HomeMy WebLinkAboutPermit EL10-0652 - TOYS R USTOYS R US
17501 SOUTHCENTERPY
EL1 0-0652
City onjukwila
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 -0652
Issue Date: 08/12/2010
Permit Expires On: 02/08/2011
Tenant:
Name: TOYS R US
Address: 17501 SOUTHCENTER PY , TUKWILA WA
Owner:
Name: CLPF - TUKWILA LP Phone:
Address: C/O JSH PROPERTIES INC , 10655 NE 4TH ST #300
Contact Person:
Name: THOMAS JORDAL Phone: 425 355 -1593
Address: 12308 MUKILTEO SPEEDWAY , MUKILTEO WA
Contractor:
Name: SKYLINE COMMUNICATIONS Phone: 425 355 -1593
Address: 12308 MUKILTEO SPEEDWAY, STE 1 , MUKILTEO WA
Contractor License No: SKYLICI93307 Expiration Date: 11/28/2011
DESCRIPTION OF WORK:
INSTALLATION OF TELCOM AND SPEAKER CABLING SYSTEM
Value of Electrical: NRES: $9,800.00
RES: $0.00
Type of Fire Protection: SPRINKLERS /AFA
Electrical Service provided by: PUGET SOUND ENERGY
Permit Center Authorized Signature:
I hereby certify that I have read and e
governing this work will be complied
Fees Collected: $264.50
National Electrical Code Edition: 2008
Date: tt
4io
ed this p -rmit and know the same to be true and correct. All provisions of law and ordinances
Ivhether 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 = performance of work. I am authorized to sign and obtain this electrical permit.
Signature:
Print Name:
OTh jeer...027
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.
Date:
doc: EL -4/07
EL10 -0652 Printed: 08 -12 -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: TOYS R US
17501 SOUTHCENTER PY TUKW
PERMIT CONDITIONS
Permit Number:
Status:
Applied Date:
Issue Date:
EL10 -0652
ISSUED
08/12/2010
08/12/2010
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:
Print Name:
Ar�S
Date: /2-AO
doc: Cond -Elec
EL10 -0652 Printed: 08 -12 -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. �. (� -
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 **
rSITE LOCATION
Site Address: 17501 Southcenter Parkway
Tenant Name: Toys -R -Us
Property Owners Name: Toys -R -Us
Mailing Address: 17501 Southcenter Parkway
King Co Assessor's Tax No.: 22' 04 d arl
Suite Number: Floor:
New Tenant: m Yes ❑ ..No
Tukwila
WA 98188
City
State Zip
CONTACT PERSON — Who do we contact when your permit is ready to be issued
Name: Thomas Jordal
Mailing Address: 12308 Mukilteo Speedway
Day Telephone: (425) 355 -1593
Mukilteo WA 98275
E -Mail Address: tom. jordal @skylinecommunications.net
City State
Fax Number: (425) 367 -4111
Zip
ELECTRICAL CONTRACTOR INFORMATION
Company Name:
Mailing Address:
Thomas Jordal
12308 Mukilteo Speedway #1
Contact Person: Thomas Jordal
E -Mail Address: tom. jordal @skylinecommunications.net
Contractor Registration Number: SKYLICI933Q7
Mukilteo WA 98275'
City State Zip
Day Telephone: (425) 355 -1593
Fax Number: (425) 367 -4111
Expiration Date: 11/28/2011
Valuation of Project (contractor's bid price): $ 9,800
Scope of Work (please provide detailed information): Installation of telecom and speaker cabling system
Will service be altered? ❑ Yes ❑ No
Type of Use:
Type of work:
❑ New ❑ Addition ❑ Service Change
❑ Low Voltage ❑ Generator ❑ Fire Alarm m Telecommunication ❑ Temporary Service
Adding more than 50 amps? ❑ Yes ❑ No
❑ Remodel ❑ Tenant Improvement
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
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 hone 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: —7R-V/145 ITa n/( -Z
Mailing Address: _%Z6 /lutCi -1 SP&.)`t '
IDate Application Accepted:
Date:
0//0
Day Telephone: 4225- 355 -15? 3
fl4L/L7ea
City
(.,//¢ ?82 15
State Zip
�I Z
Date Application Expires:
Staff Initials:
H :\Applicanons\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Pent Applicationdoc
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Page 2 of 2
FLO
A •
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 -0652
Address: 17501 SOUTHCENTER PY TUKW Status: PENDING
Suite No: Applied Date: 08/12/2010
Applicant: TOYS R US Issue Date:
Receipt No.: R10 -01557
Initials:
User ID:
JEM
1165
Payment Amount: $264.50
Payment Date: 08/12/2010 08:39 AM
Balance: $0.00
Payee: SKYLINE COMMUNICATIONS
TRANSACTION LIST:
Type Method Descriptio Amount
Payment Check 12202 264.50
Authorization No.
