HomeMy WebLinkAboutPermit EL10-0643 - DOLLAR TREEDOLLAR TREE
363 STRANDER BL
EL 10-0643
City of/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
Parcel No.: 2623049064
Address: 365 STRANDER BL TUKW
Suite No:
ELECTRICAL PERMIT
Permit Number: EL10 -0643
Issue Date: 08/10/2010
Permit Expires On: 02/06/2011
Tenant:
Name: DOLLAR TREE
Address: 365 STRANDER BL , TUKWILA WA
Owner:
Name: REGENCY CENTERS LP Phone:
Address: C/O PROPERTY TAX DEPT , PO BOX 790830
Contact Person:
Name: RICK MARTINEZ Phone: 206 - 396 -6767
Address: 828 POPLAR PL S , SEATTLE WA
Contractor:
Name: PACIFIC FIRE AND SECURITY INC Phone: 206 -957 -0907
Address: 828 POPLAR PL , SEATTLE WA
Contractor License No: PACIFFS914MF Expiration Date: 07/01/2011
DESCRIPTION OF WORK:
REMODEL - DISASSEMBLE FA DEVICES THEN REASSEMBLE & TEST - NO NEW WIRE BEING
PULLED
Value of Electrical: NRES: $3,500.00
RES: $0.00
Type of Fire Protection: UNKNOWN
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
Fees Collected:
$157.50
National Electrical Code Edition: 2008
Date: 9)--(0-t 6
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 presu
construction or the pert rmance of work
Signature: ��
Print Name:
e authority to violate or cancel the provisions of any other state or local laws regulating
thorized to sign and obtain this electrical permit.
/c l C,e: 44,47077Ner--
Date: /0—r
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 0-0643 Printed: 08 -10 -2010
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wq� 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.: 2623049064
Address:
Suite No:
Tenant:
365 STRANDER BL TUKW
DOLLAR TREE
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0643
ISSUED
08/10/2010
08/10/2010
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 performaa ce-ef work.
Signature:
Print Name:
, (c+ - Ark/4--X77
Date: g le —/O
doc: Cond -Elec
EL10 -0643 Printed: 08 -10 -2010
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. 0- V
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
Site Address: 36.S 5Ti ANOEZ g L/l .
Tenant Name: BOLL/!R 7 EEE
King Co Assessor's Tax No.: It( )-1Q
Suite Number: 4/23 Floor:
New Tenant: Yes ❑..No
Property Owners Name:
Mailing Address:
City
State
Zip
CONTACT PERSON -Who do we contact when your permit is ready to be issued
Name:
Mailing Address:
eICK- Meg 77N6 - Day Telephone: ? 31.6- %%61
SZ9 Pplit-1z Pc14c s' SEpE tNA qg/y`i
City State Zip
E -Mail Address: �I CAM& 1 (CI C 0i' St e/iirLf Co MFax Number: 2 66 - -726- 8/ co
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
PitC -1 c Gii � ce-c- /"TY
F-28
5tm,z qO
City State Zip
Contact Person: g ' C / f T '/ -T /ti6-Z Day Telephone: ZQg' 394,- 6 767
E -Mail Address: Fax Number: 206 - 726- 8lucr)
Contractor Registration Number: PAC/FP-5 97/ y M F Expiration Date: 7 1- 1 /
old
Valuation of Project (contractor's bid price): $ 3, $00.. _ 0 0
Scope of Work (please provide detailed information):
A71/DPEZ — Di? 455EI etz--- GA DCviCE5
i 7b--5 r - /V e7 /" w w,,2E / 't7 /V
7)'1 "EA "e'7ti-ie7cE
Will service be altered? ❑ Yes ❑ No Adding more than 50 amps? ❑ Yes N'-No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change ErRemodel ❑ Tenant Improvement
❑ Low Voltage ❑ Generator ❑ Fire Alarm ❑ Telecommunication ❑ Temporary Service
Property Served by:
❑ Puget Sound Energy
❑ Seattle City Light
H: \Applications \Fours- Applications On Line \2010 Applications \7 -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
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.
1 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT.
