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HomeMy WebLinkAboutPermit EL10-0761 - TOYS R US / BABIES R USTOYS R US /BABIES R US 17501 SOUTHCENTER PY EL1O-0761 Parcel No.: Address: Tenant Name: Cityef 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 2623049067 17501 SOUTHCENTER PY TUKW TOYS R US / BABIES R US ELECTRICAL PERMIT Permit Number: EL10 -0761 Issue Date: 09/23/2010 Permit Expires On: 03/22/2011 Owner: Name: CLPF - TUKWILA LP Address: C/O JSH PROPERTIES INC , 10655 NE 4TH ST #300 98004 Contact Person: Name: CHASE CLEMENTS Address: 1524 45 ST E , SUMNER WA 98390 Contractor: Name: FSI CONFIDENCE PLUS INC Address: 1524 45 ST E - SUITE 102 , SUMNER WA 98390 Contractor License No: FSICOCP918Q4 Phone: 253 - 826 -0099 Phone: 253 - 826 -0099 Expiration Date: 11/24/2011 DESCRIPTION OF WORK: INSTALL NEW LIQUID TIGHT FOR WALL MOUNT TAMPERS Value of Electrical Work: NRES: $350.00 RES: $0.00 Type of Fire Protection: UNKNOWN Electrical Service provided by: PUGET SOUND ENERGY Permit Center Authorized Signature: Fees Collected: $67.20 National Electrical Code Edition: 2008 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 authority to violate or cancel the provisions of any other state or local laws regulating construction or th rformance of wo am authorized to sign and obtain this electrical permit. !1 Signature: ' c Q Date: 9 �3 ) - / U Print Name: S G raiin H r ` , h-el 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 -9/09 EL10 -0761 Printed: 09 -23 -2010 • 1"-- 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: hto://www.ci.tukwila.wa.us Parcel No.: 2623049067 Address: Suite No: Tenant: 17501 SOUTHCENTER PY TUKW TOYS R US / BABIES R US PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: EL10 -0761 ISSUED 09/23/2010 09/23/2010 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 m 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: 50.r61/4,1.. \A-€A -Lei( Date: `� Z3 —1 0 doc: Cond -Elec ELI 0-0761 Printed: 09 -23 -2010 • CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.cLtukwila.wa.us Electrical Permit No. Lt 0- Q ( o Project No. 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 I15u1 King Co Assessor's Tax No.: 2623049067 Site Address: '5 Southcenter Parkway Tukwila, WA 98188 Tenant Name: Babies R Us Suite Number: Floor: New Tenant: ❑ ' es ❑ .. No Property Owners Name: Toys R Us Mailing Address: 1 Geoffrey Way Wayne NJ 07470 City State Zip CONTACT PERSON — Who do we contact when your permit is ready to be issued Name: Chase Clements Day Telephone: (253) 826 -0099 Mailing Address: 1524 45th Street E Sumner WA 98390 City State E -Mail Address: chase @fsicpi.com Fax Number: (253) 826 -1033 Zip ELECTRICAL .CONTRACTORINFORMATION. Company Name: Chase Clements Mailing Address: 1524 45th Street E Contact Person: Chase Clements Sumner WA City State Day Telephone: (253) 826 -0099 98390 Zip E -Mail Address: chase @fsicpi.com Fax Number: (253) 826 -1033 Contractor Registration Number: FSICOCP918Q4 Expiration Date: 11/24/2011 Valuation of Project (contractor's bid price): $ 350 t °' Scope of Work (please provide detailed information): Install new liquid tight for wall mount tampers. Will service be altered? ❑ Yes IW/No Adding more than 50 amps? ❑ Yes EV< Type of Use: Type of work: ❑ New ❑ Addition ❑ Service Change ❑ Remodel ❑ Tenant Improvement ❑ Low Voltage ❑ Generator ire Alarm ❑ Telecommunication ❑ Temporary Service Property Served by: "Puget Sound Energy ❑ Seattle City Light H:\Applications\Forms- Applications On Line \2010 Applications \7 -2010 - Electrical Permit Application.doc bh Page 1 of 2 IDate Application Accepted: • • 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. 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 1 AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR ELECTRICAL CONTRACTOR: Signature: Print Name: Mailing Address: G(O`\ �'`t Date: 1. r-23//() Day Telephone: as O Z(0 - O09 9 -\ 5 - Lv E ,Stir k tot SAvl^vt,;vz. 2 3/i City State Zip Date Application Expires: Staff Initials: H:\Applications\Forms- Applications On Line \2010 Applications \7 -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 -0761 Address: 17501 SOUTHCENTER PY TUKW Status: PENDING Suite No: Applied Date: 09/23/2010 Applicant: TOYS R US / BABIES R US Issue Date: Receipt No.: R10 -01895 Payment Amount: $67.20 Initials: WER Payment Date: 09/23/2010 02:31 PM User ID: 1655 Balance: $0.00 Payee: FSI CONFIDENCE INC TRANSACTION LIST: Type Method Descriptio Amount Payment Check 4850 67.20 Authorization No. ACCOUNT ITEM LIST: Description Account Code Current Pmts ELECTRICAL PERMIT - NONR 000.322.101.00.00 67.20 Total: $67.20 doc: Receiot -06 Printed: 09 -23 -2010 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 610-0761 Project: ^5 Type of Inspection: 9C) Address: 175o $ C.. P/9 Special Instructions: Date Called: Date Wanted: Requester: Phone No: Approved per applicable codes. Corrections required prior to approval. /n COMMENTS: 4 Inspector: c-11--61-1446-g, Date: l 2 /' ° REINSPECTION FEE REQUIRED. Prior to next inspection. fee must be paid at 6300 Southcenter Blvd.. Suite 100. Call to schedule reinspection. Contractors or Tradespeople lier 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 FSI CONFIDENCE PLUS INC 2538260099 1524 45Th St E Ste 102 Sumner WA 98390 Pierce Corporation UBI No. Status License No. License Type Effective Date Expiration Date Suspend Date Specialty 1 Specialty 2 602873013 Active FSICOCP918Q4 Electrical Contractor 11/24/2009 11/24/2011 Limited Energy Unused Other Associated Licenses License icense Name Type Specialty 1 Specialty 2 Effective Date Expiration Date Status FSICOCP912WW FSI CONFIDENCE PLUS INC Electrical Contractor Maintenance Unused 1/16/2009 1/16/2011 Suspended Electrical Administrator INFORMATION License EDWARRL910QP Name EDWARDS, RICHARD L Status Active Business Owner Information Name Role Effective Date Expiration Date MORRISON, BRETT Agent 11/24/2009 MORRISON, BRETT President 11/24/2009 MORRISON, CARLA Secretary 11/24/2009 LONG, ANGELA Treasurer 11/24/2009 LONG, KENNETH Vice President 11/24/2009 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 CBIC 511302 12/06/2008 Until Cancelled $4,000.00 01/21/2009 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 09/23/2010