HomeMy WebLinkAboutPermit EL10-0637 - NATIONAL VISIONNATIONAL VISION
17334 SOUTHCENTER PY
EL1O-0637
City dkukwila
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Department of Community Development
6300 Southcenter Boulevard, Suite #100
Tukwila, Washington 98188
Phone: 206 - 431 -3670
Inspectio n Request Line: 206- 431 -2451
Web site: http: / /www.ci.tukwila.wa.us
Parcel No.: 2623049079
Address: 17334 SOUTHCENTER PY TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0637
Issue Date: 08/06/2010
Permit Expires On: 02/02/2011
Tenant:
Name: NATIONAL VISION
Address: 17334 SOUTHCENTER PY , TUKWILA WA
Owner:
Name: KIR TUKWILA 050 LLC /KIMCO Phone:
Address: PROPERTY TAX DEPARTMEMT , 3333 NEW HYDE PK RD STE 100
Contact Person:
Name: GARRETT DAVIS Phone: 425 - 780 -1030
Address: 533 -A 6 ST S , KIRKLAND WA
Contractor:
Name: B & G PROPERTY MAINTENANCE LLC
Address: 533A 6 ST S , KIRKLAND WA
Contractor License No: BGPROGP906M8
Phone: 425 - 822 -9487
Expiration Date: 07/28/2012
DESCRIPTION OF WORK:
REPLACE 277/488 PANEL WITH LIKE PANEL.
Value of Electrical: NRES: $1,500.00
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected: $115.50
National Electrical Code Edition: 2008
Date: V '-%()
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 o e of work. I am authorized to sign and obtain this electrical permit.
Signature: Date:
Print Name:
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 0-0637 Printed: 08 -06 -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.: 2623049079
Address:
Suite No:
Tenant:
17334 SOUTHCENTER PY TUKW
NATIONAL VISION
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0637
ISSUED
08/06/2010
08/06/2010
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 construct' • , • r the performance of work.
Signature:
7
Print Name:
Date:
/0
doc: Cond -Elec
EL10 -0637
Printed: 08 -06 -2010
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CITY OF TUKWILA
Community Development Department
Permit Center
6300 Southcenter Blvd., Suite 100
Tukwila, WA 98188
htto://www.ci.tukwila.wa.us
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Electrical Permit No. a /0 - 0 (0 i
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 f ,
`(( II,. . King Co Assessor's Tax No.:
Site Address: 1-1 -j`-1 { V 1 Suite Number:
Tenant Name: chAt,t l J c C1V1 New Tenant:
Property Owners Name:
Floor:
Yes ..No
0
Mailing Address:
City
State
Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name:( 4E ■4c?
Mailing Address: 5-77- 1Q --
c
E -Mail Address:
ELECTRICAL C TRACTOR INFORMATION
Day elep ne: 2S 1€ 092/5
City State Zip
Fax Number:
Company Name:
Mailing Address:
J
Contact Person: C / y q
E -Mail Address:
J a UNI'AglAn&
Contractor Registrat' : Number: (0 0 30e22et)
AIL
City
Day Telephone:
Fax Number:
Zip
t4.7 dal) 1030
Expiration Date:
Valuation of Project (contractor's bid price): $ tw
Scope o Work (please provide detailed information): t V0 .P 1 4, ` Olt
no 1
Will service be altered? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ErService Change ❑ Remodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication
❑ Temporary Service
Adding more than 50 amps? ❑ Yes Q" No
Property Served by:
[Puget Sound Energy
❑ Seattle City Light
H:\Applications \Forms - Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 1 of 2
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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, fumace 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 ELEC CTOR:
Signature: Date:
Print Na e:
Mailing ddress:
Day Telephone:
Date Application Accepted: . r / a
City
State
Zip
Date Application Expires: t
Staff Initials:
H:\Applications \Forms - Applications On Line\2010 Applications \7 -2010 - Electrical Permit Application.doc
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Page 2 of 2
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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.tukwi la. wa. us
RECEIPT
Parcel No.: 2623049079 Permit Number: EL10 -0637
Address: 17334 SOUTHCENTER PY TUKW Status: APPROVED
Suite No: Applied Date: 08/06/2010
Applicant: NATIONAL VISION Issue Date:
Receipt No.: R10 -01516
Payment Amount: $115.50
Initials: BLH Payment Date: 08/06/2010 01:49 PM
User ID: ADMIN Balance: $0.00
Payee: GARRETT DAVIS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Credit Crd VISA
Authorization No. 134919
ACCOUNT ITEM LIST:
Description
115.50
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 115.50
Total: $115.50
PAYMENT
FrFIVFr
doc: Receiot -06 Printed: 08 -06 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION 4
(206) 431 -367
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit In ;pection Request Line (206) 431 -2451
Project: 41.--1°111(V J1J
Type of Inspection:
00
Address17339 �'�, pi,
Date Called:
Special Instructions:
Date Wanted:�
713
p.m.