BUILDING OWNER OR ELECTRICAL CONTRACTOR:
Signature: ' �-'
g 7
Date: f3.1/61/(7
Print Name: 2 /C4 11414W77 /ue Z Day Telephone: 206 - 396- 6? 6 7
City
Mailing Address: g29 POP1 Peace. 5
v✓A ?el VC/
State Zip
Date Application Accepted:
Date Application Expires:
Staff Initials:
H:\Applications \Fomu- Applications On Line \2010 Applications \7 -2010 - Electrical Pennit 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.tukwila.wa.us
RECEIPT
Parcel No.: 2623049064 Permit Number: EL10 -0643
Address: 365 STRANDER BL TUKW Status: PENDING
Suite No: Applied Date: 08/10/2010
Applicant: DOLLAR TREE Issue Date:
Receipt No.: R10 -01537
Payment Amount: $157.50
Initials: WER Payment Date: 08/10/2010 09:23 AM
User ID: 1655 Balance: $0.00
Payee: PACIFIC FIRE & SECURITY
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 2801 157.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 157.50
Total: $157.50
PAYMENT
ECFIvFr •
doc: Receipt -06 Printed: 08 -10 -2010
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
at 0-00,
PERMIT NO.
(206)431 -3670
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
Project
Type of Inspection:
00
Address: 3 (0 3 S- rn�J>c
Date Called:
Special Instructions:
� 1A-
Date Wanted:
S) 7 ci a.m: .,
(/
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
etAWIcti5 nm36
I I\ )1kL---
Inspector: �^� Date: ail �v
$60.00 REIN�PECTION FE REQUIRED. Prior to inspection, $ Q nspectlon, fee must be
paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection.
Receipt No.:
Date:
-�v .a..- v;;k�'�'r^t's- "c.'t: inc+3�:acF'r .s!"= '�2'e`- "'".�t':..�- a'",., _n��'; X ^�-"',.�y'se'^�� ,n�$.. "'^'.M.,..+s ^S• -.1, _ 1 t,.m._ - .a�....._._..yv_.srvr
INSPECTION NO.
INSPECTION RECORD
Retain a copy with permit
6/10-061
PERMIT NO/ 3
Fir --....
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila, WA 98188
(206)431 -3670
Project: js
0
-(
Type of Inspection: (�
D
Address: 363 C
,/ ht
Date Called:
Special Instructions:
Ff A
Date Wanted:
1 I
a.m.
Requester:
Phone No:
Approved per applicable codes. Corrections required prior to approval.
COMMENTS:
BoosIrti YA0Y&- ( l 14 4C
Sovi2cE PA-4E L, PiI > RkiViCek
Se-C-#1- c tIJDLL c.L t f RCQUt2
Date: tV 't I v
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:
INSPECTION RECORD-,
Retain a .copy with perm
UOOP/
INSPt'.1ION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION V-
6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670
Pr``o�jjecct�t: F
Type of Inspection:,1,/,
Addr s :
ate Called:
Special Instructions:
Date Wanted:
a.m.
p.m.
Requester:
Phone No:
5 pr ed per applicable codes.
Q MMENTS: .. .
Corrections required prior to approval.
cie/LiA/4- c_DiAtic
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:
Contractors or Tradespeople Prater Friendly Page
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Electrical Contractor
A business licensed by LEI 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
PACIFIC FIRE AND SECURITY INC
2069570907
828 Poplar Pl S
Seattle
WA
98144
King
Corporation
UBI No.
Status
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602335521
Active
PAC I FFS914MF
Electrical Contractor
7/1/2009
7/1/2011
General
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
PACIFFS973PU
PACIFIC FIRE AND
SECURITY INC
Electrical
Contractor
Limited
Energy
Unused
10/30/2003
10/30/2009
Expired
MASTER ELECTRICIAN INFORMATION
License BAKERJT973LR
Name BAKER, JON T
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
PINSKY, ADAM A
Agent
07/01/2009
11/12/2009
BAKER, JON T
President
07/01/2009
$250.00
WITTMAN, JOHN P
Secretary
07/01/2009
PINSKY, ADAM A
Treasurer
07/01/2009
MARVICH, STEPHEN E
Vice President
07/01/2009
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
AMERICAN STATES INS
CO
6251633
10/27/2003
Until Cancelled
$4,000.00
10/27/2003
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
Infractions /Citations Information
Infraction / Citation
Date
RCW Code
Type
Status
Violation Amount
EMABQ03219
11/12/2009
19.28.101 RCW
ELECTRICAL CITATION
Satisfied
$250.00
https: // fortress .wa.gov /lni/bbip /Print.aspx 08/10/2010