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
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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
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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
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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