail Address:
1345 gulf rd
cyndal @nwpermit.com; naida @nwperma
Day Telephone: (360) 945 -2787
point roberts wa 98281
State
City
Fax Number: (360) 945 -2091
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
ADT SECURITY SERVICES
11824 N CREEK PKWY N #105, BOTHEId 06/01/2010 WA 98011
Contact Person: NORTHWEST PERMIT
E -Mail Address:
Contractor Registration Number: ADTSESI032O5 Expiration Date: 09/25/2011
City State
Day Telephone: (360) 945 -2787
Zip
Fax Number:
Valuation of Project (contractor's bid price): $ 13,206
Scope of Work (please provide detailed information): INSTALL LOW VOLTAGE BURGLAR ALARM SYSTEM
Will service be altered? ❑ Yes 0 No
Type of Use: COMMERICAL STRIP MALL
Type of work:
❑ New ❑ Addition ❑ Service Change
m Low Voltage ❑ Generator ❑ Fire Alarm
Property Served by:
® Puget Sound Energy
❑ Seattle City Light
HAApplications \Forms - Applications On Line\2010 Applications \1 -2010 - Electrical Permit Application.doc
bh
Page 1 of 2
Adding more than 50 amps? ❑ Yes 0 No
❑ Remodel ❑ Tenant Improvement
❑ Telecommunication ❑ Temporary Service
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ New single family dwellings $152.85
(including an attached garage)
❑ Garages, pools, spas and outbuildings $81.90 ea
O 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
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: /4
Date Application Accepted:
Date: 6 f b/ J
Day Telephone: '2-5 g 79' (o 71-
Pr QDA city T 10/4—
State Zip
Date Application Expires:
Staff Initials:
H:\Applications\Forms- Applications On Line\2010 Applications \1 -2010 - 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.: 2623049067 Permit Number: EL10 -0425
Address: 17501 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 06/10/2010
Applicant: K & G SUPERSTORE Issue Date:
Receipt No.: R10 -01023 Payment Amount: $333.30
Initials: WER Payment Date: 06/10/2010 09:20 AM
User ID: 1655 Balance: $0.00
Payee: NORTHWEST PERMITS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 1164 333.30
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 333.30
Total: $333.30
PAYMENT
RECF IVEE)
doc: Receipt -06 Printed: 06 -10 -2010
INSPECTION NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
INSPECTION RECORD
Retain a copy with permit
tuo- oYZS
PERMIT NO.
(206)431 -3670
/
Project: �r v
a' p
Type of Inspection:
00
Address:
175015 -( - P/•
Date Called:
Special Instructions:
SaA.1Requester:
VI
Date Wanted:
�% Q�
a.m.`
p.m.
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
11 1 •
r/(1•141
)
Inspector: cf....-.
etc
Date: 0 7 /0p /c)
❑ $60.00 REINSP CTION 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
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
1
Project: K 6 rks ph a Al
Type of Inspection:
7
)
Address:
IZ5-D1 S.C.
Date Called:
Special Instructions:
(,� f
5/� �
dart - 14.16 6 fle64 1/45Pecito4
Date Wanted:
> r (m. .
(0 7 p,...,v
Requester:
Phone No:
❑ Approved per applicable codes.
ElCorrections required prior to approval.
COMMENTS:
( ce(t'/ Y P V
d 4(144- tAi
dart - 14.16 6 fle64 1/45Pecito4
kcalkD CA-9 ON-Si'i
Inspector:
1
Date:
06/ill /0
ri $60.00 REINSP CTION FEE REQUIRED. Prior to inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
ADT Always There°
To whom it may concern:
ADT Security Services
1 1824 North Creek Pkwy North
Suite 105
Bothell. WA 98011
Tel: 800 752 5482
Fax: 425 415 6164
This letter authorizes representatives from NW Permits, Inc to obtain permits on behalf of ADT Security
Services.
Thanks,
Chris Flynn
Operations Manager /ADT Security
Contractors or Tradespeople P ter Friendly Page
1
Page 1 of 3
Electrical Contractor
A business licensed by Lai 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
Adt Security Services Inc
4254023356
11824 North Creek Pkwy N #105
Bothell
Wa
98011
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
601636830
Active
ADTSESI032O5
Electrical Contractor
9/25/1997
9/25/2011
Limited Energy
Hvac /Rfrg Ltd Energy
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
ADTSES'115B5
A D T Security
Systems
Electrical
Contractor
Limited
Energy
Unused
1/25/1989
1/25/1999
Archived
AMERIDT283LZ
American District
Telegraph Co
Electrical
Contractor
Limited
Energy
Unused
6/9/1972
1/31/1990
Archived
MASTER ELECTRICIAN INFORMATION
License BEARDGE963LS
Name Beard, Gerald E
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
C T Corporation System
Agent
01/01/1980
Snyder, Michael
President
01/01/1980
Monroze, M Brian
Secretary
06/15/2006
Flanigan, Timothy E
Secretary
06/15/2006
Abromeit, Richard H
Treasurer
08/21/2003
Boggess, Jerry R
Secretary
01/01/1980
06/15/2006
Doherty, Bernard J
Secretary
01/01/1980
06/15/2006
Ruzika, Stephen J
Secretary
01/01/1980
06/15/2006
Beck, Jan S
Secretary
01/01/1980
06/15/2006
Dinius, David
Secretary
01/01/1980
06/15/2006
https://fortress.wa.gov/lni/bbip/Print.aspx
06/10/2010