ACCOUNT ITEM LIST:
Description
Account Code Current Pmts
ELECTRICAL PERMIT - NONR
000.322.101.00.00 264.50
Total: $264.50
PAYMENT
QFrFNED
doc: Receiot -06 Printed: 08 -12 -2010
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
(206) 431 -3670
6300 Southcenter Blvd., #100, Tukwila. WA 98188
Permit Inspection Request Line (206) 431 -2451
Project: g j5
OS
Type of Inspection:
ZOO
Address:
17501 5.C. Py,
Date Called:
Special Instructions:
Date Wanted:
/0 05—
. .
p.m
Requester:
Phone No:
ElApproved per applicable codes. - a Corrections required prior to approval.
COMMENTS:
I 11
Inspector: f
n REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
Date:
X0/0 5 /0
1
INSPECTION RECORD
Retain a copy with permit
INSPECTION NO. PERMIT NO.
CITY OF TUKWILA BUILDING DIVISION
6300 Southcenter Blvd., #100, Tukwila. WA 98188 (206) 431 -3670
Permit Inspection Request Line (206) 431 -2451
Project: 5
01
Type of Inspection:
Address:
f /f0o S. Pie
Date Called:
Special Instructions:
(
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614
Date Wanted:
1® 0(
p.m.
Requester:
Phone No:
Approved per applicable codes.
Corrections required prior to approval.
COMMENTS:
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Inspector:
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Date:
‚go
n REINSPECTION FEE REQUIRED.` Prior to next inspection, fee must be •
paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection.
8
Contractors or Tradespeople P ter Friendly Page
•
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.
Business and Licensing Information
Name
Phone
Address
Suite /Apt.
City
State
Zip
County
Business Type
Parent Company
SKYLINE COMMUNICATIONS INC UBI No.
4253551593 Status
12308 Mukilteo Speedway #1
Mukilteo
WA
98275
Snohomish
Corporation
License No.
License Type
Effective Date
Expiration Date
Suspend Date
Specialty 1
Specialty 2
602084210
Active
SKYLICI933Q7
Electrical Contractor
11/28/2007
11/28/2011
Limited Energy
Unused
Other Associated Licenses
License
Name
Type
Specialty 1
Specialty
2
Effective
Date
Expiration
Date
Status
SKYLICI987BQ
SKYLINE
COMMUNICATIONS
INC
Electrical
Contractor
Telecommunications
Unused
1 /18/2002
1/21/2008
Out Of
Business
ADMINISTRATOR INFORMATION
License DUKE *DT937QA
Name DUKE, DUSTIN TRAVIS
Status Active
Business Owner Information
Name
Role
Effective Date
Expiration Date
JORDAL, THOMAS R
Agent
11/27/2007
JORDAL, THOMAS R
President
11/27/2007
JORDAN, AMY W
Vice President
11/26/2007
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
WESTERN SURETY CO
14786967
01/16/2006
Until Cancelled
$4,000.00
11/28/2007
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 08/12/2010