Requester:
Phone No:
Approved per applicable codes. ❑ Corrections required prior to approval.
COMMENTS:
A-e(as 4,4-1/46p
Inspector: -/-4/1/4/
n REINSPECTION FEE REQUIRED. Prior to next inspection, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Date: 0 r %I 1 r
0
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION k°`
o -0G37
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
(206) 431 -3670
Project:
AflO�
/
ISiCN
Type of Inspection:
200
6 /,o
Address: /733y
3.
e
Date Called:
if
Special Instructions:
5
-
Date Wanted: /
a:m
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
o f
6 /,o
t b) orAliJor ri4D 1
if
DPftw%
5
Inspector:
Date:
Ool1 -/I
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
01 -03 -2011
CityfTu:'ila
Departme 't of Co r; lmunit,/
GARRETT DAVIS
533 -A 6 ST S
KIRKLAND WA 98033
RE: Permit No. EL10 -0637
17334 SOUTHCENTER PY TUKVI'
Dear Permit Holder:
Jim Haggerton, Mayor
evelopinent Jack Pace, Director
In reviewing our current records, the above noted permit has not received a final inspection by the City of
Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform
Plumbing Code and /or the National Electric Code, every permit issued by the Building Division under the
provisions of these codes shall expire by limitation and become null and void if the building or work authorized
by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work
authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180
days. Your permit will expire on 02/02/2011.
Based on the above, you are hereby advised to:
1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final
inspection. Each inspection creates a new 180 day period, , provided the inspection shows progress.
-or-
2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is
due to expire. Address your extension request to the Building Official and state your reason(s) for
the need to extend your permit.
The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is
determined that your extension request is granted, you will be notified by mail.
In the event you do not call for an inspection and /or receive an extension prior to 02/02/2011, your permit will
become null and void and any further work on the project will require a new permit and associated fees.
Thank you for your cooperation in this matter.
Sincerely,
Bill Rambo
Permit Technician
File: Permit File No. ELI O -0637
6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665
Contractors or Tradespeople Piker Friendly Page
•
Electrical Contractor
A business licensed by L8I 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
B a G PROPERTY MAINTENANCE LLC
4258229487
533A 6Th St S
Kirkland
WA
98033
King
Limited Liability Company
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
603032280
Active
BGPROGP906M8
Electrical Contractor
7/28/2010
7/28/2012
General
Unused
ADMINISTRATOR INFORMATION
License DAVISG`952PC
Name DAVIS, GARRETT
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
BSEtG INC.
Agent
07/28/2010
ROSEN, STANLEY G
Partner /Member
07/28/2010
BOE, BRYAN R
Partner /Member
07/28/2010
GOLDBERG, NATHAN L
Partner /Member
07/28/2010
Bond Information
Page 1 of 1
Bond
Bond Company Name
Bond Account Number
Effective Date
Expiration Date
Cancel Date
Impaired Date
Bond Amount
Received Date
1
RLI INS CO
LSM0194563
07/28/2010
Until Cancelled
$4,000.00
07/28/2010
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information No records found for the previous 6 year period
Summons /Complaint Information Summons and Complaints are not filed with the department for this contractor type
Warrant Information Warrants are not filed with the department for this contractor type
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/06/2010